1 00:00:05,600 --> 00:00:08,640 WELCOME TO THE 183rd MEETING 2 00:00:08,640 --> 00:00:11,640 OF THE NICHD ADVISORY COUNCIL. 3 00:00:11,640 --> 00:00:12,880 JUNE COUNCEL MEETING WAS A GREAT 4 00:00:12,880 --> 00:00:15,600 SUCCESS IN OUR RETURN TO 5 00:00:15,600 --> 00:00:16,680 IN-PERSON MEETINGS AND IT WAS 6 00:00:16,680 --> 00:00:18,680 WONDERFUL TO SEE YOU ALL THEN 7 00:00:18,680 --> 00:00:20,000 AND AGAIN TODAY IN PERSON. 8 00:00:20,000 --> 00:00:21,880 LOOK AT THE BACK OF THE ROOM! 9 00:00:21,880 --> 00:00:24,480 IT'S LIKE PRE-PANDEMIC TIMES. 10 00:00:24,480 --> 00:00:32,200 SO WELCOME, EVERYBODY. 11 00:00:32,200 --> 00:00:36,760 TODAY'S MEETING IS OPEN TO THE 12 00:00:36,760 --> 00:00:38,080 PLUCK AND IT'S BROADCAST ON THE 13 00:00:38,080 --> 00:00:39,240 NIH VIDEO NETWORK. 14 00:00:39,240 --> 00:00:40,600 TOMORROW WE WILL HOLD OUR CLOSED 15 00:00:40,600 --> 00:00:41,560 SESSION. 16 00:00:41,560 --> 00:00:43,560 I DO APPRECIATE EVERYONE WHO IS 17 00:00:43,560 --> 00:00:45,280 JOINING US IN PERSON TODAY AND 18 00:00:45,280 --> 00:00:50,320 WHO ARE WATCHING US VIA THE 19 00:00:50,320 --> 00:00:50,600 VIDEOCAST. 20 00:00:50,600 --> 00:00:51,200 WITH US FOR THE FIRST TIME AND 21 00:00:51,200 --> 00:00:53,200 COULD YOU PLEASE RAISE YOUR HAND 22 00:00:53,200 --> 00:00:55,240 SO THOSE IN THE BACK CAN SEE THE 23 00:00:55,240 --> 00:00:57,920 NAME CARDS AND WILL KNOW WHO YOU 24 00:00:57,920 --> 00:00:59,600 ARE. 25 00:00:59,600 --> 00:01:03,040 DR. ANNA AZAR, FROM BROWN 26 00:01:03,040 --> 00:01:05,520 UNIVERSITY. 27 00:01:05,520 --> 00:01:06,080 DR. CYNTHIA GAVI FROM THE 28 00:01:06,080 --> 00:01:06,720 UNIVERSITY OF CALIFORNIA SAN 29 00:01:06,720 --> 00:01:06,920 DIEGO. 30 00:01:06,920 --> 00:01:08,280 I DON'T SEE HER HER. 31 00:01:08,280 --> 00:01:12,200 SHE IS ON ZOOM? 32 00:01:12,200 --> 00:01:15,160 CYNTHIA WE ARE WELCOMING YOU VIA 33 00:01:15,160 --> 00:01:15,960 ZOOM. 34 00:01:15,960 --> 00:01:17,880 DR. MIMI JABS WHO I ALSO DON'T 35 00:01:17,880 --> 00:01:19,800 SEE FROM THE ICON SCHOOL OF 36 00:01:19,800 --> 00:01:25,640 MEDICINE AT MOUNT SINAI, ALSO ON 37 00:01:25,640 --> 00:01:25,840 ZOOM. 38 00:01:25,840 --> 00:01:29,080 AND DR.-- FROM BAYLOR COLLEGE OF 39 00:01:29,080 --> 00:01:29,360 MEDICINE. 40 00:01:29,360 --> 00:01:31,480 I'M NOW GOING TO CALL ON ANNA 41 00:01:31,480 --> 00:01:33,360 FIRST TO BRIEFLY INTRODUCE 42 00:01:33,360 --> 00:01:36,680 YOURSELF AND USE THE MICROPHONE, 43 00:01:36,680 --> 00:01:45,640 PLEASE. 44 00:01:45,640 --> 00:01:50,200 >>I'M ANNA, A PROFESSOR OF 45 00:01:50,200 --> 00:01:50,520 ECONOMICS. 46 00:01:50,520 --> 00:01:51,200 >>I DON'T KNOW IF THE 47 00:01:51,200 --> 00:01:51,720 MICROPHONE IS ON. 48 00:01:51,720 --> 00:01:56,240 DO YOU SEE A GREEN LIGHT ON THE 49 00:01:56,240 --> 00:01:56,440 BASE? 50 00:01:56,440 --> 00:02:00,040 >>I'M ANNA A ZER, A PROFESSOR 51 00:02:00,040 --> 00:02:02,240 OF ECONOMICS AT BROWN 52 00:02:02,240 --> 00:02:02,640 UNIVERSITY. 53 00:02:02,640 --> 00:02:07,320 THE FOCUS OF MY RESEARCH IS THE 54 00:02:07,320 --> 00:02:08,000 INTERGENERATIONAL TRANSMISSION 55 00:02:08,000 --> 00:02:10,280 OF POVERTY IN THE U.S. 56 00:02:10,280 --> 00:02:13,000 I DO A LOT OF WORK ON HEALTH BUT 57 00:02:13,000 --> 00:02:19,160 IN OTHER SPACES AS WELL, 58 00:02:19,160 --> 00:02:19,840 EDUCATION IN PARTICULAR. 59 00:02:19,840 --> 00:02:21,520 I THINK -- IS THAT ENOUGH? 60 00:02:21,520 --> 00:02:23,160 >>THAT'S GREAT. 61 00:02:23,160 --> 00:02:25,360 THANK YOU. 62 00:02:25,360 --> 00:02:32,520 AND NOW -- WE'LL GO TO -- 63 00:02:32,520 --> 00:02:35,600 >>I'M INIA, PROFESSOR IN 64 00:02:35,600 --> 00:02:37,520 OBSTETRICS AND GYNECOLOGY, 65 00:02:37,520 --> 00:02:40,560 MOLECULAR AND HUMAN GENETICS AT 66 00:02:40,560 --> 00:02:41,960 BAYLOR. 67 00:02:41,960 --> 00:02:44,360 AND I'M ALSO PART OF THE 68 00:02:44,360 --> 00:02:45,680 CHILDREN'S HOSPITAL. 69 00:02:45,680 --> 00:02:47,680 MY RESEARCH IS ON PRENATAL AND 70 00:02:47,680 --> 00:02:50,760 REPRODUCTIVE GENETICS AND 71 00:02:50,760 --> 00:02:54,880 EPIGENETICS AND ALSO I DO A LOT 72 00:02:54,880 --> 00:02:56,560 OF TRANSLATIONAL RESEARCH ON 73 00:02:56,560 --> 00:02:59,440 BRINGING NEW TECHNOLOGIES TO 74 00:02:59,440 --> 00:03:01,160 PRENATAL GENETIC DIAGNOSIS LIKE 75 00:03:01,160 --> 00:03:02,080 GENOME SEQUENCING. 76 00:03:02,080 --> 00:03:05,000 AND I'M INVOLVED WITH A TEACHER 77 00:03:05,000 --> 00:03:07,280 TO TEACH TRANSLATIONAL RESEARCH 78 00:03:07,280 --> 00:03:11,200 TO GRAD STUDENTS, PH.D. GRAD 79 00:03:11,200 --> 00:03:11,680 STUDENTS. 80 00:03:11,680 --> 00:03:12,520 >>THANK YOU. 81 00:03:12,520 --> 00:03:16,960 AND WE HAVE DR. JABS ON ZOOM. 82 00:03:16,960 --> 00:03:21,440 CAN WE SHOW HER? 83 00:03:21,440 --> 00:03:24,280 >>HI, EVERYBODY. 84 00:03:24,280 --> 00:03:27,360 MY OFFICIAL NAME ISETH LIN JABS. 85 00:03:27,360 --> 00:03:28,440 I'M A PROFESSOR OF GENETICS AND 86 00:03:28,440 --> 00:03:30,120 GENOMIC SCIENCES. 87 00:03:30,120 --> 00:03:32,200 AND ALSO PROFESSOR OF PEDIATRICS 88 00:03:32,200 --> 00:03:34,400 AND A PROFESSOR OF CELL AND 89 00:03:34,400 --> 00:03:35,640 DEVELOPMENTAL AND REGENERATIVE 90 00:03:35,640 --> 00:03:38,320 BIOLOGY AT THE ICON SCHOOL OF 91 00:03:38,320 --> 00:03:39,160 MEDICINE AT MOUNT SINAI, 92 00:03:39,160 --> 00:03:39,640 NEW YORK CITY. 93 00:03:39,640 --> 00:03:42,920 MY WORK HAS BEEN FOCUSED ON THE 94 00:03:42,920 --> 00:03:46,760 DEVELOPMENTAL GENETICS OF THE 95 00:03:46,760 --> 00:03:48,880 CRANIOFACIAL SYSTEM AND I HAVE 96 00:03:48,880 --> 00:03:53,840 BEEN ALSO INTIMATELY INVOLVED IN 97 00:03:53,840 --> 00:03:55,120 TRAINING THAT INCORPORATES 98 00:03:55,120 --> 00:03:57,360 SYSTEMS BIOLOGY WITH 99 00:03:57,360 --> 00:03:59,760 DEVELOPMENTAL BIOLOGY AND BIRTH 100 00:03:59,760 --> 00:03:59,960 DEFECTS. 101 00:03:59,960 --> 00:04:03,680 AND I'VE HAD A LONGSTANDING 102 00:04:03,680 --> 00:04:04,600 INTEREST IN RARE DISORDERS. 103 00:04:04,600 --> 00:04:06,360 TO COMPLICATE THINGS A LITTLE 104 00:04:06,360 --> 00:04:09,920 BIT MORE, IN 11 DAYS, I WILL BE 105 00:04:09,920 --> 00:04:12,680 MOVING TO THE MAYO CLINIC TO BE 106 00:04:12,680 --> 00:04:14,640 CHAIR OF THE DEPARTMENT OF 107 00:04:14,640 --> 00:04:19,360 CLINICAL GENOMICS. 108 00:04:19,360 --> 00:04:24,000 >>CONGRATULATIONS ON YOUR NEW 109 00:04:24,000 --> 00:04:27,880 APPOINTMENT. 110 00:04:27,880 --> 00:04:30,120 AND I THINK IT WILL BALANCE THE 111 00:04:30,120 --> 00:04:31,680 MIDWESTERN COMPONENT OF OUR 112 00:04:31,680 --> 00:04:32,520 ADVISORY COUNCIL. 113 00:04:32,520 --> 00:04:35,280 WITH THE HYBRID MEETING FORMAT, 114 00:04:35,280 --> 00:04:37,520 PLEASE REMEMBER TO UNMUTE 115 00:04:37,520 --> 00:04:38,000 YOURSELF. 116 00:04:38,000 --> 00:04:39,640 LIKE YOU SHOULD BE RED UNLESS 117 00:04:39,640 --> 00:04:40,960 YOU'RE SPEAKING, AT THE BASE OF 118 00:04:40,960 --> 00:04:42,480 THE MICROPHONE. 119 00:04:42,480 --> 00:04:45,680 AND PLEASE STATE YOUR NAME SO 120 00:04:45,680 --> 00:04:46,680 THE TRANSCRIBER AND VIDEOCAST 121 00:04:46,680 --> 00:04:48,040 OBSERVERS WILL KNOW WHO IS 122 00:04:48,040 --> 00:04:49,120 SPEAKING. 123 00:04:49,120 --> 00:04:51,360 AFTER YOU SPEAK, PLEASE BE SURE 124 00:04:51,360 --> 00:04:58,400 TO MUTE YOUR MICROPHONE TO 125 00:04:58,400 --> 00:05:00,440 PREVENT ANY OVERLAP. 126 00:05:00,440 --> 00:05:03,520 NOW I WILL TURN THE MEETING OVER 127 00:05:03,520 --> 00:05:06,120 TO REBEKAH RASOOLY, OUR DIRECTOR 128 00:05:06,120 --> 00:05:10,080 OF THE DIVISION OF EXTRAMURAL 129 00:05:10,080 --> 00:05:10,360 ACTIVITIES. 130 00:05:10,360 --> 00:05:13,080 >>THANK YOU AND GOOD AFTERNOON. 131 00:05:13,080 --> 00:05:15,640 ON THE COUNCIL MEMBER WEBSITE, 132 00:05:15,640 --> 00:05:18,640 YOU ALL SHOULD HAVE AGREED TO 133 00:05:18,640 --> 00:05:21,680 AND SIGNED THE CONFIDENTIALITY 134 00:05:21,680 --> 00:05:24,440 AND NON DISCLOSURE RULES FOR 135 00:05:24,440 --> 00:05:25,000 SPECIAL GOVERNMENT EMPLOYEES 136 00:05:25,000 --> 00:05:28,800 BEFORE EVALUATING ANY NIH GRANT 137 00:05:28,800 --> 00:05:29,440 APPLICATIONS. 138 00:05:29,440 --> 00:05:31,080 ALSO, PLEASE REMEMBER THAT YOU 139 00:05:31,080 --> 00:05:33,840 CAN NOT SERVE ON ANY NIH 140 00:05:33,840 --> 00:05:35,600 PEER-REVIEWED PANEL WHILE 141 00:05:35,600 --> 00:05:37,000 SERVING AS A COUNCIL MEMBER. 142 00:05:37,000 --> 00:05:40,200 AND YOU CAN NOT PROVIDE 143 00:05:40,200 --> 00:05:41,840 SECOND-LEVEL REVIEW OF COUNCIL 144 00:05:41,840 --> 00:05:44,560 FOR ANY APPLICATION IN WHICH YOU 145 00:05:44,560 --> 00:05:45,280 PARTICIPATED IN THE FIRST LEVEL 146 00:05:45,280 --> 00:05:47,080 OF PEER REVIEW. 147 00:05:47,080 --> 00:05:50,160 IT IS NIH'S POLICY THAT AN 148 00:05:50,160 --> 00:05:51,440 INDIVIDUAL CANNOT SERVE ON BOTH 149 00:05:51,440 --> 00:05:55,160 THE FIRST AND SECOND LEVELS OF 150 00:05:55,160 --> 00:05:56,240 PEER REVIEW. 151 00:05:56,240 --> 00:05:59,280 IN ADDITION, I WANT TO BRING TO 152 00:05:59,280 --> 00:06:01,080 YOUR ATTENTION THAT DURING 153 00:06:01,080 --> 00:06:03,120 CLOSED SESSION DELIBERATIONS 154 00:06:03,120 --> 00:06:04,160 TOMORROW, YOU SHOULD PLEASE MAKE 155 00:06:04,160 --> 00:06:07,240 SURE TO SHUT OFF ANY CLOUD-BASED 156 00:06:07,240 --> 00:06:09,240 VOICE SERVICES SUCH AS SMART 157 00:06:09,240 --> 00:06:12,640 SPEAKERS, ALEXA AND SO ON, AS 158 00:06:12,640 --> 00:06:14,960 THESE DEVICES MY BE ABLE TO 159 00:06:14,960 --> 00:06:18,960 CAPTURE CONFIDENTIAL 160 00:06:18,960 --> 00:06:19,400 INFORMATION. 161 00:06:19,400 --> 00:06:23,480 I NOW WANT TO ASK FOR ALL OF YOU 162 00:06:23,480 --> 00:06:25,280 TO LOOK AT THE MINUTES FOR THE 163 00:06:25,280 --> 00:06:27,760 JUNE 6-7 MEETING, WHICH WERE 164 00:06:27,760 --> 00:06:29,200 POSTED ON THE COUNCIL MEMBER 165 00:06:29,200 --> 00:06:29,720 WEBSITE. 166 00:06:29,720 --> 00:06:33,800 AND THEY WILL BE POSTED ON OUR 167 00:06:33,800 --> 00:06:34,360 PUBLIC COUNCEL SITE ONCE YOU 168 00:06:34,360 --> 00:06:34,680 APPROVE THEM. 169 00:06:34,680 --> 00:06:37,120 SO WE'RE GOING TO ASK FOR A 170 00:06:37,120 --> 00:06:39,120 MOTION TO APPROVE THOSE MINUTES 171 00:06:39,120 --> 00:06:42,920 AND FOR A SECOND AND THEN TO 172 00:06:42,920 --> 00:06:43,120 VOTE. 173 00:06:43,120 --> 00:06:48,840 AND FOR THOSE OF YOU ON ZOOM -- 174 00:06:48,840 --> 00:06:50,160 SO WE'LL JUST TAKE A SHOW OF 175 00:06:50,160 --> 00:06:51,400 HANDS FOR VOTING. 176 00:06:51,400 --> 00:06:55,160 MAY I HAVE A MOTION TO APPROVE 177 00:06:55,160 --> 00:06:58,400 THE JUNE MINUTES? 178 00:06:58,400 --> 00:06:59,840 >>SHARON MOVE TO APPROVE. 179 00:06:59,840 --> 00:07:01,240 >>SECOND? 180 00:07:01,240 --> 00:07:01,840 >>CATHERINE LANG, SECOND. 181 00:07:01,840 --> 00:07:04,760 >>ALL IN FAVOR? 182 00:07:04,760 --> 00:07:05,480 VERY GOOD. 183 00:07:05,480 --> 00:07:08,720 THANK YOU SO MUCH. 184 00:07:08,720 --> 00:07:10,560 SO THE RESULTS ARE THE MINUTES 185 00:07:10,560 --> 00:07:11,880 ARE APPROVED AND NOW THE LAST 186 00:07:11,880 --> 00:07:15,800 THING BEFORE I TURN THIS BACK TO 187 00:07:15,800 --> 00:07:17,840 DR. BIANCHI IS TO REVIEW THE 188 00:07:17,840 --> 00:07:19,360 UPCOMING MEETING DATES. 189 00:07:19,360 --> 00:07:20,680 SO, IN JANUARY -- AND THIS WILL 190 00:07:20,680 --> 00:07:23,160 BE TRUE, I THINK, FOR ALL OUR 191 00:07:23,160 --> 00:07:25,120 WINTER MEETINGS. 192 00:07:25,120 --> 00:07:26,400 ON JANUARY 22 AND 23, WE ARE 193 00:07:26,400 --> 00:07:29,880 GOING TO BE IN A VIRTUAL 194 00:07:29,880 --> 00:07:30,120 MEETING. 195 00:07:30,120 --> 00:07:31,960 AND THEN WE RETURN TO THE NIH 196 00:07:31,960 --> 00:07:35,080 CAMPUS IN JUNE FOR A MEETING ON 197 00:07:35,080 --> 00:07:37,000 JUNE 3 AND 4 IN BUILDING 31. 198 00:07:37,000 --> 00:07:39,480 AND THEN BACK HERE AGAIN NEXT 199 00:07:39,480 --> 00:07:40,080 SEPTEMBER. 200 00:07:40,080 --> 00:07:43,080 SO PLEASE REVIEW THESE DATES AND 201 00:07:43,080 --> 00:07:45,640 MAKE SURE THAT THEY ARE ON YOUR 202 00:07:45,640 --> 00:07:46,280 CALENDAR AND WE'LL LOOK FORWARD 203 00:07:46,280 --> 00:07:51,160 TO SEEING YOU AT THESE UPCOMING 204 00:07:51,160 --> 00:07:51,840 COUNCEL MEETINGS. 205 00:07:51,840 --> 00:07:52,680 DR. BIANCHI? 206 00:07:52,680 --> 00:07:53,440 >>THANK YOU, REBEKAH. 207 00:07:53,440 --> 00:07:56,160 CAN THIS SCREEN BE TURNED OFF? 208 00:07:56,160 --> 00:08:06,680 OR I'M GOING TO HAVE TO MAYBE -- 209 00:08:14,360 --> 00:08:19,400 NEXT SLIDE, PLEASE. 210 00:08:19,400 --> 00:08:29,840 WHO IS RUNNING THE SLIDES? 211 00:08:35,960 --> 00:08:39,080 SO, IT'S MY PLEASURE TO GIVE YOU 212 00:08:39,080 --> 00:08:41,960 THE SEPTEMBER COUNCIL REPORT. 213 00:08:41,960 --> 00:08:42,240 THANK YOU. 214 00:08:42,240 --> 00:08:42,920 AND WE'RE GOING TO START -- I 215 00:08:42,920 --> 00:08:45,040 KNOW EVERYONE IS ALWAYS VERY 216 00:08:45,040 --> 00:08:48,240 CONCERNED ABOUT MONEY. 217 00:08:48,240 --> 00:08:49,160 THANK YOU VERY MUCH. 218 00:08:49,160 --> 00:08:51,720 WE'LL START WITH WHAT WE KNOW, 219 00:08:51,720 --> 00:08:56,840 WHICH IS NOT A WHOLE LOT BUT FOR 220 00:08:56,840 --> 00:08:59,520 FISCAL YEAR 24, AND THEN BECAUSE 221 00:08:59,520 --> 00:09:04,920 IT'S ALMOST 2024 AND IT WILL 222 00:09:04,920 --> 00:09:05,880 HAVE BEEN FIVE YEARS SINCE WE 223 00:09:05,880 --> 00:09:08,840 FIRST RELEASED THE DRAFT OF OUR 224 00:09:08,840 --> 00:09:10,360 2019 STRATEGIC PLAN, WE'LL START 225 00:09:10,360 --> 00:09:15,080 TO TALK ABOUT OUR NEXT STRATEGIC 226 00:09:15,080 --> 00:09:15,600 PLAN, WHICH IS REQUIRED 227 00:09:15,600 --> 00:09:17,400 ACCORDING TO THE 21ST CENTURY 228 00:09:17,400 --> 00:09:19,480 CURES ACT, EVERY FIVE YEARS. 229 00:09:19,480 --> 00:09:23,480 SO THAT PROCESS IS ALREADY 230 00:09:23,480 --> 00:09:25,600 ONGOING AND WE THANK EVERYONE 231 00:09:25,600 --> 00:09:26,840 WHO IS PARTICIPATING IN THAT. 232 00:09:26,840 --> 00:09:28,080 WE THOUGHT IT WOULD BE A GOD 233 00:09:28,080 --> 00:09:30,720 TIME TO START TO REVIEW WHAT 234 00:09:30,720 --> 00:09:32,360 KIND OF PROGRESS WE HAVE MADE 235 00:09:32,360 --> 00:09:35,520 AND IN PARTICULAR, OUR 236 00:09:35,520 --> 00:09:36,440 ASPIRATIONAL GOALS, WHICH THOSE 237 00:09:36,440 --> 00:09:38,320 OF YOU WHO HAVE SEEN THE 238 00:09:38,320 --> 00:09:41,520 STRATEGIC PLAN, I THINK IT'S 239 00:09:41,520 --> 00:09:44,720 INCLUDED PERHAPS WITH YOUR 240 00:09:44,720 --> 00:09:47,080 DOCUMENTS, BUT MAYBE NOT. 241 00:09:47,080 --> 00:09:48,520 IT'S THE COVER THAT'S THE SAME. 242 00:09:48,520 --> 00:09:49,760 IT'S AVAILABLE ON LINE AND WE'LL 243 00:09:49,760 --> 00:09:53,920 SEND IT TO YOU. 244 00:09:53,920 --> 00:09:54,600 BUT, THE ASPIRATIONAL GOALS ARE 245 00:09:54,600 --> 00:09:55,880 IN THE BACK OF THE STRATEGIC 246 00:09:55,880 --> 00:09:58,520 PLAN AND THEY REALLY REPRESENTED 247 00:09:58,520 --> 00:09:58,880 EXACTLY THAT. 248 00:09:58,880 --> 00:10:01,440 IF WE HAD UNLIMITED FUNDS, THIS 249 00:10:01,440 --> 00:10:05,040 IS WHAT WE WOULD LIKE TO 250 00:10:05,040 --> 00:10:05,480 ACHIEVE. 251 00:10:05,480 --> 00:10:06,800 WE HAD TENAC OPERATIONAL GOALS. 252 00:10:06,800 --> 00:10:09,000 WE'RE GOING TO GIVE YOU AN 253 00:10:09,000 --> 00:10:10,520 UPDATEOY FOUR OF THEM TODAY. 254 00:10:10,520 --> 00:10:11,920 THEN I THOUGHT I WOULD GIVE YOU 255 00:10:11,920 --> 00:10:15,160 AN UPDATE ON THE NIH'S CLINICAL 256 00:10:15,160 --> 00:10:16,840 CENTER PEDIATRIC RESEARCH 257 00:10:16,840 --> 00:10:20,560 STRATEGIC PLAN, AND THEN THE 258 00:10:20,560 --> 00:10:22,680 IMPROVED PROGRAM, IMPLEMENTING 259 00:10:22,680 --> 00:10:25,280 MATERNAL HEALTH AND PREGNANCY 260 00:10:25,280 --> 00:10:26,280 OUTCOMES VISION FOR EVERYONE, 261 00:10:26,280 --> 00:10:28,480 AND THEN WE HAVE QUITE A LOT OF 262 00:10:28,480 --> 00:10:29,880 STAFF UPDATES. 263 00:10:29,880 --> 00:10:31,120 SO WE WILL TALK ABOUT THAT. 264 00:10:31,120 --> 00:10:32,880 DO I HAVE CONTROL OF THE SLIDES 265 00:10:32,880 --> 00:10:33,720 OR DOES SOMEBODY ELSE? 266 00:10:33,720 --> 00:10:35,160 THANK YOU. 267 00:10:35,160 --> 00:10:38,320 NEXT SLIDE, PLEASE. 268 00:10:38,320 --> 00:10:41,360 SO AS YOU PROBABLY KNOW, TODAY 269 00:10:41,360 --> 00:10:43,600 IS SEPTEMBER 6 AND THERE IS 270 00:10:43,600 --> 00:10:46,400 STILL NO BUDGET FOR FISCAL YEAR 271 00:10:46,400 --> 00:10:49,120 24, WHICH BEGINS OCTOBER 1, IN 272 00:10:49,120 --> 00:10:52,480 LESS THAN A MONTH. 273 00:10:52,480 --> 00:10:56,600 THE FISCAL YEAR 24 HOUSE LABOR 274 00:10:56,600 --> 00:11:00,600 HHS APPROPRIATIONS BILL GAVE NIH 275 00:11:00,600 --> 00:11:01,800 A 43 BILLION DOLLAR TOTAL 276 00:11:01,800 --> 00:11:02,800 BUDGET, WHICH WOULD BE A 277 00:11:02,800 --> 00:11:06,720 DECREASE OF 3.8 BILLION FROM THE 278 00:11:06,720 --> 00:11:09,160 CURRENT FISCAL YEAR. 279 00:11:09,160 --> 00:11:11,160 THE NICHD APPROPRIATION LEVEL 280 00:11:11,160 --> 00:11:13,840 WOULD BE 1.75 BILLION, WHICH IS 281 00:11:13,840 --> 00:11:14,040 FLAT. 282 00:11:14,040 --> 00:11:16,240 AND FLAT IS WHAT WE'RE AIMING 283 00:11:16,240 --> 00:11:17,440 FOR. 284 00:11:17,440 --> 00:11:19,320 IF WE GOT AN INCREASE IT WOULD 285 00:11:19,320 --> 00:11:21,240 BE A MIRACLE BUT WE ARE JUST 286 00:11:21,240 --> 00:11:22,680 HOPING WE DON'T GET A DECREASE. 287 00:11:22,680 --> 00:11:26,200 FISCAL YEAR 24, SENATE LABOR HHS 288 00:11:26,200 --> 00:11:28,840 APPROPRIATIONS BILL GAVE A MORE 289 00:11:28,840 --> 00:11:31,040 GENEROUS APPROPRIATION TO NIH, 290 00:11:31,040 --> 00:11:33,880 49.2 BILLION, WHICH WAS A SLIGHT 291 00:11:33,880 --> 00:11:34,160 INCREASE. 292 00:11:34,160 --> 00:11:40,120 AND NICHD DID GET AN INCREASE OF 293 00:11:40,120 --> 00:11:41,840 10 MILLION DOLLARS FOR THE 294 00:11:41,840 --> 00:11:43,520 IMPROVED PROGRAM, WHICH YOU'LL 295 00:11:43,520 --> 00:11:45,160 BE HEARING ABOUT IN A LITTLE 296 00:11:45,160 --> 00:11:45,360 BIT. 297 00:11:45,360 --> 00:11:46,920 THE NEXT STEPS, THE HOUSE AND 298 00:11:46,920 --> 00:11:49,560 SENATE ARE BACK AT WORK THIS 299 00:11:49,560 --> 00:11:53,760 WEEK AND THEY HAVE TO RECONCILE 300 00:11:53,760 --> 00:11:58,200 THEIR DIFFERENCES IN THE FILE 301 00:11:58,200 --> 00:11:58,760 APPROPRIATIONS LEGISLATION. 302 00:11:58,760 --> 00:12:02,520 AT THIS POINT, IF THEY DON'T 303 00:12:02,520 --> 00:12:04,760 RESOLVE THINGS, WE COULD 304 00:12:04,760 --> 00:12:06,920 POTENTIALLY FACE SOME SEVERE 305 00:12:06,920 --> 00:12:07,640 CONSEQUENCES, BUT AT A MINIMUM F 306 00:12:07,640 --> 00:12:09,480 THEY DON'T RESOLVE IT, THERE IS 307 00:12:09,480 --> 00:12:13,640 WHAT IS CALLED A CONTINUING 308 00:12:13,640 --> 00:12:16,080 RESOLUTION, WHICH MUST BE PASSED 309 00:12:16,080 --> 00:12:19,200 BY SEPTEMBER 30 TO KEEP THE 310 00:12:19,200 --> 00:12:22,200 GOVERNMENT IN OPERATION. 311 00:12:22,200 --> 00:12:23,160 NEXT SLIDE. 312 00:12:23,160 --> 00:12:25,880 SO, WE'RE STARTING TO THINK THAT 313 00:12:25,880 --> 00:12:30,760 OUR 2025 STRATEGIC PLAN, THE ONE 314 00:12:30,760 --> 00:12:32,960 THAT WE RELEASED, HERE IS THE 315 00:12:32,960 --> 00:12:35,840 COVER AND WE'LL GET YOU THE PDF 316 00:12:35,840 --> 00:12:36,160 OF IT. 317 00:12:36,160 --> 00:12:37,640 THAT PREVIOUS ONE WAS RELEASED 318 00:12:37,640 --> 00:12:39,040 IN THE FALL OF 2019. 319 00:12:39,040 --> 00:12:41,680 I PRESENTED IT TO THE ADVISORY 320 00:12:41,680 --> 00:12:43,440 COUNCIL AT THAT TIME. 321 00:12:43,440 --> 00:12:46,000 AND IT'S NOW JUST FIVE YEARS 322 00:12:46,000 --> 00:12:47,120 LATER. 323 00:12:47,120 --> 00:12:49,720 THE KEY FOCUS AREAS WERE 324 00:12:49,720 --> 00:12:51,000 RESEARCH, STEWARDSHIP, 325 00:12:51,000 --> 00:12:53,040 MANAGEMENT AND ACCOUNTABILITY. 326 00:12:53,040 --> 00:12:56,560 AND NICHD HAS BEEN DOCUMENTING 327 00:12:56,560 --> 00:12:58,080 AND TRACKING ACTIVITIES AND 328 00:12:58,080 --> 00:13:00,360 ACHIEVEMENTS TOWARDS OUR CURRENT 329 00:13:00,360 --> 00:13:00,640 OBJECTIVES. 330 00:13:00,640 --> 00:13:03,560 WE'RE STARTING TO REFRESH THE 331 00:13:03,560 --> 00:13:05,640 STRATEGIC PLAN OVER THE NEXT 332 00:13:05,640 --> 00:13:06,280 YEAR AND THIS WILL BE INFORMED 333 00:13:06,280 --> 00:13:09,280 BY DATA FALL SIS OF OUR 334 00:13:09,280 --> 00:13:10,480 ACHIEVEMENTS ON CURRENT 335 00:13:10,480 --> 00:13:11,720 ACTIVITIES AND ACCOMPLISHMENTS. 336 00:13:11,720 --> 00:13:15,280 MANY OF THESE YOU HAVE BEEN 337 00:13:15,280 --> 00:13:17,080 UPDATED IN THE COUNCIL MEETINGS. 338 00:13:17,080 --> 00:13:22,960 WE'RE GOING TO SEE THE NICHD 339 00:13:22,960 --> 00:13:24,440 STAFF'S INPUT ON THE SCIENTIFIC 340 00:13:24,440 --> 00:13:26,800 OPPORTUNITIES AND THEN SOLICIT 341 00:13:26,800 --> 00:13:30,760 EXTERNAL FEEDBACK FROM ALL OF 342 00:13:30,760 --> 00:13:32,400 YOU, FROM THE SCIENTIFIC AND 343 00:13:32,400 --> 00:13:32,960 ADVOCACY COMMITMENTS AND THE 344 00:13:32,960 --> 00:13:33,200 PUBLIC. 345 00:13:33,200 --> 00:13:34,480 SO WE THOUGHT TODAY, WHAT WE 346 00:13:34,480 --> 00:13:37,640 COULD DO IS LOOK AT THE 347 00:13:37,640 --> 00:13:39,640 ASPIRATIONAL GOALS AND GIVE AN 348 00:13:39,640 --> 00:13:42,640 UPDATE ON FOUR OF THE 10. 349 00:13:42,640 --> 00:13:43,640 NEXT SLIDE, PLEASE. 350 00:13:43,640 --> 00:13:46,480 SO JUST TO REFRESH WHAT WAS THE 351 00:13:46,480 --> 00:13:48,120 EXACT LANGUAGE IN THE STRATEGIC 352 00:13:48,120 --> 00:13:51,920 PLAN FOR THOSE FOUR ASPIRATIONAL 353 00:13:51,920 --> 00:13:52,120 GOALS. 354 00:13:52,120 --> 00:13:55,920 THE FIRST ONE WAS ON 355 00:13:55,920 --> 00:13:57,560 ENDOMETRIOSIS AND THE TEXT SAID, 356 00:13:57,560 --> 00:14:01,320 WE PLAN TO ACCELERATE EFFORTS TO 357 00:14:01,320 --> 00:14:01,960 DEFINITELY -- DEFINITIVELY 358 00:14:01,960 --> 00:14:04,800 DIAGNOSE, PREVENT AND TREAT 359 00:14:04,800 --> 00:14:05,320 ENDOMETRIOSIS. 360 00:14:05,320 --> 00:14:06,800 A DISEASE THAT EFFECTS AN 361 00:14:06,800 --> 00:14:09,760 ESTIMATED 10% OF WOMEN IN THE 362 00:14:09,760 --> 00:14:12,000 UNITED STATES AND RESULTS IN 363 00:14:12,000 --> 00:14:15,000 CHRONIC PAIN, INFERTILITY AND A 364 00:14:15,000 --> 00:14:17,040 HIGHER RISK OF SOME CANCERS. 365 00:14:17,040 --> 00:14:19,440 THE NEXT ONE IS TO ADVANCE THE 366 00:14:19,440 --> 00:14:21,800 ABILITY TO REGENERATE HUMAN 367 00:14:21,800 --> 00:14:23,760 LIMBS BY USING EMERGING 368 00:14:23,760 --> 00:14:28,360 TECHNOLOGIES TO ACTIVATE THE 369 00:14:28,360 --> 00:14:30,720 BODY'S OWN GROWTH PATHWAYS AND 370 00:14:30,720 --> 00:14:31,000 PROCESSES. 371 00:14:31,000 --> 00:14:31,880 THE THIRD ONE IS TO ENHANCE THE 372 00:14:31,880 --> 00:14:34,760 SURVIVAL AND HEALTHY DEVELOPMENT 373 00:14:34,760 --> 00:14:36,560 OF PRETERM INFANTS BY EXPLORING 374 00:14:36,560 --> 00:14:38,280 THE ROLE OF ENVIRONMENTAL 375 00:14:38,280 --> 00:14:39,680 FACTORS, SUCH AS FEEDING METHODS 376 00:14:39,680 --> 00:14:43,240 AND NUTRITIONAL SUPPORTS, HUMAN 377 00:14:43,240 --> 00:14:45,400 TOUCH AND MUSIC AND LIGHTING. 378 00:14:45,400 --> 00:14:46,040 AND THE LAST ONE THAT WE'RE 379 00:14:46,040 --> 00:14:48,520 GOING TO DISCUSS TODAY IS TO 380 00:14:48,520 --> 00:14:51,040 FACILITATE THE APPLICATION OF 381 00:14:51,040 --> 00:14:53,400 PRECISION MEDICINE APPROACHES IN 382 00:14:53,400 --> 00:14:55,760 CHILDREN BY CAPITALIZING ON 383 00:14:55,760 --> 00:14:57,280 ADVANCES IN GENOMICS AND 384 00:14:57,280 --> 00:14:59,680 UPDATING NORMATIVE DATA ON THE 385 00:14:59,680 --> 00:15:00,640 GROWTH AND DEVELOPMENT OF A 386 00:15:00,640 --> 00:15:02,720 DIVERSE POPULATION OF CHILDREN, 387 00:15:02,720 --> 00:15:04,520 INCLUDING THOSE WITH 388 00:15:04,520 --> 00:15:07,960 INTELLECTUAL, DEVELOPMENTAL AND 389 00:15:07,960 --> 00:15:08,640 PHYSICAL DISABILITIES. 390 00:15:08,640 --> 00:15:11,040 SO LET'S START WITH 391 00:15:11,040 --> 00:15:11,400 ENDOMETRIOSIS. 392 00:15:11,400 --> 00:15:17,000 AS WE SAID, 1-10 WOMEN HAVE IT. 393 00:15:17,000 --> 00:15:19,240 IT'S A CONDITION THAT IS 394 00:15:19,240 --> 00:15:23,640 ASSOCIATED WITH A LONG DELAY IN 395 00:15:23,640 --> 00:15:24,880 DIAGNOSIS. 396 00:15:24,880 --> 00:15:26,840 IT HAS SEVERE SYMPTOMS. 397 00:15:26,840 --> 00:15:29,880 AT THE TIME OF THE ASPIRATIONAL 398 00:15:29,880 --> 00:15:32,440 GOAL, THERE WERE ZERO PROVEN 399 00:15:32,440 --> 00:15:35,120 NON-INVASIVE DIAGNOSTIC TESTS 400 00:15:35,120 --> 00:15:35,720 WIDELY AVAILABLE. 401 00:15:35,720 --> 00:15:39,040 YOU CAN SEE HERE, JUST TO ORIENT 402 00:15:39,040 --> 00:15:42,280 YOU TO THE GRAPHS THAT WILL 403 00:15:42,280 --> 00:15:42,880 APPEAR IN THE MIDDLE OF THESE 404 00:15:42,880 --> 00:15:43,160 FOUR SLIDES. 405 00:15:43,160 --> 00:15:46,440 ON THE BOTTOM IN BLACK NUMBERS 406 00:15:46,440 --> 00:15:48,400 ARE THE MILLIONS OF DOLLARS THAT 407 00:15:48,400 --> 00:15:51,160 IS SPENT ON THIS. 408 00:15:51,160 --> 00:15:53,000 SO THERE HAS BEEN SIGNIFICANT 409 00:15:53,000 --> 00:15:53,240 PROGRESS. 410 00:15:53,240 --> 00:15:57,600 FOR EXAMPLE, WE HAVE GONE FROM 411 00:15:57,600 --> 00:15:59,240 14.41 MILLION DOLLARS TO 27.33 412 00:15:59,240 --> 00:16:01,160 MILLION DOLLARS, THE LAST 413 00:16:01,160 --> 00:16:04,800 COMPLETED FISCAL YEAR WAS 2022. 414 00:16:04,800 --> 00:16:05,760 WE'LL HAVE UPDATED INFORMATION 415 00:16:05,760 --> 00:16:07,320 IN A FEW MONTHS. 416 00:16:07,320 --> 00:16:09,600 THE ORANGE LINE REPRESENTS THE 417 00:16:09,600 --> 00:16:11,720 NUMBER OF NICHD PROJECTS. 418 00:16:11,720 --> 00:16:15,160 AND YOU CAN SEE THAT OUR 419 00:16:15,160 --> 00:16:17,440 GYNECOLOGICAL HEALTH AND SEIZES 420 00:16:17,440 --> 00:16:18,400 BRANCH HAS BEEN VERY BUSY IN 421 00:16:18,400 --> 00:16:20,800 SOLICITING AND FUNDING GRANTS. 422 00:16:20,800 --> 00:16:23,960 SO THOSE HAVE GONE FROM 32 TO 52 423 00:16:23,960 --> 00:16:27,200 AND AT THE BOTTOM OF THE GRAPH 424 00:16:27,200 --> 00:16:29,800 INDICATES THE FUNDING 425 00:16:29,800 --> 00:16:31,240 OPPORTUNITIES THAT ARE INCLUDED 426 00:16:31,240 --> 00:16:33,600 IN THESE NUMBERS. 427 00:16:33,600 --> 00:16:36,880 AND THE FINDINGS INCLUDE 428 00:16:36,880 --> 00:16:39,560 IDENTIFYING GENETIC FACTORS THAT 429 00:16:39,560 --> 00:16:41,720 UNDERLIE CO-MORBIDITY USING THE 430 00:16:41,720 --> 00:16:43,640 PUBLICATION THAT IS ARE 431 00:16:43,640 --> 00:16:45,160 ASSOCIATED WITH THESE PARTICULAR 432 00:16:45,160 --> 00:16:45,520 GRANTS. 433 00:16:45,520 --> 00:16:48,440 AND WE WILL MAKE THE SLIDES 434 00:16:48,440 --> 00:16:49,400 AVAILABLE TO EVERYONE. 435 00:16:49,400 --> 00:16:53,080 THERE ARE DRUGS THAT HAVE BEEN 436 00:16:53,080 --> 00:16:55,720 IDENTIFIED THAT IMPROVE SYMPTOMS 437 00:16:55,720 --> 00:16:57,520 TO THE EXTENT WE CAN TELL, THE 438 00:16:57,520 --> 00:17:00,200 PROGRESSION OF THE END MEETIOSIS 439 00:17:00,200 --> 00:17:02,880 AND IMPROVED FERTILITY IN MICE. 440 00:17:02,880 --> 00:17:06,520 THERE ARE ALSO NON SURGICAL 441 00:17:06,520 --> 00:17:10,160 TREATMENTS THAT CAN REMOVE THE 442 00:17:10,160 --> 00:17:14,360 LESIONS AND THE SURGERY FOR END 443 00:17:14,360 --> 00:17:17,200 MEETIOSIS IS EXTENSIVE. 444 00:17:17,200 --> 00:17:18,560 SO ANYTHING THAT COULD REDUCE 445 00:17:18,560 --> 00:17:21,160 THE MULTIPLE HOURS THAT ARE 446 00:17:21,160 --> 00:17:23,280 NEEDED TO TREAT ENDOMETRIOSIS IN 447 00:17:23,280 --> 00:17:27,400 WOMEN WHO HAVE SEIZ SYMPTOMS 448 00:17:27,400 --> 00:17:29,880 WOULD BE EXTREMELY USEFUL. 449 00:17:29,880 --> 00:17:31,160 AND THEN BROAD AP1 INHIBITORS 450 00:17:31,160 --> 00:17:33,920 HAVE BEEN STUDIED AS A POTENTIAL 451 00:17:33,920 --> 00:17:34,200 TREATMENT. 452 00:17:34,200 --> 00:17:35,840 THERE ARE A NUMBER OF OTHER 453 00:17:35,840 --> 00:17:37,080 ACTIVITIES, FOR EXAMPLE WE WILL 454 00:17:37,080 --> 00:17:39,080 BE HOSTING A SHOWING OF BELOW 455 00:17:39,080 --> 00:17:41,600 THE BELT, WHICH IS A DOCUMENTARY 456 00:17:41,600 --> 00:17:45,040 THAT HAS BEEN STREAMING ON PBS 457 00:17:45,040 --> 00:17:48,600 THAT CHRONICLES THE JOURNEY OF 458 00:17:48,600 --> 00:17:50,440 SEVERAL PEOPLE WHO ARE AFFECTED 459 00:17:50,440 --> 00:17:53,160 OR HAVE BEEN AFFECTED WITH 460 00:17:53,160 --> 00:17:54,520 ENDOMETRIOSIS AND ALSO THE 461 00:17:54,520 --> 00:17:58,240 PERSPECTIVE OF A SURGEON WHO 462 00:17:58,240 --> 00:18:01,440 EXCLUSIVELY TREATS WOMEN WITH 463 00:18:01,440 --> 00:18:01,800 ENDOMETRIOSIS. 464 00:18:01,800 --> 00:18:03,320 AND IS FREQUENTLY IN SURGERIES 465 00:18:03,320 --> 00:18:07,960 FOR 8 OR 9 HOURS. 466 00:18:07,960 --> 00:18:08,400 NEXT SLIDE. 467 00:18:08,400 --> 00:18:10,120 LIMB REGENERATION. 468 00:18:10,120 --> 00:18:12,880 2.1 MILLION PEOPLE IN THE UNITED 469 00:18:12,880 --> 00:18:15,680 STATES WITH LIMB LOSS. 470 00:18:15,680 --> 00:18:18,400 THOSE PEOPLE ARE AFFECTED WITH 471 00:18:18,400 --> 00:18:21,720 PAIN AND LONG TERM DISABILITIES. 472 00:18:21,720 --> 00:18:23,920 THERE ARE COSTS INVOLVED SO ON 473 00:18:23,920 --> 00:18:26,280 AVERAGE THERE IS A LIFETIME 474 00:18:26,280 --> 00:18:30,480 DIRECT MEDICAL COST OF 878,000 475 00:18:30,480 --> 00:18:33,560 PLUS AFTER LIMB AMPUTATION. 476 00:18:33,560 --> 00:18:37,120 AGAIN, FUNDING HAS INCREASED 477 00:18:37,120 --> 00:18:38,960 SLIGHTLY FRE7.66 MILLION TO 478 00:18:38,960 --> 00:18:41,600 10.11 MILLION AND A SLIGHT DIP 479 00:18:41,600 --> 00:18:44,440 IN 21 BUT WE ARE NOW ON AN 480 00:18:44,440 --> 00:18:46,840 UPWARDS TRAJECTORY IN TERMS OF 481 00:18:46,840 --> 00:18:49,160 PROJECTS THAT WE'RE FUNDING OF 482 00:18:49,160 --> 00:18:50,200 THE MOST OF THE PROJECTS 483 00:18:50,200 --> 00:18:53,160 ACTUALLY ARE RELATED TO ANIMAL 484 00:18:53,160 --> 00:18:54,200 MODELS, PARTICULARLY IN 485 00:18:54,200 --> 00:18:57,080 SALAMANDERS, BECAUSE THEY 486 00:18:57,080 --> 00:18:57,720 REGENERATE THEIR LIMBS. 487 00:18:57,720 --> 00:19:01,400 SO WHATEVER WE CAN LEARN FROM 488 00:19:01,400 --> 00:19:02,040 SALAMANDERS, IF WE CAN APPLY TO 489 00:19:02,040 --> 00:19:02,640 HUMANS, THAT WOULD BE GREAT. 490 00:19:02,640 --> 00:19:05,000 SO WE HAVE A COUPLE OF 491 00:19:05,000 --> 00:19:07,280 PUBLICATIONS THERE. 492 00:19:07,280 --> 00:19:09,920 NEXT SLIDE. 493 00:19:09,920 --> 00:19:11,280 AND SURVIVAL AND HEALTH OF 494 00:19:11,280 --> 00:19:12,040 PRETERM INFANTS. 495 00:19:12,040 --> 00:19:15,120 WE KNOW FROM THE CDC THAT 496 00:19:15,120 --> 00:19:18,040 APPROXIMATELY 10.5% OF BIRTHS 497 00:19:18,040 --> 00:19:20,360 ARE PREMATURE. 498 00:19:20,360 --> 00:19:23,000 WE HAVEN'T SEEN A LOT OF IMPACT 499 00:19:23,000 --> 00:19:25,680 OF THAT PERCENTAGE, AT LEAST IN 500 00:19:25,680 --> 00:19:27,040 THE TIME SINCE I HAVE BEEN -- 501 00:19:27,040 --> 00:19:30,080 SINCE I WAS PRACTICING 502 00:19:30,080 --> 00:19:30,360 NEONATOLOGY. 503 00:19:30,360 --> 00:19:32,840 WE KNOW THAT THE BABIES WHO 504 00:19:32,840 --> 00:19:33,560 SURVIVE HAVE LONG TERM 505 00:19:33,560 --> 00:19:33,880 DISABILITIES. 506 00:19:33,880 --> 00:19:37,840 AND THERE IS AN ESTIMATED 9% 507 00:19:37,840 --> 00:19:41,400 NICU ADMISSION RATE IN THE 508 00:19:41,400 --> 00:19:41,760 UNITED STATES. 509 00:19:41,760 --> 00:19:43,840 SO HERE THE FUNDING IS 510 00:19:43,840 --> 00:19:47,040 ESSENTIALLY FLAT, 159 MILLION TO 511 00:19:47,040 --> 00:19:50,600 163 MILLION, AND THE NUMBER OF 512 00:19:50,600 --> 00:19:54,480 FUNDED PROJECTS HAVE GONE DOWN. 513 00:19:54,480 --> 00:19:57,040 THESE DO INCLUDE OUR TWO MAJOR 514 00:19:57,040 --> 00:19:59,720 CLINICAL RESEARCH NETWORKS IN 515 00:19:59,720 --> 00:20:01,160 NEONATAL RESEARCH AND THE FMU 516 00:20:01,160 --> 00:20:01,800 NETWORK. 517 00:20:01,800 --> 00:20:04,800 BUT ON THE OTHER HAND, WE HAD 518 00:20:04,800 --> 00:20:07,520 SOME SIGNIFICANT FINDINGS JUST 519 00:20:07,520 --> 00:20:08,280 RECENTLY, WITHIN THE LAST COUPLE 520 00:20:08,280 --> 00:20:09,120 OF WEEKS. 521 00:20:09,120 --> 00:20:10,960 THERE WAS A PUBLICATION FROM 522 00:20:10,960 --> 00:20:15,680 NICHD RESEARCH SHOWING THAT 523 00:20:15,680 --> 00:20:16,280 EXTREMELY PRETERM INFANTS WHO 524 00:20:16,280 --> 00:20:18,520 WERE GIVEN FORTIFIED HUMAN,K 525 00:20:18,520 --> 00:20:20,640 GREW LONGER AND MORE RAPIDLY 526 00:20:20,640 --> 00:20:23,240 THAN INFANTS FED UNFORTIFIED 527 00:20:23,240 --> 00:20:25,080 HUMAN MILK. 528 00:20:25,080 --> 00:20:27,880 AND PRETERM INFANTS WHO WERE 529 00:20:27,880 --> 00:20:30,480 EXPOSED TO MORE SPEECH IN THE 530 00:20:30,480 --> 00:20:31,120 NICU GAINED SIGNIFICANTLY MORE 531 00:20:31,120 --> 00:20:33,720 WEIGHT WHILE THEY WERE 532 00:20:33,720 --> 00:20:34,320 HOSPITALIZED. 533 00:20:34,320 --> 00:20:34,920 AND STEROID TREATMENT BEFORE 534 00:20:34,920 --> 00:20:36,320 BIRTH APPEARS TO IMPROVE 535 00:20:36,320 --> 00:20:39,040 SURVIVAL AND REDUCE 536 00:20:39,040 --> 00:20:40,360 COMPLICATIONS AMONG EXTREMELY 537 00:20:40,360 --> 00:20:43,000 PRETERM INFANTS. 538 00:20:43,000 --> 00:20:45,120 AND THE LAST ONE -- NEXT SLIDE, 539 00:20:45,120 --> 00:20:45,640 PLEASE. 540 00:20:45,640 --> 00:20:47,920 PRECISION PEDIATRICS. 541 00:20:47,920 --> 00:20:51,560 SO, WE DO HAVE AN EXPERT HERE ON 542 00:20:51,560 --> 00:21:02,080 OUR COUNCIL FROM THE U.K., SO 543 00:22:53,880 --> 00:22:55,640 IMPROVE CHILD HEALTH AND USING 544 00:22:55,640 --> 00:22:57,520 THIS HORIZON SCANNING TO PERFORM 545 00:22:57,520 --> 00:23:01,520 LONG TERM STRATEGIC PLANNING FOR 546 00:23:01,520 --> 00:23:03,920 INTRAMURAL TRANS-NIH CLINICAL 547 00:23:03,920 --> 00:23:05,440 PEDIATRIC RESEARCH TO OCCUR OVER 548 00:23:05,440 --> 00:23:07,720 THE NEXT DECADE AND BEYOND. 549 00:23:07,720 --> 00:23:09,160 SO THE GROUP -- NEXT SLIDE. 550 00:23:09,160 --> 00:23:12,640 THE GROUP IS MEETING FOR THE 551 00:23:12,640 --> 00:23:15,440 YEAR AND NOW HAS SOME DRAFT 552 00:23:15,440 --> 00:23:17,360 PRIORITIES, WHICH HAVE NOT BEEN 553 00:23:17,360 --> 00:23:19,960 ACCEPTED YET INTO A FINAL 554 00:23:19,960 --> 00:23:20,320 REPORT. 555 00:23:20,320 --> 00:23:23,040 THEY WILL BE PRESENTED TO THE 556 00:23:23,040 --> 00:23:23,800 CLINICAL CENTER GOVERNING BOARD 557 00:23:23,800 --> 00:23:26,360 AND EN THIS THE HOSPITAL'S BOARD 558 00:23:26,360 --> 00:23:27,960 OF DIRECTORS. 559 00:23:27,960 --> 00:23:30,960 AND IT'S AT A TIME WHEN THERE IS 560 00:23:30,960 --> 00:23:33,840 A LOT OF TRANSITION IN THE 561 00:23:33,840 --> 00:23:36,840 LEADERSHIP AT THE OVERALL NIH 562 00:23:36,840 --> 00:23:37,040 LEVEL. 563 00:23:37,040 --> 00:23:39,240 WE ALSO KNOW THAT, FOR EXAMPLE, 564 00:23:39,240 --> 00:23:41,760 THE FUTURE OF THE INTRAMURAL 565 00:23:41,760 --> 00:23:43,440 RESEARCH PROGRAM WILL BE 566 00:23:43,440 --> 00:23:45,280 DISCUSSED AT THE ANNUAL 567 00:23:45,280 --> 00:23:48,280 INSTITUTE DIRECTOR'S LEADERSHIP 568 00:23:48,280 --> 00:23:48,480 FORUM. 569 00:23:48,480 --> 00:23:50,560 SO WHAT OUR GROUP, WHICH 570 00:23:50,560 --> 00:23:53,160 CONSISTS OF REPRESENTATIVES FROM 571 00:23:53,160 --> 00:23:54,560 MULTIPLE INSTITUTES AND CENTERS 572 00:23:54,560 --> 00:23:56,840 WHO ARE DOING PEDIATRIC 573 00:23:56,840 --> 00:23:59,560 RESEARCH, CONCLUDED THAT WE NEED 574 00:23:59,560 --> 00:24:03,080 ACROSS CUTTING INFRASTRUCTURE 575 00:24:03,080 --> 00:24:04,440 ENHANCEMENTS TO INCREASE 576 00:24:04,440 --> 00:24:04,760 EFFICIENCY. 577 00:24:04,760 --> 00:24:09,360 IN OTHER WORDS, EACH INSTITUTE 578 00:24:09,360 --> 00:24:11,680 HAS THEIR OWN WHATEVER, CORE 579 00:24:11,680 --> 00:24:12,760 FACILITY, WHICH COULD BE 580 00:24:12,760 --> 00:24:15,480 ENHANCED BY COMBINING THEM. 581 00:24:15,480 --> 00:24:19,160 WE TALKED A LOT ABOUT WHAT ARE 582 00:24:19,160 --> 00:24:20,680 THE PRIORITIES, BECAUSE 583 00:24:20,680 --> 00:24:21,640 HISTORICALLY, THE PRIORITIES IN 584 00:24:21,640 --> 00:24:23,400 THE CLINICAL CENTER ARE 585 00:24:23,400 --> 00:24:23,840 INVESTIGATOR-DRIVEN. 586 00:24:23,840 --> 00:24:25,520 IT'S NOT THE REVERSE WHERE YOU 587 00:24:25,520 --> 00:24:27,800 SAY, HERE IS THE FUTURE. 588 00:24:27,800 --> 00:24:31,800 WE NEED MORE RESOURCES TO STUDY 589 00:24:31,800 --> 00:24:33,200 XYZ AND NEED TO RECRUIT PEOPLE 590 00:24:33,200 --> 00:24:36,160 WHO ARE EXPERTS IN THIS AREA. 591 00:24:36,160 --> 00:24:38,920 IT'S BEEN A REVERSE WHERE 592 00:24:38,920 --> 00:24:40,720 INVESTIGATOR X SAYS HE OR SHE 593 00:24:40,720 --> 00:24:41,520 NEEDS SUCH AND SUCH. 594 00:24:41,520 --> 00:24:44,400 WE WERE TALKING ABOUT SCIENTIFIC 595 00:24:44,400 --> 00:24:48,920 PRIORITIES FOR THE FUTURE, AND 596 00:24:48,920 --> 00:24:49,920 WHY INTRAMURAL PROGRAM AND 597 00:24:49,920 --> 00:24:51,640 SPECIFICALLY THE CLINICAL 598 00:24:51,640 --> 00:24:53,000 CENTER, IS UNIQUE AND WHAT ARE 599 00:24:53,000 --> 00:24:54,640 THE UNIQUE RESOURCES? 600 00:24:54,640 --> 00:24:57,920 SO ONE OF THE THINGS THAT THE 601 00:24:57,920 --> 00:25:00,400 CLINICAL CENTER HAS IS LONGEVITY 602 00:25:00,400 --> 00:25:01,520 AND STABLE FUNDING. 603 00:25:01,520 --> 00:25:04,840 SO THAT ALLOWS NATURAL HISTORY 604 00:25:04,840 --> 00:25:06,920 STUDIES TO BE PERFORMED TO 605 00:25:06,920 --> 00:25:08,800 SUPPORT RESEARCH ON THE 606 00:25:08,800 --> 00:25:09,720 CONTINUUM FROM DIAGNOSE TO 607 00:25:09,720 --> 00:25:11,920 TREATMENT AND THEN LONG-TERM 608 00:25:11,920 --> 00:25:14,520 EFFECTS OF EITHER THE CONDITION 609 00:25:14,520 --> 00:25:15,840 OR THE TREATMENT. 610 00:25:15,840 --> 00:25:17,960 IT'S AN OPPORTUNITY TO CONDUCT 611 00:25:17,960 --> 00:25:20,320 GENE THERAPY. 612 00:25:20,320 --> 00:25:23,720 RIGHT NOW IT'S VERY DIFFICULT TO 613 00:25:23,720 --> 00:25:27,120 TREAT CHILDREN UNDER AGE 2. 614 00:25:27,120 --> 00:25:29,040 ALSO CAR T THERAPY AND OTHER 615 00:25:29,040 --> 00:25:30,920 CELL THERAPY STUDIES. 616 00:25:30,920 --> 00:25:32,520 IT'S COMPLICATED BECAUSE WE 617 00:25:32,520 --> 00:25:35,160 DON'T REALLY HAVE A PEDIATRIC 618 00:25:35,160 --> 00:25:37,920 HOSPITAL OR THE FACILITIES OF A 619 00:25:37,920 --> 00:25:39,040 PEDIATRIC HOSPITAL AT THE 620 00:25:39,040 --> 00:25:39,840 CLINICAL CENTER. 621 00:25:39,840 --> 00:25:42,360 WE DO THINK THAT THERE IS AN 622 00:25:42,360 --> 00:25:45,560 OPPORTUNITY TO DO PRECISION 623 00:25:45,560 --> 00:25:47,040 MEDICINE, PHARMACOLOGICAL 624 00:25:47,040 --> 00:25:49,240 INTERVENTIONS IN RARE 625 00:25:49,240 --> 00:25:51,800 NON-MALIGNANT DISEASES AND TO 626 00:25:51,800 --> 00:25:53,440 STUDY PHARMACOKINETICS AND 627 00:25:53,440 --> 00:25:54,800 PHARMACODYNAMICS TO IMPROVE USE 628 00:25:54,800 --> 00:25:56,680 AND DOSING IN CHILDREN. 629 00:25:56,680 --> 00:26:00,880 NEXT SLIDE, PLEASE. 630 00:26:00,880 --> 00:26:02,000 ALSO, THERE WERE RECOMMENDATIONS 631 00:26:02,000 --> 00:26:04,000 TO PERFORM METABOLIC PHENOTYPING 632 00:26:04,000 --> 00:26:06,320 FOR A VARIETY OF CONDITIONS AND 633 00:26:06,320 --> 00:26:09,320 THEN TO DEVELOP A COHORT OF ALL 634 00:26:09,320 --> 00:26:11,680 PEDIATRIC PATIENTS AT THE 635 00:26:11,680 --> 00:26:13,080 CLINICAL CENTER TO MEASURE 636 00:26:13,080 --> 00:26:15,560 PHYSICAL AND MENTAL HEALTH AND 637 00:26:15,560 --> 00:26:16,600 DISEASE IN DIFFERENT DISORDERS. 638 00:26:16,600 --> 00:26:19,600 AND ALSO TO HAVE A DEEPLY 639 00:26:19,600 --> 00:26:22,400 PHENOTYPED PEDIATRIC COHORT TO 640 00:26:22,400 --> 00:26:25,800 ESTABLISH STANDARD SET OF 641 00:26:25,800 --> 00:26:26,160 CONTROL SAMPLES. 642 00:26:26,160 --> 00:26:30,640 AND GIVEN ALL OF THE WORK, WE 643 00:26:30,640 --> 00:26:33,400 FELT PRETTY STRONGLY THERE WAS A 644 00:26:33,400 --> 00:26:36,280 LOW-COST OPTION OF INCREASING 645 00:26:36,280 --> 00:26:37,800 SUPPORT TO DO RESEARCH STUDIES 646 00:26:37,800 --> 00:26:40,600 IN PREGNANT AND LACTATING 647 00:26:40,600 --> 00:26:41,000 PEOPLE. 648 00:26:41,000 --> 00:26:43,040 SO AS I MENTIONED BEFORE, THE 649 00:26:43,040 --> 00:26:45,200 NEXT STEPS WILL BE TO PRESENT 650 00:26:45,200 --> 00:26:46,520 THIS REPORT TO THE CLINICAL 651 00:26:46,520 --> 00:26:49,200 CENTER GOVERNING BOARD AND THE 652 00:26:49,200 --> 00:26:50,240 CLINICAL CENTER HOSPITAL BOARD, 653 00:26:50,240 --> 00:26:53,320 AND THEN TO DETERMINE WHAT CAN 654 00:26:53,320 --> 00:26:54,920 BE IMPLEMENTED OF THE 655 00:26:54,920 --> 00:26:55,280 RECOMMENDATIONS. 656 00:26:55,280 --> 00:26:56,800 AND I'M HAPPY TO DISCUSS THIS 657 00:26:56,800 --> 00:26:57,400 WHEN I'M DONE. 658 00:26:57,400 --> 00:27:00,640 NEXT SLIDE, PLEASE. 659 00:27:00,640 --> 00:27:02,520 OKAY, JUST BRIEF UPDATES ON 660 00:27:02,520 --> 00:27:02,760 IMPROVE. 661 00:27:02,760 --> 00:27:04,520 I DON'T NEED TO TELL ALL OF YOU 662 00:27:04,520 --> 00:27:06,920 WE HAVE A MATERNAL HEALTH CRISIS 663 00:27:06,920 --> 00:27:10,160 THAT IS GETTING WORSE. 664 00:27:10,160 --> 00:27:10,760 TODAY'S "NEW YORK TIMES," FOR 665 00:27:10,760 --> 00:27:14,680 EXAMPLE, FEATURED AN ARTICLE ON 666 00:27:14,680 --> 00:27:16,520 THE DIRE SITUATION IN IDAHO 667 00:27:16,520 --> 00:27:18,960 WHERE FIVE OF THE NINE MATERNAL 668 00:27:18,960 --> 00:27:21,160 FETAL MEDICINE SPECIALISTS LEFT 669 00:27:21,160 --> 00:27:21,640 THE STATE. 670 00:27:21,640 --> 00:27:25,640 AND THERE IS A REAL PROBLEM 671 00:27:25,640 --> 00:27:28,160 PROVIDING SPECIALTY CARE FOR 672 00:27:28,160 --> 00:27:30,040 HIGH-RISK PREGNANT PEOPLE. 673 00:27:30,040 --> 00:27:34,320 MEASURE 2.2 MILLION WOMEN LIVE 674 00:27:34,320 --> 00:27:36,240 IN MATERNITY CARE DESERTS. 675 00:27:36,240 --> 00:27:39,280 PLACES WITH NO MATERNAL CARE. 676 00:27:39,280 --> 00:27:43,080 SO THE RED AREAS ARE THE WORST 677 00:27:43,080 --> 00:27:44,480 AND THERE ARE ALSO -- I THINK 678 00:27:44,480 --> 00:27:48,760 THAT IS 6 MILLION WOMEN WHO ARE 679 00:27:48,760 --> 00:27:51,280 AFFECTED BY LOW ACCESS TO 680 00:27:51,280 --> 00:27:52,360 MATERNAL CARE. 681 00:27:52,360 --> 00:27:55,160 AND THIS IS INCREASING AND IN 682 00:27:55,160 --> 00:27:56,960 PARTICULAR, IN THE PAST YEAR AS 683 00:27:56,960 --> 00:27:59,200 EVIDENCED BY TODAY'S "NEW YORK 684 00:27:59,200 --> 00:28:00,960 TIMES." 685 00:28:00,960 --> 00:28:04,880 NEXT SLIDE. 686 00:28:04,880 --> 00:28:08,880 ALSO, THE MAJORITY OF DEATHS ARE 687 00:28:08,880 --> 00:28:11,800 OCCURRING BETWEEN ONE AND 364 688 00:28:11,800 --> 00:28:13,960 DAYS POST-DELIVERY, AND THAT IS 689 00:28:13,960 --> 00:28:15,800 AN AREA FOR INTERVENTION. 690 00:28:15,800 --> 00:28:20,920 AS YOU CAN SEE HERE, BY THESE 691 00:28:20,920 --> 00:28:26,480 NUMBERS, 65% OF WOMEN ARE DYING 692 00:28:26,480 --> 00:28:29,160 AFTER DELIVERY. 693 00:28:29,160 --> 00:28:31,760 SO, IT'S A PUBLIC HEALTH CRISIS 694 00:28:31,760 --> 00:28:33,760 THAT WE ARE ADDRESSING AT NIH 695 00:28:33,760 --> 00:28:35,600 WITH THE SUPPORT OF CONGRESS. 696 00:28:35,600 --> 00:28:38,400 NEXT SLIDE, PLEASE. 697 00:28:38,400 --> 00:28:42,840 SO, IN FISCAL YEAR 20, WE 698 00:28:42,840 --> 00:28:45,000 DEVELOPED SOMETHING CALLED THE 699 00:28:45,000 --> 00:28:46,000 IMPROVE INITIATIVE. 700 00:28:46,000 --> 00:28:48,240 IT'S AN NIH-WIDE EFFORT THAT IS 701 00:28:48,240 --> 00:28:51,280 CO-LED BY NICHD, THE NATIONAL 702 00:28:51,280 --> 00:28:52,160 INSTITUTE OF NURSING RESEARCH 703 00:28:52,160 --> 00:28:54,320 AND THE OFFICE OF RESEARCH ON 704 00:28:54,320 --> 00:28:57,720 WOMEN'S HEALTH, ALTHOUGH NICHD 705 00:28:57,720 --> 00:29:01,440 IS THE BASE FOR THE FUNDS FROM 706 00:29:01,440 --> 00:29:04,560 CONGRESS TO THE IMPROVE 707 00:29:04,560 --> 00:29:05,360 INITIATIVE. 708 00:29:05,360 --> 00:29:07,160 THE PUZZLE GRAPHIC, THAT IS 709 00:29:07,160 --> 00:29:09,000 IMPORTANT TO KEEP TRACK OF. 710 00:29:09,000 --> 00:29:10,920 THERE ARE SIX COMPONENTS TO THE 711 00:29:10,920 --> 00:29:11,640 IMPROVE INITIATIVE. 712 00:29:11,640 --> 00:29:13,720 AND WE'LL GO THROUGH SOME OF 713 00:29:13,720 --> 00:29:15,280 THEM SHORTLY. 714 00:29:15,280 --> 00:29:18,160 THE GOALS ARE TO REDUCE 715 00:29:18,160 --> 00:29:21,080 PREVENTABLE CAUSES OF MATERNAL 716 00:29:21,080 --> 00:29:22,680 MORBIDITY AND MORTALITY, 717 00:29:22,680 --> 00:29:25,680 SPECIFICALLY TO ADDRESS THE 718 00:29:25,680 --> 00:29:27,280 DISPARITIES IN MATERNAL HEALTH 719 00:29:27,280 --> 00:29:28,840 OUTCOMES WITH BLACK 720 00:29:28,840 --> 00:29:30,520 AFRICAN-AMERICAN WOMEN, ALASKA 721 00:29:30,520 --> 00:29:34,360 NATIVE AND AMERICAN INDIAN 722 00:29:34,360 --> 00:29:36,640 WOMEN; HAVING INCREASED RATES OF 723 00:29:36,640 --> 00:29:39,440 COMPLICATIONS AND MORTALITY, BUT 724 00:29:39,440 --> 00:29:43,960 EVEN NON-HISPANIC -- EXCUSE ME, 725 00:29:43,960 --> 00:29:45,760 HISPANIC WOMEN WHO PREVIOUSLY 726 00:29:45,760 --> 00:29:48,640 HAD LOWER RATES THAN WHITE 727 00:29:48,640 --> 00:29:50,800 WOMEN, THEIR RATES ARE 728 00:29:50,800 --> 00:29:51,760 INCREASING AS WELL. 729 00:29:51,760 --> 00:29:53,480 SO EVEN THOUGH THEIR RATES ARE 730 00:29:53,480 --> 00:29:57,560 STILL MUCH LOWER THAN BLACK AND 731 00:29:57,560 --> 00:29:59,360 AMERICAN INDIAN, ALASKA NATIVE 732 00:29:59,360 --> 00:30:02,960 POPULATIONS, THEY ARE GETTING 733 00:30:02,960 --> 00:30:03,160 WORSE. 734 00:30:03,160 --> 00:30:05,760 SO WITH EXTENSIVE DISCUSSIONS 735 00:30:05,760 --> 00:30:09,080 AMONG THE IMPROVED TEAM, WE 736 00:30:09,080 --> 00:30:12,600 DECIDED TO FOCUS ON 737 00:30:12,600 --> 00:30:15,000 IMPLEMENTATION AND 738 00:30:15,000 --> 00:30:16,200 COMMUNITY-BASED RESEARCH BECAUSE 739 00:30:16,200 --> 00:30:18,280 THE ACADEMIC APPROACH WASN'T 740 00:30:18,280 --> 00:30:19,800 REALLY MAKING A SIGNIFICANT DENT 741 00:30:19,800 --> 00:30:20,880 IN THE NUMBERS. 742 00:30:20,880 --> 00:30:23,480 SO, WE DECIDED TO EXPAND 743 00:30:23,480 --> 00:30:25,000 IMPLEMENTATION OF EVIDENCE-BASED 744 00:30:25,000 --> 00:30:28,080 MATERNAL HEALTH CARE PRACTICES 745 00:30:28,080 --> 00:30:29,480 BEFORE, DURING AND AFTER 746 00:30:29,480 --> 00:30:32,320 PREGNANCY TO BUILD RESEARCH 747 00:30:32,320 --> 00:30:34,320 CAPACITY IN THE COMMUNITY, IN 748 00:30:34,320 --> 00:30:36,280 ORGANIZATIONS THAT DON'T 749 00:30:36,280 --> 00:30:37,920 TYPICALLY DO RESEARCH, TO 750 00:30:37,920 --> 00:30:39,680 PROMOTE ACCESS TO MATERNAL CARE 751 00:30:39,680 --> 00:30:41,680 WITH INNOVATIVE TECHNOLOGY THAT 752 00:30:41,680 --> 00:30:45,800 COULD BE APPLIED IN THESE 753 00:30:45,800 --> 00:30:46,920 MATERNITY CARE DESERTS AND TO 754 00:30:46,920 --> 00:30:51,920 ENABLE REAL-WORLD RESULTS WITH 755 00:30:51,920 --> 00:30:53,720 ELECTRONIC HEALTH RECORD 756 00:30:53,720 --> 00:30:54,000 STANDARDS. 757 00:30:54,000 --> 00:30:54,920 FIRST I'M GOING TO TALK ABOUT 758 00:30:54,920 --> 00:31:01,680 THE COMMUNITY CHALLENGE FOR 759 00:31:01,680 --> 00:31:02,480 MATERNAL HEALTH. 760 00:31:02,480 --> 00:31:04,400 WE MADE NOVEL USE OF CHALLENGES. 761 00:31:04,400 --> 00:31:05,600 WHICH ARE ATYPICAL. 762 00:31:05,600 --> 00:31:06,920 WE DON'T TALK ABOUT CHALLENGES 763 00:31:06,920 --> 00:31:08,920 IN THE ADVISORY COUNCIL MEETING 764 00:31:08,920 --> 00:31:11,400 BUT THESE ARE VERY MUCH LIKE 765 00:31:11,400 --> 00:31:15,240 SHARK TANK AND ENABLE 766 00:31:15,240 --> 00:31:16,680 NON-TRADITIONAL, GENERALLY 767 00:31:16,680 --> 00:31:18,560 NON-ACADEMIC ORGANIZATIONS TO 768 00:31:18,560 --> 00:31:21,640 PARTICIPATE AND COMPETE FOR 769 00:31:21,640 --> 00:31:21,880 FUNDING. 770 00:31:21,880 --> 00:31:26,160 SO, AGAIN WE WANTED TO EXPAND 771 00:31:26,160 --> 00:31:28,240 THE GROUPS, PARTICULARLY THE 772 00:31:28,240 --> 00:31:29,960 ADVOCACY GROUPS WHO HAVE VERY 773 00:31:29,960 --> 00:31:31,360 MUCH TO SAY ABOUT WHAT IS GOING 774 00:31:31,360 --> 00:31:32,880 ON IN THEIR OWN COMMUNITIES AND 775 00:31:32,880 --> 00:31:36,880 THE NEEDS OF THEIR COMMUNITIES. 776 00:31:36,880 --> 00:31:38,480 SO THE CHALLENGE WAS ENVISIONED 777 00:31:38,480 --> 00:31:43,080 AS A WAY TO HELP THESE 778 00:31:43,080 --> 00:31:43,680 COMMUNITY-BASED ORGANIZATIONS 779 00:31:43,680 --> 00:31:47,160 DEVELOP RESEARCH INFRASTRUCTURE 780 00:31:47,160 --> 00:31:47,560 AND CAPABILITIES. 781 00:31:47,560 --> 00:31:48,560 AND WHAT YOU SEE IN THE GRAPHIC 782 00:31:48,560 --> 00:31:50,360 IS -- THIS WAS BEFORE THE 783 00:31:50,360 --> 00:31:52,840 PANDEMIC WHEN WE HELD A 784 00:31:52,840 --> 00:31:53,480 LISTENING SESSION WITH SOME OF 785 00:31:53,480 --> 00:31:55,880 THE BIGGEST AND MOST ACTIVE 786 00:31:55,880 --> 00:31:58,600 MATERNAL HEALTH COMMUNITY 787 00:31:58,600 --> 00:32:00,240 ORGANIZATIONS AND LISTENING TO 788 00:32:00,240 --> 00:32:05,480 THEM HELPED TO FORMULATE THE 789 00:32:05,480 --> 00:32:06,280 CHALLENGE. 790 00:32:06,280 --> 00:32:08,680 WE GAVE 3 MILLION DOLLARS OUT OF 791 00:32:08,680 --> 00:32:11,360 THE FISCAL YEAR 22 IMPROVE 792 00:32:11,360 --> 00:32:12,200 MONAL, LIKE A FUNNEL. 793 00:32:12,200 --> 00:32:14,360 IN ADDITION, NON MONETARY 794 00:32:14,360 --> 00:32:16,080 INCENTIVES, SUCH AS MENTORING 795 00:32:16,080 --> 00:32:18,400 AND RESPECT WITH WRITING 796 00:32:18,400 --> 00:32:19,680 PROPPALS WAS PROVIDED. 797 00:32:19,680 --> 00:32:21,960 AND WE NOW HAVE THE WINNERS WHO 798 00:32:21,960 --> 00:32:24,680 ARE ANNOUNCED IN JUNE. 799 00:32:24,680 --> 00:32:27,000 AND THE WINNERS WILL HAVE ONE 800 00:32:27,000 --> 00:32:30,000 YEAR TO IMPLEMENT THEIR PROJECT 801 00:32:30,000 --> 00:32:32,200 PLANS AND CONDUCT THEIR PROPOSED 802 00:32:32,200 --> 00:32:33,320 RESEARCH AND REPORT THEIR 803 00:32:33,320 --> 00:32:33,640 RESULTS. 804 00:32:33,640 --> 00:32:37,520 AND THEN ULTIMATELY, THERE WILL 805 00:32:37,520 --> 00:32:40,680 BE ANOTHER LEVEL OF SELECTION 806 00:32:40,680 --> 00:32:42,400 WITH THE FINAL WINNERS ANNOUNCED 807 00:32:42,400 --> 00:32:46,200 A YEAR FROM NOW. 808 00:32:46,200 --> 00:32:47,000 SO HERE THEY ARE. 809 00:32:47,000 --> 00:32:49,400 FIRST I WANT TO MENTION THE 810 00:32:49,400 --> 00:32:49,680 GEOGRAPHY. 811 00:32:49,680 --> 00:32:53,200 THERE HAS BEEN A VERY 812 00:32:53,200 --> 00:32:54,800 INTENTIONAL EFFORT TO TRY TO 813 00:32:54,800 --> 00:33:00,320 SPREAD THIS MONEY ACROSS THE 814 00:33:00,320 --> 00:33:01,920 COUNTRY AND GET TO THE AREAS OF 815 00:33:01,920 --> 00:33:03,520 BIGGEST NEED. 816 00:33:03,520 --> 00:33:06,040 SO IF YOU LOOK AT THESE 817 00:33:06,040 --> 00:33:08,120 ORGANIZATIONS AND LOOK AT, FOR 818 00:33:08,120 --> 00:33:10,920 EXAMPLE, STUDIES INVOLVING 819 00:33:10,920 --> 00:33:15,000 DUALAS, STUDIES INVOLVING 820 00:33:15,000 --> 00:33:17,720 MATERNITY MENTAL HEALTH, STUDIES 821 00:33:17,720 --> 00:33:20,040 INVOLVING RISK PREDICTION; THESE 822 00:33:20,040 --> 00:33:22,200 ARE THE WINNERS AT THIS PHASE OF 823 00:33:22,200 --> 00:33:24,840 THE COMPETITION. 824 00:33:24,840 --> 00:33:27,040 NEXT SLIDE. 825 00:33:27,040 --> 00:33:27,960 NOW CENTERS OF EXCELLENCE WERE 826 00:33:27,960 --> 00:33:29,840 JUST ANNOUNCED RECENTLY. 827 00:33:29,840 --> 00:33:31,040 NEXT SLIDE. 828 00:33:31,040 --> 00:33:34,360 AND THE GOAL FOR THE MATERNAL 829 00:33:34,360 --> 00:33:35,960 HEALTH RESEARCH CENTERS OF 830 00:33:35,960 --> 00:33:37,960 EXCELLENCE TO REDUCE MATERNAL 831 00:33:37,960 --> 00:33:40,080 MORBIDITY AND DECREASE 832 00:33:40,080 --> 00:33:41,960 PREVENTIBLE MORTALITY. 833 00:33:41,960 --> 00:33:44,360 BECAUSE 4-5 CASES OF MATERNAL 834 00:33:44,360 --> 00:33:46,280 MORTALITY ARE PREVENTIBLE, 835 00:33:46,280 --> 00:33:47,400 ACCORDING TO THE CDC. 836 00:33:47,400 --> 00:33:49,680 SO WE WANT TO PARTNER WITH 837 00:33:49,680 --> 00:33:51,080 COMMUNITIES THAT ARE AFFECTED 838 00:33:51,080 --> 00:33:54,360 AND INCORPORATE THEIR NEEDS AND 839 00:33:54,360 --> 00:33:55,080 PERSPECTIVES IN THE RESEARCH 840 00:33:55,080 --> 00:33:57,720 PERFORMED BY THE CENTERS OF 841 00:33:57,720 --> 00:33:58,680 EXCELLENCE. 842 00:33:58,680 --> 00:34:01,480 SO, WE'RE GETTING COMMUNITY 843 00:34:01,480 --> 00:34:02,760 PARTNERSHIP FROM THE VERY 844 00:34:02,760 --> 00:34:04,760 BEGINNING OF THE RESEARCH 845 00:34:04,760 --> 00:34:05,000 PROJECT. 846 00:34:05,000 --> 00:34:09,680 IN ADDITION, WE'RE PERFORMING -- 847 00:34:09,680 --> 00:34:11,880 EACH CENTERS OF EXCELLENCE HAS A 848 00:34:11,880 --> 00:34:16,600 TRAINING COMPONENT TO RECRUIT A 849 00:34:16,600 --> 00:34:18,360 DIVERSE WORKFORCE FOR THE 850 00:34:18,360 --> 00:34:18,600 FUTURE. 851 00:34:18,600 --> 00:34:21,080 WE JUST HAD THE KICKOFF MEETING 852 00:34:21,080 --> 00:34:25,000 A COUPLE OF -- LAST WEEK, AND 853 00:34:25,000 --> 00:34:27,000 AGAIN, THESE GROUPS ARE -- 854 00:34:27,000 --> 00:34:31,120 YOU'LL SEE AFTER EACH SLIDE -- 855 00:34:31,120 --> 00:34:32,680 NEXT SLIDE. 856 00:34:32,680 --> 00:34:34,560 THESE INVESTIGATORS ARE SPREAD 857 00:34:34,560 --> 00:34:37,080 OUT AROUND THE COUNTRY. 858 00:34:37,080 --> 00:34:39,400 THIS IS JUST A SIMPLISTIC VIEW 859 00:34:39,400 --> 00:34:41,320 BECAUSE A NUMBER OF THE GROUPS 860 00:34:41,320 --> 00:34:42,520 HAVE PARTNERSHIPS. 861 00:34:42,520 --> 00:34:44,680 SO LUCKY THE MOREHOUSE SCHOOL OF 862 00:34:44,680 --> 00:34:46,880 MEDICINE GROUP IS PARTNERING 863 00:34:46,880 --> 00:34:49,320 WITH EMORY AND THERE ARE 864 00:34:49,320 --> 00:34:51,120 MULTIPLE PARTNERSHIPS. 865 00:34:51,120 --> 00:34:52,480 THE INVESTIGATORS ARE TERRIFIC. 866 00:34:52,480 --> 00:34:55,120 IT IS OUR VISION THAT THEY WILL 867 00:34:55,120 --> 00:34:56,480 ALL COLLABORATE WITH EACH OTHER. 868 00:34:56,480 --> 00:34:58,440 THEY HAVE DIFFERENT APPROACHES 869 00:34:58,440 --> 00:35:02,120 BUT TOGETHER, IT MAKES AN EVEN 870 00:35:02,120 --> 00:35:04,000 BIGGER IMPACT. 871 00:35:04,000 --> 00:35:06,800 SO THERE ARE 10 CENTERS AND IN 872 00:35:06,800 --> 00:35:07,520 ADDITION, THERE ARE TWO HUBS. 873 00:35:07,520 --> 00:35:10,400 THERE IS A DATA INNOVATION 874 00:35:10,400 --> 00:35:13,720 COORDINATION HUB AND THERE IS AN 875 00:35:13,720 --> 00:35:15,840 IMPLEMENTATION SCIENCE HUB. 876 00:35:15,840 --> 00:35:19,240 SO AS WE LEARN MORE FROM THE 877 00:35:19,240 --> 00:35:21,720 MATERNAL HEALTH TECHNOLOGY 878 00:35:21,720 --> 00:35:23,440 CHALLENGE, WE CAN IMPLEMENT SOME 879 00:35:23,440 --> 00:35:26,920 OF THOSE TECHNOLOGICAL ADVANCES 880 00:35:26,920 --> 00:35:28,280 VIAA THE IMPLEMENTATION SCIENCE 881 00:35:28,280 --> 00:35:31,360 HUB INTO THE CENTERS OF 882 00:35:31,360 --> 00:35:31,680 EXCELLENCE. 883 00:35:31,680 --> 00:35:32,320 NEXT SLIDE. 884 00:35:32,320 --> 00:35:34,600 AND WHAT IS BEING COVERED IN THE 885 00:35:34,600 --> 00:35:36,160 CENTERS OF EXCELLENCE, THERE IS 886 00:35:36,160 --> 00:35:41,360 QUITE A BROAD RANGE OF TOPICS, 887 00:35:41,360 --> 00:35:43,960 POPULATIONS, INCLUDING LOOKING 888 00:35:43,960 --> 00:35:45,360 AT SOCIAL DETERMINANTS OF 889 00:35:45,360 --> 00:35:46,760 HEALTH, INCLUDING THE EFFECTS OF 890 00:35:46,760 --> 00:35:51,440 HOUSING STABILITY, INTERPERSONAL 891 00:35:51,440 --> 00:35:52,480 VIOLENCE, ACCESS TO CARE ON 892 00:35:52,480 --> 00:35:54,240 THESE RATES OF MATERNAL 893 00:35:54,240 --> 00:35:56,640 MORBIDITY AND MORTALITY. 894 00:35:56,640 --> 00:35:58,720 THE MEDICAL CONDITIONS ARE ON 895 00:35:58,720 --> 00:35:59,080 THE LEFT. 896 00:35:59,080 --> 00:36:01,760 AGAIN WE ARE LOOKING PRENATAL, 897 00:36:01,760 --> 00:36:03,680 PERINATAL, LABOR AND DELIVERY 898 00:36:03,680 --> 00:36:05,560 AND THE YEAR POSTPARTUM, WHICH 899 00:36:05,560 --> 00:36:06,360 IS EXTREMELY IMPORTANT. 900 00:36:06,360 --> 00:36:10,480 WE ARE LOOKING AT A DIVERSE 901 00:36:10,480 --> 00:36:11,480 POPULATION AS WELL AS NOVEL 902 00:36:11,480 --> 00:36:11,760 APPROACHES. 903 00:36:11,760 --> 00:36:15,360 I DO WANT TO TAKE A MOMENT TO 904 00:36:15,360 --> 00:36:16,880 SPECIFICALLY THANK EVERYONE, NOT 905 00:36:16,880 --> 00:36:20,400 JUST AT NICHD, BUT ALL OF OUR 906 00:36:20,400 --> 00:36:21,800 PARTNER INSTITUTE AND CENTERS 907 00:36:21,800 --> 00:36:23,400 AND OFFICES WHO ARE VERY 908 00:36:23,400 --> 00:36:23,680 INVOLVED. 909 00:36:23,680 --> 00:36:25,680 NEXT SLIDE, PLEASE. 910 00:36:25,680 --> 00:36:28,200 SO AGAIN, GEOGRAPHIC 911 00:36:28,200 --> 00:36:30,280 DISTRIBUTION, WE'RE NOT 912 00:36:30,280 --> 00:36:30,760 EVERYWHERE. 913 00:36:30,760 --> 00:36:31,800 AND PARTLY THAT REFLECTS THE 914 00:36:31,800 --> 00:36:33,520 FACT THAT WE DIDN'T GET 915 00:36:33,520 --> 00:36:34,640 APPLICATIONS FROM SOME PLACES 916 00:36:34,640 --> 00:36:36,600 THAT DEFINITELY DO HAVE NEEDS. 917 00:36:36,600 --> 00:36:40,600 BUT WE INTENTIONALLY MADE AWARDS 918 00:36:40,600 --> 00:36:42,360 CONSIDERING THE USE OF SPREADING 919 00:36:42,360 --> 00:36:46,600 THE FUNDS AROUND THE COUNTRY. 920 00:36:46,600 --> 00:36:56,800 NEXT SLIDE. 921 00:36:57,680 --> 00:37:01,640 SO THE NEW DIRECTOR OF NIAID 922 00:37:01,640 --> 00:37:03,480 SILENT DOCTOR JEAN HARASSO. 923 00:37:03,480 --> 00:37:06,120 I DON'T KNOW -- I FORGOT WHAT 924 00:37:06,120 --> 00:37:07,360 DAY SHE STARTS BUT SHE WAS THE 925 00:37:07,360 --> 00:37:08,880 DIRECTOR OF THE DIVISION OF 926 00:37:08,880 --> 00:37:09,680 INFECTIOUS DISEASES AT THE 927 00:37:09,680 --> 00:37:12,520 UNIVERSITY OF ALABAMA AT 928 00:37:12,520 --> 00:37:12,840 BIRMINGHAM. 929 00:37:12,840 --> 00:37:16,160 SHE IS AN EXPERT ON THE HUMAN 930 00:37:16,160 --> 00:37:17,640 MICROBIOME, SPECIFICALLY AS IT 931 00:37:17,640 --> 00:37:20,240 RELATES TO THE FEMALE 932 00:37:20,240 --> 00:37:22,800 REPRODUCTIVE TRACT AND HORMONAL 933 00:37:22,800 --> 00:37:23,160 CONTRACEPTION. 934 00:37:23,160 --> 00:37:28,600 SO WE ARE VERY EXCITED THAT WE 935 00:37:28,600 --> 00:37:30,640 HAVE A PARTNER COMMITTED TO OUR 936 00:37:30,640 --> 00:37:31,240 POPULATIONS AS WELL. 937 00:37:31,240 --> 00:37:34,240 SHE IS ALSO AN EXPERT IN 938 00:37:34,240 --> 00:37:35,960 PREVENTION OF HIV INFECTION AND 939 00:37:35,960 --> 00:37:38,240 THE PATHOGENESIS AND MANAGEMENT 940 00:37:38,240 --> 00:37:40,880 OF BACTERIAL ADVANTAGE NOSEIS. 941 00:37:40,880 --> 00:37:42,760 SO ONCE SHE GETS SETTLED WE WILL 942 00:37:42,760 --> 00:37:46,160 BE INVITING HER TO A FUTURE 943 00:37:46,160 --> 00:37:56,600 ADVISORY COUNCIL MEETING. 944 00:37:57,840 --> 00:38:02,280 I MELT HER VIA ZOOM AND SHE WILL 945 00:38:02,280 --> 00:38:04,120 BE TERRIFIC. 946 00:38:04,120 --> 00:38:07,280 WE ALSO HAVE TWO MAJOR OFFICES 947 00:38:07,280 --> 00:38:10,440 AT THE DIRECTOR'S OFFICE WHO WE 948 00:38:10,440 --> 00:38:12,240 WILL BE COLLABORATING WITH AND 949 00:38:12,240 --> 00:38:13,960 THAT IS THE NEW ASSOCIATE 950 00:38:13,960 --> 00:38:15,440 DIRECTOR FOR BEHAVIORAL AND 951 00:38:15,440 --> 00:38:17,600 SOCIAL SCIENCES RESEARCH. 952 00:38:17,600 --> 00:38:21,720 THAT IS DR. JAIN SIMONI, THE 953 00:38:21,720 --> 00:38:23,560 FORMER PROFESSOR AND DIRECTOR OF 954 00:38:23,560 --> 00:38:24,320 CLINICAL TRAINING AT THE 955 00:38:24,320 --> 00:38:25,880 UNIVERSITY OF WASHINGTON. 956 00:38:25,880 --> 00:38:30,760 SHE IS ALREADY ON SITE AND SHE 957 00:38:30,760 --> 00:38:34,280 IS THE FOUNDING DIRECTOR OF THE 958 00:38:34,280 --> 00:38:36,160 UNIVERSITY WASHINGTON FOR HIV 959 00:38:36,160 --> 00:38:39,840 AND THE CO-DIRECTOR OF THE UW 960 00:38:39,840 --> 00:38:40,880 FRED HUTCH CENTER FOR AIDS 961 00:38:40,880 --> 00:38:41,160 RESEARCH. 962 00:38:41,160 --> 00:38:43,400 HER BA IS THE FROM PINS TON AND 963 00:38:43,400 --> 00:38:45,000 PH.D. FROM UCLA. 964 00:38:45,000 --> 00:38:48,600 AND ALSO, ON SITE IS THE NEW 965 00:38:48,600 --> 00:38:49,880 DIRECTOR OF THE NIH TRIBAL 966 00:38:49,880 --> 00:38:53,080 HEALTH RESEARCH OFFICE 967 00:38:53,080 --> 00:38:54,600 DR. KAREENA WALTERS WHO WAS 968 00:38:54,600 --> 00:38:57,200 FORMERLY A TENURED FULL 969 00:38:57,200 --> 00:38:58,800 PROFESSOR AND CATHERINE CHAMBERS 970 00:38:58,800 --> 00:39:00,760 SCHOLAR AT THE UNIVERSITY OF 971 00:39:00,760 --> 00:39:01,040 WASHINGTON. 972 00:39:01,040 --> 00:39:03,240 SO I'M GOING TO ASSUME THEY 973 00:39:03,240 --> 00:39:05,120 PROBABLIY KNOW EACH OTHER. 974 00:39:05,120 --> 00:39:07,480 AND SHE IS ALSO FORMER ASSOCIATE 975 00:39:07,480 --> 00:39:10,040 DEAN FOR RESEARCH AT THE UW 976 00:39:10,040 --> 00:39:10,800 SCHOOL OF SOCIAL WORK. 977 00:39:10,800 --> 00:39:14,040 ALL HER TRAINING WAS AT UCLA. 978 00:39:14,040 --> 00:39:15,240 WE WILL BE COLLABORATING WITH 979 00:39:15,240 --> 00:39:18,880 BOTH OF THEM, HISTORICALLY, THE 980 00:39:18,880 --> 00:39:19,680 OFFICE OF BEHAVIORAL AND SOCIAL 981 00:39:19,680 --> 00:39:21,600 SCIENCES RESEARCH HAS BEEN VERY 982 00:39:21,600 --> 00:39:26,040 GENEROUS IN COFUNDING NICHD 983 00:39:26,040 --> 00:39:28,600 INITIATIVES AND WE WILL BE VERY 984 00:39:28,600 --> 00:39:30,320 INVOLVED IN THE TRIBAL HEALTH 985 00:39:30,320 --> 00:39:32,200 RESEARCH OFFICE AS WE TRY TO 986 00:39:32,200 --> 00:39:33,760 ADDRESS MATERNAL MORTALITY IN 987 00:39:33,760 --> 00:39:36,920 AMERICAN INDIAN POPULATIONS. 988 00:39:36,920 --> 00:39:38,720 NEXT SLIDE. 989 00:39:38,720 --> 00:39:41,840 WE ARE VERY SAD TO REPORT THE 990 00:39:41,840 --> 00:39:44,040 RETIREMENT OF DR. FAULTY BREN EN 991 00:39:44,040 --> 00:39:46,240 WHO IS THE DIRECTOR OF THE 992 00:39:46,240 --> 00:39:47,840 NATIONAL LIBRARY OF MEDICINE -- 993 00:39:47,840 --> 00:39:50,520 PATTY BRENNAN -- EFFECTIVE 994 00:39:50,520 --> 00:39:50,840 SEPTEMBER 30. 995 00:39:50,840 --> 00:39:52,760 THE FIRST NURSE, INDUSTRIAL 996 00:39:52,760 --> 00:39:55,400 ENGINEER AND WOMAN TO LEAD THE 997 00:39:55,400 --> 00:39:57,120 NATIONAL LIBRARY OF MEDICINE. 998 00:39:57,120 --> 00:39:59,520 AN INCREDIBLE STA STRATEGIC AND 999 00:39:59,520 --> 00:40:00,560 INNOVATIVE THINKER. 1000 00:40:00,560 --> 00:40:01,840 IN THE INTEREST OF TIME I WON'T 1001 00:40:01,840 --> 00:40:03,880 READ ALL OF HER ACHIEVEMENTS 1002 00:40:03,880 --> 00:40:07,200 WITH YOU THE ACTING DIRECTOR 1003 00:40:07,200 --> 00:40:08,360 WILL BE DR. STEVEN SHERRY. 1004 00:40:08,360 --> 00:40:10,080 THIS CAME AS A SURPRISE. 1005 00:40:10,080 --> 00:40:14,240 THIS WAS JUST ANNOUNCED LAST 1006 00:40:14,240 --> 00:40:14,760 WEEK. 1007 00:40:14,760 --> 00:40:15,640 NEXT SLIDE. 1008 00:40:15,640 --> 00:40:18,240 IMPORTANTLY, I WOULD LIKE TO 1009 00:40:18,240 --> 00:40:20,360 WELCOME OUR NEW CLINICAL 1010 00:40:20,360 --> 00:40:20,840 DIRECTOR. 1011 00:40:20,840 --> 00:40:22,640 YOU'LL BE HEARING FROM HER 1012 00:40:22,640 --> 00:40:23,960 SHORTLY, CATHERINE GORDON. 1013 00:40:23,960 --> 00:40:26,040 LET'S GIVE HER A ROUND OF 1014 00:40:26,040 --> 00:40:26,320 APPLAUSE. 1015 00:40:26,320 --> 00:40:28,640 [ APPLAUSE ] 1016 00:40:28,640 --> 00:40:31,760 AND MANY OF YOU RECOGNIZE HER 1017 00:40:31,760 --> 00:40:33,400 FROM HER PREVIOUS SERVICE ON THE 1018 00:40:33,400 --> 00:40:35,640 ADVISORY COUNCIL FOR NICHD. 1019 00:40:35,640 --> 00:40:38,480 BUT IN THE MEANTIME, HOLDING 1020 00:40:38,480 --> 00:40:41,840 DOWN THE FORT IN A INCREDIBLE 1021 00:40:41,840 --> 00:40:44,040 WAY IS DR. LAVERNE MENSA WHO I 1022 00:40:44,040 --> 00:40:45,560 SEE IN THE BACK. 1023 00:40:45,560 --> 00:40:48,200 SO LAVERNE IS THE DEPUTY 1024 00:40:48,200 --> 00:40:51,440 DRIBBING CLINICAL DIRECTOR OF 1025 00:40:51,440 --> 00:40:53,160 NICHD AND LET'S GIVE HER A ROUND 1026 00:40:53,160 --> 00:40:53,720 OF APPLAUSE. 1027 00:40:53,720 --> 00:40:55,440 THANK YOU VERY MUCH, LAVERNE. 1028 00:40:55,440 --> 00:40:56,160 [ APPLAUSE ] 1029 00:40:56,160 --> 00:40:59,760 AND NEXT SLIDE. 1030 00:40:59,760 --> 00:41:01,480 ALSO IN THE ROOM, JOE CAN YOU 1031 00:41:01,480 --> 00:41:02,480 JUST RAISE YOUR HAND? 1032 00:41:02,480 --> 00:41:03,880 THERE YOU ARE IN THE BACK. 1033 00:41:03,880 --> 00:41:07,280 WE'RE GOING TO ANNOUNCE THE JOE 1034 00:41:07,280 --> 00:41:09,960 BEGIN HART, THE NEW DEPUTY 1035 00:41:09,960 --> 00:41:11,080 DIRECTOR OF THE DIVISION 1036 00:41:11,080 --> 00:41:11,640 EXTRAMURAL ACTIVITIES IN THE 1037 00:41:11,640 --> 00:41:14,680 OFFICE OF EXTRAMURAL POLICY. 1038 00:41:14,680 --> 00:41:18,560 SO HE AND REBEKAH WORK VERY 1039 00:41:18,560 --> 00:41:19,480 CLOSELY TOGETHER. 1040 00:41:19,480 --> 00:41:21,000 JOE, I KNOW WE ARE RUNNING 1041 00:41:21,000 --> 00:41:22,600 BEHIND SO I'M JUST GOING TO 1042 00:41:22,600 --> 00:41:24,000 LIKE -- IF YOU WANT TO READ THE 1043 00:41:24,000 --> 00:41:27,520 SLIDES, YOU KNOW THAT JOE SAY 1044 00:41:27,520 --> 00:41:28,480 FELLOW QUAKER AS AM I. 1045 00:41:28,480 --> 00:41:30,080 SO NEXT SLIDE. 1046 00:41:30,080 --> 00:41:37,000 AND DR. JOANNA -- IS SHE HERE? 1047 00:41:37,000 --> 00:41:40,280 SHE IS JOINING US AS THE CHIEF 1048 00:41:40,280 --> 00:41:43,000 OF THE SCIENTIFIC REVIEW BRANCH. 1049 00:41:43,000 --> 00:41:46,600 AND SHE ORIGINALLY IS FROM 1050 00:41:46,600 --> 00:41:46,840 POLAND. 1051 00:41:46,840 --> 00:41:48,120 SO WE LOOK FORWARD TO WORKING 1052 00:41:48,120 --> 00:41:49,680 WITH HER. 1053 00:41:49,680 --> 00:41:51,720 NEXT SLIDE. 1054 00:41:51,720 --> 00:41:54,800 AND THEN WE'D LIKE TO 1055 00:41:54,800 --> 00:41:55,400 CONGRATULATE JUANITA CHIN. 1056 00:41:55,400 --> 00:41:56,080 ARE YOU HUER? 1057 00:41:56,080 --> 00:41:58,880 SHE IS IN THE WAY, WAY BACK. 1058 00:41:58,880 --> 00:42:00,960 SHE WAS ELECTED BY HER PEERS TO 1059 00:42:00,960 --> 00:42:02,520 THE BOARD OF DIRECTORS OF THE 1060 00:42:02,520 --> 00:42:04,600 POPULATION OF ASSOCIATION OF 1061 00:42:04,600 --> 00:42:04,920 AMERICA. 1062 00:42:04,920 --> 00:42:10,240 SHE IS A PROGRAM DIRECTOR IN THE 1063 00:42:10,240 --> 00:42:13,120 POPULATION BRANCH AND MANAGES 1064 00:42:13,120 --> 00:42:16,000 THE DEMMING ON OF HEALTH, 1065 00:42:16,000 --> 00:42:18,320 MORTALITY AND COMPILATION 1066 00:42:18,320 --> 00:42:20,920 PROGRAMS AS WELL AS MANY 1067 00:42:20,920 --> 00:42:21,120 SBIRs. 1068 00:42:21,120 --> 00:42:22,680 AND WILL JUANITA YOU ARE 1069 00:42:22,680 --> 00:42:23,520 INVALUABLE AND THRILLED YOU HAVE 1070 00:42:23,520 --> 00:42:31,000 BEEN RECOGNIZED BY YOUR PEERS. 1071 00:42:31,000 --> 00:42:34,360 AND THEN SADLY, WE NEED TO 1072 00:42:34,360 --> 00:42:40,120 REPORT THE PASSING OF DR. KORBY 1073 00:42:40,120 --> 00:42:44,440 WHO RETIRED IN 2018 AFTER A 1074 00:42:44,440 --> 00:42:48,600 40-YEAR CAREER AT NICHD IN THE 1075 00:42:48,600 --> 00:42:50,320 FIRSTY BRANCH AND ITS 1076 00:42:50,320 --> 00:42:50,680 PREDECESSORS. 1077 00:42:50,680 --> 00:42:53,640 HE WAS A PROGRAM DIRECTOR FOR 1078 00:42:53,640 --> 00:42:55,520 MANY GRANTS IN REPRODUCTIVE 1079 00:42:55,520 --> 00:42:58,200 IMMUNOLOGY AND IMMUNOLOGY. 1080 00:42:58,200 --> 00:42:59,960 HE CONCEIVED THE IDEA FOR A 1081 00:42:59,960 --> 00:43:01,160 MANAGED INTERDISCIPLINARY 1082 00:43:01,160 --> 00:43:02,400 COLLABORATIVE TEAM OF 1083 00:43:02,400 --> 00:43:04,520 RESEARCHERS TO ADVANCE THE 1084 00:43:04,520 --> 00:43:07,040 SCIENCE OF BLASTOCYSTS 1085 00:43:07,040 --> 00:43:07,440 IMPLEMENTATION. 1086 00:43:07,440 --> 00:43:10,320 AND HE RECEIVED A NUMBER OF 1087 00:43:10,320 --> 00:43:11,120 AWARDS. 1088 00:43:11,120 --> 00:43:14,240 AND WE ARE VERY GRATEFUL FOR HIS 1089 00:43:14,240 --> 00:43:14,760 SERVICE. 1090 00:43:14,760 --> 00:43:17,880 AND WE WILL REMEMBER HIM FONDLY. 1091 00:43:17,880 --> 00:43:18,520 NEXT SLIDE. 1092 00:43:18,520 --> 00:43:24,640 SO AGAIN, WE ARE HIRING. 1093 00:43:24,640 --> 00:43:27,160 WE ARE ALWAYS LOOKING FOR 1094 00:43:27,160 --> 00:43:29,360 FABULOUS PEOPLE TO JOIN THE 1095 00:43:29,360 --> 00:43:33,600 ORGANIZATION WITH A VARIETY OF 1096 00:43:33,600 --> 00:43:33,920 SKILL SETS. 1097 00:43:33,920 --> 00:43:38,240 WE ARE HAPPY TO ANSWER ANY 1098 00:43:38,240 --> 00:43:40,640 QUESTIONS THAT YOU HAVE. 1099 00:43:40,640 --> 00:43:43,160 WE HAVE A NUMBER OF BRANCH CHIEF 1100 00:43:43,160 --> 00:43:43,960 POSITIONS OPEN. 1101 00:43:43,960 --> 00:43:46,400 THOSE WILL BE THE HIGHEST 1102 00:43:46,400 --> 00:43:48,560 POSITIONS OPEN AT THIS POINT, 1103 00:43:48,560 --> 00:43:50,320 BUT YOU'RE WELCOME TO TALK WITH 1104 00:43:50,320 --> 00:43:51,880 ANY OF US. 1105 00:43:51,880 --> 00:43:53,440 IF YOU KNOW OF CANDIDATES WHO 1106 00:43:53,440 --> 00:43:54,880 MIGHT BE INTERESTED IN JOINING 1107 00:43:54,880 --> 00:43:55,760 OUR TEAM. 1108 00:43:55,760 --> 00:43:57,880 SO WITH THAT, I'M HAPPY TO TAKE 1109 00:43:57,880 --> 00:44:00,680 A FEW QUESTIONS. 1110 00:44:00,680 --> 00:44:01,360 NEXT SLIDE. 1111 00:44:01,360 --> 00:44:09,200 THANK YOU FOR YOUR ATTENTION. 1112 00:44:09,200 --> 00:44:10,880 REBEKAH -- I'M SUPPOSED TO GO 45 1113 00:44:10,880 --> 00:44:11,560 MINUTES, RIGHT? 1114 00:44:11,560 --> 00:44:12,840 >>WE ARE RUNNING A LITTLE 1115 00:44:12,840 --> 00:44:17,560 BEHIND BUT -- WE HAVE A LOT OF 1116 00:44:17,560 --> 00:44:22,400 NEWS. 1117 00:44:22,400 --> 00:44:27,360 QUESTIONS? 1118 00:44:27,360 --> 00:44:30,120 >>TWO QUICK QUESTIONS. 1119 00:44:30,120 --> 00:44:31,160 >>LEES USE YOUR MICROPHONE. 1120 00:44:31,160 --> 00:44:33,080 >>LET'S LUCKY JAIN SPEAKING. 1121 00:44:33,080 --> 00:44:34,880 >>HI, LUCKY JAIN. 1122 00:44:34,880 --> 00:44:36,880 TWO QUICK QUESTIONS. 1123 00:44:36,880 --> 00:44:39,640 THANK YOU FOR YOUR WONDERFUL 1124 00:44:39,640 --> 00:44:40,000 REPORT. 1125 00:44:40,000 --> 00:44:43,760 THE MATERNAL HEALTH CENTERS FOR 1126 00:44:43,760 --> 00:44:48,800 IMPROVE INITIATIVE, HOW WILL 1127 00:44:48,800 --> 00:44:51,600 THEY INTERACT WITH THE CENTERS, 1128 00:44:51,600 --> 00:44:52,760 THE FIRST QUESTION. 1129 00:44:52,760 --> 00:44:57,280 AND THEN THE SECOND QUESTION IS, 1130 00:44:57,280 --> 00:45:00,520 WITH THE BIG GAP BETWEEN THE 1131 00:45:00,520 --> 00:45:03,520 PROPOSED BUDGET FROM THE HOUSE 1132 00:45:03,520 --> 00:45:04,800 AND SENATE, IN YOUR EXPERIENCE, 1133 00:45:04,800 --> 00:45:07,960 WHERE ARE WE LIKELY TO LAND AT 1134 00:45:07,960 --> 00:45:09,800 THE END OF THE NEGOTIATIONS. 1135 00:45:09,800 --> 00:45:11,680 >>THE SECOND ONE IS EASIER TO 1136 00:45:11,680 --> 00:45:14,480 ANSWER BECAUSE I HAVE NO IDEA 1137 00:45:14,480 --> 00:45:16,680 HOW TO ANSWER THAT ONE. 1138 00:45:16,680 --> 00:45:19,880 THE FIRST ONE -- THE CENTERS OF 1139 00:45:19,880 --> 00:45:21,240 EXCELLENCE ARE INDEPENDENT OF 1140 00:45:21,240 --> 00:45:27,240 THE MFMUs AND OFF THE TOP OF 1141 00:45:27,240 --> 00:45:29,680 MY HEAD, I DON'T THINK THERE ARE 1142 00:45:29,680 --> 00:45:32,160 EVEN ANY THAT ARE IN THE SAME 1143 00:45:32,160 --> 00:45:32,800 LOCATION -- MAYBE PARTNERSHIPS 1144 00:45:32,800 --> 00:45:35,400 BUT THE FUNNED GRANTEES -- WELL, 1145 00:45:35,400 --> 00:45:38,080 COLUMBIA IS A SITE, FOR EXAMPLE, 1146 00:45:38,080 --> 00:45:40,520 THAT HAS A CENTERS OF 1147 00:45:40,520 --> 00:45:41,480 EXCELLENCE -- A CENTER FOR 1148 00:45:41,480 --> 00:45:43,160 EXCELLENCE, AND THEY ARE PART OF 1149 00:45:43,160 --> 00:45:44,800 THE MFMU. 1150 00:45:44,800 --> 00:45:49,280 BUT THERE IS NO FORMAL MECHANISM 1151 00:45:49,280 --> 00:45:51,320 FOR THEM TO COLLABORATE. 1152 00:45:51,320 --> 00:45:54,440 BUT THE INFORMALLY, CERTAINLY -- 1153 00:45:54,440 --> 00:45:58,440 AT THE MFMU, AS PART OF NICHD 1154 00:45:58,440 --> 00:46:00,080 OVERALL IN INVESTMENT IN 1155 00:46:00,080 --> 00:46:00,800 MATERNAL HEALTH. 1156 00:46:00,800 --> 00:46:01,680 IS NAKITA HERE? 1157 00:46:01,680 --> 00:46:04,560 DO YOU WANT TO MAKE A COMMENT? 1158 00:46:04,560 --> 00:46:07,200 >>SENIOR LEADERSHIP PROGRAM 1159 00:46:07,200 --> 00:46:07,560 TRAINING. 1160 00:46:07,560 --> 00:46:11,320 >>BUT I WOULD ADD THEY ARE BOTH 1161 00:46:11,320 --> 00:46:12,720 COOPERATIVE AGREEMENTS SO IT 1162 00:46:12,720 --> 00:46:15,200 GIVES US OPPORTUNITIES AS STAFF 1163 00:46:15,200 --> 00:46:16,680 TO FORGE THE COLLABORATIONS THAT 1164 00:46:16,680 --> 00:46:20,000 WOULD BE MOST BENEFICIAL. 1165 00:46:20,000 --> 00:46:22,320 AND THIS IS [ INAUDIBLE ] 1166 00:46:22,320 --> 00:46:25,400 >>BUT AGAIN, THIS IS WHERE 1167 00:46:25,400 --> 00:46:27,440 THE -- DATA SHARING IS GOING TO 1168 00:46:27,440 --> 00:46:29,280 BE EXTREMELY IMPORTANT TO 1169 00:46:29,280 --> 00:46:30,640 INCREASE OUR NUMBERS. 1170 00:46:30,640 --> 00:46:33,840 AND ALSO THE IMPLEMENTATION HUB. 1171 00:46:33,840 --> 00:46:34,880 SO IT'S QUITE POSSIBLE THAT 1172 00:46:34,880 --> 00:46:36,400 THERE IS GOING TO BE TECHNOLOGY, 1173 00:46:36,400 --> 00:46:41,160 FOR EXAMPLE, THAT IS DEVELOPED 1174 00:46:41,160 --> 00:46:43,720 AS PART OF THE RADx MATERNAL 1175 00:46:43,720 --> 00:46:45,000 HEALTH THAT COULD BE IMPLEMENTED 1176 00:46:45,000 --> 00:46:47,200 IN THE MFMU AS WELL AS CENTERS 1177 00:46:47,200 --> 00:46:52,880 FOR EXCELLENCE. 1178 00:46:52,880 --> 00:46:57,400 >>THANK YOU. 1179 00:46:57,400 --> 00:46:58,160 >>THIS IS SHERRY. 1180 00:46:58,160 --> 00:47:00,240 TO ADD ON TO THAT, AS THE 1181 00:47:00,240 --> 00:47:02,120 CENTERS OF EXCELLENCE ARE BEING 1182 00:47:02,120 --> 00:47:04,840 STOOD UP, IS THERE DATA 1183 00:47:04,840 --> 00:47:06,440 HARMONIZATION SO THAT THE WHOLE 1184 00:47:06,440 --> 00:47:07,880 WILL BE GREATER THAN THE SUM OF 1185 00:47:07,880 --> 00:47:08,920 ITS PARTS? 1186 00:47:08,920 --> 00:47:11,480 >>THAT WAS A MESSAGE THAT WE 1187 00:47:11,480 --> 00:47:13,720 REALLY TRIED TO COMMUNICATE AT 1188 00:47:13,720 --> 00:47:15,920 THE KICKOFF MEETING. 1189 00:47:15,920 --> 00:47:18,320 WE GAVE AS AN EXAMPLE, THE 1190 00:47:18,320 --> 00:47:19,440 PREVAIL KITS INITIATIVE THAT WE 1191 00:47:19,440 --> 00:47:23,040 TOLD YOU ABOUT PREVIOUSLY FOR 1192 00:47:23,040 --> 00:47:24,400 COVID-19, AND HOW THE EIGHT 1193 00:47:24,400 --> 00:47:25,640 DIFFERENT GROUPS, WHICH DIDN'T 1194 00:47:25,640 --> 00:47:29,080 HAVE A PRIOR HISTORY OF 1195 00:47:29,080 --> 00:47:30,400 COLLABORATING TOGETHER AND WERE 1196 00:47:30,400 --> 00:47:32,760 ALL USING DIFFERENT TECHNOLOGIES 1197 00:47:32,760 --> 00:47:36,600 TO DIFFERENTIATE MISC FROM 1198 00:47:36,600 --> 00:47:38,000 CASAKI DISEASE, FOR EXAMPLE, 1199 00:47:38,000 --> 00:47:41,280 THAT THEY DEVELOPED THEIR OWN 1200 00:47:41,280 --> 00:47:43,280 ORGANIC NETWORK AND SUCCESSFULLY 1201 00:47:43,280 --> 00:47:46,480 COLLABORATED SO THAT THEY 1202 00:47:46,480 --> 00:47:48,080 JOINTLY SUCCESSFULLY COMPETED 1203 00:47:48,080 --> 00:47:51,320 FOR FUNDING IN RECOVER, FOR LONG 1204 00:47:51,320 --> 00:47:52,360 PEDIATRIC COVID. 1205 00:47:52,360 --> 00:47:53,680 SO I THINK THE FACT THAT WE 1206 00:47:53,680 --> 00:47:56,280 MENTIONED THAT MONEY -- 1207 00:47:56,280 --> 00:47:59,760 ADDITIONAL MONEY CAME OUT OF 1208 00:47:59,760 --> 00:48:01,400 COLLABORATION IN THE COURSE OF 1209 00:48:01,400 --> 00:48:04,200 DAY, WE HEARD THE PRINCIPLE 1210 00:48:04,200 --> 00:48:07,480 INVESTIGATORS REFERRING TO THE 1211 00:48:07,480 --> 00:48:09,800 PREVIOUS CENTER FOR EXCELLENCE 1212 00:48:09,800 --> 00:48:10,640 INVESTIGATORS IN WAYING THAT 1213 00:48:10,640 --> 00:48:11,200 THEY COULDN'T COLLABORATE. 1214 00:48:11,200 --> 00:48:12,800 SO I'M SURE THEY GOT THAT 1215 00:48:12,800 --> 00:48:14,600 MESSAGE AND THE INTENT, THE 1216 00:48:14,600 --> 00:48:16,280 VISION, IS DEFINITELY TO MAKE 1217 00:48:16,280 --> 00:48:19,520 THE WHOLE GREATER THAN THE SUM 1218 00:48:19,520 --> 00:48:27,680 OF THE PARTS. 1219 00:48:27,680 --> 00:48:28,320 >>[ INDISCERNIBLE ] 1220 00:48:28,320 --> 00:48:30,120 REALLY GLAD TO HEAR ABOUT THE 1221 00:48:30,120 --> 00:48:34,200 CLINICAL CENTER BEING DEVELOPED. 1222 00:48:34,200 --> 00:48:37,480 -- RECOMMENDATION -- INTRAMURAL 1223 00:48:37,480 --> 00:48:40,400 DATA GENERATION COLLECTION AND 1224 00:48:40,400 --> 00:48:42,400 SHARING FRAMEWORK HAS BEEN 1225 00:48:42,400 --> 00:48:44,120 SILOED FROM THE EXTRAMURAL 1226 00:48:44,120 --> 00:48:44,400 FRAMEWORK. 1227 00:48:44,400 --> 00:48:48,040 AND GIVEN THE FOCUS OF THE 1228 00:48:48,040 --> 00:48:49,880 CENTER ON COHORT GENERAL 1229 00:48:49,880 --> 00:48:51,400 INDICATION AND NATURAL HISTORY, 1230 00:48:51,400 --> 00:48:52,360 IT MIGHT BE A STRATEGIC 1231 00:48:52,360 --> 00:48:55,000 OPPORTUNITY TO REVIEW THAT IN A 1232 00:48:55,000 --> 00:48:55,760 PRO EFFECTIVE FASHION. 1233 00:48:55,760 --> 00:48:58,480 >>THANK YOU FOR THAT COMMENT. 1234 00:48:58,480 --> 00:49:01,320 DATA SHARING IN GENERAL IS FRONT 1235 00:49:01,320 --> 00:49:05,200 AND CENTER NOW WITH EXTRAMURAL 1236 00:49:05,200 --> 00:49:06,440 OPPORTUNITIES BUT IT'S 1237 00:49:06,440 --> 00:49:09,120 DEFINITELY BEING DISCUSSED AT 1238 00:49:09,120 --> 00:49:11,000 THE LEADERSHIP MEETINGS OF THE 1239 00:49:11,000 --> 00:49:12,200 SCIENTIFIC DIRECTORS AND 1240 00:49:12,200 --> 00:49:14,120 CLINICAL DIRECTORS AND HOW IS IT 1241 00:49:14,120 --> 00:49:15,000 GOING TO BE APPLIED? 1242 00:49:15,000 --> 00:49:16,920 I DON'T KNOW, CHRIS, DO YOU HAVE 1243 00:49:16,920 --> 00:49:21,120 ANY SPECIFIC COMMENTS ON THAT? 1244 00:49:21,120 --> 00:49:24,240 >>YES, I MEAN IF ALL THE 1245 00:49:24,240 --> 00:49:25,320 INTRAMURAL PROGRAM HAS AND BEING 1246 00:49:25,320 --> 00:49:27,040 REQUESTED TO MAKE A DATA SHARING 1247 00:49:27,040 --> 00:49:28,440 PLAN AVAILABLE AS OF LAST 1248 00:49:28,440 --> 00:49:30,320 DECEMBER AND NOW WE'RE IN THE 1249 00:49:30,320 --> 00:49:32,320 IMPLEMENTATION PHASE AND WE HAVE 1250 00:49:32,320 --> 00:49:35,400 IN OUR INSTITUTE, WE HAVE REALLY 1251 00:49:35,400 --> 00:49:36,400 JUST BEING INSTRUMENTAL WITH 1252 00:49:36,400 --> 00:49:38,160 WORKING OUT HOW WE'RE GOING TO 1253 00:49:38,160 --> 00:49:40,440 DO THAT, WHAT THE MECHANICS OF 1254 00:49:40,440 --> 00:49:42,200 THAT WILL BE, AND REALLY WHAT 1255 00:49:42,200 --> 00:49:44,400 IT'S GOING TO MEDE FOR THE 1256 00:49:44,400 --> 00:49:46,000 INTRAMURAL TO SHARE ACROSS THE 1257 00:49:46,000 --> 00:49:48,760 ENTIRE IC -- SO IT'S STILL IN 1258 00:49:48,760 --> 00:49:49,360 THE INFANCY TRYING TO WORK OUT 1259 00:49:49,360 --> 00:49:52,040 EXACTLY HOW TO IMPLEMENT THAT 1260 00:49:52,040 --> 00:49:54,840 BUT IT'S BEEN VERY -- 1261 00:49:54,840 --> 00:49:56,880 AGGRESSIVELY PURSUED ACROSS THE 1262 00:49:56,880 --> 00:49:59,680 ENTIRE INTRAMURAL PROGRAM. 1263 00:49:59,680 --> 00:50:01,320 >>AND JUST TO THE -- LIKE YOUR 1264 00:50:01,320 --> 00:50:04,480 OFFICE OF DATA SHARING, YOU GUYS 1265 00:50:04,480 --> 00:50:05,560 HAVE TREMENDOUS THOUGHT 1266 00:50:05,560 --> 00:50:06,760 LEADERSHIP IN THAT FRAMEWORK. 1267 00:50:06,760 --> 00:50:09,040 SO IT'S A GREAT OPPORTUNITIY. 1268 00:50:09,040 --> 00:50:10,840 >>WE LIKE TO ACKNOWLEDGE 1269 00:50:10,840 --> 00:50:13,160 REBEKAH ROSEN AND HER TEAM FOR 1270 00:50:13,160 --> 00:50:13,440 THAT. 1271 00:50:13,440 --> 00:50:15,160 THE OTHER THING IS THE 1272 00:50:15,160 --> 00:50:15,840 ELECTRONIC HEALTH RECORDS. 1273 00:50:15,840 --> 00:50:17,040 THERE IS STILL A DISCUSSION 1274 00:50:17,040 --> 00:50:18,800 ABOUT WHAT ELECTRONIC HEALTH 1275 00:50:18,800 --> 00:50:20,360 RECORD TO USE AT THE CLINICAL 1276 00:50:20,360 --> 00:50:20,600 CENTER. 1277 00:50:20,600 --> 00:50:22,840 THAT IS BEYOND PEDIATRICS. 1278 00:50:22,840 --> 00:50:29,560 BUT THEY ARE NOT USING THE 1279 00:50:29,560 --> 00:50:31,160 RECORD SOFTWARE THAT OTHER 1280 00:50:31,160 --> 00:50:31,760 HOSPITALS USE. 1281 00:50:31,760 --> 00:50:33,360 SO THEY ARE GOING TO HAVE TO 1282 00:50:33,360 --> 00:50:34,760 MAKE KNOW INVESTMENT TO MAKE 1283 00:50:34,760 --> 00:50:37,280 THAT CHANGE. 1284 00:50:37,280 --> 00:50:40,560 BUT I THINK THAT'S A CHALLENGE 1285 00:50:40,560 --> 00:50:41,560 RIGHT NOW. 1286 00:50:41,560 --> 00:50:42,960 OKAY, I DON'T WANT TO TAKE UP 1287 00:50:42,960 --> 00:50:43,480 TOO MUCH TIME. 1288 00:50:43,480 --> 00:50:46,360 WE ARE HAPPY TO TALK AT THE 1289 00:50:46,360 --> 00:50:47,400 BREAK IF YOU HAVE ADDITIONAL 1290 00:50:47,400 --> 00:50:47,640 QUESTIONS. 1291 00:50:47,640 --> 00:50:51,200 SO I'M GOING TO HAND IT BACK TO 1292 00:50:51,200 --> 00:50:58,360 REBEKAH. 1293 00:50:58,360 --> 00:51:01,080 >>ALL RIGHT, I WANTED TO LET 1294 00:51:01,080 --> 00:51:02,360 OUR AD-HOC MEMBERS WHO ARE 1295 00:51:02,360 --> 00:51:04,720 JOINING US FOR THE FIRST TIME, 1296 00:51:04,720 --> 00:51:06,200 KNOW THAT IN OUR SEPTEMBER 1297 00:51:06,200 --> 00:51:10,280 MEETING, WE TYPICALLY FOCUS ON 1298 00:51:10,280 --> 00:51:11,680 NICHD INTRAMURAL PROGRAM AND SO 1299 00:51:11,680 --> 00:51:14,520 NOW, WE'RE GOING TO HEAR FROM 1300 00:51:14,520 --> 00:51:15,760 DR. CHRIS McBAIN, THE 1301 00:51:15,760 --> 00:51:18,120 SCIENTIFIC DIRECTOR TO, GIVE US 1302 00:51:18,120 --> 00:51:20,360 THE ANNUAL REPORT FROM THE 1303 00:51:20,360 --> 00:51:21,480 DIVISION OF INTRAMURAL RESEARCH. 1304 00:51:21,480 --> 00:51:22,640 >>GOOD AFTERNOON, EVERYBODY AND 1305 00:51:22,640 --> 00:51:23,920 THANK YOU VERY MUCH FOR GIVING 1306 00:51:23,920 --> 00:51:25,600 ME THIS OPPORTUNITY TO PRESENT 1307 00:51:25,600 --> 00:51:26,080 TO YOU. 1308 00:51:26,080 --> 00:51:28,600 AND HAVING DONE THIS TWICE AS 1309 00:51:28,600 --> 00:51:29,880 THE ACTING SCIENTIFIC DIRECTOR, 1310 00:51:29,880 --> 00:51:35,680 IT'S A GREAT HONOR TO DO IT NOW 1311 00:51:35,680 --> 00:51:38,000 AS -- OF INTRAMURAL RESEARCH. 1312 00:51:38,000 --> 00:51:38,880 NEXT SLIDE. 1313 00:51:38,880 --> 00:51:41,680 SO, I'M GOING TO TALK ABOUT FOUR 1314 00:51:41,680 --> 00:51:43,840 REAL MAIN THINGS THIS AFTERNOON, 1315 00:51:43,840 --> 00:51:45,520 REAL TO GIVE YOU A BRIEF 1316 00:51:45,520 --> 00:51:46,720 PROGRAMMATIC OVERVIEW AND OUR 1317 00:51:46,720 --> 00:51:49,560 BUDGET AND PERSONNEL UPDATES AND 1318 00:51:49,560 --> 00:51:51,400 WE'LL SPEND THE BULK OF OUR TIME 1319 00:51:51,400 --> 00:51:53,160 TALKING ABOUT FUNDING 1320 00:51:53,160 --> 00:51:54,200 OPPORTUNITIES AND OUR EDUCATION 1321 00:51:54,200 --> 00:51:54,520 UPDATES. 1322 00:51:54,520 --> 00:51:56,680 AND WE HAVE BEEN WORKING VERY 1323 00:51:56,680 --> 00:51:58,080 HARD ON INVIGORATING THAT AND 1324 00:51:58,080 --> 00:51:59,680 EXPANDING THAT AND THINKING OF 1325 00:51:59,680 --> 00:52:01,480 WAYS WE CAN INCREASE 1326 00:52:01,480 --> 00:52:02,880 OPPORTUNITIES FOR OUR TRAINEES 1327 00:52:02,880 --> 00:52:04,440 AND YOUNG INVESTIGATORS AND SO 1328 00:52:04,440 --> 00:52:04,640 ON. 1329 00:52:04,640 --> 00:52:06,680 I'LL GET INTO THAT IN GREATER 1330 00:52:06,680 --> 00:52:06,920 DETAIL. 1331 00:52:06,920 --> 00:52:09,080 NEXT SLIDE, PLEASE. 1332 00:52:09,080 --> 00:52:10,440 AND NEXT SLIDE. 1333 00:52:10,440 --> 00:52:13,000 SO, THE INTRAMURAL PROGRAM IS 1334 00:52:13,000 --> 00:52:14,000 CURRENTLY EIGHT DIVISIONS. 1335 00:52:14,000 --> 00:52:17,120 WE HAVE A VERY BROAD PORTFOLIO 1336 00:52:17,120 --> 00:52:21,520 OF BOTH THE BASIC TRANSLATIONAL 1337 00:52:21,520 --> 00:52:22,520 AND CLINICAL RESEARCH. 1338 00:52:22,520 --> 00:52:24,600 WE SPAN DEVELOPMENT OF BIOLOGY, 1339 00:52:24,600 --> 00:52:26,200 TRANSLATIONAL MEDICINE, ALL THE 1340 00:52:26,200 --> 00:52:28,400 WAY TO OUR RECENTLY-ACQUIRED 1341 00:52:28,400 --> 00:52:29,760 DIVISION OF POPULATION HEALTH 1342 00:52:29,760 --> 00:52:31,800 RESEARCH. 1343 00:52:31,800 --> 00:52:34,240 SO WE ARE SPLIT ABOUT 70% IN 1344 00:52:34,240 --> 00:52:35,640 TERMS OF BASIC RESEARCH 1345 00:52:35,640 --> 00:52:38,440 INVESTIGATORS AND ABOUT 30 IN 1346 00:52:38,440 --> 00:52:39,320 TRANSLATIONAL AND CLINIC. 1347 00:52:39,320 --> 00:52:40,320 NEXT SLIDE, PLEASE. 1348 00:52:40,320 --> 00:52:42,120 WHO ARE WE IN NUMBERS? 1349 00:52:42,120 --> 00:52:46,920 WE CURRENTLY OCCUPY 830 STAFF. 1350 00:52:46,920 --> 00:52:50,040 AND THAT INCLUDES ALL OF OUR 1351 00:52:50,040 --> 00:52:51,520 INTRAMURAL RESEARCH AND TRAINEES 1352 00:52:51,520 --> 00:52:53,040 AS WELL AS POPULATION HEALTH 1353 00:52:53,040 --> 00:52:55,120 RESEARCH, AS WELL AS ALL THE 1354 00:52:55,120 --> 00:52:57,160 VOLUNTEERS WE HAVE INSIDE OUR 1355 00:52:57,160 --> 00:52:59,360 INTRAMURAL RESEARCH PROGRAM. 1356 00:52:59,360 --> 00:53:02,400 AND CURRENTLY WE HAVE 70PIs. 1357 00:53:02,400 --> 00:53:03,720 61 ARE SENIOR INVESTIGATORS WHO 1358 00:53:03,720 --> 00:53:04,760 ARE TENURED. 1359 00:53:04,760 --> 00:53:06,640 WE HAVE NINE CURRENT TENURED 1360 00:53:06,640 --> 00:53:08,360 TRACK INVESTIGATORS AND TWO 1361 00:53:08,360 --> 00:53:10,840 ASSISTANT CLINICAL 1362 00:53:10,840 --> 00:53:11,200 INVESTIGATORS. 1363 00:53:11,200 --> 00:53:15,840 AND THESE PIs HAVE 62 STAFF 1364 00:53:15,840 --> 00:53:16,640 SCIENTISTS WHO ARE ASSOCIATED 1365 00:53:16,640 --> 00:53:18,720 WITH ALL THE RESEARCH PROGRAMS. 1366 00:53:18,720 --> 00:53:20,880 AND A LITTLE UNDER 300 TRAINEES 1367 00:53:20,880 --> 00:53:23,280 OF THIS TYPE, WHICH SPANS 1368 00:53:23,280 --> 00:53:25,560 EVERYTHING FROM GRADUATE, 1369 00:53:25,560 --> 00:53:27,160 UNDERGRADUATE, POSTBACS AND 1370 00:53:27,160 --> 00:53:27,400 POSTDOCS. 1371 00:53:27,400 --> 00:53:30,560 SO WE'RE A REASONABLE SIZE 1372 00:53:30,560 --> 00:53:30,800 INSTITUTE. 1373 00:53:30,800 --> 00:53:32,240 AND OUR BASIC AND CLINICAL 1374 00:53:32,240 --> 00:53:34,840 PROGRAMS ARE DIVIDED ACROSS 12 1375 00:53:34,840 --> 00:53:36,240 SCIENTIFICALLY-BASED AFFINITY 1376 00:53:36,240 --> 00:53:37,560 GROUPS AND I'LL DESCRIBE THAT IN 1377 00:53:37,560 --> 00:53:41,160 MORE DETAIL AND WE HAVE AN 1378 00:53:41,160 --> 00:53:42,400 EPIDEMIOLOGIC PROGRAM OF THE 1379 00:53:42,400 --> 00:53:43,840 DIVISION OF POPULATION HEALTH 1380 00:53:43,840 --> 00:53:46,440 RESEARCH DIVIDED INTO THREE 1381 00:53:46,440 --> 00:53:48,280 BRANCHES AND ONE PROGRAM. 1382 00:53:48,280 --> 00:53:50,960 WE HAVE CLINICAL PROGRAMS AND 1383 00:53:50,960 --> 00:53:52,480 FIVE MEDICAL TRAINING PROGRAMS 1384 00:53:52,480 --> 00:53:57,560 WHICH ARE PEDIATRIC AND END 1385 00:53:57,560 --> 00:54:03,440 CHRONOLOGY AND -- 1386 00:54:03,440 --> 00:54:08,760 [ READING ] 1387 00:54:08,760 --> 00:54:19,280 THIS IS HOW WE ARE ORGANIZED AND 1388 00:54:26,120 --> 00:54:29,480 WE ARE ASSEMBLED ACROSS CAMPUS 1389 00:54:29,480 --> 00:54:32,480 IN TERMS OF THESE GEOGRAPHIC 1390 00:54:32,480 --> 00:54:33,160 LOCATIONS, ULTRASCIENTIFIC HUBS 1391 00:54:33,160 --> 00:54:36,360 FOR ALL OF OUR DIFFERENT 1392 00:54:36,360 --> 00:54:36,760 RESEARCH PROGRAMS. 1393 00:54:36,760 --> 00:54:39,040 AND OF THESE SCIENTISTS, WE 1394 00:54:39,040 --> 00:54:42,800 ALLOW 10 YEARS AGO, WE HAD A 1395 00:54:42,800 --> 00:54:43,160 REORGANIZATION. 1396 00:54:43,160 --> 00:54:45,440 WE WERE ABLE TO ADOPT A 1397 00:54:45,440 --> 00:54:47,160 SEMI-FLAT STRUCTURE, WHICH GAVE 1398 00:54:47,160 --> 00:54:49,800 EVERYONE THE OPPORTUNITY TO 1399 00:54:49,800 --> 00:54:52,680 ASSEMBLE INTO WHAT WE CALL 1400 00:54:52,680 --> 00:54:55,200 AFFINITY GROUPS. 1401 00:54:55,200 --> 00:54:57,480 THESE ARE ALL OF OUR AFFINITY 1402 00:54:57,480 --> 00:54:57,880 GROUPS. 1403 00:54:57,880 --> 00:54:59,480 ABOUT A DOZEN OF THEM. 1404 00:54:59,480 --> 00:55:05,800 THESE ARE FLUID GROUPS THAT EACH 1405 00:55:05,800 --> 00:55:08,080 PI CAN CHOOSE AS MANY AS THEY 1406 00:55:08,080 --> 00:55:08,880 LIKE. 1407 00:55:08,880 --> 00:55:10,560 WE SHARE ALL OUR INFORMATION AND 1408 00:55:10,560 --> 00:55:11,400 THESE ARE GREAT OPPORTUNITIES 1409 00:55:11,400 --> 00:55:20,480 FOR OUR TRAINEES AND POSTDOCS. 1410 00:55:20,480 --> 00:55:23,000 THEY ARE CLUSTERED TO 1411 00:55:23,000 --> 00:55:23,960 DISCIPLINESES AND THEY TEND TO 1412 00:55:23,960 --> 00:55:28,000 BE REASONABLY FLUID PEOPLE, 1413 00:55:28,000 --> 00:55:31,160 FUELING THE NEED TO 11 A 1414 00:55:31,160 --> 00:55:33,400 DIFFERENT APPROACH OR DIFFERENT 1415 00:55:33,400 --> 00:55:36,280 TOPIC TO ATTAIN AS MANY OF THESE 1416 00:55:36,280 --> 00:55:37,200 AFFINITY GROUPS AS POSSIBLE. 1417 00:55:37,200 --> 00:55:39,160 SOME ARE VERY LARGE AND SOME ARE 1418 00:55:39,160 --> 00:55:39,880 QUITE SMALL. 1419 00:55:39,880 --> 00:55:41,360 SO WE ARE IN THE PROCESS OF 1420 00:55:41,360 --> 00:55:43,560 HAVING A CONVERSATION ABOUT HOW 1421 00:55:43,560 --> 00:55:45,280 DO WE THINK OR WHAT WE NEED TO 1422 00:55:45,280 --> 00:55:47,320 DO TO MAYBE ADAPT AND CHANGE. 1423 00:55:47,320 --> 00:55:50,080 THESE WERE SET UP 10 YEARS AGO, 1424 00:55:50,080 --> 00:55:52,480 LONG BEFORE I WAS THE SCIENTIFIC 1425 00:55:52,480 --> 00:55:54,320 DIRECTOR AND WE ARE STILL COMING 1426 00:55:54,320 --> 00:55:59,840 TO THE RELATION THAT HOW TO 1427 00:55:59,840 --> 00:56:02,080 CLUSTER AND GROUP OUR SCIENTISTS 1428 00:56:02,080 --> 00:56:03,280 MOVING FORWARD. 1429 00:56:03,280 --> 00:56:03,880 NEXT SLIDE. 1430 00:56:03,880 --> 00:56:07,160 SO IN TERMS OF BUDGET AND 1431 00:56:07,160 --> 00:56:09,520 PERSONNEL, WE -- NEXT SLIDE. 1432 00:56:09,520 --> 00:56:13,080 WE OCCUPY OR TAKE ABOUT 13% OF 1433 00:56:13,080 --> 00:56:16,520 THE OVERALL NICHD BUDGET 1434 00:56:16,520 --> 00:56:16,880 ALLOCATION. 1435 00:56:16,880 --> 00:56:17,800 NEXT SLIDE. 1436 00:56:17,800 --> 00:56:23,120 OF THAT 13%, WE CURRENTLY HAVE 1437 00:56:23,120 --> 00:56:24,400 230 MILLION DOLLAR BUDGET. 1438 00:56:24,400 --> 00:56:28,240 ABOUT 60% OF THAT IS WHAT WE 1439 00:56:28,240 --> 00:56:31,480 CALL SOFT MONEY IN SALARIES AND 1440 00:56:31,480 --> 00:56:33,000 ANIMAL CARE AND THEN THE REST OF 1441 00:56:33,000 --> 00:56:34,920 IT GOES TOWARDS CLINICAL CENTER 1442 00:56:34,920 --> 00:56:36,680 OR TAX, WHICH KEEP THE LIGHTS ON 1443 00:56:36,680 --> 00:56:37,920 IN THE CLINICAL CENTER AND KEEPS 1444 00:56:37,920 --> 00:56:40,520 IT RUNNING AND THEN SERVICES 1445 00:56:40,520 --> 00:56:42,800 SUPPLY FUND WHICH YOU CALL YOUR 1446 00:56:42,800 --> 00:56:51,200 OVERHEAD IF YOU LIKE. 1447 00:56:51,200 --> 00:56:53,920 WE PUT A SMALL AMOUNT FOR 1448 00:56:53,920 --> 00:56:54,320 TEMCALL EQUIPMENT. 1449 00:56:54,320 --> 00:56:56,320 WE RECOVERED FROM TWO SERIOUS 1450 00:56:56,320 --> 00:56:57,840 FLOODING INCIDENTS ON CAMPUS 1451 00:56:57,840 --> 00:57:00,520 THIS YEAR WHICH NECESSITATED 1452 00:57:00,520 --> 00:57:02,080 REPLACING SOMEWHERE BETWEEN 3-4 1453 00:57:02,080 --> 00:57:03,440 MILLION DOLLARS WORTH OF 1454 00:57:03,440 --> 00:57:03,680 EQUIPMENT. 1455 00:57:03,680 --> 00:57:04,640 THAT IS WHERE OUR MONEY IS. 1456 00:57:04,640 --> 00:57:07,440 YOU CAN SEE ABOUT 60% OF THAT IS 1457 00:57:07,440 --> 00:57:09,120 WHERE WE CAN SORT OF HAVE THE 1458 00:57:09,120 --> 00:57:12,480 LUXURY OF REDISTRIBUTING AND 1459 00:57:12,480 --> 00:57:19,520 SUPPORTING SCIENCE. 1460 00:57:19,520 --> 00:57:20,560 N SLIDE. 1461 00:57:20,560 --> 00:57:22,240 IN TERMS OF TRAINEE NUMBERS, WE 1462 00:57:22,240 --> 00:57:23,920 HAVE A LITTLE UNDER 300 TRAINEES 1463 00:57:23,920 --> 00:57:26,360 AT THE MOMENT AND THE VAST 1464 00:57:26,360 --> 00:57:28,760 MAJORITY, 170 ARE POSTDOCTORAL 1465 00:57:28,760 --> 00:57:29,000 FELLOWS. 1466 00:57:29,000 --> 00:57:32,040 THEY ARE BOTH WHAT WE CALL 1467 00:57:32,040 --> 00:57:33,320 FELLOWS WHO ARE UNITED STATES 1468 00:57:33,320 --> 00:57:35,160 CITIZENS OR VISITING FELLOWS WHO 1469 00:57:35,160 --> 00:57:41,320 COME TO US FROM OVERSEAS. 1470 00:57:41,320 --> 00:57:42,240 WE HAVE BACCALAUREATE STUDENTS 1471 00:57:42,240 --> 00:57:44,160 WHO HAVE FINISHED THEIR 1472 00:57:44,160 --> 00:57:47,920 UNDERGRADUATE DEGREES WHO COME 1473 00:57:47,920 --> 00:57:49,640 AND SPEND SOMETIMES TWO YEARS IN 1474 00:57:49,640 --> 00:57:53,760 A LAB BEFORE THEY GO ON TO 1475 00:57:53,760 --> 00:57:58,040 MEDICAL SCHOOL OR GRADUATE 1476 00:57:58,040 --> 00:57:58,280 SCHOOL. 1477 00:57:58,280 --> 00:58:00,600 AND OUR SUCCESS RATE OF PUTTING 1478 00:58:00,600 --> 00:58:01,280 THESE POSTBACS INTO HIGHER 1479 00:58:01,280 --> 00:58:02,600 EDUCATION AND MEDICAL SCHOOL AND 1480 00:58:02,600 --> 00:58:04,560 GRADUATE SCHOOL IS, WE ARE GOING 1481 00:58:04,560 --> 00:58:05,480 TO TRY THIS. 1482 00:58:05,480 --> 00:58:07,200 WE CURRENTLY HAVE 14 GRADUATE 1483 00:58:07,200 --> 00:58:08,640 STUDENTS AND I'LL TALK A LITTLE 1484 00:58:08,640 --> 00:58:11,360 BIT ABOUT THAT AS WE GET THROUGH 1485 00:58:11,360 --> 00:58:11,560 THIS. 1486 00:58:11,560 --> 00:58:13,440 CURRENTLY 13 CLINICAL FELLOWS 1487 00:58:13,440 --> 00:58:17,360 AND THIS YEAR WE HAD 61 SUMMER 1488 00:58:17,360 --> 00:58:18,280 INTERNS. 1489 00:58:18,280 --> 00:58:19,760 IT'S GREAT TO CONVEY TO YOU THAT 1490 00:58:19,760 --> 00:58:21,640 WE HAD IN-PERSON SUMMER PROGRAM 1491 00:58:21,640 --> 00:58:22,120 THIS YEAR. 1492 00:58:22,120 --> 00:58:24,200 THE FIRST TIME WE HAD SUMMER 1493 00:58:24,200 --> 00:58:27,360 STUDENTS BACK IN PLACE SINCE 1494 00:58:27,360 --> 00:58:29,280 2020, BEFORE COVID AND IT WAS 1495 00:58:29,280 --> 00:58:31,080 JUST -- I'LL SHOW YOU A COUPLE 1496 00:58:31,080 --> 00:58:32,680 OF SLIDES FROM POSTER 1497 00:58:32,680 --> 00:58:34,480 PRESENTATIONS SO YOU CAN REALLY 1498 00:58:34,480 --> 00:58:36,080 FEEL HOW THE EXCITEMENT OF 1499 00:58:36,080 --> 00:58:37,680 HAVING STUDENTS BACK ON CAMPUS 1500 00:58:37,680 --> 00:58:40,480 IS REALLY A TREMENDOUS INFLUENCE 1501 00:58:40,480 --> 00:58:41,200 ON US. 1502 00:58:41,200 --> 00:58:43,880 IN TERMS OF RETIREMENTS AND 1503 00:58:43,880 --> 00:58:46,440 DEPARTURES. 1504 00:58:46,440 --> 00:58:47,680 MARIA DUFAU RETIRED AT THE END 1505 00:58:47,680 --> 00:58:50,000 OF LAST YEAR. 1506 00:58:50,000 --> 00:58:53,960 AND DR. PEDDADA, A BRANCH CHIEF 1507 00:58:53,960 --> 00:58:55,520 AND SENIOR INVESTIGATOR, MOVED 1508 00:58:55,520 --> 00:58:59,320 TO TAKE A SIMILAR POSITION AT 1509 00:58:59,320 --> 00:59:01,520 NIEHS IN NORTH CAROLINA AND THE 1510 00:59:01,520 --> 00:59:03,960 DIVISION OF POPULATION HEALTH 1511 00:59:03,960 --> 00:59:06,160 RESEARCH IS RECRUITING FOR BRACH 1512 00:59:06,160 --> 00:59:06,560 CHIEF CURRENTLY. 1513 00:59:06,560 --> 00:59:07,680 NEXT SLIDE. 1514 00:59:07,680 --> 00:59:11,600 WE HAVE JOAN MARINI, SENIOR 1515 00:59:11,600 --> 00:59:13,800 INVESTIGATOR ON THE SECTION OF 1516 00:59:13,800 --> 00:59:16,000 HERETTABLE DISORDERS OF BONE AND 1517 00:59:16,000 --> 00:59:18,080 EXTRACELLULAR MATRIX WAS 1518 00:59:18,080 --> 00:59:20,480 APPOINTED SCIENTIST EMERITUS. 1519 00:59:20,480 --> 00:59:25,600 JUDY KASSIS RETIRED IN FEBRUARY. 1520 00:59:25,600 --> 00:59:30,360 SHE WAS A SENIOR INVESTIGATOR IN 1521 00:59:30,360 --> 00:59:31,400 THE SECTION ON GENE EXPRESSION. 1522 00:59:31,400 --> 00:59:34,160 AND THEN JAMIE MORTON, A 1523 00:59:34,160 --> 00:59:35,080 TENURE-TRACK INVESTIGATOR IN THE 1524 00:59:35,080 --> 00:59:36,320 DIVISION OF POPULATION HEALTH 1525 00:59:36,320 --> 00:59:41,320 RESEARCH LEFT TO START HIS OWN 1526 00:59:41,320 --> 00:59:42,800 CONSULTING FIRM. 1527 00:59:42,800 --> 00:59:44,440 JAMES MILLS WHO WAS A SENIOR 1528 00:59:44,440 --> 00:59:46,720 INVESTIGATOR IN THE EPIDEMIOLOGY 1529 00:59:46,720 --> 00:59:48,640 BRANCH IN THE POPULATION HEALTH 1530 00:59:48,640 --> 00:59:50,240 SCIENCE RETIRED IN APRIL OF THIS 1531 00:59:50,240 --> 00:59:52,320 YEAR AS DID DOUG FIELDS IN EARLY 1532 00:59:52,320 --> 00:59:52,720 MAY. 1533 00:59:52,720 --> 00:59:54,440 AND JUST AS DOUG WAS WALKING OUT 1534 00:59:54,440 --> 00:59:58,400 THE DOOR, HE WAS AWARDED THE 1535 00:59:58,400 --> 00:59:59,120 2023 MENSA FOUNDATION PRIZE FOR 1536 00:59:59,120 --> 01:00:03,120 ONE OF HIS SCIENTIFIC 1537 01:00:03,120 --> 01:00:04,520 DISCOVERIES ON GLIA AND WRAPPING 1538 01:00:04,520 --> 01:00:07,680 OF NEURONS WHICH FACILITATES 1539 01:00:07,680 --> 01:00:08,200 MYELIN PLASTICITY. 1540 01:00:08,200 --> 01:00:10,040 SO REALLY NICE PARTING AND 1541 01:00:10,040 --> 01:00:12,240 ACHIEVEMENT AS HE WENT INTO 1542 01:00:12,240 --> 01:00:12,560 RETIREMENT. 1543 01:00:12,560 --> 01:00:13,760 SO NOT EVERYBODY IS RUNNING FOR 1544 01:00:13,760 --> 01:00:15,400 THE DOORS. 1545 01:00:15,400 --> 01:00:18,040 WE HAVE -- THIS IS REALLY 1546 01:00:18,040 --> 01:00:19,640 ALLOWING US TO HAVE REALLY 1547 01:00:19,640 --> 01:00:24,160 FANTASTIC RECRUITMENT 1548 01:00:24,160 --> 01:00:24,520 OPPORTUNITIES. 1549 01:00:24,520 --> 01:00:27,560 WE ARE JUST ECSTATIC TO HAVE 1550 01:00:27,560 --> 01:00:28,960 CATHERINE GORDON JOIN US, SHE 1551 01:00:28,960 --> 01:00:29,920 JOINED TWO DAYS AGO. 1552 01:00:29,920 --> 01:00:31,840 IT'S GOING TO BE A FANTASTIC 1553 01:00:31,840 --> 01:00:33,320 OPPORTUNITY FOR HER AND I TO 1554 01:00:33,320 --> 01:00:35,640 THINK ABOUT HOW TO SHAPE OUR 1555 01:00:35,640 --> 01:00:37,520 CLINICAL PROGRAM AS I SAID. 1556 01:00:37,520 --> 01:00:40,160 MANY OF YOU HAVE KNOWN HER 1557 01:00:40,160 --> 01:00:42,560 THROUGH HER ROLE IN OUR ADVISORY 1558 01:00:42,560 --> 01:00:44,360 COUNCIL AND I CAN'T TELL YOU HOW 1559 01:00:44,360 --> 01:00:47,560 EXCITED I AM TO HAVE YOU ONBOARD 1560 01:00:47,560 --> 01:00:49,440 FINALLY TO GET GOING WORKING SO 1561 01:00:49,440 --> 01:00:52,040 IT WILL BE REALLY FANTASTIC. 1562 01:00:52,040 --> 01:00:53,440 AND ONE OF THE FIRST THINGS I 1563 01:00:53,440 --> 01:00:55,640 DID WHEN I BECAME SCIENTIFIC 1564 01:00:55,640 --> 01:00:58,560 DIRECTOR EARLY ON THIS YEAR WAS 1565 01:00:58,560 --> 01:01:04,720 TO SCRAMBLE TO TAKE ADVANTAGE OF 1566 01:01:04,720 --> 01:01:07,320 THE TENURED TRACK INVESTIGATOR 1567 01:01:07,320 --> 01:01:07,960 SEARCH THAT HAPPENS EVERY YEAR 1568 01:01:07,960 --> 01:01:08,680 ON CAMPUS. 1569 01:01:08,680 --> 01:01:12,440 THIS IS A MULTI-INSTITUTE, 1570 01:01:12,440 --> 01:01:14,440 NIH-WIDE RECRUITMENT FOR YOUNG 1571 01:01:14,440 --> 01:01:15,960 INVESTIGATORS AT THE TENURED 1572 01:01:15,960 --> 01:01:16,240 TRACK LEVEL. 1573 01:01:16,240 --> 01:01:18,640 THEY DON'T APPLY TO A SPECIFIC 1574 01:01:18,640 --> 01:01:20,080 INSTITUTE, PER SE, THEY APPLY TO 1575 01:01:20,080 --> 01:01:21,360 THE NIH CENTRALLY. 1576 01:01:21,360 --> 01:01:24,360 THEY ARE REVIEWED ACROSS 1577 01:01:24,360 --> 01:01:25,840 COMMITTEES THAT ARE COMPRISED OF 1578 01:01:25,840 --> 01:01:27,840 INDIVIDUALS FROM ALL OF THE 1579 01:01:27,840 --> 01:01:30,160 ICs AND THEN THE TOP 1580 01:01:30,160 --> 01:01:31,160 CANDIDATES ARE ADVANCED THE 1581 01:01:31,160 --> 01:01:33,680 SCIENTIFIC DIRECTORS FOR 1582 01:01:33,680 --> 01:01:36,560 CONSIDERATION FOR IF THEY HAVE A 1583 01:01:36,560 --> 01:01:38,960 POSITION AVAILABLE THAT FITS THE 1584 01:01:38,960 --> 01:01:40,480 SCIENTIFIC PORTFOLIO. 1585 01:01:40,480 --> 01:01:42,560 AND WE WERE EXTREMELY FORTUNATE 1586 01:01:42,560 --> 01:01:46,920 IN OUR TIMING TO HAVE LEIA ROWS 1587 01:01:46,920 --> 01:01:48,160 IN AS A NEW INVESTIGATOR. 1588 01:01:48,160 --> 01:01:50,960 SHE WORKS ON CHROMOSOME DYNAMICS 1589 01:01:50,960 --> 01:01:54,280 AND HAS BEEN A PIONEER IN THIS 1590 01:01:54,280 --> 01:01:56,680 REALLY POWERFUL DNA FISH 1591 01:01:56,680 --> 01:01:56,960 TECHNIQUE. 1592 01:01:56,960 --> 01:01:58,880 SHE IS CURRENTLY ON MATERNITY 1593 01:01:58,880 --> 01:02:00,440 LEAVE AND WILL JOIN US IN ABOUT 1594 01:02:00,440 --> 01:02:02,280 A MONTH OR TWO. 1595 01:02:02,280 --> 01:02:04,240 SO IT'S JUST REALLY FANTASTIC 1596 01:02:04,240 --> 01:02:09,680 THAT WE WERE ABLE TO LAND LEIA. 1597 01:02:09,680 --> 01:02:13,880 AND SAYING THAT, WE ARE 1598 01:02:13,880 --> 01:02:15,120 RECRUITING. 1599 01:02:15,120 --> 01:02:16,360 AND AS WAS SHOWN EARLIER, WE 1600 01:02:16,360 --> 01:02:18,120 HAVE A NUMBER OF OPPORTUNITIES 1601 01:02:18,120 --> 01:02:19,440 BUT WE'RE CURRENTLY RECRUITING 1602 01:02:19,440 --> 01:02:22,160 FOR OUR CLINICAL TENURE-TRACK 1603 01:02:22,160 --> 01:02:25,080 INVESTIGATOR AND TRYING TO CAST 1604 01:02:25,080 --> 01:02:29,080 A WIDE NET TO BRING IN AS MANY 1605 01:02:29,080 --> 01:02:32,600 AS POSSIBLE WHO ARE PROBABLY -- 1606 01:02:32,600 --> 01:02:34,720 REALLY INTERESTED IN BASIC AND 1607 01:02:34,720 --> 01:02:35,240 CLINICAL RESEARCH. 1608 01:02:35,240 --> 01:02:37,680 WE WERE EXTREMELY LUCKY IN 1609 01:02:37,680 --> 01:02:39,840 RECRUITING SARAH SHEPHERD A YEAR 1610 01:02:39,840 --> 01:02:40,000 AGO. 1611 01:02:40,000 --> 01:02:44,800 I THINK SHE PRESENTED TO COUNCIL 1612 01:02:44,800 --> 01:02:46,600 AND THIS CANDIDATE IS AN OPEN 1613 01:02:46,600 --> 01:02:47,840 SEARCH AT THE MOMENT. 1614 01:02:47,840 --> 01:02:50,120 I HAVE BEEN WAITING FOR HER TO 1615 01:02:50,120 --> 01:02:53,520 COME ONBOARD SO WE CAN HAVE HER 1616 01:02:53,520 --> 01:02:55,720 HELP IN IDENTIFYING THE 1617 01:02:55,720 --> 01:02:55,960 CANDIDATE. 1618 01:02:55,960 --> 01:02:57,320 IF YOU ARE AWARE OF ANYBODY WHO 1619 01:02:57,320 --> 01:02:59,120 WOULD FIT THE BILL FOR THIS, THE 1620 01:02:59,120 --> 01:03:01,080 APPLICATION PROCESS IS OPEN AND 1621 01:03:01,080 --> 01:03:03,600 WE'LL KEEP EXCITING CANDIDATES 1622 01:03:03,600 --> 01:03:07,000 UNTIL WE FILL THAT. 1623 01:03:07,000 --> 01:03:11,200 WE HAD A NUMBER OF REALLY GREAT 1624 01:03:11,200 --> 01:03:13,320 HONORS IN OUR INVESTIGATOR ROLE 1625 01:03:13,320 --> 01:03:14,480 THIS YEAR. 1626 01:03:14,480 --> 01:03:17,080 I WANT TO SHARE A FEW OF THEM. 1627 01:03:17,080 --> 01:03:18,880 JUAN WHO IS ONE OF OUR 1628 01:03:18,880 --> 01:03:20,680 DISTINGUISHED INVESTIGATORS HE 1629 01:03:20,680 --> 01:03:22,240 LEADS THE SECTION ON 1630 01:03:22,240 --> 01:03:24,400 INTRACELLULAR PROTEIN 1631 01:03:24,400 --> 01:03:24,720 TRAFFICKING. 1632 01:03:24,720 --> 01:03:27,000 HE GAVE THE KEY PORTER LECTURE 1633 01:03:27,000 --> 01:03:28,480 AWARD FOR THE AMERICAN SOCIETY 1634 01:03:28,480 --> 01:03:34,440 OF CELL BIOLOGY AND YUN GAVE A 1635 01:03:34,440 --> 01:03:35,120 SIDNEY I THINK BAR DISTINGUISHED 1636 01:03:35,120 --> 01:03:39,000 LECTURE AWARD AT THE AMERICAN 1637 01:03:39,000 --> 01:03:40,720 THYROID ASSOCIATION. 1638 01:03:40,720 --> 01:03:42,600 AND PARTICULARLY EXCITING IS THE 1639 01:03:42,600 --> 01:03:44,640 AWARD TO SARAH SHEPHERD. 1640 01:03:44,640 --> 01:03:46,720 SHE IS OUR MOST RECENT TENURED 1641 01:03:46,720 --> 01:03:47,800 TRACK HIRE. 1642 01:03:47,800 --> 01:03:50,440 THE HEAD OF THE UNIT ON VASCULAR 1643 01:03:50,440 --> 01:03:50,760 MALFORMATIONS. 1644 01:03:50,760 --> 01:03:53,120 SHE WON THE YOUNG INVESTIGATOR 1645 01:03:53,120 --> 01:03:55,240 AWARD FROM THE AMERICAN JOURNAL 1646 01:03:55,240 --> 01:03:57,440 OF MEDICAL GENETICS AND THEN 1647 01:03:57,440 --> 01:04:02,960 CARREL WHO IS A CLINICIAN WON 1648 01:04:02,960 --> 01:04:05,560 TWO AWARDS IN FRONTIERS SCIENCE 1649 01:04:05,560 --> 01:04:06,800 AND DISTINCTION AND OUTSTANDING 1650 01:04:06,800 --> 01:04:09,120 CLINICAL INVESTIGATOR AWARD FROM 1651 01:04:09,120 --> 01:04:11,520 THE ENDOCRINE SOCIETY. 1652 01:04:11,520 --> 01:04:16,640 AND FINALLY, RENEE D SOUZA, 1653 01:04:16,640 --> 01:04:17,840 CHIEF ON THE SECTION OF 1654 01:04:17,840 --> 01:04:20,440 MOLECULES AND THERAPIES FOR 1655 01:04:20,440 --> 01:04:21,320 CRANIODENTAL DISORDERS AND 1656 01:04:21,320 --> 01:04:23,360 DIRECTOR OF THE NIDCR. 1657 01:04:23,360 --> 01:04:26,360 SHE WON THE RECIPIENTS OF THE 1658 01:04:26,360 --> 01:04:27,880 EXCELLENCE RESEARCH AWARD. 1659 01:04:27,880 --> 01:04:31,440 SO WE ARE EXTREMELY PROUD OF OUR 1660 01:04:31,440 --> 01:04:34,080 INVESTIGATORS AND THEIR 1661 01:04:34,080 --> 01:04:38,640 ACCOMPLISHMENTS. 1662 01:04:38,640 --> 01:04:42,560 SO, WHAT I WANT TO SPEND THE 1663 01:04:42,560 --> 01:04:45,040 OTHER BULK OF MY TIME, WE HAVE 1664 01:04:45,040 --> 01:04:46,840 RECOGNIZED THAT IN THE LAST 1665 01:04:46,840 --> 01:04:48,360 YEARO SORE THAT IT'S REALLY 1666 01:04:48,360 --> 01:04:50,640 IMPORTANT NOT ONLY FOR OUR 1667 01:04:50,640 --> 01:04:51,360 INVESTIGATORS, YOUNG 1668 01:04:51,360 --> 01:04:53,040 INVESTIGATORS, OUR POSTDOCTORAL 1669 01:04:53,040 --> 01:04:55,760 FELLOWS AND REALLY ALL OF OUR 1670 01:04:55,760 --> 01:04:57,920 TRAINING LEVELS TO GET 1671 01:04:57,920 --> 01:04:59,160 OPPORTUNITIES TO APPLY AND 1672 01:04:59,160 --> 01:05:01,160 COMPETE FOR MONEY. 1673 01:05:01,160 --> 01:05:03,360 AND THIS IS ONE OF THE 1674 01:05:03,360 --> 01:05:05,560 INITIATIVES THAT WAS MODELED 1675 01:05:05,560 --> 01:05:08,080 AFTER THE TUFTS UNIVERSITY 1676 01:05:08,080 --> 01:05:08,960 SCHOOL OF MEDICINE PROGRAM, 1677 01:05:08,960 --> 01:05:13,040 WHICH DIANA PIONEERED, THE 1678 01:05:13,040 --> 01:05:14,480 CITATION IS AT THE BOTTOM. 1679 01:05:14,480 --> 01:05:17,880 WE HAVE TAKE THEN INITIATIVE AND 1680 01:05:17,880 --> 01:05:20,520 TRANSLATED IT INTO OUR OWN 1681 01:05:20,520 --> 01:05:21,360 DIVISION OF INTRAMURAL RESEARCH 1682 01:05:21,360 --> 01:05:23,360 ON ITS THIRD CYCLE AND THE MONEY 1683 01:05:23,360 --> 01:05:25,760 IS GENEROUSLY PROVIDED FROM 1684 01:05:25,760 --> 01:05:27,400 DIANA'S OFFICE AND IT'S BEEN A 1685 01:05:27,400 --> 01:05:30,480 REALLY GREAT SUCCESS. 1686 01:05:30,480 --> 01:05:32,880 OUR OWN VERSION OF THAT AWARD IS 1687 01:05:32,880 --> 01:05:36,680 OPEN TO ALL OF OUR ASSISTANT 1688 01:05:36,680 --> 01:05:38,440 CLINICAL INVESTIGATORS, 1689 01:05:38,440 --> 01:05:39,160 POSTDOCTORAL FELLOWS AND 1690 01:05:39,160 --> 01:05:41,080 RESEARCH FELLOWS AND CLINICAL 1691 01:05:41,080 --> 01:05:43,160 FELLOWS REGARDLESS OF SEX AND 1692 01:05:43,160 --> 01:05:43,360 GENDER. 1693 01:05:43,360 --> 01:05:45,560 THESE ARE SMALL AMOUNTS OF 1694 01:05:45,560 --> 01:05:48,400 MONEY, UP TO 25,000 DOLLARS FOR 1695 01:05:48,400 --> 01:05:50,600 OUTSTANDING ORIGINAL RESEARCH 1696 01:05:50,600 --> 01:05:50,840 PROPOSALS. 1697 01:05:50,840 --> 01:05:52,600 REALLY TO GIVE THEM AN 1698 01:05:52,600 --> 01:05:55,880 OPPORTUNITY FOR A ONE-YEAR 1699 01:05:55,880 --> 01:05:56,880 SEMI--INDEPENDENT RESEARCH 1700 01:05:56,880 --> 01:05:57,120 PROJECT. 1701 01:05:57,120 --> 01:05:58,280 AND IMPORTANTLY, THESE ARE 1702 01:05:58,280 --> 01:05:59,880 PROJECTS THEY ARE NOT CURRENTLY 1703 01:05:59,880 --> 01:06:01,280 DOING IN THEIR OWN LAB. 1704 01:06:01,280 --> 01:06:04,080 THEY ARE REALLY PROJECTS THAT 1705 01:06:04,080 --> 01:06:05,960 THEY CAN SEE, THEY WANT TO SEE 1706 01:06:05,960 --> 01:06:12,440 IN ORDER TO TAKE AND USE LATER. 1707 01:06:12,440 --> 01:06:14,480 OR APPLY FOR UP TO 2000 DOLLARS 1708 01:06:14,480 --> 01:06:17,160 FOR MEETING PARTICIPATION, 1709 01:06:17,160 --> 01:06:18,520 TRAINING OPPORTUNITIES OR 1710 01:06:18,520 --> 01:06:19,400 PROFESSIONAL DEVELOPMENT 1711 01:06:19,400 --> 01:06:19,760 OPPORTUNITIES. 1712 01:06:19,760 --> 01:06:21,400 AND THIS YEAR, WE WERE FORTUNATE 1713 01:06:21,400 --> 01:06:25,200 AND GOT 30 APPLICATIONS AND WE 1714 01:06:25,200 --> 01:06:28,440 SPLIT 4 CLINICAL, 30 BASIC 1715 01:06:28,440 --> 01:06:31,000 SCIENCE AND 3 EPIDEMIOLOGICAL. 1716 01:06:31,000 --> 01:06:33,600 23 AWARDS UP TO A TOTAL OF HALF 1717 01:06:33,600 --> 01:06:35,600 MILLION DOLLARS. 1718 01:06:35,600 --> 01:06:37,600 AND THE AMOUNT OF MONEY MAY SEEM 1719 01:06:37,600 --> 01:06:39,200 SMALL PER AWARD BUT THE VALUE 1720 01:06:39,200 --> 01:06:43,040 THAT IS PROVIDED IN HAVING 1721 01:06:43,040 --> 01:06:44,600 TRAINEES RIGHT FROM THESE POTS 1722 01:06:44,600 --> 01:06:47,480 OF MONEY, THE PEOPLE REALLY -- 1723 01:06:47,480 --> 01:06:51,000 AS YOU SEE, WE HAVE A NUMBER OF 1724 01:06:51,000 --> 01:06:53,120 INITIATIVES THAT HAVE -- START 1725 01:06:53,120 --> 01:06:55,160 WRITING FOR SMALL POTS OF MONEY. 1726 01:06:55,160 --> 01:06:56,920 - ITS JUST BEEN INCREDIBLE TO 1727 01:06:56,920 --> 01:06:57,920 WATCH THE IDEAS THAT ARE COMING 1728 01:06:57,920 --> 01:07:01,440 OUT OF OUR TRAINEES AND OUR 1729 01:07:01,440 --> 01:07:07,120 AREAS FOR SMALL PROJECTS TO SEEK 1730 01:07:07,120 --> 01:07:08,400 THEIR OWN CAREERS. 1731 01:07:08,400 --> 01:07:10,720 ABOUT 10 YEARS OR SO WHEN WE HAD 1732 01:07:10,720 --> 01:07:12,440 OUR BLUE RIBBON PANEL REPORT FOR 1733 01:07:12,440 --> 01:07:13,080 THE DIVISION OF INTRAMURAL 1734 01:07:13,080 --> 01:07:15,120 RESEARCH, WHICH ALLOWED US TO 1735 01:07:15,120 --> 01:07:16,520 REORGANIZE, ONE OF THE 1736 01:07:16,520 --> 01:07:20,520 SUGGESTIONS FROM THAT, WAS TO 1737 01:07:20,520 --> 01:07:22,520 ESTABLISH NICHD SCIENTIFIC 1738 01:07:22,520 --> 01:07:23,360 DIRECTOR AWARDS. 1739 01:07:23,360 --> 01:07:24,560 AND NEXT SLIDE. 1740 01:07:24,560 --> 01:07:28,520 WE HAVE DONE THAT THREE TIMES 1741 01:07:28,520 --> 01:07:30,200 OVER THE INTERVENING 10 YEARS 1742 01:07:30,200 --> 01:07:32,120 AND THEN THIS YEAR I WAS 1743 01:07:32,120 --> 01:07:34,320 FORTUNATE ENOUGH TO USE MONEY WE 1744 01:07:34,320 --> 01:07:35,920 HAD LEFT FROM THE SCIENTIFIC 1745 01:07:35,920 --> 01:07:37,240 DIRECTORS RESEARCH TO RESTAB 1746 01:07:37,240 --> 01:07:37,840 THAT. 1747 01:07:37,840 --> 01:07:40,240 AND FOR A MUM OF ABOUT 4 MILLION 1748 01:07:40,240 --> 01:07:42,120 DOLLARS, WE WERE ABLE TO FUND 1749 01:07:42,120 --> 01:07:43,920 NINE OF THE APPLICATIONS THAT 1750 01:07:43,920 --> 01:07:47,720 WERE SUBMITTED AND THESE ARE 1751 01:07:47,720 --> 01:07:51,320 MODIFIED R21 MECHANISM. 1752 01:07:51,320 --> 01:07:54,240 AND THESE ARE JUST RECIPIENTS 1753 01:07:54,240 --> 01:07:59,120 THAT WON THE AWARDS THIS YEAR. 1754 01:07:59,120 --> 01:08:02,360 THEY ARE 50% OF OUR 1755 01:08:02,360 --> 01:08:03,800 INVESTIGATORS APPLIED THAT WERE 1756 01:08:03,800 --> 01:08:04,400 AWARDED. 1757 01:08:04,400 --> 01:08:07,120 71% OF OUR TENURE-TRACK 1758 01:08:07,120 --> 01:08:09,040 INVESTIGATORS WERE AWARDED. 1759 01:08:09,040 --> 01:08:10,440 70% OF OUR SENIOR INVESTIGATORS 1760 01:08:10,440 --> 01:08:13,240 AND 80% OF OUR WOMEN APPLICANTS 1761 01:08:13,240 --> 01:08:17,560 WERE ALSO AWARDED. 1762 01:08:17,560 --> 01:08:19,560 THESE ARE ALSO GREAT 1763 01:08:19,560 --> 01:08:20,480 OPPORTUNITIES FOR, IF YOU HAVE 1764 01:08:20,480 --> 01:08:22,280 TO KEEP IN MIND THE DIVISION OF 1765 01:08:22,280 --> 01:08:25,760 INTRAMURAL RESEARCH HAS A VERY, 1766 01:08:25,760 --> 01:08:26,800 VERY BROAD SCIENCE. 1767 01:08:26,800 --> 01:08:28,440 AND WE REALLY PUT THE EMPHASIS 1768 01:08:28,440 --> 01:08:30,880 ON TRYING TO MAKE LABSES REACH 1769 01:08:30,880 --> 01:08:35,200 OUT TO LABS AND TYPICALLY DON'T 1770 01:08:35,200 --> 01:08:36,000 INTERACT. 1771 01:08:36,000 --> 01:08:37,400 HAVING EXISTING COLLABORATIONS 1772 01:08:37,400 --> 01:08:39,680 AND PROVIDES THEIR TRAININGS 1773 01:08:39,680 --> 01:08:41,760 WITH NOVEL AND OPPORTUNITIES TO 1774 01:08:41,760 --> 01:08:43,000 EITHER LEARN NEW TECHNIQUES OR 1775 01:08:43,000 --> 01:08:45,960 ASK QUESTIONS THAT ARE SO UNIQUE 1776 01:08:45,960 --> 01:08:46,680 TO EARTH LAB THAT BRIDGE BOTH 1777 01:08:46,680 --> 01:08:48,280 BASIC AND CLINICAL RESEARCH. 1778 01:08:48,280 --> 01:08:50,280 AND AS I SAID, THERE HAS BEEN 1779 01:08:50,280 --> 01:08:52,080 REALLY GREAT ENTHUSIASM IN 1780 01:08:52,080 --> 01:08:59,520 APPLYING FOR THESE AWARDS. 1781 01:08:59,520 --> 01:09:03,760 SO, ONE OF OUR JEWELS IN OUR 1782 01:09:03,760 --> 01:09:05,320 CROWN IS OUR OFFICE OF 1783 01:09:05,320 --> 01:09:05,960 EDUCATION. 1784 01:09:05,960 --> 01:09:09,200 AND THAT'S RUN BY ERAN WALSH. 1785 01:09:09,200 --> 01:09:12,400 AND SHE WAS OUR DEPUTY FOR A 1786 01:09:12,400 --> 01:09:14,720 WHILE AND HAS TAKEN ON THE ROLE 1787 01:09:14,720 --> 01:09:17,680 OF DIRECTOR. 1788 01:09:17,680 --> 01:09:20,080 AND SHE WORKED VERY, VERY HARD 1789 01:09:20,080 --> 01:09:22,200 TO EXPAND THE COVERAGE AND 1790 01:09:22,200 --> 01:09:23,320 OPPORTUNITIES PROVIDED TO ALL OF 1791 01:09:23,320 --> 01:09:24,200 OUR TRAINEES. 1792 01:09:24,200 --> 01:09:26,480 AND I'M NOT GOING TO SHOW YOU 1793 01:09:26,480 --> 01:09:28,120 EVERYTHING THAT SHE DOES BUT 1794 01:09:28,120 --> 01:09:29,120 HIGHLIGHT SOME OF THE THINGS WE 1795 01:09:29,120 --> 01:09:30,320 HAVE INTRODUCED IN THE LAST 1796 01:09:30,320 --> 01:09:32,320 COUPLE OF YEARS. 1797 01:09:32,320 --> 01:09:33,720 THE KEY SCIENTISTS TO PROVIDE AS 1798 01:09:33,720 --> 01:09:35,800 MANY PUBLIC SPEAKING AND 1799 01:09:35,800 --> 01:09:38,920 TEACHING OPPORTUNITIES THAT WE 1800 01:09:38,920 --> 01:09:39,200 CAN. 1801 01:09:39,200 --> 01:09:42,120 WE GIVE INDIVIDUAL COACHING 1802 01:09:42,120 --> 01:09:43,400 OPPORTUNITIES AND TEACH TRAINEES 1803 01:09:43,400 --> 01:09:47,000 HOW TO DO ELEVATOR SPEECHES, 1804 01:09:47,000 --> 01:09:49,080 SYLLABUS AND CURRICULUM 1805 01:09:49,080 --> 01:09:49,920 DEVELOPMENT AT THE UNIVERSITY OF 1806 01:09:49,920 --> 01:09:50,240 MARYLAND. 1807 01:09:50,240 --> 01:09:53,240 WE HAVE MANY, MANY PUBLISHING 1808 01:09:53,240 --> 01:09:53,560 OPPORTUNITIES. 1809 01:09:53,560 --> 01:09:54,720 WE HAVE WORKSHOPS. 1810 01:09:54,720 --> 01:09:56,480 ONE OF OUR GRANTS WORKSHOP HAS 1811 01:09:56,480 --> 01:09:58,880 JUST ENDED AND WE HELPED GUIDE 1812 01:09:58,880 --> 01:10:02,920 NIH SUBMISSIONS FROM K99s 1813 01:10:02,920 --> 01:10:06,680 AUGUST THE WAY TO EXTERNAL 1814 01:10:06,680 --> 01:10:06,920 FUNDING. 1815 01:10:06,920 --> 01:10:09,320 WE DO MOCK STUDY SECTIONS. 1816 01:10:09,320 --> 01:10:13,520 AND THEN WE ALSO DO A LARGE 1817 01:10:13,520 --> 01:10:15,400 AMOUNT OF CAREER GUIDANCE HELP 1818 01:10:15,400 --> 01:10:16,200 INCLUDING JOB INTERVIEW 1819 01:10:16,200 --> 01:10:17,520 PREPARATION AND NETWORKING AND 1820 01:10:17,520 --> 01:10:19,320 SO ON AND SO FORTH. 1821 01:10:19,320 --> 01:10:22,040 AND THIS HAS JUST GAINED A LOT 1822 01:10:22,040 --> 01:10:24,240 OF TRACTION IN THE LAST YEAR OR 1823 01:10:24,240 --> 01:10:26,680 SO WHERE ROOTS BECOME A REAL 1824 01:10:26,680 --> 01:10:29,040 FIXTURE IN OUR TRAINING WITH THE 1825 01:10:29,040 --> 01:10:31,640 EXISTENCE OF THE DIR. 1826 01:10:31,640 --> 01:10:32,640 HERE IS SOME OF THE KEY 1827 01:10:32,640 --> 01:10:34,320 ACTIVITIES IN THE NEXT SLIDE 1828 01:10:34,320 --> 01:10:37,440 THAT WE HAVE DONE. 1829 01:10:37,440 --> 01:10:39,720 AND THIS IS WHAT WE HAVE DONE 1830 01:10:39,720 --> 01:10:40,680 THIS SUMMER. 1831 01:10:40,680 --> 01:10:41,640 OUR POSTBAC SEMINAR SERIES WHICH 1832 01:10:41,640 --> 01:10:45,640 HAS ALLOWED CAREER EXPLORATION, 1833 01:10:45,640 --> 01:10:49,320 WHICH BROUGHT IN TRAINEES WITH 1834 01:10:49,320 --> 01:10:51,000 THE Q&A SESSION. 1835 01:10:51,000 --> 01:10:53,520 WE HAD GRANT WRITING COURSE. 1836 01:10:53,520 --> 01:10:55,040 WE HAVE CONSULTING SESSIONS AND 1837 01:10:55,040 --> 01:10:57,920 WE BRING IN INDUSTRY CAREERS AND 1838 01:10:57,920 --> 01:11:00,120 SPEAKERS AND THEN THREE MINUTE 1839 01:11:00,120 --> 01:11:01,720 TALK, WHICH I'LL TALK ABOUT IN A 1840 01:11:01,720 --> 01:11:02,640 SECOND. 1841 01:11:02,640 --> 01:11:03,920 BUT WRITING WORKSHOPS AND THEY 1842 01:11:03,920 --> 01:11:06,080 ARE INCREDIBLY WELL ATTENDED. 1843 01:11:06,080 --> 01:11:10,480 AND I THINK REALLY ARE SUCCESS 1844 01:11:10,480 --> 01:11:16,440 IS REALLY A CREDIT TO ERAN WALSH 1845 01:11:16,440 --> 01:11:16,760 LEADERSHIP. 1846 01:11:16,760 --> 01:11:19,040 NEXT SLIDE. 1847 01:11:19,040 --> 01:11:22,840 WE HAVE NICHD INTRAMURAL 1848 01:11:22,840 --> 01:11:24,640 RESEARCH FELLOWSHIP AWARD NOW IN 1849 01:11:24,640 --> 01:11:27,640 ITS 7th APPLICATION CYCLE. 1850 01:11:27,640 --> 01:11:29,240 IT'S A GRANT WRITING OPPORTUNITY 1851 01:11:29,240 --> 01:11:30,760 FOR OUR POSTDOCS AND CLINICAL 1852 01:11:30,760 --> 01:11:33,440 FELLOWS WHO ARE IN THEIR SECOND 1853 01:11:33,440 --> 01:11:35,240 OR THIRD YEAR OF TRAINING. 1854 01:11:35,240 --> 01:11:36,720 THIS IS FOR APPROXIMATELY 25,000 1855 01:11:36,720 --> 01:11:37,120 DOLLARS. 1856 01:11:37,120 --> 01:11:39,360 THEY CAN USE THAT TO PURCHASE 1857 01:11:39,360 --> 01:11:41,440 EQUIPMENT OR REAGENTS FOR THE 1858 01:11:41,440 --> 01:11:42,920 LAB TO DO EXPERIMENTS THAT THEY 1859 01:11:42,920 --> 01:11:44,480 ARE NOT CAPABLE OF DOING AT THE 1860 01:11:44,480 --> 01:11:44,720 MOMENT. 1861 01:11:44,720 --> 01:11:46,360 THEY CAN USE IT FOR TRAVELING TO 1862 01:11:46,360 --> 01:11:49,360 A MEETING, TRAINING 1863 01:11:49,360 --> 01:11:54,080 OPPORTUNITIES OR THEY CAN USE IT 1864 01:11:54,080 --> 01:11:55,240 FOR STIPE INDTOWARDS RECRUITING 1865 01:11:55,240 --> 01:11:56,160 A YOUNG TRAINER. 1866 01:11:56,160 --> 01:11:58,160 THIS IS APPLICATION REVIEW THAT 1867 01:11:58,160 --> 01:12:02,960 IS REVIEWED BY COMMITTEE MADE OF 1868 01:12:02,960 --> 01:12:04,960 NICHD INVESTIGATORS, FORMER 1869 01:12:04,960 --> 01:12:05,960 POSTDOCTORAL GRANTEES AND 1870 01:12:05,960 --> 01:12:07,760 TENURE-TRACK -- AND STUDY 1871 01:12:07,760 --> 01:12:09,560 SECTION PROCEDURES SIMILAR TO 1872 01:12:09,560 --> 01:12:10,480 THE SERIES AWARD. 1873 01:12:10,480 --> 01:12:12,880 AND THE SCORING CRITERIA IS 1874 01:12:12,880 --> 01:12:15,080 ACROSS MULTIPLE PARAMETERS, 1875 01:12:15,080 --> 01:12:16,560 FELLOWSHIP APPLICANT SPONSORS 1876 01:12:16,560 --> 01:12:17,320 AND COLLABORATORS. 1877 01:12:17,320 --> 01:12:20,120 THE TRAINING OPPORTUNITY IMPLIES 1878 01:12:20,120 --> 01:12:22,160 WHAT ARE THE POTENTIAL FOR 1879 01:12:22,160 --> 01:12:23,360 FELLOWSHIP AND WHAT IS THE 1880 01:12:23,360 --> 01:12:23,960 INSTITUTIONAL ENVIRONMENT AND 1881 01:12:23,960 --> 01:12:25,960 HOW IS IT GOING TO SUPPORT THEIR 1882 01:12:25,960 --> 01:12:28,200 COMMITMENT TO TRAINING? 1883 01:12:28,200 --> 01:12:33,360 AND THIS YEAR, WE HAD FIVE 1884 01:12:33,360 --> 01:12:36,400 AWARDEES ACROSS A VARIETY OF 1885 01:12:36,400 --> 01:12:38,960 DIFFERENT LABS AND SCIENCES AND 1886 01:12:38,960 --> 01:12:41,880 REMARKABLY ALL THE APPLICATIONS 1887 01:12:41,880 --> 01:12:43,880 THAT WE RECEIVED 65% OF THEM 1888 01:12:43,880 --> 01:12:45,400 SCORED IN THE UNDERSTANDING OF 1889 01:12:45,400 --> 01:12:47,160 EXCELLENT RANGE. 1890 01:12:47,160 --> 01:12:48,520 AND YOU'RE GETTING TO THE POINT 1891 01:12:48,520 --> 01:12:52,920 OF GETTING THE AWARD IS SECONDED 1892 01:12:52,920 --> 01:12:56,080 TO THE PROCESS THAT GOT THEM TO 1893 01:12:56,080 --> 01:12:57,360 SUBMIT THAT APPLICATION. 1894 01:12:57,360 --> 01:12:59,360 AND WORKED HARD WITH EACH OF 1895 01:12:59,360 --> 01:13:01,520 THEM TO HELP THEM FRAME HOW YOU 1896 01:13:01,520 --> 01:13:02,880 WOULD WRITE UP THAT PROPOSAL. 1897 01:13:02,880 --> 01:13:05,240 SO IT'S A GREAT ACCOMPLISHMENT. 1898 01:13:05,240 --> 01:13:06,400 ONE OF THE REALLY FUN THINGS 1899 01:13:06,400 --> 01:13:08,200 THAT WE HAVE DONE THIS YEAR -- 1900 01:13:08,200 --> 01:13:10,680 NEXT SLIDE. 1901 01:13:10,680 --> 01:13:14,280 IS WE WON OR WHEN I SAY WE, JONG 1902 01:13:14,280 --> 01:13:16,280 PARK, WON OUR 3 MINUTE TALK 1903 01:13:16,280 --> 01:13:17,200 SCIENTIFIC COMMUNICATION 1904 01:13:17,200 --> 01:13:18,600 TRAINING PROGRAM. 1905 01:13:18,600 --> 01:13:22,520 SO THIS IS A PROGRAM THAT WAS 1906 01:13:22,520 --> 01:13:24,560 STARTED BY HEALTH 10 YEARS AGO 1907 01:13:24,560 --> 01:13:29,120 AND ORIGINALLY IT WAS JUST FROM 1908 01:13:29,120 --> 01:13:30,360 FELLOWS FROM CHILD HEALTH, OR 1909 01:13:30,360 --> 01:13:32,320 THE NATIONAL LIBRARY OF MEDICINE 1910 01:13:32,320 --> 01:13:34,080 OR HUMAN GENOMIC RESEARCH 1911 01:13:34,080 --> 01:13:34,360 INSTITUTE. 1912 01:13:34,360 --> 01:13:36,400 IT'S NOW BECOME SO SUCCESSFUL 1913 01:13:36,400 --> 01:13:39,680 OVER THE LAST DECADE IT 1914 01:13:39,680 --> 01:13:41,320 ENCOMPASSES FROM ICs. 1915 01:13:41,320 --> 01:13:44,200 OVER THE COURSE OF 3-4 MONTHS 1916 01:13:44,200 --> 01:13:46,200 THEY LEARN AND ALLOW LOUD TO 1917 01:13:46,200 --> 01:13:47,200 HAVE ONE SLIDE AND THREE MINUTES 1918 01:13:47,200 --> 01:13:49,200 TO CONVEY THE IMPORTANCE OF 1919 01:13:49,200 --> 01:13:50,360 THEIR PROJECT. 1920 01:13:50,360 --> 01:13:53,080 AND THE WE BRING IN A 1921 01:13:53,080 --> 01:13:56,200 PROFESSIONAL SPEECH AND TRAINER, 1922 01:13:56,200 --> 01:13:57,120 THEY GO THROUGH SEVERAL 1923 01:13:57,120 --> 01:13:59,400 OBSERVATIONS INTERNALLY AND 1924 01:13:59,400 --> 01:14:02,000 EXTERNALLY AND DO ELEVATOR TALK. 1925 01:14:02,000 --> 01:14:03,600 WE TOOK THEM THROUGH THEIR PACES 1926 01:14:03,600 --> 01:14:07,320 AND THEN EACH IC ADVANCES THEIR 1927 01:14:07,320 --> 01:14:10,520 WINNER AND SO IN THE LAST 5 OR 6 1928 01:14:10,520 --> 01:14:12,520 WEEKS, JOHN PARK WHO IS TRAINING 1929 01:14:12,520 --> 01:14:15,040 IN BRAD WEINSTEIN'S LAB AND 1930 01:14:15,040 --> 01:14:17,480 PRESENTED ON A GILL MODEL OF 1931 01:14:17,480 --> 01:14:20,440 LUNG GAS EXCHANGE BLOOD 1932 01:14:20,440 --> 01:14:21,840 VASCULATURE AND ECSTATIC FOR HIM 1933 01:14:21,840 --> 01:14:22,280 TO WIN. 1934 01:14:22,280 --> 01:14:24,520 IT WAS JUST A REALLY REMARKABLE 1935 01:14:24,520 --> 01:14:24,840 ACHIEVEMENT. 1936 01:14:24,840 --> 01:14:27,400 FOR THEM TO GET TO THAT POINT OF 1937 01:14:27,400 --> 01:14:28,800 THE FINAL THEY HAD GONE THROUGH 1938 01:14:28,800 --> 01:14:30,600 BETWEEN SOMETHING LIKE 6 OR 8 1939 01:14:30,600 --> 01:14:31,840 ROUNDS OF PRESENTATIONS TO GET 1940 01:14:31,840 --> 01:14:32,040 THERE. 1941 01:14:32,040 --> 01:14:34,520 SO IT'S A FANTASTIC -- AND 1942 01:14:34,520 --> 01:14:36,160 REALLY FUN OPPORTUNITY. 1943 01:14:36,160 --> 01:14:37,640 THERE WAS ABOUT A DOZEN TRAINEE 1944 01:14:37,640 --> 01:14:40,040 THAT IS COMPETED IN THE FINAL 1945 01:14:40,040 --> 01:14:41,960 AND OVER THE COURSE OF ONE HOUR, 1946 01:14:41,960 --> 01:14:43,800 YOU HEAR A DOZEN TALKS THAT ARE 1947 01:14:43,800 --> 01:14:46,200 3 MINUTES LONG AND THE ENERGY 1948 01:14:46,200 --> 01:14:47,320 AND THE EFFORT THEY PUT INTO 1949 01:14:47,320 --> 01:14:51,320 THEIR ONE SLIDE IS JUST REALLY 1950 01:14:51,320 --> 01:14:52,520 INSPIRING. 1951 01:14:52,520 --> 01:14:54,720 WE HAVE A NUMBER OF OTHER 1952 01:14:54,720 --> 01:14:56,120 FUNDING OPPORTUNITIES THAT ARE 1953 01:14:56,120 --> 01:14:59,120 NOT REALLY SPECIFIC TO NICHD 1954 01:14:59,120 --> 01:15:01,440 FELLOWS BUT WE PLACED A LARGE 1955 01:15:01,440 --> 01:15:02,840 EMPHASIS IN THE LAST YEAR ON 1956 01:15:02,840 --> 01:15:04,840 HAVING OUR FELLOWS LOOK FOR 1957 01:15:04,840 --> 01:15:07,920 EXTERNAL MONEY AND A NUMBER OF 1958 01:15:07,920 --> 01:15:09,560 THESE WE HAVE BEEN -- 1959 01:15:09,560 --> 01:15:11,160 HISTORICALLY BEEN SUCCESSFUL 1960 01:15:11,160 --> 01:15:14,440 GETTING MONEY FROM THE NIGMS 1961 01:15:14,440 --> 01:15:16,880 POSTDOCTORAL RESEARCH TRAINING 1962 01:15:16,880 --> 01:15:17,080 AWARD. 1963 01:15:17,080 --> 01:15:18,760 TABLET USED TO BE CALLED A PRAT 1964 01:15:18,760 --> 01:15:20,840 FELLOWSHIP AND MY OWN LAB HAD 1965 01:15:20,840 --> 01:15:22,440 HALF A DOZEN OF THOSE OVER THE 1966 01:15:22,440 --> 01:15:23,760 LAST 10-15 YEARS. 1967 01:15:23,760 --> 01:15:26,440 I'M EXCITED SO WE HAVE TWO NEW 1968 01:15:26,440 --> 01:15:28,760 AWARDEES IN THAT PROGRAM FROM 1969 01:15:28,760 --> 01:15:30,360 PETER'S LAB AND BRAD WEINSTEIN'S 1970 01:15:30,360 --> 01:15:30,560 LAB. 1971 01:15:30,560 --> 01:15:36,680 WE CURRENTLY HAVE FOUR AWARDEES. 1972 01:15:36,680 --> 01:15:38,960 ONE IS DEPARTING FOR THEIR PHASE 1973 01:15:38,960 --> 01:15:41,960 LATER THIS FALL AND MANY 1974 01:15:41,960 --> 01:15:42,960 INSTITUTES ACROSS THE NIH 1975 01:15:42,960 --> 01:15:45,360 REALIZED THE VALUE OF THEIR 1976 01:15:45,360 --> 01:15:46,840 TRAINEES APPLY FOR K99s. 1977 01:15:46,840 --> 01:15:49,600 THERE IS A LOT OF ENERGY PUT 1978 01:15:49,600 --> 01:15:51,240 INTO HELPING THEM NAVIGATE THAT 1979 01:15:51,240 --> 01:15:52,880 PROCESS AND I'M HAPPY TO SAY 1980 01:15:52,880 --> 01:15:57,160 THEY ARE SUCCESSFUL IN THAT. 1981 01:15:57,160 --> 01:15:58,960 THERE ARE ALSO SMALL SEED 1982 01:15:58,960 --> 01:15:59,240 GRANTS. 1983 01:15:59,240 --> 01:16:01,160 THESE ARE VIRTUAL INSTITUTES 1984 01:16:01,160 --> 01:16:03,560 THAT ARE SET UP ACROSS MULTIPLE 1985 01:16:03,560 --> 01:16:05,000 INSTITUTES IN THE INTRAMURAL 1986 01:16:05,000 --> 01:16:05,280 PROGRAM. 1987 01:16:05,280 --> 01:16:07,360 AND TWO OF THE MOST SUCCESSFUL 1988 01:16:07,360 --> 01:16:10,760 ONES HAVE BEEN THE CENTER FOR 1989 01:16:10,760 --> 01:16:16,480 COMPULSIVE BEHAVIORS DISORDERS 1990 01:16:16,480 --> 01:16:18,760 AND VERON KALLAL VARES DOES A 1991 01:16:18,760 --> 01:16:24,040 SEED AWARD SO THEN THEY DO 1992 01:16:24,040 --> 01:16:26,280 POSTDOCTORAL FELLOWSHIP AND THIS 1993 01:16:26,280 --> 01:16:36,600 YEAR WE HAD FOUR. 1994 01:16:37,480 --> 01:16:40,200 -- BEHAVIORAL RESEARCH 1995 01:16:40,200 --> 01:16:40,800 FOUNDATION YOUNG INVESTIGATOR 1996 01:16:40,800 --> 01:16:41,000 GRANT. 1997 01:16:41,000 --> 01:16:43,680 WE ARE PUTTING A LOT OF EFFORT 1998 01:16:43,680 --> 01:16:44,920 IN GIVING OPPORTUNITIES FOR 1999 01:16:44,920 --> 01:16:50,280 GRANT WRITING TRAINING. 2000 01:16:50,280 --> 01:16:53,360 THERE IS WHAT WE CALL FAIR 2001 01:16:53,360 --> 01:16:53,640 AWARD. 2002 01:16:53,640 --> 01:16:57,000 AN OPPORTUNITY FOR ALL 2003 01:16:57,000 --> 01:16:57,480 POSTDOCTORAL FELLOWS AND 2004 01:16:57,480 --> 01:17:00,600 GRADUATE STUDENTS TO WRITE FOR A 2005 01:17:00,600 --> 01:17:01,600 1500 DOLLAR TRAVEL GRANT. 2006 01:17:01,600 --> 01:17:03,440 WE HAVE HISTORICALLY DONE VERY, 2007 01:17:03,440 --> 01:17:05,280 VERY WELL WITH THESE AWARDS. 2008 01:17:05,280 --> 01:17:07,480 AND THIS YEAR IS NO EXCEPTION. 2009 01:17:07,480 --> 01:17:09,000 WE HAVE AGAIN OVER A DOZEN OF 2010 01:17:09,000 --> 01:17:10,600 THESE AWARDS WERE GIVEN TO OUR 2011 01:17:10,600 --> 01:17:12,880 TRAINEES AND THEY CAN USE IT FOR 2012 01:17:12,880 --> 01:17:15,760 NATIONAL AND INTERNATIONAL 2013 01:17:15,760 --> 01:17:16,320 TRAVEL. 2014 01:17:16,320 --> 01:17:17,520 IT WAS REALLY, REALLY GREAT 2015 01:17:17,520 --> 01:17:18,520 SUCCESS STORY. 2016 01:17:18,520 --> 01:17:21,920 AND THEN FINALLY, NEXT SLIDE, WE 2017 01:17:21,920 --> 01:17:24,320 HAD AN NIH POSTBAC POSTER DAY 2018 01:17:24,320 --> 01:17:26,800 AND THIS ALMOST HAD A CARNIVAL 2019 01:17:26,800 --> 01:17:27,480 ATMOSPHERE TO IT. 2020 01:17:27,480 --> 01:17:30,880 IT WAS THE FIRST TIME THAT OUR 2021 01:17:30,880 --> 01:17:32,120 POSTBACS HAVE BEEN BACK IN 2022 01:17:32,120 --> 01:17:33,520 PERSON, ABLE TO PRESENT THEIR 2023 01:17:33,520 --> 01:17:34,120 DATA. 2024 01:17:34,120 --> 01:17:36,840 EVERYBODY TAKES THAT CREDIBLY 2025 01:17:36,840 --> 01:17:37,240 SERIOUSLY. 2026 01:17:37,240 --> 01:17:38,720 CHILD HEALTH HAD ALMOST ON THE 2027 01:17:38,720 --> 01:17:41,640 ORDER OF 60 OR 70 POSTBAC 2028 01:17:41,640 --> 01:17:42,320 TRAINEES PRESENT. 2029 01:17:42,320 --> 01:17:44,680 I MANAGED TO READ EVERY POSTER 2030 01:17:44,680 --> 01:17:49,240 AND TALK TO EVERY POSTBAC. 2031 01:17:49,240 --> 01:17:50,320 BUT I'M SUPER EXCITED TO TELL 2032 01:17:50,320 --> 01:17:52,040 YOU THAT WE SCORED A NUMBER OF 2033 01:17:52,040 --> 01:17:54,520 OUR CANDIDATES THEY GET REVIEWED 2034 01:17:54,520 --> 01:17:56,040 AND SCORED BY THREE ANONYMOUS 2035 01:17:56,040 --> 01:17:57,800 REVIEWERS THAT GO AROUND ALL THE 2036 01:17:57,800 --> 01:18:00,800 POSTERS AND ALMOST 20 OF OUR 2037 01:18:00,800 --> 01:18:03,240 YOUNG POSTBACS CAME IN THE TOP 2038 01:18:03,240 --> 01:18:04,640 20% OVERALL OF THE PRESENTATION. 2039 01:18:04,640 --> 01:18:06,960 SO THAT WAS A REALLY GREAT 2040 01:18:06,960 --> 01:18:09,600 ACHIEVEMENT FOR US. 2041 01:18:09,600 --> 01:18:14,640 SO AS I SAID EARLIER ON, WE HAVE 2042 01:18:14,640 --> 01:18:16,120 ABOUT 14 GRADUATE STUDENTS 2043 01:18:16,120 --> 01:18:20,040 INSIDE THE DI R AND IN THE 2044 01:18:20,040 --> 01:18:20,840 INTRAMURAL PROGRAM IN GENERAL, 2045 01:18:20,840 --> 01:18:22,920 WE HAVE A NUMBER OF GRADUATE 2046 01:18:22,920 --> 01:18:24,640 PARTNERSHIP PROGRAMS. 2047 01:18:24,640 --> 01:18:27,720 THESE ARE PROGRAMS THAT REEITHER 2048 01:18:27,720 --> 01:18:29,240 HAVE INSTITUTIONAL AND OFFICIAL 2049 01:18:29,240 --> 01:18:31,640 INTERACTIONS WITH WHERE WE TAKE 2050 01:18:31,640 --> 01:18:33,040 GRADUATE STUDENTS, TRAIN THEM IN 2051 01:18:33,040 --> 01:18:35,440 OUR LABS SO THEY DO DIDACTIC 2052 01:18:35,440 --> 01:18:37,240 TRAINING AT THEIR POST 2053 01:18:37,240 --> 01:18:39,440 UNIVERSITY THEY COME TO THE NIH 2054 01:18:39,440 --> 01:18:41,640 TO DOT RESEARCH COMPONENT AND 2055 01:18:41,640 --> 01:18:44,160 TYPICALLY, WE HAD ANYTHING LIKE 2056 01:18:44,160 --> 01:18:46,240 BETWEEN TWO AND A HALF DOZEN 2057 01:18:46,240 --> 01:18:47,760 GRADUATE STUDENTS INSIDE THE IC 2058 01:18:47,760 --> 01:18:49,480 IN TOTAL. 2059 01:18:49,480 --> 01:18:52,080 I BECAME AND SCIENTIFIC 2060 01:18:52,080 --> 01:18:54,960 DIRECTOR, A PROGRAM THAT I WAS 2061 01:18:54,960 --> 01:18:55,560 AN ORIGINATOR OF THE CAMBRIDGE 2062 01:18:55,560 --> 01:18:56,520 PROGRAM, ONE OF THE FOUNDING 2063 01:18:56,520 --> 01:18:58,760 MEMBERS OF THAT, I FEEL REALLY 2064 01:18:58,760 --> 01:18:59,680 PASSIONATE ABOUT HAVING GRADUATE 2065 01:18:59,680 --> 01:19:01,440 STUDENTS IN OUR LABS. 2066 01:19:01,440 --> 01:19:03,480 SO ONE OF MY INITIAL EARLY HOPES 2067 01:19:03,480 --> 01:19:05,880 WAS TO TRY AND INCREASE THE 2068 01:19:05,880 --> 01:19:08,280 NUMBER OF GBP STUDENTS WE HAVE 2069 01:19:08,280 --> 01:19:09,160 IN OUR INSTITUTE. 2070 01:19:09,160 --> 01:19:10,840 AND IN TALKING TO THE 2071 01:19:10,840 --> 01:19:12,840 INVESTIGATORS, IT BECAME CLEAR 2072 01:19:12,840 --> 01:19:14,440 THE REASON THAT WE HAD THE 2073 01:19:14,440 --> 01:19:16,040 NUMBER WE HAD, IS BECAUSE PEOPLE 2074 01:19:16,040 --> 01:19:18,000 DIDN'T UNDERSTAND HOW TO 2075 01:19:18,000 --> 01:19:20,360 NAVIGATE ALL THE TUITION, 2076 01:19:20,360 --> 01:19:24,880 FUNDING, FEES, TRAVEL, SOME OF 2077 01:19:24,880 --> 01:19:26,280 THEM -- WE HAD PARTNERSHIPS WITH 2078 01:19:26,280 --> 01:19:27,560 CHILE AND CHINESE UNIVERSITY 2079 01:19:27,560 --> 01:19:30,360 HONG KONG, THE BROWN PROGRAM, 2080 01:19:30,360 --> 01:19:30,840 NEUROSCIENCE PROGRAM. 2081 01:19:30,840 --> 01:19:36,600 SO REALLY DIVERSE PROGRAMS AND 2082 01:19:36,600 --> 01:19:38,080 EACH HAVE THEIR OWN SETS OF 2083 01:19:38,080 --> 01:19:38,280 RULES. 2084 01:19:38,280 --> 01:19:40,480 AND THEN YOU GET THE SURPRISE 2085 01:19:40,480 --> 01:19:41,920 BILL HALFWAY THROUGH THAT SAID, 2086 01:19:41,920 --> 01:19:43,600 YOU LOST 40,000 DOLLARS FOR 2087 01:19:43,600 --> 01:19:46,400 THEIR TUITION AND BENCH FEES. 2088 01:19:46,400 --> 01:19:50,280 SO THAT WAS TURNED A LOT OF OUR 2089 01:19:50,280 --> 01:19:50,720 INVESTIGATORS OFF. 2090 01:19:50,720 --> 01:19:52,600 SO TRYING TO FIND OUT HOW TO GET 2091 01:19:52,600 --> 01:19:53,240 GRADUATE STUDENTS. 2092 01:19:53,240 --> 01:19:54,680 SO ONE OF THE VERY FIRST 2093 01:19:54,680 --> 01:19:56,080 THINGSICS I DID WAS TO TAKE THAT 2094 01:19:56,080 --> 01:19:57,880 AND PAY THEM IN A WAY TO 2095 01:19:57,880 --> 01:19:59,480 CENTRALLY FUND ALL THE TUITION 2096 01:19:59,480 --> 01:20:01,000 AND FEES FOR ALL OF OUR GRADUATE 2097 01:20:01,000 --> 01:20:04,720 STUDENTS SO THE PI NOW IS ONLY 2098 01:20:04,720 --> 01:20:06,720 RESPONSIBLE FOR THE PERSONNEL 2099 01:20:06,720 --> 01:20:08,200 COSTS. 2100 01:20:08,200 --> 01:20:09,600 AND THEN THE SECOND INITIATIVE I 2101 01:20:09,600 --> 01:20:15,760 PUT IN PLACE WAS FOR US TO FUND 2102 01:20:15,760 --> 01:20:18,880 FULLY ALL OF THE COSTS FOR THE 2103 01:20:18,880 --> 01:20:26,440 GRADUATE PROGRAMS AND GRADUATE 2104 01:20:26,440 --> 01:20:28,480 STUDENTS. 2105 01:20:28,480 --> 01:20:29,880 WE HAVE FOUR TOTAL AND HOPEFULLY 2106 01:20:29,880 --> 01:20:31,800 A ROLLING PROGRAM OF 4 GRADUATE 2107 01:20:31,800 --> 01:20:32,960 STUDENTS FUNDED ESSENTIALLY. 2108 01:20:32,960 --> 01:20:34,600 AND HOPEFULLY, THAT IS GOING TO 2109 01:20:34,600 --> 01:20:36,920 INCREASE OUR AWARENESS OF THESE 2110 01:20:36,920 --> 01:20:40,400 PROGRAMS AND REMOVE ANY 2111 01:20:40,400 --> 01:20:50,600 IMPEDIMENT. 2112 01:20:52,560 --> 01:20:53,880 WE HAD SOMETHING ON THE ORDER OF 2113 01:20:53,880 --> 01:20:58,040 OVER 60 SUMMER INTERNS. 2114 01:20:58,040 --> 01:20:59,640 34 FUNDED BY MY OFFICE AND 12 BY 2115 01:20:59,640 --> 01:21:00,440 INDIVIDUAL LABS AND THE 2116 01:21:00,440 --> 01:21:04,160 REMAINDER FUNDED BY THE OITE, AN 2117 01:21:04,160 --> 01:21:05,360 ESSENTIAL OFFICE OF EDUCATION. 2118 01:21:05,360 --> 01:21:09,960 THE VAST MAJORITY OF STUDENTS 2119 01:21:09,960 --> 01:21:10,960 ARE UNDERGRADUATES. 2120 01:21:10,960 --> 01:21:13,800 OCCASIONALLY FROM HIGH SCHOOL OR 2121 01:21:13,800 --> 01:21:15,560 GRADUATE SCHOOLS. 2122 01:21:15,560 --> 01:21:19,200 IT WAS FANTASTIC TO HAVE SUMMER 2123 01:21:19,200 --> 01:21:20,480 STUDENTS BACK ON CAMPUS. 2124 01:21:20,480 --> 01:21:22,280 FOR THE FIRST TIME WE HAD 4 2125 01:21:22,280 --> 01:21:23,040 SUMMER STUDENTS, MORE THAN 2126 01:21:23,040 --> 01:21:24,400 ANYBODY HAS IN ONE LAB. 2127 01:21:24,400 --> 01:21:29,520 IT'S INCREDIBLY BUSY TIME. 2128 01:21:29,520 --> 01:21:31,040 AND THEN NEXT SLIDE. 2129 01:21:31,040 --> 01:21:34,320 WE STARTED FOR THE FIRST YEAR A 2130 01:21:34,320 --> 01:21:36,120 NEW VIRTUAL AND SUMMER 2131 01:21:36,120 --> 01:21:39,480 INTERNSHIP PROGRAM. 2132 01:21:39,480 --> 01:21:41,000 AND THIS IS THE WORK OF GIGY 2133 01:21:41,000 --> 01:21:43,400 STARS AND FILIP ADAMS AND DURING 2134 01:21:43,400 --> 01:21:45,640 COVID WHEN THE SUMMER PROGRAM 2135 01:21:45,640 --> 01:21:50,120 WAS SUSPENDED, GIGI AND OTHERS 2136 01:21:50,120 --> 01:21:52,000 CAME UP WITH A IDEA OF HAVING A 2137 01:21:52,000 --> 01:21:53,080 VIRTUAL PROGRAM. 2138 01:21:53,080 --> 01:21:55,120 A PILOT WHERE THEY HAVE HALF A 2139 01:21:55,120 --> 01:21:57,680 DOZEN TRAINEES THAT ARE ALL OVER 2140 01:21:57,680 --> 01:21:58,920 THE COUNTRY THAT THEY WOULD DIAL 2141 01:21:58,920 --> 01:22:01,400 IN ON ZOOM IN THE MORNING AND 2142 01:22:01,400 --> 01:22:04,840 RECEIVE TWO OR THREE HOURS OF -- 2143 01:22:04,840 --> 01:22:07,200 TRAINING AND RNA SEQUENCING AND 2144 01:22:07,200 --> 01:22:09,040 THEN GIVE A TASK TO DATA MINE 2145 01:22:09,040 --> 01:22:10,440 AND COME BACK AND REPORT THE 2146 01:22:10,440 --> 01:22:13,840 NEXT MORNING. 2147 01:22:13,840 --> 01:22:16,520 AND IT WAS A RUNAWAY SUCCESS FOR 2148 01:22:16,520 --> 01:22:18,280 A HALF DOZEN STUDENTS IN THE 2149 01:22:18,280 --> 01:22:19,160 FIRST COUPLE OF YEARS. 2150 01:22:19,160 --> 01:22:22,560 WE DECIDED WE WOULD MAKE THIS 2151 01:22:22,560 --> 01:22:26,480 OFFICIAL AND PROGRAM FOR OUR 2152 01:22:26,480 --> 01:22:26,760 DIVISION. 2153 01:22:26,760 --> 01:22:29,760 WE FUNDED 50 OF THEM THROUGH MY 2154 01:22:29,760 --> 01:22:35,040 OFFICE AND THROUGH OITE. 2155 01:22:35,040 --> 01:22:36,760 AND THEY HAVE DONE AN INCREDIBLE 2156 01:22:36,760 --> 01:22:38,040 JOB AT STARTING THIS. 2157 01:22:38,040 --> 01:22:39,800 THIS IS REALLY IMPORTANT BECAUSE 2158 01:22:39,800 --> 01:22:42,200 A LOT OF SUMMER STUDENTS CANNOT 2159 01:22:42,200 --> 01:22:44,880 AFFORD TO COME TO BETHESDA AND 2160 01:22:44,880 --> 01:22:46,600 LIVE AND WORK IN THE SUMMER 2161 01:22:46,600 --> 01:22:47,280 PROGRAM. 2162 01:22:47,280 --> 01:22:50,080 AND ALSO, THE APPLICANT POOL IS 2163 01:22:50,080 --> 01:22:51,320 MASSIVE FOR THE SUMMER PROGRAM. 2164 01:22:51,320 --> 01:22:53,800 SO ONLY A VERY SMALL FRACTION OF 2165 01:22:53,800 --> 01:22:55,800 PEOPLE THAT APPLY CAN ACTUALLY 2166 01:22:55,800 --> 01:22:57,200 ATTEND IN PERSON. 2167 01:22:57,200 --> 01:23:01,560 SO THIS IS A WAY OF BRINGING IN 2168 01:23:01,560 --> 01:23:02,600 DISADVANTAGED OR PEOPLE WHO 2169 01:23:02,600 --> 01:23:07,400 DON'T HAVE THE ABILITY TO STAY 2170 01:23:07,400 --> 01:23:08,600 FOR SHORT PERCEIVED IN BETHESDA. 2171 01:23:08,600 --> 01:23:11,320 WE ARE TRYING TO EXPAND ACROSS 2172 01:23:11,320 --> 01:23:12,320 DIFFERENT INSTITUTES. 2173 01:23:12,320 --> 01:23:15,280 WE HAVE BUY IN AND WE ARE HOPING 2174 01:23:15,280 --> 01:23:17,400 TO EXPAND OVER THE NEXT 2-3 2175 01:23:17,400 --> 01:23:17,600 YEARS. 2176 01:23:17,600 --> 01:23:18,960 AND THEN THE NEXT SLIDE I WANT 2177 01:23:18,960 --> 01:23:20,920 TOY SHOULD YOU PICTURES FROM OUR 2178 01:23:20,920 --> 01:23:21,480 POSTER SESSION. 2179 01:23:21,480 --> 01:23:23,920 THERE IS NOTHING REALLY TO SHOW 2180 01:23:23,920 --> 01:23:24,480 YOU HERE OTHER THAN PEOPLE 2181 01:23:24,480 --> 01:23:26,920 HAVING A GOOD TIME PRESENTING 2182 01:23:26,920 --> 01:23:27,120 SCIENCE. 2183 01:23:27,120 --> 01:23:29,640 AND WE HAD A LARGE NUMBER OF 2184 01:23:29,640 --> 01:23:30,320 SUMMER EVENTS. 2185 01:23:30,320 --> 01:23:32,920 I'VE NEVER BEEN TO A SUMMER 2186 01:23:32,920 --> 01:23:33,960 PROGRAM POSTER WHERE SO MANY 2187 01:23:33,960 --> 01:23:34,800 PEOPLE'S PARENTS AND 2188 01:23:34,800 --> 01:23:35,960 GRANDPARENTS WERE THERE. 2189 01:23:35,960 --> 01:23:38,360 I THINK I HAVE SHAKEN HAND WITH 2190 01:23:38,360 --> 01:23:39,600 MORE GRANDPARENTS IN THE LAST 2191 01:23:39,600 --> 01:23:43,840 TWO OR THREE WEEKS THAN I EVER 2192 01:23:43,840 --> 01:23:47,640 HAD. 2193 01:23:47,640 --> 01:23:49,840 AND WE HAD LUNCHEONS AND SUMMER 2194 01:23:49,840 --> 01:23:53,680 EVENTS TO GET THE LIFE IN THE 2195 01:23:53,680 --> 01:23:56,600 LAD AND RECHARGE AGAIN. 2196 01:23:56,600 --> 01:24:06,800 NEXT SLIDE. 2197 01:24:11,080 --> 01:24:14,040 AND WE ALSO HAVE A DEVELOPING 2198 01:24:14,040 --> 01:24:15,040 TALENT SCHOLARS PROGRAM WHICH 2199 01:24:15,040 --> 01:24:16,760 ORIGINALLY USED TO BE RAN 2200 01:24:16,760 --> 01:24:18,960 CENTRALLY THROUGH THE NIH AND 2201 01:24:18,960 --> 01:24:20,560 TURNED BACK TO EACH OF THE 2202 01:24:20,560 --> 01:24:20,880 ICs. 2203 01:24:20,880 --> 01:24:23,720 WE HAVE THREE NEW SCHOLARS FOR 2204 01:24:23,720 --> 01:24:24,400 FY23. 2205 01:24:24,400 --> 01:24:29,600 WE HAVE HAD 30 OVER THE LAST 10 2206 01:24:29,600 --> 01:24:29,800 YEARS. 2207 01:24:29,800 --> 01:24:31,720 WE ALSO STARTED GIVING 2208 01:24:31,720 --> 01:24:35,120 RECRUITMENT INCENTIVE AWARDS FOR 2209 01:24:35,120 --> 01:24:38,000 TRAINEES THAT APPLIED TO OUR 2210 01:24:38,000 --> 01:24:38,200 LABS. 2211 01:24:38,200 --> 01:24:42,160 WE ARE CURRENTLY FUNDING SIX 2212 01:24:42,160 --> 01:24:42,960 TRAINEES AND NEXT SLIDE. 2213 01:24:42,960 --> 01:24:46,360 AND THEN FINALLY WE HAVE SEVERAL 2214 01:24:46,360 --> 01:24:47,440 INITIATIVES WITH HOWARD 2215 01:24:47,440 --> 01:24:49,240 UNIVERSITY WHICH THE LOCAL 2216 01:24:49,240 --> 01:24:50,360 UNIVERSITY IN THE DISTRICT. 2217 01:24:50,360 --> 01:24:54,240 AND THIS WAS REALLY STARTED BY 2218 01:24:54,240 --> 01:24:57,680 NOT ONLY ERAN BUT THE OFFICE OF 2219 01:24:57,680 --> 01:25:00,760 EDUCATION IN NINDS. 2220 01:25:00,760 --> 01:25:01,680 WE WORKED WITH THE COLLEGE OF 2221 01:25:01,680 --> 01:25:04,440 ARTS AND SCIENCES, BIOLOGY ARTS 2222 01:25:04,440 --> 01:25:06,360 PROGRAM TO SORT OF FUNCTION AS A 2223 01:25:06,360 --> 01:25:08,480 SECONDARY RESEARCH MENTOR. 2224 01:25:08,480 --> 01:25:10,360 WE HAVE FIVE SOPHOMORE STUDENTS 2225 01:25:10,360 --> 01:25:13,080 CAME IN THE SPRING OF THIS YEAR. 2226 01:25:13,080 --> 01:25:14,960 THEY WILL COMPLETE AND GRADUATE 2227 01:25:14,960 --> 01:25:16,360 EARLIER ON THIS SUMMER. 2228 01:25:16,360 --> 01:25:18,800 AND THEN WE HAVE OBSTETRICS 2229 01:25:18,800 --> 01:25:19,800 GYNECOLOGY RESEARCH MENTORING 2230 01:25:19,800 --> 01:25:21,280 PROGRAM WITH THE COLLEGE OF 2231 01:25:21,280 --> 01:25:21,560 MEDICINE. 2232 01:25:21,560 --> 01:25:24,680 AND THEN WE HAVE RESIDENCY 2233 01:25:24,680 --> 01:25:27,440 RESEARCH MENTORING AND LECTURES 2234 01:25:27,440 --> 01:25:30,480 WHERE MANY OF OUR INVESTIGATORS 2235 01:25:30,480 --> 01:25:32,080 AND SENIOR INVESTIGATORS ARE 2236 01:25:32,080 --> 01:25:33,280 GUEST LECTURERS IN THOSE 2237 01:25:33,280 --> 01:25:33,520 PROGRAMS. 2238 01:25:33,520 --> 01:25:35,960 WE ARE TRYING TO LOOK AT WAYS WE 2239 01:25:35,960 --> 01:25:37,920 CAN EXPAND THESE INTERACTIONS 2240 01:25:37,920 --> 01:25:38,720 WITH LOCAL UNIVERSITIES AND 2241 01:25:38,720 --> 01:25:40,280 THERE ARE A NUMBER OF 2242 01:25:40,280 --> 01:25:43,160 UNIVERSITIES THAT REALLY WE HAVE 2243 01:25:43,160 --> 01:25:45,200 NOT TAPPED INTO INTERACTIONS 2244 01:25:45,200 --> 01:25:47,160 WITH AND DIANE AND I MET WITH 2245 01:25:47,160 --> 01:25:49,200 THE UNIVERSITY OF MARYLAND TO 2246 01:25:49,200 --> 01:25:50,120 TALK ABOUT OPPORTUNITIES AND WE 2247 01:25:50,120 --> 01:25:51,600 HOPE THAT WE ARE GOING TO CARRY 2248 01:25:51,600 --> 01:25:53,000 ON DOING MUCH, MUCH MORE OF THAT 2249 01:25:53,000 --> 01:25:53,880 IN THE FUTURE. 2250 01:25:53,880 --> 01:25:55,920 SO I AM GOING TO STOP THERE AND 2251 01:25:55,920 --> 01:25:57,840 I'LL TAKE ANY QUESTIONS THAT YOU 2252 01:25:57,840 --> 01:26:08,000 MAY HAVE. 2253 01:26:14,080 --> 01:26:15,320 >>SPEAK INTO THE MIC AND 2254 01:26:15,320 --> 01:26:17,400 INTRODUCE YOURSELF. 2255 01:26:17,400 --> 01:26:20,120 >>HI, YVONNE MALDONADO STANFORD 2256 01:26:20,120 --> 01:26:20,400 UNIVERSITY. 2257 01:26:20,400 --> 01:26:21,760 THANK YOU FOR THE PRESENTATION. 2258 01:26:21,760 --> 01:26:24,400 REALLY REMARKABLE TO SEE THE 2259 01:26:24,400 --> 01:26:27,000 LIST OF TRAINEES AT ALL LEVELS 2260 01:26:27,000 --> 01:26:30,640 THAT YOU'RE BRINGING HERE AND 2261 01:26:30,640 --> 01:26:35,880 ALSO DOING SOME MORE VIRTUAL 2262 01:26:35,880 --> 01:26:36,320 WORK. 2263 01:26:36,320 --> 01:26:39,480 AND I'M WONDERING IF THERE ARE 2264 01:26:39,480 --> 01:26:40,800 SOME OPPORTUNITIES FOR THE 2265 01:26:40,800 --> 01:26:42,720 PURELY VIRTUAL TRAINEES TO COME 2266 01:26:42,720 --> 01:26:45,120 IN FOR MAYBE ONE VISIT TO GET TO 2267 01:26:45,120 --> 01:26:46,520 PRESENT THEIR POSTER? 2268 01:26:46,520 --> 01:26:48,800 I SEE SOME OF THOSE WERE BROUGHT 2269 01:26:48,800 --> 01:26:52,000 IN FOR MAYBE THE FINAL DAY OR -- 2270 01:26:52,000 --> 01:26:54,920 >>THAT'S A REALLY INTERESTING 2271 01:26:54,920 --> 01:26:57,320 POINT YOU BRING UP BECAUSE THESE 2272 01:26:57,320 --> 01:27:00,680 STUDENTS ARE ALL OVER THE 2273 01:27:00,680 --> 01:27:02,840 UNIVERSITY. 2274 01:27:02,840 --> 01:27:04,320 AND MANY WANTED TO COME TO 2275 01:27:04,320 --> 01:27:05,040 POSTER DAY. 2276 01:27:05,040 --> 01:27:07,240 IT WAS GREAT TO ALLOW THEM TO 2277 01:27:07,240 --> 01:27:09,240 MAKE A POSTER AND PRESENT THE 2278 01:27:09,240 --> 01:27:09,560 IDEA. 2279 01:27:09,560 --> 01:27:11,560 SO WE DON'T WANT THAT TO STAND 2280 01:27:11,560 --> 01:27:12,520 ALONE ON ITS OWN. 2281 01:27:12,520 --> 01:27:15,920 WE WANT TO ENGULF OUR ENTIRE 2282 01:27:15,920 --> 01:27:16,480 SUMMER PROGRAM. 2283 01:27:16,480 --> 01:27:19,680 IT STARTED FROM A GRASSROOTS 2284 01:27:19,680 --> 01:27:21,440 IDEA AND I THINK AS I SAID, WE 2285 01:27:21,440 --> 01:27:22,680 FUND 15. 2286 01:27:22,680 --> 01:27:24,160 WE WILL KEEP EXPANDING THAT 2287 01:27:24,160 --> 01:27:25,960 MOVING FORWARD AND YES, BRINGING 2288 01:27:25,960 --> 01:27:27,200 THEM ON TO CAMPUS AND TRAVELING 2289 01:27:27,200 --> 01:27:29,640 TO CAMPUS TO PRESENT AND MEET 2290 01:27:29,640 --> 01:27:33,640 OTHER TRAINEES FOR THE SUMMER 2291 01:27:33,640 --> 01:27:35,160 PROGRAM, THAT'S DEFINITELY -- WE 2292 01:27:35,160 --> 01:27:36,560 WERE ABLE TO DO THAT FOR A 2293 01:27:36,560 --> 01:27:44,640 NUMBER OF THEM THIS YEAR. 2294 01:27:44,640 --> 01:27:46,880 >>THANK YOU FOR THAT 2295 01:27:46,880 --> 01:27:47,240 PRESENTATION. 2296 01:27:47,240 --> 01:27:51,280 THAT WAS FANTASTIC. 2297 01:27:51,280 --> 01:27:54,000 WOULD YOU SPEAK A LITTLE BIT 2298 01:27:54,000 --> 01:27:57,160 MORE ABOUT THE EDUCATIONAL STAGE 2299 01:27:57,160 --> 01:27:58,280 OF THE TRAIN THESE COME? 2300 01:27:58,280 --> 01:28:00,160 ARE YOU INVITING HIGH SCHOOL 2301 01:28:00,160 --> 01:28:00,680 STUDENTS? 2302 01:28:00,680 --> 01:28:01,520 OR JUST COLLEGEAT? 2303 01:28:01,520 --> 01:28:03,280 WHAT STAGE ARE YOU THINKING 2304 01:28:03,280 --> 01:28:06,720 ABOUT EARLIER IN THE PIPELINE? 2305 01:28:06,720 --> 01:28:08,120 >>SPECIFICALLY FOR THE SUMMER 2306 01:28:08,120 --> 01:28:09,320 PROGRAM? 2307 01:28:09,320 --> 01:28:09,840 >>THE SUMMER PROGRAM. 2308 01:28:09,840 --> 01:28:14,200 >>SO, THE VAST MAJORITY OF 2309 01:28:14,200 --> 01:28:15,120 SUMMER PROGRAMS ARE 2310 01:28:15,120 --> 01:28:16,520 UNDERGRADUATE STUDENTS. 2311 01:28:16,520 --> 01:28:18,320 THAT'S HISTORICALLY HOW THE 2312 01:28:18,320 --> 01:28:20,920 SUMMER PROGRAM HAS BEEN RUN. 2313 01:28:20,920 --> 01:28:23,720 NOT JUST -- THE ENTIRE NIH'S 2314 01:28:23,720 --> 01:28:24,640 SUMMER PROGRAM. 2315 01:28:24,640 --> 01:28:28,720 IT IS OPEN ALSO TO HIGH SCHOOL 2316 01:28:28,720 --> 01:28:29,000 STUDENTS. 2317 01:28:29,000 --> 01:28:29,840 THERETO IS NOW AN AGE LIMITATION 2318 01:28:29,840 --> 01:28:34,120 WHERE THEY HAVE TO BE OVER 18 2319 01:28:34,120 --> 01:28:38,600 AND THIS YEAR WE HAD 6 OR 8 FROM 2320 01:28:38,600 --> 01:28:39,240 HIGH SCHOOL. 2321 01:28:39,240 --> 01:28:41,000 WE HAVE A COUPLE OF 2322 01:28:41,000 --> 01:28:45,240 UNDERGRADUATES THAT CAME BACK TO 2323 01:28:45,240 --> 01:28:47,840 US THAT WE HAD TO -- SENIOR 2324 01:28:47,840 --> 01:28:48,240 UNDERGRADUATES. 2325 01:28:48,240 --> 01:28:49,480 THE VAST MAJORITY OF THESE 2326 01:28:49,480 --> 01:28:51,560 STUDENTS ARE IN THE 2327 01:28:51,560 --> 01:28:53,080 UNDERGRADUATE DEGREES. 2328 01:28:53,080 --> 01:28:53,920 >>I DON'T KNOW WHETHER THIS IS 2329 01:28:53,920 --> 01:28:55,680 AN OPPORTUNITY TO REALLY THINK 2330 01:28:55,680 --> 01:28:57,240 ABOUT EARLIER IN THE PIPELINE 2331 01:28:57,240 --> 01:28:59,480 BECAUSE THAT'S WHEN WE LOSE A 2332 01:28:59,480 --> 01:29:03,560 LOT OF STUDENTS FROM DIVERSE 2333 01:29:03,560 --> 01:29:04,040 BACKGROUNDS. 2334 01:29:04,040 --> 01:29:05,360 >>SO THOSE RULES ARE LARGELY 2335 01:29:05,360 --> 01:29:11,520 PUT IN PLACE BY THE LARGER 2336 01:29:11,520 --> 01:29:13,440 NIH -- 10 YEARS AGO WE COULD 2337 01:29:13,440 --> 01:29:14,520 HAVE HIGH SCHOOL STUDENTS COME 2338 01:29:14,520 --> 01:29:17,560 IN WHO WERE SOPHOMORES, JUNIORS 2339 01:29:17,560 --> 01:29:18,240 AND SENIORS. 2340 01:29:18,240 --> 01:29:20,520 AND THE PROGRAM HAS BEEN LIMITED 2341 01:29:20,520 --> 01:29:22,680 NOW TO PEOPLE WHO ARE PROBABLY 2342 01:29:22,680 --> 01:29:24,000 EITHER GOING INTO THEIR SENIOR 2343 01:29:24,000 --> 01:29:28,400 YEAR OR LEAVING THEIR SENIOR 2344 01:29:28,400 --> 01:29:37,880 YEAR TO GO INTO UNIVERSITIES. 2345 01:29:37,880 --> 01:29:40,040 I USED TO RUN THE SCIENCE FAIR 2346 01:29:40,040 --> 01:29:41,400 WITH MY KIDS AND MIDDLE SCHOOL 2347 01:29:41,400 --> 01:29:44,280 AND HIGH SCHOOL AND A LOT OF US 2348 01:29:44,280 --> 01:29:45,200 DO THAT ALREADY. 2349 01:29:45,200 --> 01:29:47,480 A LOT OF OUR SCIENTISTS 2350 01:29:47,480 --> 01:29:49,000 VOLUNTEER TO GO OUT TO SCHOOLS 2351 01:29:49,000 --> 01:29:50,000 AND THINGS LIKE THAT. 2352 01:29:50,000 --> 01:29:51,880 THAT'S AN OPPORTUNITY THAT WE 2353 01:29:51,880 --> 01:29:54,000 REALLY WANT TO CAPITALIZE ON. 2354 01:29:54,000 --> 01:29:55,840 THERE IS INCREDIBLE -- I MEAN IN 2355 01:29:55,840 --> 01:29:58,800 THIS AREA, WITHIN THE AREA, 2356 01:29:58,800 --> 01:29:59,800 THERE ARE SO MANY OPPORTUNITIES 2357 01:29:59,800 --> 01:30:04,240 FOR US TO GET AT K-12 2358 01:30:04,240 --> 01:30:04,920 OPPORTUNITY. 2359 01:30:04,920 --> 01:30:06,200 >>ONE OTHER COMMENT TO 2360 01:30:06,200 --> 01:30:06,480 CONSIDER. 2361 01:30:06,480 --> 01:30:09,360 YOU COULD ALSO THINK ABOUT THE 2362 01:30:09,360 --> 01:30:11,000 TRAINEES WHO HAVE BEEN THERE 2363 01:30:11,000 --> 01:30:12,600 TAKING THEM BACK TO THEIR HIGH 2364 01:30:12,600 --> 01:30:13,920 SCHOOLS AND THEIR JUNIOR HIGHS 2365 01:30:13,920 --> 01:30:16,400 AND ACTUAL GIVING THEM A 2366 01:30:16,400 --> 01:30:17,200 PLATFORM TO PRESENT THEIR 2367 01:30:17,200 --> 01:30:19,120 SCIENCE AND TALK ABOUT THEIR 2368 01:30:19,120 --> 01:30:19,400 EXPERIENCES. 2369 01:30:19,400 --> 01:30:19,920 >>A GREAT IDEA. 2370 01:30:19,920 --> 01:30:22,600 THAT'S A REALLY GREAT IDEA. 2371 01:30:22,600 --> 01:30:23,720 THANK YOU. 2372 01:30:23,720 --> 01:30:25,160 YES? 2373 01:30:25,160 --> 01:30:25,760 >>HI, MORE LACES MILLER. 2374 01:30:25,760 --> 01:30:27,960 SO YOU HAVE A REALLY GREAT -- OR 2375 01:30:27,960 --> 01:30:32,520 YOU FOCUSED A LOT ON THE GRANT 2376 01:30:32,520 --> 01:30:34,120 WRITING EDUCATION THAT YOU LAID 2377 01:30:34,120 --> 01:30:34,760 OUT. 2378 01:30:34,760 --> 01:30:36,280 I'M WONDERING ABOUT GRANT 2379 01:30:36,280 --> 01:30:39,240 WRITING EDUCATION IS FOCUSED 2380 01:30:39,240 --> 01:30:40,120 EXCLUSIVELY ON THE NIH OR 2381 01:30:40,120 --> 01:30:43,360 WHETHER IT'S MORE DIVERSE IN ITS 2382 01:30:43,360 --> 01:30:45,840 GRANT WRITING? 2383 01:30:45,840 --> 01:30:46,160 >>RIGHT. 2384 01:30:46,160 --> 01:30:48,240 AND GREAT QUESTION. 2385 01:30:48,240 --> 01:30:50,560 AND FROM A PRACTICAL POINT OF 2386 01:30:50,560 --> 01:30:55,400 VIEW, A LOT OF IT IS FOCUSED ON 2387 01:30:55,400 --> 01:30:59,360 K99 AT THE MOMENT. 2388 01:30:59,360 --> 01:31:02,440 AND -- OR NRC EQUIVALENT KIND OF 2389 01:31:02,440 --> 01:31:02,880 GRANTS. 2390 01:31:02,880 --> 01:31:05,880 SO CHILD HEALTH HAS ITS OWN 2391 01:31:05,880 --> 01:31:07,280 FLAVOR INTRAMURAL AWARD AND MANY 2392 01:31:07,280 --> 01:31:11,400 OF US -- I HAVE AN ADJUNCT 2393 01:31:11,400 --> 01:31:13,080 RELATIONSHIP WITH NINDS WHICH 2394 01:31:13,080 --> 01:31:16,560 ALLOWS MY TRAINEES TO WRITE FOR 2395 01:31:16,560 --> 01:31:17,560 NINDS AWARD. 2396 01:31:17,560 --> 01:31:20,240 SO FOR THE MOST PART, THESE ARE 2397 01:31:20,240 --> 01:31:20,560 NIH AWARDS. 2398 01:31:20,560 --> 01:31:22,800 NOW, SAYING THAT, WE DO WRITE 2399 01:31:22,800 --> 01:31:26,080 FOR SMALL FOUNDATION AWARDS AND 2400 01:31:26,080 --> 01:31:27,240 HISTORICALLY THE INTRAMURAL 2401 01:31:27,240 --> 01:31:31,080 PROGRAM HAS NOT BEEN SUCCESSFUL 2402 01:31:31,080 --> 01:31:32,760 IN GETTING SMALL PRIDE 2403 01:31:32,760 --> 01:31:33,800 FOUNDATION AWARDS BECAUSE FIRST 2404 01:31:33,800 --> 01:31:35,480 OF ALL, WE ARE NOT ALLOWED TO 2405 01:31:35,480 --> 01:31:36,400 TAKE THAT MONEY. 2406 01:31:36,400 --> 01:31:37,600 NOW WE ARE. 2407 01:31:37,600 --> 01:31:40,000 IT'S A LITTLE MORE COMPLICATED 2408 01:31:40,000 --> 01:31:42,400 IN HOW TO NAVIGATE THAT. 2409 01:31:42,400 --> 01:31:43,760 BUT THE PRAT FELLOWSHIP, WHICH 2410 01:31:43,760 --> 01:31:46,920 IS ANOTHER NIGMS AWARD AND WE 2411 01:31:46,920 --> 01:31:49,720 HAVE A WEBSITE ON OUR INTRAMURAL 2412 01:31:49,720 --> 01:31:52,760 WEBSITE FOR OUR FELLOWS THAT HAS 2413 01:31:52,760 --> 01:31:54,800 OVER 80 GRANT WRITING 2414 01:31:54,800 --> 01:31:55,720 OPPORTUNITIES OVER THE YEAR. 2415 01:31:55,720 --> 01:31:57,120 IT TELLS YOU ALL THE DEADLINES, 2416 01:31:57,120 --> 01:31:59,120 ALL OF WHAT IS EXPECTED AND WHO 2417 01:31:59,120 --> 01:32:01,200 TO CONTACT TO DO THAT AND HOW TO 2418 01:32:01,200 --> 01:32:01,800 NAVIGATE THAT. 2419 01:32:01,800 --> 01:32:04,640 SO WE'RE TRYING TO BUILD A 2420 01:32:04,640 --> 01:32:07,360 COMPENDIUM OF ALL THE GRANT 2421 01:32:07,360 --> 01:32:07,960 WRITING TUBES BOTH INSIDE AND 2422 01:32:07,960 --> 01:32:14,280 OUTSIDE OF THE NIH THAT WE CAN. 2423 01:32:14,280 --> 01:32:15,880 IT'S WORTH REPEATING. 2424 01:32:15,880 --> 01:32:16,920 FROM MY POINT OF VIEW, IT'S NOT 2425 01:32:16,920 --> 01:32:18,240 THE MONEY THAT IS IMPORTANT. 2426 01:32:18,240 --> 01:32:20,640 OF COURSE IT IS IMPORTANT AT A 2427 01:32:20,640 --> 01:32:22,360 CERTAIN LEVEL BUT THE WRITING 2428 01:32:22,360 --> 01:32:22,960 OPPORTUNITY AND THE EXPERIENCE 2429 01:32:22,960 --> 01:32:26,240 TO WORK OUT HOW YOU GET 2430 01:32:26,240 --> 01:32:28,440 SUCCESSFUL GRANT FUNDED IS THE 2431 01:32:28,440 --> 01:32:30,240 OPPORTUNITY THAT I THINK WE ARE 2432 01:32:30,240 --> 01:32:32,240 TRYING TO CAPITALIZE ON. 2433 01:32:32,240 --> 01:32:32,800 >>ABSOLUTELY. 2434 01:32:32,800 --> 01:32:34,840 WHICH IS WHY I WAS CURIOUS AT 2435 01:32:34,840 --> 01:32:36,840 WHETHER IT WAS FOCUSED ON THE 2436 01:32:36,840 --> 01:32:38,840 NIH BECAUSE AS WE ALL KNOW, 2437 01:32:38,840 --> 01:32:41,600 WRITING FOR THE NIH IS VERY 2438 01:32:41,600 --> 01:32:42,640 DIFFERENT THAN WHITE WRITING FOR 2439 01:32:42,640 --> 01:32:44,280 THE V.A., DOD, SMALL 2440 01:32:44,280 --> 01:32:44,560 FOUNDATIONS. 2441 01:32:44,560 --> 01:32:51,760 >>THANK YOU FOR THAT COMMENT. 2442 01:32:51,760 --> 01:32:52,320 >>[ INDISCERNIBLE ] 2443 01:32:52,320 --> 01:32:54,000 I THINK IT WILL BE GREAT TO 2444 01:32:54,000 --> 01:32:56,320 BRING K12 INSTRUCTORS TEACHERS 2445 01:32:56,320 --> 01:32:59,920 HERE SO THEY COULD GO BACK AND 2446 01:32:59,920 --> 01:33:10,640 HELP TO -- WE HAVE FEWER -- THIS 2447 01:33:10,640 --> 01:33:12,120 SUMMER AND ARE [ INAUDIBLE ] 2448 01:33:12,120 --> 01:33:13,520 MY QUESTION IS ALSO, ARE YOU 2449 01:33:13,520 --> 01:33:15,040 PLANNING TO TRACK THEM OVER TIME 2450 01:33:15,040 --> 01:33:18,640 TO SEE WHERE -- 2451 01:33:18,640 --> 01:33:18,920 >>YES. 2452 01:33:18,920 --> 01:33:23,640 YOU KNOW, ALL OF THESE THINGS 2453 01:33:23,640 --> 01:33:25,120 ARE -- SO HINDSIGHT IT WILL SEEM 2454 01:33:25,120 --> 01:33:26,640 OBVIOUS BUT A LOT ARE NOT BEING 2455 01:33:26,640 --> 01:33:27,000 DONE. 2456 01:33:27,000 --> 01:33:29,000 SO WE ARE REALLY PAYING 2457 01:33:29,000 --> 01:33:30,520 ATTENTION TO WHERE ALL OF OUR 2458 01:33:30,520 --> 01:33:31,800 TRAINEES GO. 2459 01:33:31,800 --> 01:33:34,200 AND ERAN, THIS WAS UNBEKNOWNST 2460 01:33:34,200 --> 01:33:36,600 TO ME. 2461 01:33:36,600 --> 01:33:38,920 WE HAVE A PANEL EVERY -- TWICE A 2462 01:33:38,920 --> 01:33:41,800 YEAR, WHERE SHE BRINGS TRAINEES 2463 01:33:41,800 --> 01:33:42,000 BACK. 2464 01:33:42,000 --> 01:33:43,720 NO NOT JUST PEOPLE WHO HAVE BEEN 2465 01:33:43,720 --> 01:33:45,920 SUCCESSFUL IN SCIENCE WHO HAVE 2466 01:33:45,920 --> 01:33:47,640 GONE ON TO DIFFERENT WALKS OF 2467 01:33:47,640 --> 01:33:49,440 LIFE. 2468 01:33:49,440 --> 01:33:51,320 AND BRINGING PEOPLE FROM 2469 01:33:51,320 --> 01:33:52,720 JOURNALISM OR WHATEVER, AND 2470 01:33:52,720 --> 01:33:53,720 BRINGING THEM BACK. 2471 01:33:53,720 --> 01:33:57,720 SO LETTING OUR TRAINEES SEE THIS 2472 01:33:57,720 --> 01:33:59,880 IS THE SUCCESS OF THE -- FACE OF 2473 01:33:59,880 --> 01:34:01,080 SUCCESS OF OUR TRAINEES. 2474 01:34:01,080 --> 01:34:02,560 IT'S NOT ALL ABOUT THAT YOU'RE 2475 01:34:02,560 --> 01:34:04,640 GOING TO BECOME A PRINCIPLE 2476 01:34:04,640 --> 01:34:04,960 INVESTIGATOR. 2477 01:34:04,960 --> 01:34:06,920 SO WE ARE TRYING VERY HARD TO 2478 01:34:06,920 --> 01:34:09,760 MONITOR WHERE EVERYBODY IS AND 2479 01:34:09,760 --> 01:34:11,040 CAPTURE THAT INFORMATION. 2480 01:34:11,040 --> 01:34:14,960 >>CHRIS, THERE IS A QUESTION ON 2481 01:34:14,960 --> 01:34:18,240 ZOOM FROM DR. JABS. 2482 01:34:18,240 --> 01:34:23,120 >>I HAVE A QUESTION. 2483 01:34:23,120 --> 01:34:25,440 SINCE THIS INTRAMURAL TRAINING 2484 01:34:25,440 --> 01:34:28,240 AND TRAINING IS IMPORTANT IN ANY 2485 01:34:28,240 --> 01:34:30,920 FORUM, I'M WONDERING IS THERE 2486 01:34:30,920 --> 01:34:32,920 INTENTION OR GOALS TO MAKE 2487 01:34:32,920 --> 01:34:34,720 INTRAMURAL TRAINING IN SOME WAY 2488 01:34:34,720 --> 01:34:36,440 DIFFERENT FROM EXTRAMURAL 2489 01:34:36,440 --> 01:34:37,680 TRAINING? 2490 01:34:37,680 --> 01:34:40,360 OR IS IT THE SAME? 2491 01:34:40,360 --> 01:34:42,800 AND HAVE YOU SEEN A DIFFERENT 2492 01:34:42,800 --> 01:34:44,440 TYPE OF CANDIDATE APPLYING FOR 2493 01:34:44,440 --> 01:34:46,840 THE INTRAMURAL TRAINING VERSUS 2494 01:34:46,840 --> 01:34:47,720 THE EXTRAMURAL? 2495 01:34:47,720 --> 01:34:50,240 AND I GUESS YOU MENTIONED THAT 2496 01:34:50,240 --> 01:34:51,840 YOU ARE TRACKING THESE 2497 01:34:51,840 --> 01:34:54,560 CANDIDATES TO SEE IF THE OUTCOME 2498 01:34:54,560 --> 01:34:55,640 IS DIFFERENT, BECAUSE WE HAVE 2499 01:34:55,640 --> 01:34:59,680 SEEN A LOT OF POSTDOCTORAL 2500 01:34:59,680 --> 01:35:02,560 TRAINEES NOW GOING ON TO 2501 01:35:02,560 --> 01:35:06,680 INDUSTRY AS OPPOSED TO 2502 01:35:06,680 --> 01:35:07,320 ACADEMICS. 2503 01:35:07,320 --> 01:35:08,960 AND MAYBE NIH IS STILL A 2504 01:35:08,960 --> 01:35:10,560 DIFFERENT ENVIRONMENT FOR 2505 01:35:10,560 --> 01:35:10,800 RESEARCH. 2506 01:35:10,800 --> 01:35:12,560 >>THANK YOU FOR THAT. 2507 01:35:12,560 --> 01:35:17,280 REALLY I THINK WE ALL OVER THE 2508 01:35:17,280 --> 01:35:19,120 LAST FEW YEARS ARE SENSITIVE TO 2509 01:35:19,120 --> 01:35:21,240 THE FALLING NUMBER OF 2510 01:35:21,240 --> 01:35:23,600 POSTDOCTORAL FELLOWS LOOKING FOR 2511 01:35:23,600 --> 01:35:23,840 POSITIONS. 2512 01:35:23,840 --> 01:35:26,880 I WAS HAVING A CONVERSATION WITH 2513 01:35:26,880 --> 01:35:27,760 OUR TENURE-TRACK INVESTIGATOR. 2514 01:35:27,760 --> 01:35:31,360 WE HAVE 40 LESS POSTDOCS THAN 2515 01:35:31,360 --> 01:35:34,000 CURRENTLY IN THE DIR THAN WE HAD 2516 01:35:34,000 --> 01:35:35,960 AT THE BEGINNING OF COVID. 2517 01:35:35,960 --> 01:35:38,560 AND THAT'S NOT A RANDOM DROP. 2518 01:35:38,560 --> 01:35:40,600 SOME THINGS CHANGING IN OUR 2519 01:35:40,600 --> 01:35:43,400 OPPORTUNITIES FOR POSTDOCTORAL 2520 01:35:43,400 --> 01:35:43,640 FELLOWS. 2521 01:35:43,640 --> 01:35:45,760 AND I DON'T SEE -- I DON'T THINK 2522 01:35:45,760 --> 01:35:47,680 ABOUT DISTINCTION TO GET BACK TO 2523 01:35:47,680 --> 01:35:48,960 YOUR FIRST PART OF YOUR 2524 01:35:48,960 --> 01:35:49,240 QUESTION. 2525 01:35:49,240 --> 01:35:52,200 I DON'T SEE A DISTINCTION 2526 01:35:52,200 --> 01:35:53,480 BETWEEN THE OPPORTUNITIES FOR 2527 01:35:53,480 --> 01:35:55,200 TRAINING OPPORTUNITIES FOR 2528 01:35:55,200 --> 01:35:57,000 FELLOWS INTRAMURALLY VERSUS 2529 01:35:57,000 --> 01:35:57,320 EXTRAMURALLY. 2530 01:35:57,320 --> 01:36:00,800 WE ARE TRAINING SCIENTISTS TO BE 2531 01:36:00,800 --> 01:36:02,480 SUCCESSFUL EITHER WHETHER THEY 2532 01:36:02,480 --> 01:36:03,880 STAY IN THE INTRAMURAL PROGRAM 2533 01:36:03,880 --> 01:36:05,480 OR TRYING TO MAKE THEM 2534 01:36:05,480 --> 01:36:08,280 COMPETITIVE TO BE IN THE OUTSIDE 2535 01:36:08,280 --> 01:36:12,600 WORLD. 2536 01:36:12,600 --> 01:36:13,840 AND PART OF THE PROGRAM DOESN'T 2537 01:36:13,840 --> 01:36:15,200 ALLOW THESE TRAINEES TO STAY 2538 01:36:15,200 --> 01:36:16,920 MUCH LONGER THAN FIVE YEARS AND 2539 01:36:16,920 --> 01:36:18,520 THEY HAVE TO LOOK EXTERNALLY. 2540 01:36:18,520 --> 01:36:21,040 SO WE HAVE TO BE TRAINING OUR 2541 01:36:21,040 --> 01:36:24,000 STUDENTS AND POSTDOCS TO THE 2542 01:36:24,000 --> 01:36:26,720 SAME GOALS AS YOU WOULD IN THE 2543 01:36:26,720 --> 01:36:27,800 EXTRAMURAL PROGRAM. 2544 01:36:27,800 --> 01:36:30,200 DO WE SEE DIFFERENT KINDS OF 2545 01:36:30,200 --> 01:36:30,480 CANDIDATES. 2546 01:36:30,480 --> 01:36:32,240 I'M NOT SURE I CAN ANSWER THAT 2547 01:36:32,240 --> 01:36:32,560 QUESTION. 2548 01:36:32,560 --> 01:36:34,520 AS I SAID, THE NUMBER OF 2549 01:36:34,520 --> 01:36:36,120 APPLICANTS FOR POSTDOCS HAS 2550 01:36:36,120 --> 01:36:38,320 DECLINED BUT IN SPEAKING WITH 2551 01:36:38,320 --> 01:36:40,320 EXTRAMURAL PEOPLE, EVERYBODY IS 2552 01:36:40,320 --> 01:36:41,840 SORT OF FEELING THE SAME PAIN. 2553 01:36:41,840 --> 01:36:44,920 THERE IS DEFINITELY A CANDIDATE 2554 01:36:44,920 --> 01:36:45,920 POOL IS LESS. 2555 01:36:45,920 --> 01:36:47,520 I DON'T THINK THE INTRAMURAL 2556 01:36:47,520 --> 01:36:49,760 PROGRAM ATTRACTS A DIFFERENT 2557 01:36:49,760 --> 01:36:50,760 CANDIDATE THAT WOULD BE 2558 01:36:50,760 --> 01:36:52,240 ATTRACTED TO ANY EXTRAMURAL 2559 01:36:52,240 --> 01:36:53,520 ACADEMIC PROGRAM. 2560 01:36:53,520 --> 01:36:56,280 WE SEE OURSELVES PRIMARILY AS A 2561 01:36:56,280 --> 01:36:58,840 RESEARCH INSTITUTE THAT IS IN A 2562 01:36:58,840 --> 01:37:00,360 PRIVILEGED POSITION TO ALLOW US 2563 01:37:00,360 --> 01:37:01,640 TO TRAIN CANDIDATES TO GO BACK 2564 01:37:01,640 --> 01:37:02,960 OUT TO ALL SORTS OF DIFFERENT 2565 01:37:02,960 --> 01:37:13,200 WALKS OF LIFE. 2566 01:37:20,320 --> 01:37:21,040 >>IT'S WONDERFUL TO SEE THE 2567 01:37:21,040 --> 01:37:23,760 EFFORT YOU PUT IN TO DEVELOP THE 2568 01:37:23,760 --> 01:37:27,560 PIPELINE FOR YOUNG INVESTIGA 2569 01:37:27,560 --> 01:37:28,560 INVESTIGATORS. 2570 01:37:28,560 --> 01:37:38,560 MY QUESTION IS FOR THE 2571 01:37:38,560 --> 01:37:39,680 ESTABLISHED -- [ OFF MICROPHONE 2572 01:37:39,680 --> 01:37:43,880 -- PIs WITHIN THE INTRAMURAL 2573 01:37:43,880 --> 01:37:44,120 BRANCH. 2574 01:37:44,120 --> 01:37:48,960 HOW DO YOU TRACK PRODUCTIVITY 2575 01:37:48,960 --> 01:37:51,000 AND -- WE MEASURE FACULTY 2576 01:37:51,000 --> 01:37:53,680 SALARY, RECOVERY, WE MEASURE 2577 01:37:53,680 --> 01:37:56,160 INDIRECT COST RECOVERY PER 2578 01:37:56,160 --> 01:37:58,120 SQUARE FOOT OF SPACE ASSIGNED TO 2579 01:37:58,120 --> 01:37:58,320 THEM. 2580 01:37:58,320 --> 01:38:01,760 HOW DO YOU DO THAT INTRAMURALLY? 2581 01:38:01,760 --> 01:38:03,160 >>WELL, OF COURSE AS YOU'RE 2582 01:38:03,160 --> 01:38:04,840 WELL AWARE OF THE INTRAMURAL 2583 01:38:04,840 --> 01:38:05,800 PROGRAM IS NOT THE EXTRAMURAL 2584 01:38:05,800 --> 01:38:06,000 PROGRAM. 2585 01:38:06,000 --> 01:38:09,120 WE DON'T USE THOSE METRICS IN 2586 01:38:09,120 --> 01:38:10,440 MEASURING OUR SUCCESS. 2587 01:38:10,440 --> 01:38:12,440 EACH OF OUR INVESTIGATORS IS 2588 01:38:12,440 --> 01:38:13,840 REVIEWED EVERY FOUR YEARS. 2589 01:38:13,840 --> 01:38:15,280 AND THEY ARE REVIEWED ON A 2590 01:38:15,280 --> 01:38:16,760 NUMBER OF -- BASED ON A NUMBER 2591 01:38:16,760 --> 01:38:19,120 OF PARAMETERS. 2592 01:38:19,120 --> 01:38:21,320 AND THEIR PAST FOUR YEAR 2593 01:38:21,320 --> 01:38:23,840 PRODUCTIVITY, THEIR FUTURE FOUR 2594 01:38:23,840 --> 01:38:26,240 YEAR AIMS FOR THEIR PROGRAM. 2595 01:38:26,240 --> 01:38:28,120 THEIR MENTORING SKILLS AND THE 2596 01:38:28,120 --> 01:38:30,080 SUCCESS OF THEIR MENTEES. 2597 01:38:30,080 --> 01:38:33,040 THEIR CONTRIBUTIONS TO INSIGHT 2598 01:38:33,040 --> 01:38:34,600 THE INSTITUTE AS WELL AS INSIGHT 2599 01:38:34,600 --> 01:38:37,360 THE NIH IN GENERAL. 2600 01:38:37,360 --> 01:38:44,240 AND THEIR SERVICE IS A CREDIBLE 2601 01:38:44,240 --> 01:38:44,880 COMPONENT. 2602 01:38:44,880 --> 01:38:46,240 WE TAKE AN APPROACH IN TERMS OF 2603 01:38:46,240 --> 01:38:47,720 THE QUALITY OF SCIENCE. 2604 01:38:47,720 --> 01:38:49,160 OF COURSE QUALITY OF SCIENCE IS 2605 01:38:49,160 --> 01:38:51,880 PRIORITY NUMBER 1. 2606 01:38:51,880 --> 01:38:53,560 AND THAT ALLOWS IN MY MIND, 2607 01:38:53,560 --> 01:38:56,080 THAT'S WHAT MAKES A DIVISION OF 2608 01:38:56,080 --> 01:38:57,280 INTRAMURAL RESEARCH A UNIQUE 2609 01:38:57,280 --> 01:39:00,280 PLACE THAT ALLOWS US TO BE 2610 01:39:00,280 --> 01:39:02,080 DYNAMIC WHERE WE PUT THE MONEY 2611 01:39:02,080 --> 01:39:03,720 AND WHAT WE -- THE SCIENCE WE 2612 01:39:03,720 --> 01:39:03,960 SUPPORT. 2613 01:39:03,960 --> 01:39:07,080 SO IT'S SLIGHTLY DIFFERENT FROM 2614 01:39:07,080 --> 01:39:09,320 YOU LIVE AND DIE BY THE NUMBER 2615 01:39:09,320 --> 01:39:12,600 OF RO1s OR HOW MANY MONEY YOU 2616 01:39:12,600 --> 01:39:19,480 BRING INTO YOUR DEVELOPMENT. 2617 01:39:19,480 --> 01:39:21,360 WE DON'T THINK LIKE THAT. 2618 01:39:21,360 --> 01:39:22,560 WE ARE SENSITIVE THAT THIS MONEY 2619 01:39:22,560 --> 01:39:24,160 IS A RARE COMMODITY AND WE HAVE 2620 01:39:24,160 --> 01:39:31,400 TO USE IT WISELY. 2621 01:39:31,400 --> 01:39:33,520 OUR YOUNGER TRAINEES AND 2622 01:39:33,520 --> 01:39:35,800 OPPORTUNITIES AND WE TAKE AS 2623 01:39:35,800 --> 01:39:38,160 SERIOUSLY THE QUALITY OF OUR 2624 01:39:38,160 --> 01:39:40,240 INVESTIGATORS AND ALSO BRINGING 2625 01:39:40,240 --> 01:39:41,360 OUR TENURED TRACK INVESTIGATORS 2626 01:39:41,360 --> 01:39:43,000 THROUGH THE PIPELINE AND MAKING 2627 01:39:43,000 --> 01:39:45,000 THEM SUCCESSFUL SCIENTISTS. 2628 01:39:45,000 --> 01:39:53,920 IT'S TOP-TO-BOTTOM. 2629 01:39:53,920 --> 01:39:58,440 I DON'T KNOW IF THAT ANSWERS 2630 01:39:58,440 --> 01:40:06,040 YOUR PROGRAM. 2631 01:40:06,040 --> 01:40:08,080 >>IF I UNDERSTAND CORRECTLY, 2632 01:40:08,080 --> 01:40:10,680 YOUR VIRTUAL PROGRAM TOOK A DATA 2633 01:40:10,680 --> 01:40:12,880 SCIENCE TRAINING OPPORTUNITY 2634 01:40:12,880 --> 01:40:15,480 WHICH MANY OF US ARE DISCOVERING 2635 01:40:15,480 --> 01:40:16,840 IT'S A REAL OPPORTUNITY FOR 2636 01:40:16,840 --> 01:40:20,160 OUTREACH AND ENGAGEMENT AND IT'S 2637 01:40:20,160 --> 01:40:20,440 CHALLENGING. 2638 01:40:20,440 --> 01:40:22,040 AND I WAS WONDERING IF THERE IS 2639 01:40:22,040 --> 01:40:28,040 A CONSIDERATION POTENTIALLY FOR 2640 01:40:28,040 --> 01:40:29,480 ADDITIONAL PARTNERSHIPS FROM A 2641 01:40:29,480 --> 01:40:33,560 DATA SCIENCE PERSPECTIVE FOR 2642 01:40:33,560 --> 01:40:37,120 TEAMS TO CREATE USEABLE 2643 01:40:37,120 --> 01:40:39,120 MATERIALS AND PROGRAMS -- 2644 01:40:39,120 --> 01:40:42,080 PEDIATRIC AND PIPELINE 2645 01:40:42,080 --> 01:40:43,280 OPPORTUNITY. 2646 01:40:43,280 --> 01:40:44,360 >>SO I HAVE BEEN THINKING LONG 2647 01:40:44,360 --> 01:40:48,800 AND HARD ABOUT THAT BECAUSE GIGI 2648 01:40:48,800 --> 01:40:52,600 TAPPED INTO SOMETHING REALLY 2649 01:40:52,600 --> 01:40:52,800 COOL. 2650 01:40:52,800 --> 01:40:55,400 SO WORKS ON SHARP 50 AMINO ACID 2651 01:40:55,400 --> 01:40:57,480 PROTEINS THAT ARE MIDDEN INSIDE 2652 01:40:57,480 --> 01:41:01,000 OUR GENES HIDDEN IN PLAIN SIGHT. 2653 01:41:01,000 --> 01:41:04,080 SO SMALL THAT THEY JUST GET 2654 01:41:04,080 --> 01:41:05,400 SCANNED THROUGH AND -- SHE'S 2655 01:41:05,400 --> 01:41:07,200 BEEN INCREDIBLE SUCCESSFUL 2656 01:41:07,200 --> 01:41:11,000 CAREER OF FINDING 50 AMINO ACID 2657 01:41:11,000 --> 01:41:13,320 PROTEINS AND HAVE MAJOR IMPACTS. 2658 01:41:13,320 --> 01:41:17,520 AND THAT IS A GNARLY GOLD MINE 2659 01:41:17,520 --> 01:41:20,600 FOR -- SO CURRENTLY THEY 2660 01:41:20,600 --> 01:41:22,040 GENERATED SOMETHING LIKE 80 2661 01:41:22,040 --> 01:41:24,120 UNIQUE SEQUENCES AND THEN -- 2662 01:41:24,120 --> 01:41:26,800 IT'S THE PERFECT SITUATION FOR 2663 01:41:26,800 --> 01:41:27,240 SUMMER PROGRAM. 2664 01:41:27,240 --> 01:41:30,240 SO THAT'S NOT GOING TO WORK FOR 2665 01:41:30,240 --> 01:41:33,040 NEUROSCIENCE PHYSIOLOGY LAB LIKE 2666 01:41:33,040 --> 01:41:33,640 MY OWN. 2667 01:41:33,640 --> 01:41:35,120 I DON'T KNOW WHAT WE WOULD DO 2668 01:41:35,120 --> 01:41:35,560 VIRTUALLY. 2669 01:41:35,560 --> 01:41:38,920 SO I HAVE TO THINK A LITTLE 2670 01:41:38,920 --> 01:41:41,080 OUT-OF-THE-BOX. 2671 01:41:41,080 --> 01:41:41,880 WHAT COULD YOU DO THAT EXISTS 2672 01:41:41,880 --> 01:41:43,440 EITHER INSIDE THE NIH OR OUTSIDE 2673 01:41:43,440 --> 01:41:46,120 THE NIH THAT WOULD ALLOW US TO 2674 01:41:46,120 --> 01:41:51,040 TAP INTO AI OR MACHINE LEARNING 2675 01:41:51,040 --> 01:41:54,040 OR -- NIMH HAS ESTABLISHED A 2676 01:41:54,040 --> 01:41:55,160 MACHINE LEARNING CORE. 2677 01:41:55,160 --> 01:41:57,760 AND THEY DON'T QUITE KNOW HOW TO 2678 01:41:57,760 --> 01:42:01,560 USE IT OR IF IT'S GOING TO BE 2679 01:42:01,560 --> 01:42:04,440 SUCCESSFUL YET BUT THEY GOT AN 2680 01:42:04,440 --> 01:42:05,040 AMBITION TO SEE THAT THEY CAN 2681 01:42:05,040 --> 01:42:06,640 USE THIS IN THINGS LIKE THEIR 2682 01:42:06,640 --> 01:42:07,080 SUMMER PROGRAM. 2683 01:42:07,080 --> 01:42:08,800 SO I THINK THAT -- AS I SAID, WE 2684 01:42:08,800 --> 01:42:10,280 ARE REALLY THINKING HARD ABOUT 2685 01:42:10,280 --> 01:42:12,440 HOW TO EXPAND ON THESE THINGS. 2686 01:42:12,440 --> 01:42:15,280 IF YOU HAVE ANY SUGGESTIONS I'D 2687 01:42:15,280 --> 01:42:16,720 APPRECIATE IT. 2688 01:42:16,720 --> 01:42:19,440 I THINK IT'S -- LIKE A LOT OF 2689 01:42:19,440 --> 01:42:21,080 THINGS FROM COVID, THERE ARE A 2690 01:42:21,080 --> 01:42:23,200 LOT OF -- I THINK WE LEARNED A 2691 01:42:23,200 --> 01:42:24,400 LOT ABOUT OURSELVES AND HOW TO 2692 01:42:24,400 --> 01:42:26,120 DO SCIENCE IN COVID AND HOW TO 2693 01:42:26,120 --> 01:42:26,920 COMMUNICATE WITH EACH OTHER. 2694 01:42:26,920 --> 01:42:28,800 IF YOU HAVE TOLD US YEARS AGO WE 2695 01:42:28,800 --> 01:42:30,680 WOULD ALL BE ON ZOOM MEETINGS, 2696 01:42:30,680 --> 01:42:31,920 YOU WOULD NEVER HAVE AGREED TO 2697 01:42:31,920 --> 01:42:32,200 THAT. 2698 01:42:32,200 --> 01:42:33,800 NOW WE ALL IN ASSIST ON ZOOM. 2699 01:42:33,800 --> 01:42:36,120 AND STILL GETTING STUFF DONE. 2700 01:42:36,120 --> 01:42:37,920 SO I THINK THAT THIS IS JUST A 2701 01:42:37,920 --> 01:42:39,160 GOLDEN OPPORTUNITY FOR THINGS 2702 01:42:39,160 --> 01:42:41,160 LIKE OUR SUMMER PROGRAM TO 2703 01:42:41,160 --> 01:42:41,640 CAPITALIZE ON. 2704 01:42:41,640 --> 01:42:43,440 SO WE ARE THINKING ABOUT WAYS IN 2705 01:42:43,440 --> 01:42:46,080 WHICH WE CAN MAKE THAT EVEN 2706 01:42:46,080 --> 01:42:56,360 BIGGER AND BETTER. 2707 01:42:58,680 --> 01:42:59,960 >>[ OFF MICROPHONE ] 2708 01:42:59,960 --> 01:43:02,560 >>I THINK THE LAST TIME 2709 01:43:02,560 --> 01:43:05,280 DR. BIANCHI AND YOU HAD 2710 01:43:05,280 --> 01:43:07,080 MENTIONED THAT INTRAMURAL 2711 01:43:07,080 --> 01:43:11,920 PROGRAM AT THE NICHD IS SLIGHTLY 2712 01:43:11,920 --> 01:43:15,800 LARGER IN SIZE THAN AVERAGE 2713 01:43:15,800 --> 01:43:16,040 INSTITUTE. 2714 01:43:16,040 --> 01:43:21,120 I CALCULATED 12.8% ALLOCATION OF 2715 01:43:21,120 --> 01:43:22,080 THE TOTAL NIH. 2716 01:43:22,080 --> 01:43:24,320 IS THAT ACCURATE? 2717 01:43:24,320 --> 01:43:26,400 >>YES, I THINK IT'S CLOSER TO 2718 01:43:26,400 --> 01:43:32,480 SOMETHING LIKE 13.5. 2719 01:43:32,480 --> 01:43:34,400 THE MANDATE FROM DOWNTOWN IS 2720 01:43:34,400 --> 01:43:38,480 THAT THE INTRAMURAL PROGRAM COME 2721 01:43:38,480 --> 01:43:41,320 IN SOMEWHERE AROUND THE 11th 2722 01:43:41,320 --> 01:43:43,160 PERCENTILE OF THE OVERALL 2723 01:43:43,160 --> 01:43:43,600 INSTITUTE'S BUDGET. 2724 01:43:43,600 --> 01:43:44,920 NOW SOME INSTITUTES ARE ABOUT 8 2725 01:43:44,920 --> 01:43:47,240 OR 9% AND SOME INSTITUTES ARE 2726 01:43:47,240 --> 01:43:49,720 ABOUT 15-16%. 2727 01:43:49,720 --> 01:43:52,480 CHILD HEALTH RANKS CURRENTLY 2728 01:43:52,480 --> 01:43:54,480 6th BIGGEST PERCENTAGE OF 2729 01:43:54,480 --> 01:43:54,680 ALL. 2730 01:43:54,680 --> 01:43:57,280 WE ARE SORT OF A MEDIUM-SIZED 2731 01:43:57,280 --> 01:43:57,560 INSTITUTE. 2732 01:43:57,560 --> 01:43:59,160 WE HAVE A BUDGET THAT THE IS 2733 01:43:59,160 --> 01:44:01,800 SIMILAR TO NINDS WHO HAVE ABOUT 2734 01:44:01,800 --> 01:44:04,760 20 LESS INVESTIGATORS. 2735 01:44:04,760 --> 01:44:06,560 SO WE SIT UP SOMEWHERE AROUND 2736 01:44:06,560 --> 01:44:12,720 13% RIGHT NOW. 2737 01:44:12,720 --> 01:44:13,840 >>THANK YOU VERY MUCH, CHRIS. 2738 01:44:13,840 --> 01:44:14,200 [ APPLAUSE ] 2739 01:44:14,200 --> 01:44:17,160 THANK YOU FOR YOUR ANNUAL 2740 01:44:17,160 --> 01:44:18,760 PRESENTATION OF THE INTRAMURAL 2741 01:44:18,760 --> 01:44:19,040 PROGRAM. 2742 01:44:19,040 --> 01:44:20,960 AND BEFORE WE MOVE ON TO OUR 2743 01:44:20,960 --> 01:44:25,560 NEXT SPEAKER, I WANT TO 2744 01:44:25,560 --> 01:44:28,480 APOLOGIZE TO DR. LEE WHOM WE 2745 01:44:28,480 --> 01:44:29,960 NEGLECTED TO INTRODUCE. 2746 01:44:29,960 --> 01:44:32,760 SHE IS THE NEW HRSA 2747 01:44:32,760 --> 01:44:34,120 REPRESENTATIVE REPLACING 2748 01:44:34,120 --> 01:44:38,560 DR. ERAN LOW PADDA WHO SERVED IN 2749 01:44:38,560 --> 01:44:41,560 A VOLUNTEER CAPACITY FOR SEVEN 2750 01:44:41,560 --> 01:44:43,040 YEARS. 2751 01:44:43,040 --> 01:44:44,400 DR. LEE, WOULD YOU MIND TELLING 2752 01:44:44,400 --> 01:44:45,600 US A LITTLE BIT ABOUT YOURSELF? 2753 01:44:45,600 --> 01:44:47,400 >>IT'S GREAT TO BE HERE. 2754 01:44:47,400 --> 01:44:52,200 MY BACKGROUND IS HEALTH RESEARCH 2755 01:44:52,200 --> 01:44:52,680 AND ECONOMICS. 2756 01:44:52,680 --> 01:44:55,160 CURRENTLY I'M THE DEACOR OF 2757 01:44:55,160 --> 01:44:56,000 RESEARCH. 2758 01:44:56,000 --> 01:44:58,880 IN HRSA -- CHILDREN HEALTH 2759 01:44:58,880 --> 01:45:01,880 BUREAU OOH -- I WORK CDC FOR 16 2760 01:45:01,880 --> 01:45:02,960 YEARS AS ECONOMIST. 2761 01:45:02,960 --> 01:45:05,720 SO MY EXPERTISE AND USING 2762 01:45:05,720 --> 01:45:10,600 RIGOROUS METHODOLOGY TO POLICIES 2763 01:45:10,600 --> 01:45:11,200 IMPACT, ECONOMIC EVALUATION AS 2764 01:45:11,200 --> 01:45:12,400 WELL AS BIG DATA. 2765 01:45:12,400 --> 01:45:15,120 GLAD TO BE HERE. 2766 01:45:15,120 --> 01:45:16,400 >>WE ARE GLAD TO HAVE YOU AND 2767 01:45:16,400 --> 01:45:26,920 WE ARE GETTING SOME FEEDBACK. 2768 01:45:28,560 --> 01:45:30,200 NOW IT'S MY PLEASURE TO 2769 01:45:30,200 --> 01:45:33,000 INTRODUCE OUR NEXT SPEAKER, 2770 01:45:33,000 --> 01:45:35,440 DR. JONI RUTTER. 2771 01:45:35,440 --> 01:45:37,600 DR. RUTTER WAS APPOINTSES AS THE 2772 01:45:37,600 --> 01:45:38,880 DIRECTOR FOR THE NATIONAL CENTER 2773 01:45:38,880 --> 01:45:40,400 FOR ADVANCING TRANSLATIONAL 2774 01:45:40,400 --> 01:45:42,320 SCIENCE, NCATS, UNDER A YEAR 2775 01:45:42,320 --> 01:45:44,840 AGO, IN NOVEMBER OF 2022. 2776 01:45:44,840 --> 01:45:46,840 PRIOR TO HER APPOINTMENT AS 2777 01:45:46,840 --> 01:45:49,520 DIRECTOR, DR. RUTTER SERVED AS 2778 01:45:49,520 --> 01:45:50,240 THE NCATS DEPUTY DIRECTOR AND 2779 01:45:50,240 --> 01:45:52,840 BEFORE THAT, AS DIRECTOR OF 2780 01:45:52,840 --> 01:45:54,400 SCIENTIFIC PROGRAMS WITHIN THE 2781 01:45:54,400 --> 01:45:57,040 ALL OF US RESEARCH PROGRAM WHERE 2782 01:45:57,040 --> 01:45:59,760 SHE LED THE SCIENTIFIC 2783 01:45:59,760 --> 01:46:01,440 PROGRAMMATIC DEVELOPMENT AND 2784 01:46:01,440 --> 01:46:02,440 IMPLEMENTATION EFFORTS TO BUILD 2785 01:46:02,440 --> 01:46:04,520 A NATIONAL RESEARCH COHORT OF AT 2786 01:46:04,520 --> 01:46:07,080 LEAST A MILLION U.S. 2787 01:46:07,080 --> 01:46:09,480 PARTICIPANTS TO ADVANCE 2788 01:46:09,480 --> 01:46:11,240 PRECISION MEDICINE. 2789 01:46:11,240 --> 01:46:12,320 SHE'S RECEIVED SEVERAL 2790 01:46:12,320 --> 01:46:13,840 SCIENTIFIC ACHIEVEMENT AWARDS 2791 01:46:13,840 --> 01:46:18,040 INCLUDING THE 2022 RARE DISEASE 2792 01:46:18,040 --> 01:46:20,240 LEGISLATIVE ADVOCATES RARE VOICE 2793 01:46:20,240 --> 01:46:22,360 AWARD FOR FEDERAL ADVOCACY AND 2794 01:46:22,360 --> 01:46:27,360 THE 2022 FED HEALTH IT WOMEN IN 2795 01:46:27,360 --> 01:46:30,040 LEADERSHIP IMPACT AWARD. 2796 01:46:30,040 --> 01:46:31,440 DR. RUTTER RECEIVED HER PH.D. 2797 01:46:31,440 --> 01:46:32,840 FROM THE DEPARTMENT OF 2798 01:46:32,840 --> 01:46:35,240 PHARMACOLOGY AND TOXICOLOGY AT 2799 01:46:35,240 --> 01:46:36,240 DARTMOUTH MEDICAL SCHOOL AND 2800 01:46:36,240 --> 01:46:37,560 TODAY, SHE IS GOING TO BE 2801 01:46:37,560 --> 01:46:40,320 TELLING US ABOUT NCATS MISSION 2802 01:46:40,320 --> 01:46:41,880 TO TURN PROMISING RESEARCH 2803 01:46:41,880 --> 01:46:43,560 DISCOVERIES INTO REAL-WORLD 2804 01:46:43,560 --> 01:46:45,160 APPLICATIONS THAT IMPROVE 2805 01:46:45,160 --> 01:46:46,880 PEOPLE'S HEALTH BY MAKING EACH 2806 01:46:46,880 --> 01:46:48,960 STEP IN THE TRANSLATIONAL 2807 01:46:48,960 --> 01:46:53,160 PROCESS MORE EFFECTIVE AND 2808 01:46:53,160 --> 01:46:55,080 EFFICIENT AND THEREFORE SPEEDING 2809 01:46:55,080 --> 01:46:57,640 RESEARCH ACROSS A RANGE OF 2810 01:46:57,640 --> 01:46:58,000 DISEASES. 2811 01:46:58,000 --> 01:46:59,360 JONI OVER TO YOU. 2812 01:46:59,360 --> 01:47:00,600 >>THANK YOU VERY MUCH, DIANE. 2813 01:47:00,600 --> 01:47:03,000 IT'S WONDERFUL TO BE HERE. 2814 01:47:03,000 --> 01:47:04,400 I HAVE BEEN IN THIS POSITION 2815 01:47:04,400 --> 01:47:07,160 ALMOST A YEAR AND THIS IS MY 2816 01:47:07,160 --> 01:47:09,720 FIRST IN-PERSON/HYBRID COUNCEL. 2817 01:47:09,720 --> 01:47:13,480 WE ACTUALLY HAD AN IN-PERSON 2818 01:47:13,480 --> 01:47:14,080 COUNCIL IN MAY FOR NCATS BUT I 2819 01:47:14,080 --> 01:47:16,680 HAD A FUNNY CHILDHOOD MEL REAND 2820 01:47:16,680 --> 01:47:21,600 THE VIRUS THAT I HAD WAS CHICKEN 2821 01:47:21,600 --> 01:47:23,720 POX NOT COVID AND I HAD CHICKEN 2822 01:47:23,720 --> 01:47:25,800 POX DURING MY LAST COUNCIL. 2823 01:47:25,800 --> 01:47:27,320 I'M EXCITED TO BE IN PERSON 2824 01:47:27,320 --> 01:47:28,520 PRESENTING TO YOU TODAY AND I'M 2825 01:47:28,520 --> 01:47:30,800 EXCITED TO TALK ABOUT THE 2826 01:47:30,800 --> 01:47:32,600 RESEARCH AT THE INTERSECTION OF 2827 01:47:32,600 --> 01:47:34,400 TRANSLATIONAL SCIENCE AND 2828 01:47:34,400 --> 01:47:35,600 CHILDREN'S HEALTH AND SPANNING 2829 01:47:35,600 --> 01:47:45,240 THE LIFESPAN. 2830 01:47:45,240 --> 01:47:47,840 I USE QR CODES SO IF YOU WANT TO 2831 01:47:47,840 --> 01:47:49,280 GET YOUR PHONES OUT DO SO. 2832 01:47:49,280 --> 01:47:50,720 IN THIS ENVIRONMENT OF ZOOM, 2833 01:47:50,720 --> 01:47:52,520 THOSE WHO ARE ON LINE, IT'S 2834 01:47:52,520 --> 01:47:54,400 EASIER TO SEE THESE QR CODES ON 2835 01:47:54,400 --> 01:47:56,520 LINE TOO. 2836 01:47:56,520 --> 01:47:59,040 SO BRITT MORE INTERACTIVE 2837 01:47:59,040 --> 01:48:00,440 PRESENTATION, BUT I WANTED TO 2838 01:48:00,440 --> 01:48:02,200 MAKE SURE YOU'RE AWARE, WHY DO I 2839 01:48:02,200 --> 01:48:04,800 HAVE ALL THESE QR CODES DURING 2840 01:48:04,800 --> 01:48:05,640 MY PRESENTATION? 2841 01:48:05,640 --> 01:48:07,240 THANK YOU AGAIN FOR THE 2842 01:48:07,240 --> 01:48:08,800 INVITATION TO BE HERE TODAY. 2843 01:48:08,800 --> 01:48:10,640 I'M EXCITED TO TALK GO WHAT WE 2844 01:48:10,640 --> 01:48:11,120 DO. 2845 01:48:11,120 --> 01:48:14,360 I WANT TO START JUST BY TELLING 2846 01:48:14,360 --> 01:48:16,640 YOU ABOUT, I HOPE I CAN ADVANCE 2847 01:48:16,640 --> 01:48:16,880 SLIDES. 2848 01:48:16,880 --> 01:48:18,080 THERE WE GO. 2849 01:48:18,080 --> 01:48:20,040 A LITTLE BIT ABOUT THE PUBLIC 2850 01:48:20,040 --> 01:48:21,080 HEALTH CHALLENGE THAT WE THINK 2851 01:48:21,080 --> 01:48:22,400 ABOUT AT NCATS. 2852 01:48:22,400 --> 01:48:25,080 WE ARE NOT REALLY FOCUSED ON ANY 2853 01:48:25,080 --> 01:48:26,480 PARTICULAR DISEASE OR CONDITION 2854 01:48:26,480 --> 01:48:28,440 OR ORGAN SYSTEM AS MANY OF OUR 2855 01:48:28,440 --> 01:48:29,800 OTHER INSTITUTES AND CENTERS 2856 01:48:29,800 --> 01:48:30,440 ACROSS THE NIH. 2857 01:48:30,440 --> 01:48:34,040 WE FOCUS ON ALL OVER 10,000 2858 01:48:34,040 --> 01:48:35,560 DISEASES AND MOST OF THOSE OVER 2859 01:48:35,560 --> 01:48:37,760 10,000 DISEASES ARE RARE 2860 01:48:37,760 --> 01:48:38,080 DISEASES. 2861 01:48:38,080 --> 01:48:40,400 AND ONLY 5% OF THEM HAVE 2862 01:48:40,400 --> 01:48:41,920 TREATMENTS OR CURIOUS. 2863 01:48:41,920 --> 01:48:43,400 A BIG PROBLEM -- CURES. 2864 01:48:43,400 --> 01:48:45,840 NOT ONLY THAT, THE TIME IT TAKES 2865 01:48:45,840 --> 01:48:47,440 FROM DEVELOPMENT OF A 2866 01:48:47,440 --> 01:48:48,760 THERAPEUTIC OR A TREATMENT 2867 01:48:48,760 --> 01:48:50,280 APPROACH TO GET IT INTO THE 2868 01:48:50,280 --> 01:48:52,680 MEDICINE CABINET CAN TAKE AT 2869 01:48:52,680 --> 01:48:54,160 LEAST 10-15 YEARS. 2870 01:48:54,160 --> 01:48:55,760 NORMALLY IT TAKES 10-15 YEARS TO 2871 01:48:55,760 --> 01:48:57,480 GET IT INTO CLINICAL TRIALS AND 2872 01:48:57,480 --> 01:48:58,680 THEN EVEN ANOTHER 10 YEARS 2873 01:48:58,680 --> 01:48:59,960 BEYOND THAT TO GET IT INTO THE 2874 01:48:59,960 --> 01:49:00,680 MEDICINE CABINET. 2875 01:49:00,680 --> 01:49:01,680 SO IT'S A LONG TIME. 2876 01:49:01,680 --> 01:49:03,480 IT'S A LOT OF MONEY. 2877 01:49:03,480 --> 01:49:05,160 2.6 BILLION DOLLARS TO DO SO. 2878 01:49:05,160 --> 01:49:08,440 AND EVEN WITH THAT, THERE IS A 2879 01:49:08,440 --> 01:49:10,480 90% FAILURE RATE. 2880 01:49:10,480 --> 01:49:12,400 SO 9-10 TIMES A PROMISING 2881 01:49:12,400 --> 01:49:13,200 THERAPEUTIC DOESN'T QUITE MAKE 2882 01:49:13,200 --> 01:49:14,400 IT THROUGH THE CLINICAL TRIALS 2883 01:49:14,400 --> 01:49:17,480 AND THEY GENERALLY FAIL IN PHASE 2884 01:49:17,480 --> 01:49:19,600 II AT THE EFFICACY STAGE. 2885 01:49:19,600 --> 01:49:22,080 MOST OF THEM 55%, AND THEN PHASE 2886 01:49:22,080 --> 01:49:25,280 I AT THE SAFETY PHASE ABOUT 2887 01:49:25,280 --> 01:49:25,520 25-30%. 2888 01:49:25,520 --> 01:49:27,040 SO PHASE I AND PHASE II ARE 2889 01:49:27,040 --> 01:49:28,200 REALLY, REALLY TRICKY. 2890 01:49:28,200 --> 01:49:29,800 AND SO PART OF THE CHALLENGE FOR 2891 01:49:29,800 --> 01:49:33,320 US IS TO TRY TO UNDERSTAND THESE 2892 01:49:33,320 --> 01:49:34,120 NUMBERS. 2893 01:49:34,120 --> 01:49:35,000 THAT'S THE CRUX OF OUR PROBLEM 2894 01:49:35,000 --> 01:49:36,520 AND MAKE HEADWAY ON HOW TO 2895 01:49:36,520 --> 01:49:38,720 ADDRESS THESE USING 2896 01:49:38,720 --> 01:49:40,360 TRANSLATIONAL SCIENCE PRINCIPLES 2897 01:49:40,360 --> 01:49:41,320 TO DO SO. 2898 01:49:41,320 --> 01:49:45,800 SO OUR MISSION AT NCATS -- NEXT 2899 01:49:45,800 --> 01:49:49,000 SLIDE -- I'M NOT SURE HOW TO 2900 01:49:49,000 --> 01:49:59,280 ADVANCE THESE. 2901 01:49:59,880 --> 01:50:02,640 OUR MISSION IS TO TURN RESEARCH 2902 01:50:02,640 --> 01:50:05,120 OBSERVATIONS INTO HEALTH 2903 01:50:05,120 --> 01:50:05,440 TRANSLATIONS. 2904 01:50:05,440 --> 01:50:07,320 THERE ARE MANY BARRIERS ALONG 2905 01:50:07,320 --> 01:50:08,600 THE WAY TRANSLATING FROM THE 2906 01:50:08,600 --> 01:50:10,720 BENCH FINDINGS TO THE BEDSIDE. 2907 01:50:10,720 --> 01:50:13,800 AND THOSE BARRIERS CAN BE 2908 01:50:13,800 --> 01:50:14,280 OPERATIONAL BARRIERS. 2909 01:50:14,280 --> 01:50:17,120 THEY CAN BE ADMINISTRATIVE 2910 01:50:17,120 --> 01:50:17,400 BARRIERS. 2911 01:50:17,400 --> 01:50:19,480 TO GIVE YOU A SENSE OF THE OTHER 2912 01:50:19,480 --> 01:50:20,520 KINDS OF BARRIERS BUT MANY ARE 2913 01:50:20,520 --> 01:50:21,080 SCIENTIFIC. 2914 01:50:21,080 --> 01:50:23,720 BUT THE SCIENTIFIC ONES ARE 2915 01:50:23,720 --> 01:50:24,920 ACTUALLY SOMETIMES MORE 2916 01:50:24,920 --> 01:50:26,840 TRACTABLE THAN THOSE OPERATIONAL 2917 01:50:26,840 --> 01:50:28,440 AND ADMINISTRATIVE ONES. 2918 01:50:28,440 --> 01:50:31,040 SO WE ARE TAKING A HOLISTIC 2919 01:50:31,040 --> 01:50:33,720 APPROACH TO TACKLE DIFFERENT 2920 01:50:33,720 --> 01:50:34,680 CHALLENGES IN THE PRECLINICAL 2921 01:50:34,680 --> 01:50:36,640 SPACE AS WELL AS THROUGH 2922 01:50:36,640 --> 01:50:37,720 CLINICAL IMPLEMENTATION OF THIS 2923 01:50:37,720 --> 01:50:39,440 KIND OF TRANSLATIONAL RESEARCH. 2924 01:50:39,440 --> 01:50:41,320 SO OUR WHOLE GOAL HERE IS TO 2925 01:50:41,320 --> 01:50:42,840 ADVANCE THE TRANSLATIONAL 2926 01:50:42,840 --> 01:50:46,160 SCIENCE BY ADDRESSING THESE 2927 01:50:46,160 --> 01:50:48,080 LONGSTANDING BOTTLENECKS AND 2928 01:50:48,080 --> 01:50:49,760 THAT TABULATIONAL PIPELINE TO 2929 01:50:49,760 --> 01:50:51,400 GET NEW TREATMENTS TO PEOPLE 2930 01:50:51,400 --> 01:50:51,800 FASTER. 2931 01:50:51,800 --> 01:50:54,320 THAT IS OUR MANTRA HERE. 2932 01:50:54,320 --> 01:50:55,920 OUR VISION IS TO BRING MORE 2933 01:50:55,920 --> 01:50:57,440 TREATMENTS FOR ALL PEOPLE MORE 2934 01:50:57,440 --> 01:50:59,440 QUICKLY. 2935 01:50:59,440 --> 01:51:00,320 THESE ARE AUDACIOUS GOALS WE 2936 01:51:00,320 --> 01:51:01,640 DEVELOPED FROM THIS AND THE IDEA 2937 01:51:01,640 --> 01:51:04,520 IS THAT I MENTIONED WE HAVE 5% 2938 01:51:04,520 --> 01:51:06,120 OF THOSE THERAPEUTICS IN THE 2939 01:51:06,120 --> 01:51:07,440 PIPELINE ARE AVAILABLE RIGHT NOW 2940 01:51:07,440 --> 01:51:08,920 BUT WE NEED TO REALLY INCREASE 2941 01:51:08,920 --> 01:51:09,840 THAT NUMBER. 2942 01:51:09,840 --> 01:51:12,040 IT'S BEEN AT 5% FOR QUITE A 2943 01:51:12,040 --> 01:51:14,040 NUMBER OF YEARS AND SO IT'S 2944 01:51:14,040 --> 01:51:16,040 NOT -- IT'S A BIG CHALLENGE. 2945 01:51:16,040 --> 01:51:17,440 IT'S NOT VERY TRACTABLE AND IT'S 2946 01:51:17,440 --> 01:51:19,840 DIFFICULT TO REALLY MAKE THAT 2947 01:51:19,840 --> 01:51:20,080 HEADWAY. 2948 01:51:20,080 --> 01:51:21,760 BUT OVER THE NEXT 10 YEARS, WE 2949 01:51:21,760 --> 01:51:25,560 SEE AN OPPORTUNITY WITH THE NEW 2950 01:51:25,560 --> 01:51:26,920 TREATMENT MODALITIES, DIFFERENT 2951 01:51:26,920 --> 01:51:28,760 WAYS OF THINKING ABOUT BIG DATA 2952 01:51:28,760 --> 01:51:30,240 AND BRINGING THAT INTO THE FOLD 2953 01:51:30,240 --> 01:51:31,840 AND USING NEW TOOLS AND 2954 01:51:31,840 --> 01:51:33,040 RESOURCES TO BE ABLE TO DO THIS. 2955 01:51:33,040 --> 01:51:35,840 WE HOPE WE CAN REALLY MAKE 2956 01:51:35,840 --> 01:51:36,640 PROGRESS ON MOVING THIS UPWARDS 2957 01:51:36,640 --> 01:51:38,440 TO ABOUT 25%. 2958 01:51:38,440 --> 01:51:40,320 NOW THAT'S A BIG NUMBER. 2959 01:51:40,320 --> 01:51:42,160 AND WHAT I SAY TO PEOPLE IS, I 2960 01:51:42,160 --> 01:51:46,320 WOULD RATHER FAIL AT 25% THAN 2961 01:51:46,320 --> 01:51:48,360 SUCCEED AT 60%. 2962 01:51:48,360 --> 01:51:51,400 WE WANT TO INCREASE INCLUSIVITY 2963 01:51:51,400 --> 01:51:54,160 ACROSS EVERY AREA WE SUPPORT. 2964 01:51:54,160 --> 01:51:55,760 FROM WORKFORCE DEVELOPMENT 2965 01:51:55,760 --> 01:51:56,560 TRAINING AND EDUCATION. 2966 01:51:56,560 --> 01:51:57,840 I THOUGHT CHRIS DID A GREAT JOB 2967 01:51:57,840 --> 01:51:58,760 OF TALKING ABOUT THIS. 2968 01:51:58,760 --> 01:52:01,200 WE HAVE SIMILAR APPROACHES AS 2969 01:52:01,200 --> 01:52:01,440 WELL. 2970 01:52:01,440 --> 01:52:02,840 ALSO THROUGH OUR EXTRAMURAL 2971 01:52:02,840 --> 01:52:05,440 SPACE AS WELL THROUGH TRAINING 2972 01:52:05,440 --> 01:52:05,840 PROGRAMS. 2973 01:52:05,840 --> 01:52:08,960 K AWARDS AND OTHERS. 2974 01:52:08,960 --> 01:52:11,840 AND ALSO IN THINKING ABOUT 2975 01:52:11,840 --> 01:52:14,120 THINGS LIKE INCLUSIVENESS AND 2976 01:52:14,120 --> 01:52:15,680 DIVERSITY IN THAT WORKFORCE TOO. 2977 01:52:15,680 --> 01:52:17,760 AND NOT JUST IN THE TRAINING OF 2978 01:52:17,760 --> 01:52:19,960 PHS AND MDs AND OUR COLLEAGUES 2979 01:52:19,960 --> 01:52:21,680 THAT WE TYPICALLY THINK ABOUT. 2980 01:52:21,680 --> 01:52:24,160 BUT PEOPLE, NURSES, NURSE 2981 01:52:24,160 --> 01:52:24,800 PRACTITIONERS, PHARMACISTS, ALL 2982 01:52:24,800 --> 01:52:26,680 THE PEOPLE WHO ARE REALLY 2983 01:52:26,680 --> 01:52:28,360 IMPORTANT TO BRING THESE THINGS 2984 01:52:28,360 --> 01:52:30,360 IN THROUGH THE CLINICAL 2985 01:52:30,360 --> 01:52:30,680 PIPELINE. 2986 01:52:30,680 --> 01:52:32,240 ALL PEOPLE ARE NEEDED AT THIS 2987 01:52:32,240 --> 01:52:32,440 TABLE. 2988 01:52:32,440 --> 01:52:34,200 AND WHEN WE THINK ABOUT NEW 2989 01:52:34,200 --> 01:52:35,800 TREATMENT MODALITIES, WE ARE 2990 01:52:35,800 --> 01:52:36,960 TALKING ABOUT GENE THERAPIES 2991 01:52:36,960 --> 01:52:38,840 THESE DAYS, GENE EDITING 2992 01:52:38,840 --> 01:52:39,120 PROGRAMS. 2993 01:52:39,120 --> 01:52:41,440 THESE ARE NEW MODALITIES THAT WE 2994 01:52:41,440 --> 01:52:42,760 NEED A NEW WORKFORCE TO MEET THE 2995 01:52:42,760 --> 01:52:43,960 NEEDS OF THOSE AS WELL. 2996 01:52:43,960 --> 01:52:47,880 SO THIS IS WHAT I MEAN BY ALL 2997 01:52:47,880 --> 01:52:50,080 PEOPLE HERE AND THEN LASTLY, BUT 2998 01:52:50,080 --> 01:52:51,080 NOT LEAST, IT'S ALSO ABOUT 2999 01:52:51,080 --> 01:52:53,960 MAKING SURE THAT WE CAN BUILD 3000 01:52:53,960 --> 01:52:57,240 WAYS TO UNDERSTAND HOW TO BRING 3001 01:52:57,240 --> 01:52:58,480 ACCESS TO INDIVIDUALS FOR THE 3002 01:52:58,480 --> 01:52:59,080 THERAPIES THAT GET DEVELOPED. 3003 01:52:59,080 --> 01:53:01,080 AND THIS IS AN ECOSYSTEM 3004 01:53:01,080 --> 01:53:01,320 PROBLEM. 3005 01:53:01,320 --> 01:53:03,480 BUT WE ARE PASTER OF THAT 3006 01:53:03,480 --> 01:53:03,760 ECOSYSTEM. 3007 01:53:03,760 --> 01:53:05,600 WHAT CAN WE DO TO BE A PART OF 3008 01:53:05,600 --> 01:53:05,800 THAT? 3009 01:53:05,800 --> 01:53:08,080 AND THEN LASTLY, WE WANT TO 3010 01:53:08,080 --> 01:53:09,680 ENABLE DIAGNOSTICS AND 3011 01:53:09,680 --> 01:53:11,960 THERAPEUTICS TO REACH PEOPLE 3012 01:53:11,960 --> 01:53:13,480 TWICE AS FAST THROUGH A LOT OF 3013 01:53:13,480 --> 01:53:15,040 THIS WORK WE ARE DOING. 3014 01:53:15,040 --> 01:53:16,480 AND I'LL TALK A LITTLE BIT MORE 3015 01:53:16,480 --> 01:53:17,600 ABOUT SOME OF THE APPROACHES WE 3016 01:53:17,600 --> 01:53:18,800 ARE USING TO GET THERE. 3017 01:53:18,800 --> 01:53:20,880 SO IF YOU GO TO THE NEXT 3018 01:53:20,880 --> 01:53:22,160 SLIDE -- THESE ARE SOME OF THE 3019 01:53:22,160 --> 01:53:23,480 BROADER KEY APPROACHES THAT I 3020 01:53:23,480 --> 01:53:25,600 WANTED TO TALK ABOUT BUT I'LL 3021 01:53:25,600 --> 01:53:27,480 MENTION THEM MORE SPECIFICALLY. 3022 01:53:27,480 --> 01:53:28,680 PRIMARILY WE WANT TO THINK ABOUT 3023 01:53:28,680 --> 01:53:30,480 HOW CAN WE BRING MORE THAN ONE 3024 01:53:30,480 --> 01:53:32,200 DISEASE AT A TIME APPROACHES TO 3025 01:53:32,200 --> 01:53:34,280 THE DISEASES THAT WE STUDY WITH 3026 01:53:34,280 --> 01:53:35,680 OVER 10,000 DISEASES. 3027 01:53:35,680 --> 01:53:38,400 IF WE GO ONE DISEASE AT A TIME, 3028 01:53:38,400 --> 01:53:40,280 WE'RE GOING TO BE HERE FOR A 3029 01:53:40,280 --> 01:53:40,600 WHILE. 3030 01:53:40,600 --> 01:53:42,400 SO, WE DON'T HAVE THAT KIND OF 3031 01:53:42,400 --> 01:53:42,600 TIME. 3032 01:53:42,600 --> 01:53:44,120 SO THE MORE WE CAN THINK ABOUT, 3033 01:53:44,120 --> 01:53:46,320 THE MORE DISEASES AT A TIME 3034 01:53:46,320 --> 01:53:47,800 APPROACHES, THAT WILL GET US 3035 01:53:47,800 --> 01:53:48,880 THERE BETTER. 3036 01:53:48,880 --> 01:53:50,880 DEVELOPING NEW MODELS THAT ARE 3037 01:53:50,880 --> 01:53:52,480 PREDICTED PERSON'S REACTION TO 3038 01:53:52,480 --> 01:53:52,840 THERAPEUTICS. 3039 01:53:52,840 --> 01:53:54,280 WHAT MAKES THESE MODELS MORE 3040 01:53:54,280 --> 01:53:54,680 PREDICTIVE? 3041 01:53:54,680 --> 01:53:56,080 THIS IS ANOTHER AREA WHERE WE 3042 01:53:56,080 --> 01:53:58,200 ARE INVESTING QUITE A NUMBER OF 3043 01:53:58,200 --> 01:53:58,480 RESOURCES. 3044 01:53:58,480 --> 01:54:01,280 AND THEN CLINICAL TRIALS SO THEY 3045 01:54:01,280 --> 01:54:02,600 MORE ACCURATELY REFLECT THE 3046 01:54:02,600 --> 01:54:03,320 PATIENT POPULATION. 3047 01:54:03,320 --> 01:54:05,320 WE NEED TO UP OUR GRAHAM AND 3048 01:54:05,320 --> 01:54:06,160 COMMUNITY ENGAGEMENT AND MAKING 3049 01:54:06,160 --> 01:54:09,320 SURE THAT WE ARE BRINGING THE 3050 01:54:09,320 --> 01:54:10,520 RIGHT PEOPLE TO THE TABLE -- UP 3051 01:54:10,520 --> 01:54:11,520 OUR GAME. 3052 01:54:11,520 --> 01:54:12,480 AND THEN LASTLY, WE ARE 3053 01:54:12,480 --> 01:54:14,720 INTERESTED IN FIGURING OUT HOW 3054 01:54:14,720 --> 01:54:16,480 TO LEVERAGE REAL WORLD DATA AND 3055 01:54:16,480 --> 01:54:18,600 BIG DATA APPROACHES TO ADDRESS 3056 01:54:18,600 --> 01:54:19,640 THE PUBLIC HEALTH NEEDS AND THIS 3057 01:54:19,640 --> 01:54:22,440 IS A BIG EMPHASIS OF OURS AS 3058 01:54:22,440 --> 01:54:22,640 WELL. 3059 01:54:22,640 --> 01:54:23,120 SO NEXT SLIDE. 3060 01:54:23,120 --> 01:54:25,640 I WANT TO GIVE YOU A SENSE OF 3061 01:54:25,640 --> 01:54:27,240 OUR BUDGET AT NCATS. 3062 01:54:27,240 --> 01:54:31,280 WE ARE 923 MILLION DOLLARS IC 3063 01:54:31,280 --> 01:54:32,240 CENTER. 3064 01:54:32,240 --> 01:54:33,960 MOST OF OUR SUPPORT IS TAILORED 3065 01:54:33,960 --> 01:54:35,400 FOR THE CLINICAL AND 3066 01:54:35,400 --> 01:54:36,920 TRANSLATIONAL SCIENCE AWARDS 3067 01:54:36,920 --> 01:54:37,160 PROGRAM. 3068 01:54:37,160 --> 01:54:38,760 THIS IS A PROGRAM THAT IS A LINE 3069 01:54:38,760 --> 01:54:40,400 ITEM IN OUR BUDGET. 3070 01:54:40,400 --> 01:54:42,040 IT'S 63 INSTITUTIONS ACROSS THE 3071 01:54:42,040 --> 01:54:43,040 COUNTRY THAT SUPPORT THE 3072 01:54:43,040 --> 01:54:45,640 CLINICAL AND TRANSLATIONAL 3073 01:54:45,640 --> 01:54:46,200 INFRASTRUCTURE AND RESEARCH 3074 01:54:46,200 --> 01:54:47,600 PROGRAMS THAT WE ARE SUPPORTING 3075 01:54:47,600 --> 01:54:48,560 FROM NCATS. 3076 01:54:48,560 --> 01:54:50,920 AND THEN THE REST OF THAT, THE 3077 01:54:50,920 --> 01:54:54,160 REMAINING 30% OR SO OF THAT IS 3078 01:54:54,160 --> 01:54:55,360 GEARED FORWARDS TOWARDS ALL 3079 01:54:55,360 --> 01:54:57,240 OTHER ACTIVITIES RELATED TO THE 3080 01:54:57,240 --> 01:54:58,720 INTRAMURAL PROGRAM AND RARE 3081 01:54:58,720 --> 01:55:00,320 DISEASES PROGRAM, SPECIAL 3082 01:55:00,320 --> 01:55:03,480 INITIATIVES AND WE HAVE A 3083 01:55:03,480 --> 01:55:04,080 PARTNERSHIP DRUG DEVELOPMENT 3084 01:55:04,080 --> 01:55:05,480 PROGRAM AS WELL. 3085 01:55:05,480 --> 01:55:07,160 SO THESE IS HOW WE THINK ABOUT 3086 01:55:07,160 --> 01:55:08,160 OUR BUDGET. 3087 01:55:08,160 --> 01:55:09,920 AND REALLY REFLECT THAT IN THE 3088 01:55:09,920 --> 01:55:12,080 SUPPORT THAT WE ARE TRYING TO 3089 01:55:12,080 --> 01:55:13,960 PURSUE IN THE EFFORTS THAT WE 3090 01:55:13,960 --> 01:55:14,240 HAVE. 3091 01:55:14,240 --> 01:55:17,440 AND NOW I WANT TO GET INTO WHAT 3092 01:55:17,440 --> 01:55:19,400 SOME OF THOSE EFFORTS ARE AND 3093 01:55:19,400 --> 01:55:21,760 WHY IT'S CRITICAL WE AT NCATS 3094 01:55:21,760 --> 01:55:23,960 REALLY COLLABORATE AND PARTNER 3095 01:55:23,960 --> 01:55:26,000 WITH OUR SISTER INSTITUTIONS 3096 01:55:26,000 --> 01:55:27,040 ACROSS THE NIH. 3097 01:55:27,040 --> 01:55:30,960 AND NICHD IS THE TRIFECTA. 3098 01:55:30,960 --> 01:55:34,280 WE PARTNER WITH THEM ON 3099 01:55:34,280 --> 01:55:35,200 ADMINISTRATIVELY, OPERATIONALLY 3100 01:55:35,200 --> 01:55:36,040 AND SCIENTIFICALLY. 3101 01:55:36,040 --> 01:55:38,120 AND SO I WANT TO HIGHLIGHT SOME 3102 01:55:38,120 --> 01:55:38,960 OF THOSE RESEARCH PROGRAMS THAT 3103 01:55:38,960 --> 01:55:39,560 WE HAVE. 3104 01:55:39,560 --> 01:55:42,160 SO IF YOU GO TO THE NEXT SLIDE, 3105 01:55:42,160 --> 01:55:43,760 I'LL TOUCH UPON A VARIETY OF 3106 01:55:43,760 --> 01:55:45,280 EFFORTS IN THE PRE-CLINICAL 3107 01:55:45,280 --> 01:55:46,960 SPACE, CLINICAL SPACE AND DATA 3108 01:55:46,960 --> 01:55:48,480 SCIENCE SPACE AS WELL. 3109 01:55:48,480 --> 01:55:51,200 THE NEXT SLIDE IS -- I'M GOING 3110 01:55:51,200 --> 01:55:53,400 TO START OFF IN THE PRE-CLINICAL 3111 01:55:53,400 --> 01:55:54,880 SPACE BECAUSE I GAVE YOU THE 3112 01:55:54,880 --> 01:55:56,400 TEASER OF DEVELOPING NEW 3113 01:55:56,400 --> 01:55:57,240 PREDICTIVE MODELS. 3114 01:55:57,240 --> 01:55:58,600 HERE IS AN EFFORT THAT I THINK 3115 01:55:58,600 --> 01:56:01,120 HAS REALLY HUGE CONSTITUTIONAL 3116 01:56:01,120 --> 01:56:04,280 OF MAKING A BIG IMPACT ON HOW WE 3117 01:56:04,280 --> 01:56:07,200 CAN ELEVATE THAT NUMBER OF 90% 3118 01:56:07,200 --> 01:56:09,280 FAILURE RATE -- MAYBE NOT 3119 01:56:09,280 --> 01:56:09,520 ELEVATE. 3120 01:56:09,520 --> 01:56:11,080 MAYBE REDUCE IS WHAT I MEAN. 3121 01:56:11,080 --> 01:56:14,120 BUT THAT'S THE IDEA. 3122 01:56:14,120 --> 01:56:15,960 SO HISTORICALLY OR 3123 01:56:15,960 --> 01:56:18,440 TRADITIONALLY, WE USED 2 D-CELL 3124 01:56:18,440 --> 01:56:19,960 LINES AND MODELS TO HELP US BE 3125 01:56:19,960 --> 01:56:22,280 THE MAIN MODELS TO UNDERSTAND 3126 01:56:22,280 --> 01:56:23,480 HUMAN CONDITIONS BUT AS YOU ALL 3127 01:56:23,480 --> 01:56:25,600 KNOW, IF YOU GO TO THE NEXT 3128 01:56:25,600 --> 01:56:27,480 SLIDE, THEY AREN'T HUMANS. 3129 01:56:27,480 --> 01:56:28,720 AND SO WE WANTED TO TRY TO 3130 01:56:28,720 --> 01:56:31,000 FIGURE OUT WAYS IN WHICH WE CAN 3131 01:56:31,000 --> 01:56:35,560 REFLECT THE PHYSIOLOGICAL,YOU OF 3132 01:56:35,560 --> 01:56:38,680 HUMANS IN DIFFERENT KINDS OF 3133 01:56:38,680 --> 01:56:40,280 APPROACHES FOR REPRESENTING 3134 01:56:40,280 --> 01:56:42,200 ORGANS ON A CHIP, TISSUES ON A 3135 01:56:42,200 --> 01:56:43,200 CHIP, ET CETERA. 3136 01:56:43,200 --> 01:56:44,120 WE DEVELOPED PROGRAMS TO SUPPORT 3137 01:56:44,120 --> 01:56:45,320 THESE ACTIVITIES FOR A VARIETY 3138 01:56:45,320 --> 01:56:47,800 OF DIFFERENT TISSUES AND ORGAN 3139 01:56:47,800 --> 01:56:48,040 SYSTEMS. 3140 01:56:48,040 --> 01:56:51,600 AND THESE CAN BE REECT INNED FOR 3141 01:56:51,600 --> 01:56:54,800 A VARIETY OF GROUPS WITHIN THE 3142 01:56:54,800 --> 01:56:56,720 POPULATION FROM KIDS TO ADULTS 3143 01:56:56,720 --> 01:56:57,480 TO ELDERLY. 3144 01:56:57,480 --> 01:56:58,680 WE WANT TO BE ABLE TO MAKE SURE 3145 01:56:58,680 --> 01:57:00,120 WE ARE REPRESENTING THAT. 3146 01:57:00,120 --> 01:57:02,000 AND IT'S A UNIQUE WAY IN WHICH 3147 01:57:02,000 --> 01:57:04,000 TO BRING THE ENVIRONMENT TO THE 3148 01:57:04,000 --> 01:57:04,520 TABLE AS WELL. 3149 01:57:04,520 --> 01:57:06,000 I'LL GET TO THAT IN A MOMENT. 3150 01:57:06,000 --> 01:57:09,600 AS YOU INCREASE COMPLEXITY TO 3151 01:57:09,600 --> 01:57:12,040 THESE TYPES OF APPROACHES, YOU 3152 01:57:12,040 --> 01:57:13,720 REDUCE YOUR ABILITY TO DO 3153 01:57:13,720 --> 01:57:15,200 HIGH-THROUGHPUT SCREENING. 3154 01:57:15,200 --> 01:57:16,640 THIS IS SOMETHING WE ARE VERY 3155 01:57:16,640 --> 01:57:18,120 PASSIONATE ABOUT TRYING TO 3156 01:57:18,120 --> 01:57:19,760 UNDERSTAND, HOW TO NOT LOSE THE 3157 01:57:19,760 --> 01:57:23,440 ABILITY TO DO HIGH-THROUGHPUT 3158 01:57:23,440 --> 01:57:24,600 SCREENING BECAUSE OF THE NEED TO 3159 01:57:24,600 --> 01:57:26,240 CONTINUE TO BE MOVING AT 3160 01:57:26,240 --> 01:57:27,720 SOMEWHAT OF A RAPID PACE AS MUCH 3161 01:57:27,720 --> 01:57:28,760 AS POSSIBLE. 3162 01:57:28,760 --> 01:57:30,920 WE NEED THESE NEW TECHNOLOGIES 3163 01:57:30,920 --> 01:57:34,560 FOR BETTER PREDICTING THESE 3164 01:57:34,560 --> 01:57:35,920 KINDS OF TRANSLATIONAL 3165 01:57:35,920 --> 01:57:36,600 PIPELINES. 3166 01:57:36,600 --> 01:57:38,040 THIS IS THE IDEA BEHIND THAT. 3167 01:57:38,040 --> 01:57:39,640 THE NEXT SLIDE, I WANTED TO GIVE 3168 01:57:39,640 --> 01:57:43,160 YOU A REAL-WORLD EXAMPLE. 3169 01:57:43,160 --> 01:57:44,720 THIS IS WORK THAT WE HAVE DONE 3170 01:57:44,720 --> 01:57:46,320 THROUGH ONE OF OUR TISSUE CHIP 3171 01:57:46,320 --> 01:57:48,440 PROGRAMS AND THIS IS 3172 01:57:48,440 --> 01:57:50,040 HIGHLIGHTING THE FETAL MATERNAL 3173 01:57:50,040 --> 01:57:50,920 INTERFACE ON A CHIP. 3174 01:57:50,920 --> 01:57:55,800 SO HERE WE HAVE THE CELLS AND 3175 01:57:55,800 --> 01:57:56,920 THE PRACTICE TERNAL AND FETAL 3176 01:57:56,920 --> 01:58:01,360 SIDE AND WE CAN -- MATERNAL -- 3177 01:58:01,360 --> 01:58:03,600 LOOK AT DIFFERENT TYPES OF 3178 01:58:03,600 --> 01:58:04,640 EXPOSURES ON THE TISSUES ON A 3179 01:58:04,640 --> 01:58:05,960 CHIP AND UNDERSTAND WHAT THE 3180 01:58:05,960 --> 01:58:07,160 IMPACTS ARE. 3181 01:58:07,160 --> 01:58:09,360 SO THIS PARTICULAR STUDY I'M 3182 01:58:09,360 --> 01:58:12,040 SHOWING THIS GROUP LOOKED AT 3183 01:58:12,040 --> 01:58:13,520 CADMIUM EXPOSURE FROM THE 3184 01:58:13,520 --> 01:58:16,040 ENVIRONMENT AND FOUND 3185 01:58:16,040 --> 01:58:17,640 SIGNIFICANT CELL DEATH ON 3186 01:58:17,640 --> 01:58:19,560 MATERNAL CELLS BUT MINIMAL ON 3187 01:58:19,560 --> 01:58:20,320 FETAL CELLS. 3188 01:58:20,320 --> 01:58:23,040 SO THESE KINDS OF PRACTICE 3189 01:58:23,040 --> 01:58:23,680 ADDICTIVE MODELS HELP US DETECT 3190 01:58:23,680 --> 01:58:25,240 AND PARSE OUT WHERE THE 3191 01:58:25,240 --> 01:58:27,360 IMPLICATIONS OF THIS KIND OFES 3192 01:58:27,360 --> 01:58:28,720 SUPPOSURE MIGHT HAVE THE HARMFUL 3193 01:58:28,720 --> 01:58:30,720 EFFECTS AND WHERE THEY MIGHT NOT 3194 01:58:30,720 --> 01:58:34,160 AND THEN TRANSLATED INTO 3195 01:58:34,160 --> 01:58:35,320 POTENTIAL INTERVENTION KIDNEYS 3196 01:58:35,320 --> 01:58:35,640 OF APPROACHES. 3197 01:58:35,640 --> 01:58:37,240 THIS IS ONE OF THOSE AREAS IN 3198 01:58:37,240 --> 01:58:39,000 WHICH WE ARE STARTING TO PURSUE. 3199 01:58:39,000 --> 01:58:42,120 IF YOU GO TO THE NEXT SLIDE, 3200 01:58:42,120 --> 01:58:46,040 PLEASE, THIS -- AND YOU CAN HIT 3201 01:58:46,040 --> 01:58:47,040 THE ENTER AGAIN. 3202 01:58:47,040 --> 01:58:49,640 THIS IS A BROADER PROGRAM WE 3203 01:58:49,640 --> 01:58:50,880 HAVE AT NCATS. 3204 01:58:50,880 --> 01:58:52,280 IT'S TISSUE CHIPS AND SPACE 3205 01:58:52,280 --> 01:58:52,480 PROGRAM. 3206 01:58:52,480 --> 01:58:55,360 THIS HAS BEEN A BIG PROGRAM IN 3207 01:58:55,360 --> 01:58:57,480 REALLY DEVELOPING THE 3208 01:58:57,480 --> 01:58:58,560 TECHNOLOGIES AROUND THESE 3209 01:58:58,560 --> 01:58:59,320 TISSUEOS CHIPS BECAUSE WE HAVE 3210 01:58:59,320 --> 01:59:02,880 BEEN ABLE TO WORK WITH NASA 3211 01:59:02,880 --> 01:59:03,960 ENGINEERS AND MATERIAL 3212 01:59:03,960 --> 01:59:05,280 SCIENTISTS, CHEMISTS AND 3213 01:59:05,280 --> 01:59:07,080 BIOLOGISTS TO WORK ON DEVELOPING 3214 01:59:07,080 --> 01:59:08,840 THESE KINDS OF MODELS BUT IN A 3215 01:59:08,840 --> 01:59:10,760 WAY THAT IT REDUCES THE SIZE. 3216 01:59:10,760 --> 01:59:13,840 WE STARTED OFF WITH BIG KINDS OF 3217 01:59:13,840 --> 01:59:15,040 TISSUES ON CHIPS AND NOW WE HAVE 3218 01:59:15,040 --> 01:59:16,960 BEEN ABLE TO GET THEM ON TO A 3219 01:59:16,960 --> 01:59:19,440 VERY SMALL PLATFORM THAT IS THE 3220 01:59:19,440 --> 01:59:21,400 SIZE -- AND SMALLER OF A CREDIT 3221 01:59:21,400 --> 01:59:21,600 CARD. 3222 01:59:21,600 --> 01:59:23,440 SO NOW WE CAN SEND THESE UP INTO 3223 01:59:23,440 --> 01:59:25,680 SPACE AND THIS IS ONE EVER OUR 3224 01:59:25,680 --> 01:59:27,600 ASTRONAUTS THAT IS CONDUCTING 3225 01:59:27,600 --> 01:59:29,080 THESE EXPERIMENTS FOR US. 3226 01:59:29,080 --> 01:59:31,440 AT THE SAME TIME WE HAVE PEOPLE 3227 01:59:31,440 --> 01:59:32,960 ON EARTH DOING THE SAME SPIRITS. 3228 01:59:32,960 --> 01:59:35,200 SO WE THE -- EXPERIMENTS. 3229 01:59:35,200 --> 01:59:37,000 WE HAVE MICROGRAPHITY 3230 01:59:37,000 --> 01:59:37,680 ENVIRONMENTS DOING THIS. 3231 01:59:37,680 --> 01:59:39,160 THE REASON THIS IS SO IMPORTANT 3232 01:59:39,160 --> 01:59:40,760 IS BECAUSE WE HAVE LEARNED THAT 3233 01:59:40,760 --> 01:59:42,680 ASTRONAUTS WHO GO INTO SPACE, IF 3234 01:59:42,680 --> 01:59:45,080 THEY SPEND A LOT OF TIME IN 3235 01:59:45,080 --> 01:59:46,000 SPACE, THEY AGE FASTER. 3236 01:59:46,000 --> 01:59:47,600 WE WANTED TO UNDERSTAND WHY THAT 3237 01:59:47,600 --> 01:59:48,000 IS. 3238 01:59:48,000 --> 01:59:49,480 IT TURNS OUT A LOT HAS TO DO 3239 01:59:49,480 --> 01:59:52,480 WITH INFLAMMATION. 3240 01:59:52,480 --> 01:59:54,800 AND SO, THROUGH A VARIETY OF 3241 01:59:54,800 --> 01:59:57,240 THESE EXPERIMENTS IN THE LAST 3242 01:59:57,240 --> 01:59:58,280 EIGHT YEARS, OVER THAT LAST 3243 01:59:58,280 --> 01:59:59,600 EIGHT YEARS, THIS IS THE MAIN 3244 01:59:59,600 --> 02:00:00,480 THEME WE HAVE FOUND. 3245 02:00:00,480 --> 02:00:02,200 SO THEN WE CAN BRING THAT 3246 02:00:02,200 --> 02:00:04,880 INFORMATION BACK DOWN-TO-EARTH 3247 02:00:04,880 --> 02:00:07,080 AND THIS IS BRINGING THE TISSUE 3248 02:00:07,080 --> 02:00:08,320 CHIPS BACK AND WE ARE ABLE TO 3249 02:00:08,320 --> 02:00:09,000 ANALYZE THEM. 3250 02:00:09,000 --> 02:00:11,160 NOW WE ARE ABLE TO CONDUCT THE 3251 02:00:11,160 --> 02:00:12,160 EXPERIMENTS AND FIGURE OUT WAYS 3252 02:00:12,160 --> 02:00:14,520 IN WHICH HOW WE CAN IMPACT THOSE 3253 02:00:14,520 --> 02:00:16,720 IN OTHER EXPERIMENTS THAT WE CAN 3254 02:00:16,720 --> 02:00:18,080 PERFORM ACROSS THE LIFESPAN. 3255 02:00:18,080 --> 02:00:20,400 SO THIS IS WHY THIS PARTICULAR 3256 02:00:20,400 --> 02:00:21,720 PROGRAM HAS BEEN SO CRITICAL FOR 3257 02:00:21,720 --> 02:00:23,320 US BECAUSE IT'S REALLY ELEVATED 3258 02:00:23,320 --> 02:00:25,200 OUR ABILITY TO MAKE THESE 3259 02:00:25,200 --> 02:00:27,600 TISSUES ON A CHIP FOR A VARIETY 3260 02:00:27,600 --> 02:00:29,240 OF ORGAN SYSTEMS. 3261 02:00:29,240 --> 02:00:30,600 SO THIS KIND OF PARTNERSHIP HAS 3262 02:00:30,600 --> 02:00:31,800 BEEN REALLY VALUABLE. 3263 02:00:31,800 --> 02:00:33,200 AND IF YOU GO TO THE NEXT SLIDE, 3264 02:00:33,200 --> 02:00:36,080 I WANT TO GET INTO A LITTLE BIT 3265 02:00:36,080 --> 02:00:37,920 ON THE RARE DISEASES SIDE OF THE 3266 02:00:37,920 --> 02:00:38,120 HOUSE. 3267 02:00:38,120 --> 02:00:39,520 AND WE'RE LOOKING TO USE THESE 3268 02:00:39,520 --> 02:00:41,320 KINDS OF TISSUES ON CHIPS FOR 3269 02:00:41,320 --> 02:00:42,920 RARE DISEASE PROGRAMS AND YOU 3270 02:00:42,920 --> 02:00:45,400 CAN THINK ABOUT WAYS OF 3271 02:00:45,400 --> 02:00:47,000 HIGHLIGHTING RARE DISEASES AND 3272 02:00:47,000 --> 02:00:49,200 PATIENTS WITH RARE DISEASES TO 3273 02:00:49,200 --> 02:00:51,400 HAVE THEIR CELLS REPRESENTED ON 3274 02:00:51,400 --> 02:00:51,600 CHIPS. 3275 02:00:51,600 --> 02:00:53,120 AND SO THERE IS A TRANSITION 3276 02:00:53,120 --> 02:00:54,760 HERE THAT WE ARE STARTING TO GET 3277 02:00:54,760 --> 02:00:56,480 INTO AND MOVING THESE MORE INTO 3278 02:00:56,480 --> 02:00:57,760 THE MAINSTREAM KINDS OF RESEARCH 3279 02:00:57,760 --> 02:00:58,920 AGENTS WE CAN DO. 3280 02:00:58,920 --> 02:01:00,920 BUT RARE DISEASES ARE CRITICAL. 3281 02:01:00,920 --> 02:01:04,640 AND AT NCATS, WE ARE -- WE WORK 3282 02:01:04,640 --> 02:01:05,680 ON ALL DISEASES. 3283 02:01:05,680 --> 02:01:07,360 RARE DISEASES ARE 3284 02:01:07,360 --> 02:01:08,240 QUINTESSENTIALLY THE ABILITY FOR 3285 02:01:08,240 --> 02:01:11,240 US TO FIND NEW WAYS TO DEVELOP 3286 02:01:11,240 --> 02:01:13,920 AND TREAT RARE DISEASES BUT THE 3287 02:01:13,920 --> 02:01:15,080 IMPACTS THAT THOSE 3288 02:01:15,080 --> 02:01:16,800 UNDERSTANDINGS OR FINDINGS CAN 3289 02:01:16,800 --> 02:01:19,000 HAVE CAN MANIFEST ALSO INTO 3290 02:01:19,000 --> 02:01:20,120 COMMON DISEASES AS WELL. 3291 02:01:20,120 --> 02:01:21,720 AND SO THIS IS WHY WE HAVE SUCH 3292 02:01:21,720 --> 02:01:23,600 A ROBUST PROGRAM ON RARE 3293 02:01:23,600 --> 02:01:23,880 DISEASES. 3294 02:01:23,880 --> 02:01:25,520 BUT AGAIN, THIS ISN'T SOMETHING 3295 02:01:25,520 --> 02:01:27,120 THAT WE DO IN A VACUUM. 3296 02:01:27,120 --> 02:01:29,320 WE WORK WITH A VARIETY OF 3297 02:01:29,320 --> 02:01:31,160 INSTITUTES AND CENTERS ACROSS 3298 02:01:31,160 --> 02:01:31,920 THE NIH TO DO THIS. 3299 02:01:31,920 --> 02:01:34,720 AND I GIVE YOU A SENSE OF THE 3300 02:01:34,720 --> 02:01:36,240 ECONOMIC BURDEN OF RARE DISEASES 3301 02:01:36,240 --> 02:01:37,240 BECAUSE I DON'T THINK I NEED TO 3302 02:01:37,240 --> 02:01:39,040 TELL THIS GROUP THAT RARE 3303 02:01:39,040 --> 02:01:49,400 DISEASES AREN'T RARE. 3304 02:01:49,680 --> 02:01:50,520 OF COURSE THEY ARE. 3305 02:01:50,520 --> 02:01:52,440 WE LOOKED AT PEOPLE WITH RARE 3306 02:01:52,440 --> 02:01:53,640 DISEASES IN THEIR MEDICAL 3307 02:01:53,640 --> 02:01:55,560 RECORDS AND COMPARED THEM TO 3308 02:01:55,560 --> 02:01:55,880 WEEP WITHOUT. 3309 02:01:55,880 --> 02:01:57,960 AND WE FOUND THEY WERE SPENDING 3310 02:01:57,960 --> 02:02:00,120 3-5 TIMES MORE IN MEDICAL CARE 3311 02:02:00,120 --> 02:02:01,440 COSTS FOR THOSE WHO ARE RARE 3312 02:02:01,440 --> 02:02:02,360 DISEASES. 3313 02:02:02,360 --> 02:02:03,760 WHEN YOU TAKE THAT AND MULTIPLY 3314 02:02:03,760 --> 02:02:05,360 THAT 30 MILLION PEOPLE IN THE 3315 02:02:05,360 --> 02:02:06,840 U.S. WHO HAVE RARE DISEASES, 3316 02:02:06,840 --> 02:02:10,040 THAT GETS YOU TO A NUMBER OF 400 3317 02:02:10,040 --> 02:02:12,160 BILLION DOLLARS PER YEAR IN 3318 02:02:12,160 --> 02:02:19,320 MEDICAL CARE COSTS. 3319 02:02:19,320 --> 02:02:20,720 AT THE SAME TIME, ANOTHER CAME 3320 02:02:20,720 --> 02:02:24,760 UP WITH 417 BILLION DOLLARS. 3321 02:02:24,760 --> 02:02:27,440 SO WE FEEL CONFIDENT IN THIS 3322 02:02:27,440 --> 02:02:27,680 NUMBER. 3323 02:02:27,680 --> 02:02:29,560 THEY WENT A LITTLE BIT FURTHER. 3324 02:02:29,560 --> 02:02:32,360 THEY LOOKED AT THE BEYOND 3325 02:02:32,360 --> 02:02:33,520 MEDICAL CARE COSTS, THE COSTS OF 3326 02:02:33,520 --> 02:02:36,320 THE INDIVIDUAL, THE INDIRECT 3327 02:02:36,320 --> 02:02:36,640 MEDICAL COSTS. 3328 02:02:36,640 --> 02:02:38,080 WHEN YOU ADD THOSE IN, IT'S A 3329 02:02:38,080 --> 02:02:39,800 TRILLION DOLLARS PER YEAR IN 3330 02:02:39,800 --> 02:02:41,920 TOTAL COSTS FER RARE DISEASES. 3331 02:02:41,920 --> 02:02:43,960 THIS IS A VERY LARGE ECONOMIC 3332 02:02:43,960 --> 02:02:46,640 BURDEN AND DISEASE BURDEN FOR 3333 02:02:46,640 --> 02:02:47,000 THIS COMMUNITY. 3334 02:02:47,000 --> 02:02:49,360 SO IF YOU GO TO THE NEXT SLIDE, 3335 02:02:49,360 --> 02:02:51,160 WE HAVE A LOT OF ROOM TO MAKE 3336 02:02:51,160 --> 02:02:51,360 UP. 3337 02:02:51,360 --> 02:02:53,360 WE HAVE A BIG MOUNTAIN TO CLIMB 3338 02:02:53,360 --> 02:02:53,680 HERE. 3339 02:02:53,680 --> 02:02:56,680 THIS IS JUST SHOWING THAT THE 3340 02:02:56,680 --> 02:02:57,720 RESEARCH GAP COMPARED TO THE 3341 02:02:57,720 --> 02:02:58,280 TREATMENT GAP. 3342 02:02:58,280 --> 02:03:00,960 THAT TOP LINE THERE, THE 3343 02:03:00,960 --> 02:03:02,160 PUBLICATIONS IN THE RARE DISEASE 3344 02:03:02,160 --> 02:03:04,600 SPACE, THIS IS ON A LOGARITHMIC 3345 02:03:04,600 --> 02:03:05,800 SCALE, THAT'S THE ONLY WAY TO 3346 02:03:05,800 --> 02:03:06,280 LOOK AT THIS. 3347 02:03:06,280 --> 02:03:07,800 AND THE IF YOU LOOK BELOW, THESE 3348 02:03:07,800 --> 02:03:10,280 ARE FDA APPROVALS FOR RARE 3349 02:03:10,280 --> 02:03:10,880 DISEASE TREATMENTS AND THEN 3350 02:03:10,880 --> 02:03:13,240 BELOW THAT ARE THE EMA 3351 02:03:13,240 --> 02:03:13,520 APPROVALS. 3352 02:03:13,520 --> 02:03:14,800 SO OUR GOAL IS TO REALLY THINK 3353 02:03:14,800 --> 02:03:17,880 ABOUT THIS AND START TO 3354 02:03:17,880 --> 02:03:20,080 UNDERSTAND WHAT ARE MAKING THESE 3355 02:03:20,080 --> 02:03:20,480 TREATMENTS WORK. 3356 02:03:20,480 --> 02:03:23,400 AND HOW CAN WE BUILD IN MORE 3357 02:03:23,400 --> 02:03:25,560 AREAS OF DATA SCIENCE AND 3358 02:03:25,560 --> 02:03:27,720 NATURAL HISTORY STUDIES TO 3359 02:03:27,720 --> 02:03:29,720 ADDRESS THIS PARTICULAR GAP TO 3360 02:03:29,720 --> 02:03:31,480 HOPEFULLY START TO SHORTEN IT? 3361 02:03:31,480 --> 02:03:33,400 IF YOU GO TO THE NEXT SLIDE, THE 3362 02:03:33,400 --> 02:03:35,160 MAIN THEM AROUND HERE WE SUPPORT 3363 02:03:35,160 --> 02:03:37,000 AT NCATS IS SOMETHING CALLED THE 3364 02:03:37,000 --> 02:03:38,320 RARE DISEASE CLINICAL RESEARCH 3365 02:03:38,320 --> 02:03:38,680 NETWORK. 3366 02:03:38,680 --> 02:03:39,760 AGAIN, THIS IS IT NOT SOMETHING 3367 02:03:39,760 --> 02:03:41,120 IS THAT WE DO ALONE. 3368 02:03:41,120 --> 02:03:43,000 THIS IS WITH BROADER SUPPORT 3369 02:03:43,000 --> 02:03:44,400 ACROSS THE NIH. 3370 02:03:44,400 --> 02:03:47,080 AND IT'S CIRCLED NICHD BECAUSE 3371 02:03:47,080 --> 02:03:48,000 THAT'S YOU. 3372 02:03:48,000 --> 02:03:49,320 AND APPRECIATE ALL THE EFFORTS 3373 02:03:49,320 --> 02:03:50,920 THAT YOU HAVE IN HELPING TO 3374 02:03:50,920 --> 02:03:52,320 SUPPORT THIS PROGRAM. 3375 02:03:52,320 --> 02:03:54,520 BUT THIS IS A NETWORK OF ABOUT 3376 02:03:54,520 --> 02:03:55,840 20 DIFFERENT RESEARCH TEAMS 3377 02:03:55,840 --> 02:03:57,920 COLLABORATING TO REALLY LOOK AT 3378 02:03:57,920 --> 02:03:59,400 RARE DISEASES TO BUILD THIS 3379 02:03:59,400 --> 02:04:01,320 DIAGNOSTIC AND THERAPEUTIC 3380 02:04:01,320 --> 02:04:02,520 PIPELINE FOR THESE DISEASES. 3381 02:04:02,520 --> 02:04:05,480 THEY HAVE TO LOOK AT AT LEAST 3382 02:04:05,480 --> 02:04:06,920 THREE OR MORE DISORDERS TO BE A 3383 02:04:06,920 --> 02:04:08,320 PARTNER OF THIS PARTICULAR 3384 02:04:08,320 --> 02:04:08,560 NETWORK. 3385 02:04:08,560 --> 02:04:11,320 THEY HAVE TO HAVE AT LEAST 3-5 3386 02:04:11,320 --> 02:04:12,320 CLINICAL STUDIES INCLUDING 3387 02:04:12,320 --> 02:04:14,600 NATURAL HISTORY STUDIES, 3388 02:04:14,600 --> 02:04:15,800 BIOMARKERS, CLINICAL TRIALS OR 3389 02:04:15,800 --> 02:04:16,320 OTHER OUTCOMES. 3390 02:04:16,320 --> 02:04:18,440 THEY HAVE TO INCLUDE ENGAGEMENT 3391 02:04:18,440 --> 02:04:19,640 AND DISSEMINATION AND ALL OF 3392 02:04:19,640 --> 02:04:22,120 THEM HAVE TO HAVE A PATIENT 3393 02:04:22,120 --> 02:04:23,440 ADVOCATE GROUP ASSOCIATED WITH 3394 02:04:23,440 --> 02:04:24,320 THEM. 3395 02:04:24,320 --> 02:04:26,040 AND THAT HAS GROWN AND HAS BEEN 3396 02:04:26,040 --> 02:04:27,640 CRITICAL TO THE SUCCESS OF THIS 3397 02:04:27,640 --> 02:04:28,640 PROGRAM. 3398 02:04:28,640 --> 02:04:30,440 AND THERE IS ALSO ENHANCEMENTS 3399 02:04:30,440 --> 02:04:32,920 FOR TRAINING SCHOLARS IN THIS 3400 02:04:32,920 --> 02:04:33,120 WORLD. 3401 02:04:33,120 --> 02:04:34,720 SO IF YOU GO TO THE NEXT SLIDE, 3402 02:04:34,720 --> 02:04:37,800 OVER THE LAST SEVERAL YEARS WE 3403 02:04:37,800 --> 02:04:41,160 HAD THE PROGRAM AND IT HAS 3404 02:04:41,160 --> 02:04:41,400 GROWN. 3405 02:04:41,400 --> 02:04:45,040 WE CURRENTLY HAVE ABOUT 19 SITES 3406 02:04:45,040 --> 02:04:47,840 PER AWARD AND WE HAVE ALSO 3407 02:04:47,840 --> 02:04:49,720 EXPANDED INTERNATIONALLY TO 3408 02:04:49,720 --> 02:04:50,440 BRING IN THE INTERNATIONAL 3409 02:04:50,440 --> 02:04:52,440 COMMUNITY INCREDIBLY CRITICAL 3410 02:04:52,440 --> 02:04:54,240 FOR THE RARE DISEASE COMMUNITY 3411 02:04:54,240 --> 02:04:55,240 BECAUSE THERE ARE RARE DISEASES 3412 02:04:55,240 --> 02:04:57,640 THAT HAVE AN N OF 1 OR N OF 10. 3413 02:04:57,640 --> 02:04:59,880 IF WE CAN FIND THOSE RARE 3414 02:04:59,880 --> 02:05:00,920 DISEASE PATIENTS INTERNATIONALLY 3415 02:05:00,920 --> 02:05:01,520 ALL THE BETTER. 3416 02:05:01,520 --> 02:05:02,880 THAT'S WHY IT'S SO IMPORTANT TO 3417 02:05:02,880 --> 02:05:03,480 BE COLLABORATIVE. 3418 02:05:03,480 --> 02:05:06,120 IF YOU GO TO THE NEXT SLIDE, I 3419 02:05:06,120 --> 02:05:07,280 WANT TO HIGHLIGHT SOME OF THE 3420 02:05:07,280 --> 02:05:08,320 IMPACT THAT THE PROGRAM HAS HAD 3421 02:05:08,320 --> 02:05:10,760 OVER THE LAST COUPLE OF YEARS. 3422 02:05:10,760 --> 02:05:12,240 AND 5 YEAR ITCHING MINUTES 3423 02:05:12,240 --> 02:05:14,840 SHOWING IT ON HERE. 3424 02:05:14,840 --> 02:05:16,840 AND EARLY ON AS WE WERE GETTING 3425 02:05:16,840 --> 02:05:19,160 STARTED, PUBLICATIONS WERE 3426 02:05:19,160 --> 02:05:21,160 SLOWER TO COME BUT NOW AS IT 3427 02:05:21,160 --> 02:05:22,760 GAINED MOMENTUM, WE ARE SEEING 3428 02:05:22,760 --> 02:05:24,360 MORE OF THAT. 3429 02:05:24,360 --> 02:05:25,640 SO OVER TIME WE SEE MORE 3430 02:05:25,640 --> 02:05:27,040 COLLABORATIONS AND NETWORKING 3431 02:05:27,040 --> 02:05:27,440 OPPORTUNITIES. 3432 02:05:27,440 --> 02:05:31,560 AND WE HAVE ALSO SEEN A LOT MORE 3433 02:05:31,560 --> 02:05:33,880 OF THE INTERNATIONAL INPUT ON TO 3434 02:05:33,880 --> 02:05:35,760 THIS PROGRAM AS WELL. 3435 02:05:35,760 --> 02:05:36,360 NEXT SLIDE. 3436 02:05:36,360 --> 02:05:38,360 WHAT HAS BEEN REALLY FANTASTIC 3437 02:05:38,360 --> 02:05:41,040 TO SEE IS THAT THE RDCRN PROGRAM 3438 02:05:41,040 --> 02:05:44,160 IN A NUTSHELL, WE HAVE EIGHT FDA 3439 02:05:44,160 --> 02:05:45,680 APPROVED TREATMENTS THROUGH THIS 3440 02:05:45,680 --> 02:05:47,040 PROGRAM FOR NINE DIFFERENT RARE 3441 02:05:47,040 --> 02:05:47,360 DISEASES. 3442 02:05:47,360 --> 02:05:48,960 SO WHEN YOU THINK ABOUT THE 3443 02:05:48,960 --> 02:05:51,800 NUMBERS THAT I SHOWED THE VERY 3444 02:05:51,800 --> 02:05:52,880 BEGINNING, THIS IS REMARKABLE TO 3445 02:05:52,880 --> 02:05:55,680 SEE AND I ONLY SEE THIS GETTING 3446 02:05:55,680 --> 02:05:57,880 OR GROWING MORE OVER TIME. 3447 02:05:57,880 --> 02:05:58,800 SO THIS IS A WONDERFUL 3448 02:05:58,800 --> 02:06:00,800 OPPORTUNITY FOR US TO CONTINUE 3449 02:06:00,800 --> 02:06:02,400 THIS WORK TOGETHER AND I'M HAPPY 3450 02:06:02,400 --> 02:06:04,400 TO SAY THAT WE ARE GOING TO 3451 02:06:04,400 --> 02:06:06,480 CONTINUE THIS WORK TOGETHER IN 3452 02:06:06,480 --> 02:06:09,160 OUR NEXT INITIATION OF THE RDCRN 3453 02:06:09,160 --> 02:06:13,080 COMING IN ABOUT A YEAR OR SO. 3454 02:06:13,080 --> 02:06:14,000 WHAT ONE OF THE KEY THINGS IS WE 3455 02:06:14,000 --> 02:06:15,600 WANT TO BRING IN THE DATA 3456 02:06:15,600 --> 02:06:16,240 SCIENCE ASPECTS. 3457 02:06:16,240 --> 02:06:18,000 WHEN THIS STARTED, IT WAS VERY 3458 02:06:18,000 --> 02:06:19,200 LIMITED IN TERMS OF THE DATA 3459 02:06:19,200 --> 02:06:20,200 SCIENCE APPROACH THEY WERE 3460 02:06:20,200 --> 02:06:20,400 DOING. 3461 02:06:20,400 --> 02:06:22,480 THEY WEREN'T REALLY SHARING AS 3462 02:06:22,480 --> 02:06:23,600 MUCH AS THEY COULD HAVE BEEN. 3463 02:06:23,600 --> 02:06:26,200 WE HAVE REALLY RETOOLED THAT 3464 02:06:26,200 --> 02:06:26,480 ENVIRONMENT. 3465 02:06:26,480 --> 02:06:30,800 WE CREATED THIS REALLY IMPORTANT 3466 02:06:30,800 --> 02:06:31,600 OPERATIONAL ENVIRONMENT WHERE 3467 02:06:31,600 --> 02:06:33,320 THEY CAN SHARE THEIR DATA 3468 02:06:33,320 --> 02:06:35,240 INTERNALLY WITHIN THE RDCRN. 3469 02:06:35,240 --> 02:06:37,000 SO WE CREATED ALL THESE TOOLS 3470 02:06:37,000 --> 02:06:39,080 AND RESOURCES IN THE 3471 02:06:39,080 --> 02:06:40,200 CLOUDS-BASED ENVIRONMENT TO DO 3472 02:06:40,200 --> 02:06:40,400 THIS. 3473 02:06:40,400 --> 02:06:45,120 THIS IS OVER THE LAST FOUR YEARS 3474 02:06:45,120 --> 02:06:47,920 WE HAVE BEEN BUILDING THIS. 3475 02:06:47,920 --> 02:06:49,200 AND OUR VISION FOR THIS IS 3476 02:06:49,200 --> 02:06:50,240 BROADER THAN THAT. 3477 02:06:50,240 --> 02:06:52,000 WE WANT TO GO BEYOND THE 3478 02:06:52,000 --> 02:06:53,400 OPERATIONAL ENVIRONMENT TO MORE 3479 02:06:53,400 --> 02:06:54,720 OF A SHARED ENVIRONMENT SO THAT 3480 02:06:54,720 --> 02:06:58,520 A VARIETY OF OTHER PEOPLE IN THE 3481 02:06:58,520 --> 02:06:59,880 EXTRAMURAL COMMUNITY CAN HAVE 3482 02:06:59,880 --> 02:07:02,400 ACCESS TO THESE DATA THAT THE 3483 02:07:02,400 --> 02:07:03,000 RDCRN CREATED. 3484 02:07:03,000 --> 02:07:04,200 THAT THE IS WHAT IS COMING. 3485 02:07:04,200 --> 02:07:05,600 WE HOPE IN THE NEXT COUPLE OF 3486 02:07:05,600 --> 02:07:06,440 YEARS, THIS WILL BE MORE 3487 02:07:06,440 --> 02:07:08,280 AVAILABLE FOR PEOPLE TO USE. 3488 02:07:08,280 --> 02:07:09,640 SO THIS IS AN IMPORTANT ASPECT 3489 02:07:09,640 --> 02:07:10,760 OF WHAT WE DO. 3490 02:07:10,760 --> 02:07:12,400 AND ON THE NEXT SLIDE, JUST 3491 02:07:12,400 --> 02:07:14,320 CONTINUING ON THE SCHEME OF BIG 3492 02:07:14,320 --> 02:07:17,320 DATA, WE HAVE BEEN WORKING WITH 3493 02:07:17,320 --> 02:07:19,600 NICHD TO DEVELOP A RARE SOURCE. 3494 02:07:19,600 --> 02:07:21,600 THIS IS NOT PART OF THE RDCRN 3495 02:07:21,600 --> 02:07:23,920 BUT IT IS MORE INTRAMURALLY 3496 02:07:23,920 --> 02:07:25,560 DEVELOPED WITH A VARIETY OF 3497 02:07:25,560 --> 02:07:29,600 PARTNERS AT NCI AND NINDS AND WE 3498 02:07:29,600 --> 02:07:31,120 ARE LOOKING AT THE OMICS 3499 02:07:31,120 --> 02:07:33,000 APPROACHES FOR HOW TO BRING 3500 02:07:33,000 --> 02:07:35,600 OMICS DATA TOGETHER TO IMPACT 3501 02:07:35,600 --> 02:07:38,320 THAT ON RARE DISEASES AS WELL. 3502 02:07:38,320 --> 02:07:40,320 THIS WILL BE ANOTHER PART OF THE 3503 02:07:40,320 --> 02:07:42,320 ELEMENT AREA IN RARE DISEASES. 3504 02:07:42,320 --> 02:07:44,640 AND THE NEXT SLIDE IS JUST SORT 3505 02:07:44,640 --> 02:07:46,840 OF CULMINATING ON THE IDEA OF 3506 02:07:46,840 --> 02:07:48,640 THE BIG DATA CHALLENGES THAT WE 3507 02:07:48,640 --> 02:07:49,640 HAVE. 3508 02:07:49,640 --> 02:07:52,040 WE ALSO HAVE NEW OPPORTUNITIES 3509 02:07:52,040 --> 02:07:54,360 IN USING ARTIFICIAL INTELLIGENCE 3510 02:07:54,360 --> 02:07:55,320 AND MACHINE LEARNING TO DO THIS 3511 02:07:55,320 --> 02:07:55,720 AS WELL. 3512 02:07:55,720 --> 02:07:57,600 THIS IS WHAT WE ARE BRINGING TO 3513 02:07:57,600 --> 02:07:59,560 THE FOREIN TERMS OF SHORTENING 3514 02:07:59,560 --> 02:08:01,880 THE DIAGNOSTIC ODYSSEY. 3515 02:08:01,880 --> 02:08:02,640 IT TAKES ON AFTERNOON 7 YEARS 3516 02:08:02,640 --> 02:08:04,640 FOR A PATIENT TO BE DIAGNOSED 3517 02:08:04,640 --> 02:08:06,160 FOR A RARE DISEASE. 3518 02:08:06,160 --> 02:08:06,640 FAR TOO LONG. 3519 02:08:06,640 --> 02:08:09,160 DURING THAT TIME IF A PATIENT 3520 02:08:09,160 --> 02:08:10,360 MAY SORT OF AGE OUT OF THAT 3521 02:08:10,360 --> 02:08:11,440 TREATMENT WINDOW. 3522 02:08:11,440 --> 02:08:13,160 SO WE MISSED AN OPPORTUNITY TO 3523 02:08:13,160 --> 02:08:15,240 HAVE DISEASE MITIGATING EFFECTS 3524 02:08:15,240 --> 02:08:15,440 HERE. 3525 02:08:15,440 --> 02:08:17,040 SO WE WANT TO FIGURE OUT HOW TO 3526 02:08:17,040 --> 02:08:19,200 SHORT THEN DIAGNOSTIC ODYSSEY. 3527 02:08:19,200 --> 02:08:24,040 WHEN YOU LOOK INTO EHRs, THE 3528 02:08:24,040 --> 02:08:25,040 RARE DISEASE PATIENTS ARE 3529 02:08:25,040 --> 02:08:26,320 PRACTICALLY INVISIBLE. 3530 02:08:26,320 --> 02:08:27,760 SO, WE WANT TO FIGURE OUT WAYS 3531 02:08:27,760 --> 02:08:30,720 IN WHICH WE CAN USE OUR 3532 02:08:30,720 --> 02:08:31,360 ARTIFICIAL INTELLIGENCE MACHINE 3533 02:08:31,360 --> 02:08:32,040 LEARNING TO DO THIS. 3534 02:08:32,040 --> 02:08:33,240 THIS IS WHAT THIS PARTICULAR 3535 02:08:33,240 --> 02:08:33,840 OPPORTUNITY IS FOR. 3536 02:08:33,840 --> 02:08:35,960 AND WE ARE LOOKING AT IT IN A 3537 02:08:35,960 --> 02:08:37,040 VARIETY OF WAYS. 3538 02:08:37,040 --> 02:08:38,600 BUT VERY BRIEFLY, WE HAVE A 3539 02:08:38,600 --> 02:08:41,480 GRADUATE THAT IS LOOKING AT 3540 02:08:41,480 --> 02:08:42,560 ELECTRONIC HEALTH RECORDS TO 3541 02:08:42,560 --> 02:08:44,560 DEVELOP ALGORITHMS TO IDENTIFY 3542 02:08:44,560 --> 02:08:45,400 PATIENTS CURRENTLY EXIST. 3543 02:08:45,400 --> 02:08:47,040 AND THEN THEY ARE GOING TO GO 3544 02:08:47,040 --> 02:08:48,760 FORWARD IN TIME TO TRY TO 3545 02:08:48,760 --> 02:08:50,160 IDENTIFY PATIENTS USI USING THAL 3546 02:08:50,160 --> 02:08:52,160 AM TO SEE HOW WELL THEY PERFORM. 3547 02:08:52,160 --> 02:08:53,800 AND IF THEY PERFORM WELL, GREAT, 3548 02:08:53,800 --> 02:08:56,080 WE MOVE ON TO VALIDATE THAT. 3549 02:08:56,080 --> 02:08:58,480 IF THEY DON'T PERFORM WELL, WE 3550 02:08:58,480 --> 02:08:59,680 RETOOL T THIS IS ONE OF THOSE 3551 02:08:59,680 --> 02:09:02,080 AREAS WE ARE REALLY PUSHING THE 3552 02:09:02,080 --> 02:09:04,520 ENVELOPE ON FOR HELPING OUR 3553 02:09:04,520 --> 02:09:06,760 HEALTH CARE ECOSYSTEM FIND RARE 3554 02:09:06,760 --> 02:09:07,680 DISEASES BETTER TOO. 3555 02:09:07,680 --> 02:09:10,400 SO A VARIETY OF OTHER PROGRAMS 3556 02:09:10,400 --> 02:09:11,400 HERE THEY WON'T MENTION BUT IF 3557 02:09:11,400 --> 02:09:12,600 YOU LIKE TO LEARN MORE, THERE IS 3558 02:09:12,600 --> 02:09:13,640 THE QR CODE FOR YOU. 3559 02:09:13,640 --> 02:09:15,000 IF YOU GO TO THE NEXT SLIDE, I 3560 02:09:15,000 --> 02:09:23,280 WANT TO GET INTO ANOTHER 3561 02:09:23,280 --> 02:09:25,560 OPPORTUNITY FAIR RARE DISEASE 3562 02:09:25,560 --> 02:09:27,680 SPACE IN THE AREA GENE-TARGETED 3563 02:09:27,680 --> 02:09:30,680 THERAPIES, GENE EDITING, THERAPY 3564 02:09:30,680 --> 02:09:32,280 DEVELOPMENT, AND GENE THERAPIES 3565 02:09:32,280 --> 02:09:32,560 THEMSELVES. 3566 02:09:32,560 --> 02:09:35,000 WE HAVE A VARIETY OF PROGRAMS IN 3567 02:09:35,000 --> 02:09:36,400 THIS SPACE AND I JUST WILL 3568 02:09:36,400 --> 02:09:37,680 HIGHLIGHT A FEW THINGS ON EACH 3569 02:09:37,680 --> 02:09:40,080 ONE OF THEM BUT THEY ARE ALL AT 3570 02:09:40,080 --> 02:09:42,520 DIFFERENT STAGES OF DEVELOPMENT 3571 02:09:42,520 --> 02:09:42,720 HERE. 3572 02:09:42,720 --> 02:09:46,200 OUR SOMATIC CELL GENE EDITING 3573 02:09:46,200 --> 02:09:48,400 FOCUSED ON TOOLS AND PLATFORM 3574 02:09:48,400 --> 02:09:50,600 APPROACHES TO DELIVER GENE 3575 02:09:50,600 --> 02:09:53,080 EDITING MILL YOU INTO THE RIGHT 3576 02:09:53,080 --> 02:09:55,120 TARGET CELLS SMALL ANIMAL MODELS 3577 02:09:55,120 --> 02:09:57,200 AND LARGE ANIMAL MODELS, NOW WE 3578 02:09:57,200 --> 02:09:59,200 WILL START MOVING INTO THE 3579 02:09:59,200 --> 02:10:00,280 CLINIC OF THIS COMMON FUND 3580 02:10:00,280 --> 02:10:00,520 PROGRAM. 3581 02:10:00,520 --> 02:10:02,400 WE ARE STILL AWAYS AWAY. 3582 02:10:02,400 --> 02:10:04,280 SO THAT IS EARLIER ON IN THIS 3583 02:10:04,280 --> 02:10:06,200 DEVELOPMENT OF THIS KIND OF 3584 02:10:06,200 --> 02:10:06,480 MODALITY. 3585 02:10:06,480 --> 02:10:09,520 THE NEXT ONE IS, THE ACCELERATED 3586 02:10:09,520 --> 02:10:11,720 MEDICINE PARTNERSHIP, THE 3587 02:10:11,720 --> 02:10:12,960 BESPOKE GENE THERAPY CONSORTIUM. 3588 02:10:12,960 --> 02:10:16,600 THIS IS ONE THAT NICHD IS AWARE 3589 02:10:16,600 --> 02:10:17,880 OF AS WELL ALONG WITH A VARIETY 3590 02:10:17,880 --> 02:10:19,200 OF OTHER PROGRAMS AND I'LL TALK 3591 02:10:19,200 --> 02:10:20,800 ABOUT IT MORE IN A SECOND. 3592 02:10:20,800 --> 02:10:23,160 AND THEN THE PLATFORM VECTOR 3593 02:10:23,160 --> 02:10:25,440 GENE THERAPY PLATFORM WE ARE 3594 02:10:25,440 --> 02:10:27,240 COLLABORATING WITH A VARIETY OF 3595 02:10:27,240 --> 02:10:28,480 INSTITUTES AND CENTERS ACROSS 3596 02:10:28,480 --> 02:10:28,760 THE NIH. 3597 02:10:28,760 --> 02:10:31,600 THIS IS HOW TO OPERATIONALIZE IF 3598 02:10:31,600 --> 02:10:34,640 WE CAN GENERATE VECTOR PLATFORM 3599 02:10:34,640 --> 02:10:38,720 FOR GENE THERAPY, WE CREATE THE 3600 02:10:38,720 --> 02:10:41,440 CAPSID FOR GENE THERAPY BUT THE 3601 02:10:41,440 --> 02:10:42,600 GENE NECESSARILY ISN'T KNOWN. 3602 02:10:42,600 --> 02:10:44,720 SO IF WE DON'T KNOW THE GENE, 3603 02:10:44,720 --> 02:10:46,040 HOW DO WE THINK ABOUT THAT 3604 02:10:46,040 --> 02:10:50,120 DEVELOPMENT IN THE REGULATORY 3605 02:10:50,120 --> 02:10:50,640 REQUIREMENTS FLEDDED TO GO 3606 02:10:50,640 --> 02:10:52,160 THROUGH THIS PHASE OF REGULATORY 3607 02:10:52,160 --> 02:10:55,360 SPACE TO MAKE SURE THAT THAT CAN 3608 02:10:55,360 --> 02:10:56,440 BE SOMEWHAT STREAMLINED SO WHEN 3609 02:10:56,440 --> 02:10:58,720 WE THINK ABOUT ADDING 3610 02:10:58,720 --> 02:11:00,840 THERAPEUTIC GENES INTO THOSE 3611 02:11:00,840 --> 02:11:01,920 CAPSIDS THAT'S ALL WE ARE 3612 02:11:01,920 --> 02:11:03,760 THINKING ABOUT, IS THE THERAPY 3613 02:11:03,760 --> 02:11:05,240 NOT NECESSARILY DELIVERY 3614 02:11:05,240 --> 02:11:05,480 MECHANISM. 3615 02:11:05,480 --> 02:11:06,640 THAT'S THE DELIVERY BEHIND THIS. 3616 02:11:06,640 --> 02:11:08,280 AND THEN WE CAN STREAMLINE THE 3617 02:11:08,280 --> 02:11:11,120 PLATFORM AND EARLIER INDICATIONS 3618 02:11:11,120 --> 02:11:14,120 FOR -- OR EARLIER ON RAMPS FOR 3619 02:11:14,120 --> 02:11:14,560 CLINICAL TRIALS. 3620 02:11:14,560 --> 02:11:16,080 IF YOU GO TO THE NEXT SLIDE, I 3621 02:11:16,080 --> 02:11:17,320 WANTED TO HIGHLIGHT ONE OF THE 3622 02:11:17,320 --> 02:11:20,160 AREAS FOR THE SOMATIC CELL 3623 02:11:20,160 --> 02:11:20,960 GENADEITING PROGRAM THAT IS 3624 02:11:20,960 --> 02:11:22,720 THINKING ABOUT, WE NEED PEOPLE'S 3625 02:11:22,720 --> 02:11:25,640 HELP TO FIGURE OUT HOW TO TARGET 3626 02:11:25,640 --> 02:11:27,960 GENOME EDITORS TO SPECIFIC HARD 3627 02:11:27,960 --> 02:11:29,960 TO REACH PLACES WITHIN THE BODY. 3628 02:11:29,960 --> 02:11:31,560 HOW CAN WE THINK ABOUT 3629 02:11:31,560 --> 02:11:33,560 PROGRAMMING DELIVERY SYSTEMS FOR 3630 02:11:33,560 --> 02:11:34,960 DELIVERING THESE GENOME EDITING 3631 02:11:34,960 --> 02:11:37,200 TOOLS AND THEN HOW DO WE MAKE 3632 02:11:37,200 --> 02:11:40,120 SURE WE CAN GET NON VIRAL CAPSID 3633 02:11:40,120 --> 02:11:41,200 DELIVERIES THROUGH THE 3634 02:11:41,200 --> 02:11:42,040 BLOOD-BRAIN BARRIER? 3635 02:11:42,040 --> 02:11:42,960 THIS IS A CHALLENGE WE HAVE ON 3636 02:11:42,960 --> 02:11:43,880 THE STREET. 3637 02:11:43,880 --> 02:11:44,640 IT'S OPEN. 3638 02:11:44,640 --> 02:11:46,480 SO I WANTED TO MAKE SURE YOU 3639 02:11:46,480 --> 02:11:48,680 KNEW ABOUT IT IN CASE YOU HAVE 3640 02:11:48,680 --> 02:11:49,680 COLLEAGUES WHO MIGHT BE ABLE TO 3641 02:11:49,680 --> 02:11:50,760 TAP INTO THIS AS WELL. 3642 02:11:50,760 --> 02:11:52,160 SO PLEASE TAKE A LOOK AT THAT. 3643 02:11:52,160 --> 02:11:54,160 SO THIS IS FOR THE SOMATIC CELL 3644 02:11:54,160 --> 02:11:55,320 GENE EDITING PROGRAM. 3645 02:11:55,320 --> 02:12:00,880 NOW I WANTED TO GO NEXT TO THE 3646 02:12:00,880 --> 02:12:01,440 CONSORTIUM PROGRAM. 3647 02:12:01,440 --> 02:12:04,440 THIS IS A LARGER PUBLIC-PRIVATE 3648 02:12:04,440 --> 02:12:05,280 PARTNERSHIP WITH GOVERNMENT, 3649 02:12:05,280 --> 02:12:06,640 INDUSTRY AND NON-PROFIT 3650 02:12:06,640 --> 02:12:07,280 ORGANIZATIONS AT THE TABLE TO BE 3651 02:12:07,280 --> 02:12:09,400 ABLE TO DO THIS. 3652 02:12:09,400 --> 02:12:11,080 AND WE'RE A YEAR IN NOW BUT WE 3653 02:12:11,080 --> 02:12:13,800 ARE ALREADY SELECTING CLINICAL 3654 02:12:13,800 --> 02:12:17,760 TRIALS TO GO THROUGH THE 3655 02:12:17,760 --> 02:12:18,480 PROGRAM. 3656 02:12:18,480 --> 02:12:20,960 THE WHOLE IDEA HERE IS REALLY TO 3657 02:12:20,960 --> 02:12:27,120 THINK ABOUT HOW TO ENHANCE THE 3658 02:12:27,120 --> 02:12:27,600 BIOLOGY OF THE CAPSID 3659 02:12:27,600 --> 02:12:27,920 DEVELOPMENT. 3660 02:12:27,920 --> 02:12:30,520 SO THAT WE CAN INCREASE THE 3661 02:12:30,520 --> 02:12:31,720 ABILITY FOR THE GENES THAT WE 3662 02:12:31,720 --> 02:12:35,520 ARE LOOKING AT TO GO INTO THOSE 3663 02:12:35,520 --> 02:12:35,960 CAPSID FOR DELIVERY. 3664 02:12:35,960 --> 02:12:37,480 WE WANT TO ENHANCE THE VECTOR 3665 02:12:37,480 --> 02:12:39,480 GENERATION OF THAT AND THEN 3666 02:12:39,480 --> 02:12:42,640 ENHANCE THE THERAPEUTIC GENE 3667 02:12:42,640 --> 02:12:44,040 EXPRESSION OF THE GENES THAT GO 3668 02:12:44,040 --> 02:12:44,800 INTO THOSE CAPSIDS. 3669 02:12:44,800 --> 02:12:45,880 THAT'S TASK NUMBER 1. 3670 02:12:45,880 --> 02:12:47,800 RIGHT NOW WE ARE GETTING VERY 3671 02:12:47,800 --> 02:12:50,520 LOW PERCENTAGES OF THIS ACTIVITY 3672 02:12:50,520 --> 02:12:52,520 THEY IS REACHING THE TARGET 3673 02:12:52,520 --> 02:12:52,720 CELLS. 3674 02:12:52,720 --> 02:12:55,520 SO WE WANT TO SEE IF WE CAN 3675 02:12:55,520 --> 02:12:57,200 RAISE THAT AT LEAST AN ORDER OF 3676 02:12:57,200 --> 02:12:57,640 MAGNITUDE. 3677 02:12:57,640 --> 02:13:01,000 AND THEN WE WANT TO ADVANCE THE 3678 02:13:01,000 --> 02:13:04,000 ACCESS TO THESE TECHNOLOGIES FOR 3679 02:13:04,000 --> 02:13:05,400 THESE VECTORS AND THAT MEANS WE 3680 02:13:05,400 --> 02:13:08,200 NEED TO WORK ON MANUFACTURING 3681 02:13:08,200 --> 02:13:08,520 PROGRAMS. 3682 02:13:08,520 --> 02:13:09,920 WE NEED TO THINK ABOUT WHAT ARE 3683 02:13:09,920 --> 02:13:11,200 THE CRITICAL QUALITY ELEMENTS 3684 02:13:11,200 --> 02:13:12,160 FOR MANUFACTURING. 3685 02:13:12,160 --> 02:13:13,720 WE NEED TO BE THINKING ABOUT HOW 3686 02:13:13,720 --> 02:13:16,760 WE NEED TO DO THE PRE-CLINICAL 3687 02:13:16,760 --> 02:13:17,760 TESTING, FOXTESTING ET CETERA. 3688 02:13:17,760 --> 02:13:19,720 SO THAT IS WHAT THIS NEXT PHASE 3689 02:13:19,720 --> 02:13:22,640 IS ABOUT TO THINK ABOUT 3690 02:13:22,640 --> 02:13:24,520 STREAMLINING THE REGULATORY 3691 02:13:24,520 --> 02:13:26,120 ELEMENTS OF THIS CONSORTIUM. 3692 02:13:26,120 --> 02:13:29,640 SO THAT IS TASK NUMBER 2. 3693 02:13:29,640 --> 02:13:31,440 OF AND THAT MEANS THAT WE'RE 3694 02:13:31,440 --> 02:13:33,360 WORKING CLOSELY WITH THE FDA SO 3695 02:13:33,360 --> 02:13:35,920 PETER MARKS AT THE FDA, WE ARE 3696 02:13:35,920 --> 02:13:36,960 WORKING HAND-IN-HAND WITH THEM 3697 02:13:36,960 --> 02:13:38,160 TO MAKE SURE WE ARE ABLE TO 3698 02:13:38,160 --> 02:13:39,040 DEVELOP THIS. 3699 02:13:39,040 --> 02:13:42,120 AND ON THE NEXT SLIDE, THE MOST 3700 02:13:42,120 --> 02:13:44,440 RECENT ACTIVITY HERE IS THAT WE 3701 02:13:44,440 --> 02:13:46,520 JUST ANNOUNCED OUR EIGHT 3702 02:13:46,520 --> 02:13:48,120 CLINICAL TRIALS THAT WE'LL BE 3703 02:13:48,120 --> 02:13:49,120 DOING FOR THIS PARTICULAR 3704 02:13:49,120 --> 02:13:49,360 PROGRAM. 3705 02:13:49,360 --> 02:13:51,440 AND THESE ARE THE DISEASES THAT 3706 02:13:51,440 --> 02:13:53,640 WE'LL BE STUDYING FOR THAT. 3707 02:13:53,640 --> 02:13:55,640 AND THE THING TO THINK ABOUT 3708 02:13:55,640 --> 02:13:57,640 HERE IS THAT ALL OF THESE 3709 02:13:57,640 --> 02:13:58,640 DISEASES ARE RARE DISEASES BUT 3710 02:13:58,640 --> 02:14:00,240 THEY HAVE NO COMMERCIAL 3711 02:14:00,240 --> 02:14:00,520 LIABILITY. 3712 02:14:00,520 --> 02:14:03,120 THERE IS NOBODY WORKING ON THEM 3713 02:14:03,120 --> 02:14:03,320 NOW. 3714 02:14:03,320 --> 02:14:04,440 SO WHY IS THAT IMPORTANT? 3715 02:14:04,440 --> 02:14:05,040 IT'S IMPORTANT BECAUSE 3716 02:14:05,040 --> 02:14:06,640 EVERYTHING THAT WE DO HERE CAN 3717 02:14:06,640 --> 02:14:07,840 BE MADE PUBLIC. 3718 02:14:07,840 --> 02:14:09,840 AND SO WE CAN SHARE THE 3719 02:14:09,840 --> 02:14:12,320 ACTIVITIES THAT WE HAVE WITH THE 3720 02:14:12,320 --> 02:14:13,640 FDA AND WITH OUR COLLABORATORS 3721 02:14:13,640 --> 02:14:14,840 AND THE PEOPLE INVOLVED IN THIS 3722 02:14:14,840 --> 02:14:16,760 PROGRAM AND MAKE THESE AVAILABLE 3723 02:14:16,760 --> 02:14:18,960 AS AVAILABLE AS POSSIBLE TO 3724 02:14:18,960 --> 02:14:19,960 DISSEMINATE THE INFORMATION AND 3725 02:14:19,960 --> 02:14:22,760 MAKE THEM SORT OF MORE 3726 02:14:22,760 --> 02:14:24,040 DEMOCRATIZED IF YOU WILL. 3727 02:14:24,040 --> 02:14:27,480 AND WE STARTED A LITTLE BIT OF 3728 02:14:27,480 --> 02:14:28,880 THIS IN OUR PROGRAM THEY 3729 02:14:28,880 --> 02:14:30,840 MENTIONED BEFORE, THAT NCATS HAS 3730 02:14:30,840 --> 02:14:32,040 ALREADY STARTED ON. 3731 02:14:32,040 --> 02:14:34,480 I'LL TAKE YOU TO THE NEXT SLIDE 3732 02:14:34,480 --> 02:14:34,680 NEXT. 3733 02:14:34,680 --> 02:14:37,240 AND THIS PROGRAM, IT'S VERY 3734 02:14:37,240 --> 02:14:38,440 SIMILAR IDEA AS I MENTIONED, WE 3735 02:14:38,440 --> 02:14:40,160 WANT TO UNDERSTAND HOW WE CAN 3736 02:14:40,160 --> 02:14:43,040 SPEED UP OUR ON-RAMP TO CLINICAL 3737 02:14:43,040 --> 02:14:45,080 TRIAL DEVELOPMENTS FOR GENE 3738 02:14:45,080 --> 02:14:45,360 THERAPIES. 3739 02:14:45,360 --> 02:14:47,640 THIS HAS BEEN A COLLABORATION. 3740 02:14:47,640 --> 02:14:49,840 I HIGHLIGHTED THE NCATS PEOPLE 3741 02:14:49,840 --> 02:14:51,160 BUT I SHOULD HAVE HIGHLIGHTED 3742 02:14:51,160 --> 02:14:52,640 ALSO THE NIC HAD. 3743 02:14:52,640 --> 02:14:54,440 D FOLKS BECAUSE THERE ARE 3744 02:14:54,440 --> 02:14:56,640 SEVERAL ON HERE. 3745 02:14:56,640 --> 02:14:57,240 -- NICHD FOLKS. 3746 02:14:57,240 --> 02:15:03,160 THIS IS REALLY -- WE HAVE 3747 02:15:03,160 --> 02:15:06,600 DEVELOPED THIS GENE THERAPY 3748 02:15:06,600 --> 02:15:10,360 USING AV9HPCCA. 3749 02:15:10,360 --> 02:15:12,160 WE JUST RECEIVED ORPHAN DRUG 3750 02:15:12,160 --> 02:15:15,480 APPROVAL AND RARE PEDIATRIC 3751 02:15:15,480 --> 02:15:15,960 DESIGNATION APPROVAL. 3752 02:15:15,960 --> 02:15:17,680 WE CAN PROCEED WITH THE CLINICAL 3753 02:15:17,680 --> 02:15:18,160 TRIALS. 3754 02:15:18,160 --> 02:15:19,680 NOW USUALLY ALL THESE 3755 02:15:19,680 --> 02:15:21,880 INTERACTION SYSTEM WITH THE FDA 3756 02:15:21,880 --> 02:15:23,800 ARE PROPRIETARY SO WE -- 3757 02:15:23,800 --> 02:15:25,280 COMPANIES DON'T TALK ABOUT IT. 3758 02:15:25,280 --> 02:15:26,400 HERE WE HAVE BEEN ABLE, BECAUSE 3759 02:15:26,400 --> 02:15:28,680 IT'S WORKING WITH US, AND THERE 3760 02:15:28,680 --> 02:15:30,200 IS NO COMMERCIAL LIABILITY, WE 3761 02:15:30,200 --> 02:15:34,400 ARE ABLE TO PUBLISH THESE 3762 02:15:34,400 --> 02:15:36,400 TEMPLATES SO OTHERS CAN LEARN 3763 02:15:36,400 --> 02:15:37,360 AND USE THEM. 3764 02:15:37,360 --> 02:15:40,080 SO THIS IS CRITICAL AND 3765 02:15:40,080 --> 02:15:41,760 HOPEFULLY WILL BE UP TO THE 3766 02:15:41,760 --> 02:15:44,400 USEFULNESS IN OUR RESEARCH 3767 02:15:44,400 --> 02:15:44,680 COMMUNITY. 3768 02:15:44,680 --> 02:15:45,920 SO, THE NEXT SLIDE I WANT TO 3769 02:15:45,920 --> 02:15:47,200 HIGHLIGHT WHY IN THE WORLD WE 3770 02:15:47,200 --> 02:15:48,080 ARE DOING THIS. 3771 02:15:48,080 --> 02:15:51,960 THIS IS JUST A SUCCESS STORY. 3772 02:15:51,960 --> 02:15:53,680 WE HAVE BEEN WORKING IN THE 3773 02:15:53,680 --> 02:15:55,200 SPACE FOR QUITE A NUMBER OF 3774 02:15:55,200 --> 02:15:59,480 YEARS AND OUR TEAM HAS DEVELOPED 3775 02:15:59,480 --> 02:16:01,600 A COLLABORATION WITH 3776 02:16:01,600 --> 02:16:02,800 THERAPEUTICS COMPANY AND THE 3777 02:16:02,800 --> 02:16:04,400 NATIONAL TAIWAN UNIVERSITY TO 3778 02:16:04,400 --> 02:16:07,240 DEVELOP GENE THERAPY FOR AADC 3779 02:16:07,240 --> 02:16:07,600 DEFICIENCY. 3780 02:16:07,600 --> 02:16:09,280 SO THIS IS A DEFICIENCY OF KIDS 3781 02:16:09,280 --> 02:16:11,400 WHERE THEY ARE NOT ABLE TO MAKE 3782 02:16:11,400 --> 02:16:13,120 NEUROTRANSMITTERS IN THEIR 3783 02:16:13,120 --> 02:16:13,400 BRAIN. 3784 02:16:13,400 --> 02:16:15,200 AND JUST REALLY DRAMATIC 3785 02:16:15,200 --> 02:16:15,440 EFFECTS. 3786 02:16:15,440 --> 02:16:16,800 THEY DON'T LIVE VERY LONG. 3787 02:16:16,800 --> 02:16:17,840 BUILD 4-8 YEARS. 3788 02:16:17,840 --> 02:16:19,120 YOU CAN SEE ON THIS PICTURE TO 3789 02:16:19,120 --> 02:16:21,040 THE LEFT HERE, THE SMALLER 3790 02:16:21,040 --> 02:16:22,800 PICTURE, THIS IS THIS CHILD 3791 02:16:22,800 --> 02:16:24,680 EARLY ON IN THIS DISEASE BUT 3792 02:16:24,680 --> 02:16:27,320 THEY WERE PART OF THIS 3793 02:16:27,320 --> 02:16:28,600 DEVELOPMENTAL PROGRAM. 3794 02:16:28,600 --> 02:16:31,720 SO AFTER THE GENE THERAPY WAS 3795 02:16:31,720 --> 02:16:34,240 CONDUCTED IN THIS CLINICAL 3796 02:16:34,240 --> 02:16:37,240 TRIAL, WE SAW SUCH DRAMATIC 3797 02:16:37,240 --> 02:16:37,920 EFFECTS. 3798 02:16:37,920 --> 02:16:40,920 AND SO NOW THE AGILLIS 3799 02:16:40,920 --> 02:16:44,000 THERAPEUTICS WAS ACQUIRED BY PTC 3800 02:16:44,000 --> 02:16:45,720 THERAPEUTICS, A LARGER PHARMA 3801 02:16:45,720 --> 02:16:47,520 COMPANY AND THEY RECEIVED 3802 02:16:47,520 --> 02:16:50,520 EUROPEAN COMMISSION APPROVAL FOR 3803 02:16:50,520 --> 02:16:51,840 THIS, DIRECT INJECTION INTO THE 3804 02:16:51,840 --> 02:16:52,840 BRAIN TO AFFECT THIS. 3805 02:16:52,840 --> 02:16:56,920 SO NOW WE ARE PUTTING A BLA FOR 3806 02:16:56,920 --> 02:16:57,840 FDA APPROVAL AS WELL. 3807 02:16:57,840 --> 02:16:59,360 SO HOPEFULLY THAT WILL FOLLOW 3808 02:16:59,360 --> 02:16:59,560 SUIT. 3809 02:16:59,560 --> 02:17:01,200 THIS THE IS A REALLY GAIT 3810 02:17:01,200 --> 02:17:02,360 EXAMPLE OF SEEING THE TIME IT 3811 02:17:02,360 --> 02:17:03,600 TAKES TO DEVELOP THESE KINDS OF 3812 02:17:03,600 --> 02:17:05,440 PROGRAMS AND IMPACT THEY CAN 3813 02:17:05,440 --> 02:17:07,720 REALLY HAVE FOR PEOPLE WITH RARE 3814 02:17:07,720 --> 02:17:08,000 DISEASES. 3815 02:17:08,000 --> 02:17:10,160 AND IF YOU GO TO THE NEXT SLIDE, 3816 02:17:10,160 --> 02:17:12,920 THERE IS A VARIETY OF SERIES 3817 02:17:12,920 --> 02:17:13,840 LIKE THIS. 3818 02:17:13,840 --> 02:17:15,480 ALSO MANY OTHER SPACES. 3819 02:17:15,480 --> 02:17:17,560 AND WE HAVE A DAY EVERY YEAR, 3820 02:17:17,560 --> 02:17:19,520 RARE DISEASE DAY AT THE NIH, THE 3821 02:17:19,520 --> 02:17:22,320 LAST DAY OF FEBRUARY. 3822 02:17:22,320 --> 02:17:23,920 THE AUSPICIOUS DAY OF THE YEAR. 3823 02:17:23,920 --> 02:17:25,040 WE BRING EVERYBODY TOGETHER WHO 3824 02:17:25,040 --> 02:17:26,560 IS REALLY INTERESTED IN RARE 3825 02:17:26,560 --> 02:17:28,240 DISEASES FROM STAKEHOLDERS, 3826 02:17:28,240 --> 02:17:30,240 PATIENTS, PATIENT ADVOCATES, 3827 02:17:30,240 --> 02:17:32,560 COMMUNITY MEMBERS, 3828 02:17:32,560 --> 02:17:33,600 RESEARCHERS -- YOU NAME IT THEY 3829 02:17:33,600 --> 02:17:34,560 ARE HERE. 3830 02:17:34,560 --> 02:17:36,160 AND SO IT'S A WONDERFUL DAY 3831 02:17:36,160 --> 02:17:37,760 WHERE YOU CAN COME AND TAKE A 3832 02:17:37,760 --> 02:17:39,040 LOOK AT THE WHOLE PROGRAM OF 3833 02:17:39,040 --> 02:17:40,160 RARE DISEASES. 3834 02:17:40,160 --> 02:17:41,840 SO I JUST BRING THIS TO YOUR 3835 02:17:41,840 --> 02:17:42,960 ATTENTION IN CASE YOU'RE 3836 02:17:42,960 --> 02:17:44,360 INTERESTED IN ATTENDING THIS IN 3837 02:17:44,360 --> 02:17:44,640 FEBRUARY. 3838 02:17:44,640 --> 02:17:48,520 IT'S USUALLY HYBRID SO PLEASE 3839 02:17:48,520 --> 02:17:48,680 DO. 3840 02:17:48,680 --> 02:17:50,760 SO THE NEXT SLIDE, I'M GOING TO 3841 02:17:50,760 --> 02:17:53,560 GET INTO ROUNDING OUT HERE ON 3842 02:17:53,560 --> 02:17:57,160 WHAT NCATS IS, WORKING ON IN 3843 02:17:57,160 --> 02:17:57,880 THIS SPACE. 3844 02:17:57,880 --> 02:18:02,280 AND THINKING ABOUT MORE BROADLY 3845 02:18:02,280 --> 02:18:04,640 FOR CLINICAL AND TRANSLATIONAL 3846 02:18:04,640 --> 02:18:05,400 SCIENCES. 3847 02:18:05,400 --> 02:18:08,200 63 HUBS ACROSS THE COUNTRY AND 3848 02:18:08,200 --> 02:18:09,440 THEY ARE REALLY HERE TO THINK 3849 02:18:09,440 --> 02:18:11,040 ABOUT HOW TO DO A LOT MORE ABOUT 3850 02:18:11,040 --> 02:18:13,080 THE INFRASTRUCTURE, PROMOTE 3851 02:18:13,080 --> 02:18:14,080 TRAINING AND CAREER SUPPORT AND 3852 02:18:14,080 --> 02:18:16,080 REALLY NURTURE THE FIELD OF 3853 02:18:16,080 --> 02:18:16,840 TRANSLATIONAL SCIENCE. 3854 02:18:16,840 --> 02:18:18,000 SO IF YOU GO TO THE NEXT SLIDE, 3855 02:18:18,000 --> 02:18:21,080 AND THEN HIT THE NEXT BUTTON, 3856 02:18:21,080 --> 02:18:21,960 BASICALLY THERE ARE LOCAL 3857 02:18:21,960 --> 02:18:23,560 STRENGTHS ACROSS THESE 3858 02:18:23,560 --> 02:18:25,160 INSTITUTIONS THAT ENABLE THEM TO 3859 02:18:25,160 --> 02:18:27,160 COME TOGETHER COLLECTIVELY IN A 3860 02:18:27,160 --> 02:18:28,760 REGIONAL LEVEL, NATIONAL LEVEL, 3861 02:18:28,760 --> 02:18:30,680 TO ADDRESS OUR VARIETY OF 3862 02:18:30,680 --> 02:18:32,760 ACTIVITIES FROM HEAL TO COVID, 3863 02:18:32,760 --> 02:18:35,560 MOBILE TECHNOLOGIES, TELEHEALTH, 3864 02:18:35,560 --> 02:18:37,880 TELEMEDICINE, BUT THERE IS A LOT 3865 02:18:37,880 --> 02:18:38,440 OF ACTIVITY TOWARDS CHILD 3866 02:18:38,440 --> 02:18:38,800 HEALTH. 3867 02:18:38,800 --> 02:18:40,400 SO I WANTED TO SPEND TIME 3868 02:18:40,400 --> 02:18:42,080 TALKING ABOUT THAT. 3869 02:18:42,080 --> 02:18:44,880 SO THE NEXT SLIDE IS THAT THERE 3870 02:18:44,880 --> 02:18:47,120 IS QUITE A BIT OF PEDIATRIC 3871 02:18:47,120 --> 02:18:49,800 REACH OF THE CTSA PROGRAM. 3872 02:18:49,800 --> 02:18:52,280 OF THE 63 HUBS, 53 OF THEM HAVE 3873 02:18:52,280 --> 02:18:53,240 AN ASSOCIATED CHILDREN'S 3874 02:18:53,240 --> 02:18:54,600 HOSPITAL AND 10 OF THOSE HAVE A 3875 02:18:54,600 --> 02:18:56,440 PARTNERSHIP WITH THEM. 3876 02:18:56,440 --> 02:19:01,520 WE HAVE 13PIs OUR PEDERA 3877 02:19:01,520 --> 02:19:03,520 TRISHANCE AND WE HAVE A VARIETY 3878 02:19:03,520 --> 02:19:04,720 OF TRAINING AND CAREER SCHOLARS 3879 02:19:04,720 --> 02:19:05,800 AS WELL. 3880 02:19:05,800 --> 02:19:07,840 IT'S THIS LAST GROUP THE 3881 02:19:07,840 --> 02:19:10,000 TRAINING COLLARS I WANTED TO 3882 02:19:10,000 --> 02:19:12,000 HIGHLIGHT FOR THE NEXT SLIDE. 3883 02:19:12,000 --> 02:19:12,960 THERE IS A GROUP AT THE 3884 02:19:12,960 --> 02:19:19,040 UNIVERSITY OF ARKANSAS MEDICAL 3885 02:19:19,040 --> 02:19:19,320 SCHOOL. 3886 02:19:19,320 --> 02:19:21,720 THEIR TRAINING PROGRAM IS -- 3887 02:19:21,720 --> 02:19:23,440 THEY HIGHLIGHT 3888 02:19:23,440 --> 02:19:24,280 ENTREPRENEURIALSHIP WITHIN THEIR 3889 02:19:24,280 --> 02:19:24,760 TRAINING PROGRAM. 3890 02:19:24,760 --> 02:19:27,720 AND THIS GROUP OF SCHOLARS CAME 3891 02:19:27,720 --> 02:19:29,080 TOGETHER, THESE ARE ALL TRAINEES 3892 02:19:29,080 --> 02:19:30,640 THAT KIM TOGETHER AS A GROUP AND 3893 02:19:30,640 --> 02:19:33,720 FORMED A SMALL BUSINESS CALLED 3894 02:19:33,720 --> 02:19:34,880 PEDIATRICCA THERAPEUTICS. 3895 02:19:34,880 --> 02:19:37,920 AND THEIR EMPHASIS HERE IS 3896 02:19:37,920 --> 02:19:39,960 LOOKING AT THE ISSUE OF 3897 02:19:39,960 --> 02:19:40,240 WITHDRAWAL. 3898 02:19:40,240 --> 02:19:42,560 SO WHAT THEY HAVE DONE IS TAKEN 3899 02:19:42,560 --> 02:19:49,840 ABOVE NOR 15 -- ABOVE MORPHINE 3900 02:19:49,840 --> 02:19:55,520 AND THEY TWEAKED IT SO THAT THEY 3901 02:19:55,520 --> 02:19:57,600 HAVE THE BUPRENORPHINE. 3902 02:19:57,600 --> 02:19:59,920 IT DOESN'T REALLY EFFECT MUCH OF 3903 02:19:59,920 --> 02:20:01,840 THE FUNCTION OF THE DRUG BUT IT 3904 02:20:01,840 --> 02:20:03,440 EFFECTS THE METABOLISM OF IT. 3905 02:20:03,440 --> 02:20:05,960 AND IT TURNS OUT THAT THAT BUTTE 3906 02:20:05,960 --> 02:20:07,920 RATED COMPOUND DOES NOT 3907 02:20:07,920 --> 02:20:08,840 METABOLIZE AND GET INTO THE 3908 02:20:08,840 --> 02:20:14,960 FETUS OR THE NEONATE FOR ANY OF 3909 02:20:14,960 --> 02:20:15,960 THAT COMPOUND. 3910 02:20:15,960 --> 02:20:19,360 SO IT REDUCES THAT NEONATAL 3911 02:20:19,360 --> 02:20:20,280 OPIOID EXPOSURE. 3912 02:20:20,280 --> 02:20:21,840 THIS WAS TESTED IN ANIMALS AND 3913 02:20:21,840 --> 02:20:23,760 NOW THE NEXT PHASE IS TO LOOK AT 3914 02:20:23,760 --> 02:20:24,040 HUMANS. 3915 02:20:24,040 --> 02:20:28,320 SO THIS IS AN EXCITING 3916 02:20:28,320 --> 02:20:29,560 DEVELOPMENT OF LOOKING AT THIS. 3917 02:20:29,560 --> 02:20:30,560 SO EXCITED ABOUT THAT. 3918 02:20:30,560 --> 02:20:32,040 AND THEN THE NEXT SLIDE I'M 3919 02:20:32,040 --> 02:20:34,480 GOING TO GET BACK TO DATA 3920 02:20:34,480 --> 02:20:37,200 SCIENCE AND THEN END ON SOME 3921 02:20:37,200 --> 02:20:37,480 GENOMICS. 3922 02:20:37,480 --> 02:20:42,360 THE OTHER ACTIVITY THAT THE CTSA 3923 02:20:42,360 --> 02:20:43,760 DID, CAME TOGETHER AND DURING 3924 02:20:43,760 --> 02:20:48,160 THE PANDEMIC, AND THEY BASICALLY 3925 02:20:48,160 --> 02:20:50,960 HAVE ACCESS TO OVER 250 MILLION 3926 02:20:50,960 --> 02:20:52,440 LIVES THROUGH THEIR HEALTH CARE 3927 02:20:52,440 --> 02:20:52,680 SYSTEMS. 3928 02:20:52,680 --> 02:20:55,760 WE WANTED TO FIGURE OUT HOW TO 3929 02:20:55,760 --> 02:20:56,440 LEVERAGE THAT. 3930 02:20:56,440 --> 02:21:01,240 AND SO WE DEVELOPED NATIONAL 3931 02:21:01,240 --> 02:21:02,840 COVID COLLABORATOR OR NGC. 3932 02:21:02,840 --> 02:21:05,440 WE HAVE OVER 20 MILLION PEOPLE 3933 02:21:05,440 --> 02:21:07,880 WITHIN THIS PARTICULAR ENCLAVE. 3934 02:21:07,880 --> 02:21:09,280 IT'S SPECIFIC TO COVID. 3935 02:21:09,280 --> 02:21:11,280 BUT WE HAD ALL COMMERCE, ALL 3936 02:21:11,280 --> 02:21:13,560 AGES ARE REPRESENTED IN THIS 3937 02:21:13,560 --> 02:21:13,800 ENCLAVE. 3938 02:21:13,800 --> 02:21:15,040 AND IF YOU LIKE TO LEARN MORE, 3939 02:21:15,040 --> 02:21:16,560 THERE IS A DASHBOARD YOU CAN 3940 02:21:16,560 --> 02:21:18,120 LOOK AT THE QR CODE FOR EXAMPLE 3941 02:21:18,120 --> 02:21:19,360 IF YOU LIKE TO LEARN MORE. 3942 02:21:19,360 --> 02:21:20,160 IT'S ESSENTIALLY ALL OF THE 3943 02:21:20,160 --> 02:21:22,760 THINGS THAT YOU CAN GET INTO IN 3944 02:21:22,760 --> 02:21:23,880 ELECTRONIC HEALTH RECORD BUT WE 3945 02:21:23,880 --> 02:21:27,240 ALSO BRING IN CMS DATA, VACCINE 3946 02:21:27,240 --> 02:21:28,600 DATA, VIRAL VARIANT DATA, 3947 02:21:28,600 --> 02:21:30,760 ET CETERA, TO ADD TO THE DEPTH 3948 02:21:30,760 --> 02:21:32,800 OF DATA THAT IS ALREADY THERE TO 3949 02:21:32,800 --> 02:21:35,560 HAVE A GOOD UNDERSTANDING OF THE 3950 02:21:35,560 --> 02:21:40,680 IMPACTS OF THE PANDEMIC ON ALL 3951 02:21:40,680 --> 02:21:41,600 DIFFERENT ASPECTS OF THE 3952 02:21:41,600 --> 02:21:41,880 LIFESPAN. 3953 02:21:41,880 --> 02:21:43,080 AND SO IF YOU GO TO THE NEXT 3954 02:21:43,080 --> 02:21:45,080 SLIDE, THERE HAVE BEEN A COUPLE 3955 02:21:45,080 --> 02:21:47,120 OF REALLY NICE STUDIES THAT HAVE 3956 02:21:47,120 --> 02:21:48,760 COME OUT OF THIS PARTICULAR 3957 02:21:48,760 --> 02:21:51,600 PROGRAM THAT HAVE RELATED TO 3958 02:21:51,600 --> 02:21:52,480 PREGNANCY OR CHILD HEALTH. 3959 02:21:52,480 --> 02:21:54,760 AND SO I JUST HIGHLIGHTED THOSE 3960 02:21:54,760 --> 02:21:58,080 HERE AGAIN THAT YOU CAN LOOK AT, 3961 02:21:58,080 --> 02:21:58,440 AT YOUR LEISURE. 3962 02:21:58,440 --> 02:21:59,600 BUT IT'S ANYWHERE FROM LOOKING 3963 02:21:59,600 --> 02:22:03,080 AT VACCINES IN PREGNANT WOMEN OR 3964 02:22:03,080 --> 02:22:05,200 COVID SYMPTOMS IN PREGNANT WOMEN 3965 02:22:05,200 --> 02:22:06,720 ALL THE WAY THROUGH TO LOOKING 3966 02:22:06,720 --> 02:22:09,600 AT THE LISC COMPARED TO THE 3967 02:22:09,600 --> 02:22:11,600 COVID DISEASES THAT WE SAW AND 3968 02:22:11,600 --> 02:22:12,520 UNDERSTANDING THE DISTINCTIONS 3969 02:22:12,520 --> 02:22:14,000 THERE IN. 3970 02:22:14,000 --> 02:22:16,000 SO, THERE HAVE BEEN A VARIETY OF 3971 02:22:16,000 --> 02:22:16,400 ACTIVITIES. 3972 02:22:16,400 --> 02:22:18,480 I JUST PULLED THESE FOR 3973 02:22:18,480 --> 02:22:20,200 HIGHLIGHTS, NOT 3974 02:22:20,200 --> 02:22:21,120 NECESSARILY - AUTO WHOLE BODY OF 3975 02:22:21,120 --> 02:22:22,800 THE WORK BUT THERE IS QUITE A 3976 02:22:22,800 --> 02:22:23,720 LOT THERE. 3977 02:22:23,720 --> 02:22:25,200 SO IF YOU GO TO THE NEXT SLIDE, 3978 02:22:25,200 --> 02:22:27,760 I'M GOING TO END ON TWO 3979 02:22:27,760 --> 02:22:28,720 VIGNETTES OF OTHER ACTIVITIES 3980 02:22:28,720 --> 02:22:29,800 THAT ARE BEING SUPPORTED THROUGH 3981 02:22:29,800 --> 02:22:33,280 THE CTSA PROGRAM. 3982 02:22:33,280 --> 02:22:34,720 AGAIN, THE MAGNITUDE AND BREATH 3983 02:22:34,720 --> 02:22:37,400 OF THE INFRASTRUCTURE THEY HAVE, 3984 02:22:37,400 --> 02:22:38,800 IT'S NOT THE SAME EVERYWHERE. 3985 02:22:38,800 --> 02:22:40,800 BUT WE CAN LEVERAGE THOSE 3986 02:22:40,800 --> 02:22:42,200 STRENGTHS TO BROADER ACTIVITIES 3987 02:22:42,200 --> 02:22:44,400 THAT WE SUPPORT THE PROGRAM. 3988 02:22:44,400 --> 02:22:46,680 AND ONE OF THOSE IS HIGHLIGHTED 3989 02:22:46,680 --> 02:22:46,880 HERE. 3990 02:22:46,880 --> 02:22:49,320 THIS IS ALSO COFUNDED THROUGH 3991 02:22:49,320 --> 02:22:51,480 NICHD BUT LOOKING AT THE 3992 02:22:51,480 --> 02:22:52,800 IMPLEMENTATION OF WHOLE GENOME 3993 02:22:52,800 --> 02:22:54,440 SEQUENCING AS A SCREENING TOOL 3994 02:22:54,440 --> 02:22:56,960 IN A DIVERSE COHORDE OF HEALTHY 3995 02:22:56,960 --> 02:22:59,160 INFANTS TO REALLY THINK ABOUT 3996 02:22:59,160 --> 02:23:01,600 HOW WHOLE GENOME SEQUENCING 3997 02:23:01,600 --> 02:23:03,520 MIGHT BE USED FOR NEWBORN 3998 02:23:03,520 --> 02:23:04,400 SCREENING PROGRAMS. 3999 02:23:04,400 --> 02:23:05,400 THE ETHICS AROUND THAT. 4000 02:23:05,400 --> 02:23:06,600 THIS IS THE KIND OF EVIDENCE WE 4001 02:23:06,600 --> 02:23:08,400 NEED TO START TO THINK ABOUT HOW 4002 02:23:08,400 --> 02:23:11,600 TO USE THAT TO INFORM POLICIES. 4003 02:23:11,600 --> 02:23:13,440 THIS IS WHY THIS KIND OF WORK IS 4004 02:23:13,440 --> 02:23:14,160 SO IMPORTANT. 4005 02:23:14,160 --> 02:23:16,520 AND THEN THE NEXT SLIDE BRINGS 4006 02:23:16,520 --> 02:23:19,600 IT ALL HOME AGAIN IN TERMS OF 4007 02:23:19,600 --> 02:23:26,440 WHY SEQUENCING AND NOT JUST 4008 02:23:26,440 --> 02:23:27,520 BABIES THAT MIGHT HAVE A 4009 02:23:27,520 --> 02:23:28,920 PARTICULAR CONDITION, BUT 4010 02:23:28,920 --> 02:23:30,720 PERHAPS ALL BABIES AT SOME POINT 4011 02:23:30,720 --> 02:23:31,920 I HOPE WE WILL BE ABLE TO GET 4012 02:23:31,920 --> 02:23:32,360 THERE. 4013 02:23:32,360 --> 02:23:36,160 SO THIS IS A STORY ABOUT AN 4014 02:23:36,160 --> 02:23:38,120 INFANT, FIVE WEEKS OLD, HEALTHY 4015 02:23:38,120 --> 02:23:38,320 MALE. 4016 02:23:38,320 --> 02:23:40,240 ADMITTED AFTER TWO HOURS OF 4017 02:23:40,240 --> 02:23:42,120 INCONSOLABLE CRYING AND 4018 02:23:42,120 --> 02:23:42,440 IRRITABILITY. 4019 02:23:42,440 --> 02:23:45,320 THEY DID A CAT SCAN AND FOUND 4020 02:23:45,320 --> 02:23:47,400 THAT DOWNWARD IDEATION WHEN HE 4021 02:23:47,400 --> 02:23:47,600 CRIED. 4022 02:23:47,600 --> 02:23:49,440 SO THAT WAS PRETTY INDICATIVE OF 4023 02:23:49,440 --> 02:23:50,080 WHAT THIS MIGHT BE. 4024 02:23:50,080 --> 02:23:53,120 IF YOU CLICK THE NEXT -- THERE 4025 02:23:53,120 --> 02:23:56,760 IS AN IN FEN TILE ENCEPHALOPATHY 4026 02:23:56,760 --> 02:23:57,520 ASSOCIATED WITH THIS. 4027 02:23:57,520 --> 02:23:58,960 THERE ARE 1500 OF THESE. 4028 02:23:58,960 --> 02:24:00,240 HOW DO YOU FIND THE TREATMENTS? 4029 02:24:00,240 --> 02:24:01,920 THE BEST WAY TO DO THAT, FASTEST 4030 02:24:01,920 --> 02:24:07,080 WAY TO DO THAT IS THROUGH -- 4031 02:24:07,080 --> 02:24:08,560 THIS WAS THROUGH SCRIPPS IN THE 4032 02:24:08,560 --> 02:24:10,160 CHILDREN'S HOSPITAL WHICH IS 4033 02:24:10,160 --> 02:24:14,440 WORLD-RENOWNED FOR DOING THIS. 4034 02:24:14,440 --> 02:24:16,160 THE NEXT ONE. 4035 02:24:16,160 --> 02:24:17,440 13 HOURS THEY WERE ADMITTED THEY 4036 02:24:17,440 --> 02:24:18,640 STARTED SEQUENCING AND THEN THEY 4037 02:24:18,640 --> 02:24:22,040 HAD THE RESULTS AND FOUND IT WAS 4038 02:24:22,040 --> 02:24:23,640 A THIGH MEAN METABOLISM 4039 02:24:23,640 --> 02:24:25,040 DYSFUNCTION SYNDROME CAUSING 4040 02:24:25,040 --> 02:24:25,880 THIS ENCEPHALITIS. 4041 02:24:25,880 --> 02:24:27,680 WE KNOW HOW TO TREAT THAT. 4042 02:24:27,680 --> 02:24:28,920 THE NEXT SLIDE SHOWS SIX HOURS 4043 02:24:28,920 --> 02:24:32,040 AFTER THE SEQUENCES WERE READ 4044 02:24:32,040 --> 02:24:38,480 AND INTERPRETED, THIGH MEAN WAS 4045 02:24:38,480 --> 02:24:39,160 ADMINISTERED AND THEREAFTER HE 4046 02:24:39,160 --> 02:24:41,240 WAS ALERT, CALM AND 4047 02:24:41,240 --> 02:24:42,560 BOTTLE-FEEDING AND BACK TO 4048 02:24:42,560 --> 02:24:42,840 NORMAL. 4049 02:24:42,840 --> 02:24:52,560 THIS IS THE POWER OF GENETICS. 4050 02:24:52,560 --> 02:24:54,560 I'M GOING TO END ON ONE MORE 4051 02:24:54,560 --> 02:24:56,160 SLIDE WITH A CALL TO ACTION AND 4052 02:24:56,160 --> 02:24:58,360 A PLEA FOR YOU. 4053 02:24:58,360 --> 02:25:00,440 NCATS IS UNDERGOING A STRATEGIC 4054 02:25:00,440 --> 02:25:01,200 PLANNING PROCESS AS WE SPEAK. 4055 02:25:01,200 --> 02:25:03,760 AND WE HAVE ENGAGED A VARIETY 4056 02:25:03,760 --> 02:25:04,760 STAKEHOLDERS. 4057 02:25:04,760 --> 02:25:06,960 WE ARE NOT YET TALKING TO THE 4058 02:25:06,960 --> 02:25:07,320 ICs YET. 4059 02:25:07,320 --> 02:25:09,560 WE ARE GETTING READY TO DO THAT. 4060 02:25:09,560 --> 02:25:10,480 THAT'S OUR NEXT STEP. 4061 02:25:10,480 --> 02:25:12,040 BUT WE HAVE BEEN DOING A LOT OF 4062 02:25:12,040 --> 02:25:14,080 OUR KEY STAKEHOLDERS TO DO THIS 4063 02:25:14,080 --> 02:25:14,400 NOW. 4064 02:25:14,400 --> 02:25:15,960 WE ARE ALMOST AT THE STAGE WHERE 4065 02:25:15,960 --> 02:25:17,200 WE HAVE A REQUEST FOR 4066 02:25:17,200 --> 02:25:18,440 INFORMATION THAT WILL GO 4067 02:25:18,440 --> 02:25:19,720 PUBLICLY AND I WOULD LOVE IT IF 4068 02:25:19,720 --> 02:25:22,160 WE WOULD HAVE THE NOD TO SEND IT 4069 02:25:22,160 --> 02:25:24,360 TO YOU ALL TO PERHAPS TAKE A 4070 02:25:24,360 --> 02:25:25,560 LOOK AND THE GIVE YOUR INSIGHTS 4071 02:25:25,560 --> 02:25:27,880 AND INPUT INTO OUR STRATEGIC 4072 02:25:27,880 --> 02:25:28,280 PLAN. 4073 02:25:28,280 --> 02:25:30,040 THAT IS MY ASK OF YOU TODAY AND 4074 02:25:30,040 --> 02:25:31,600 I HOPE YOU CONSIDER DOING THAT. 4075 02:25:31,600 --> 02:25:33,920 AND WITH THAT, I JUST GO BACK TO 4076 02:25:33,920 --> 02:25:34,960 THE PUBLIC HEALTH CHALLENGE. 4077 02:25:34,960 --> 02:25:36,760 OVER 10,000 DISEASES. 4078 02:25:36,760 --> 02:25:39,360 WE HAVE A MOUNTAIN TO CLIMB. 4079 02:25:39,360 --> 02:25:41,360 BUT WORKING TOGETHER AND SORT OF 4080 02:25:41,360 --> 02:25:43,240 THE PROMISE AND HOPE WE HAVE IN 4081 02:25:43,240 --> 02:25:46,080 SOME OF THESE HIGHLIGHTS, I 4082 02:25:46,080 --> 02:25:48,280 THINK IT WILL HELP US CLIMB THAT 4083 02:25:48,280 --> 02:25:50,080 MOUNTAIN AND IT WILL HELP US 4084 02:25:50,080 --> 02:25:52,280 MOVE MORE MOUNTAINS AND THAT IS 4085 02:25:52,280 --> 02:25:54,400 REALLY OUR -- SO WITH THAT, I 4086 02:25:54,400 --> 02:25:55,280 REALLY THEY FOR YOUR ATTENTION 4087 02:25:55,280 --> 02:25:58,800 AND I'M HAPPY TO ANSWER ANY 4088 02:25:58,800 --> 02:26:00,400 QUESTIONS. 4089 02:26:00,400 --> 02:26:06,200 [ APPLAUSE ] 4090 02:26:06,200 --> 02:26:08,680 >>SHERRY FOR VIRGINIA 4091 02:26:08,680 --> 02:26:09,280 COMMONWEALTH UNIVERSITY CHAIRMAN 4092 02:26:09,280 --> 02:26:11,600 OF PEDIATRICS THERE. 4093 02:26:11,600 --> 02:26:12,040 THANK YOU VERY MUCH. 4094 02:26:12,040 --> 02:26:13,120 SO MUCH TO THINK ABOUT. 4095 02:26:13,120 --> 02:26:14,120 VERY EXCITING TIME. 4096 02:26:14,120 --> 02:26:15,920 WE NOW HAVE ALL THESE TOOLS AND 4097 02:26:15,920 --> 02:26:18,160 TECHNOLOGY THAT WE DIDN'T HAVE 4098 02:26:18,160 --> 02:26:19,480 EVEN FIVE YEARS AGO. 4099 02:26:19,480 --> 02:26:20,760 SO I WANTED TO HEAR A LITTLE 4100 02:26:20,760 --> 02:26:22,760 BIT, WE TALK ABOUT BIG DATA AND 4101 02:26:22,760 --> 02:26:23,920 THEN BIG-SMALL DATA. 4102 02:26:23,920 --> 02:26:26,120 WE HAVE BIG DATA ACROSS 4103 02:26:26,120 --> 02:26:26,400 INDIVIDUALS. 4104 02:26:26,400 --> 02:26:28,520 WE HAVE BIG SMALL DATA WITHIN 4105 02:26:28,520 --> 02:26:31,160 INDIVIDUALS THAT WE CAN USE WITH 4106 02:26:31,160 --> 02:26:33,680 ALL OF THE WEARABLE, MEASURABLE 4107 02:26:33,680 --> 02:26:35,800 PARTS OF HOW WE WALK IN THIS 4108 02:26:35,800 --> 02:26:37,080 WORLD NOW. 4109 02:26:37,080 --> 02:26:39,480 SO MY QUESTION TO YOU IS, HOW DO 4110 02:26:39,480 --> 02:26:41,280 WE STAY AHEAD OF UNDERSTANDING 4111 02:26:41,280 --> 02:26:43,280 THE BEST USE OF AI AND DEEP 4112 02:26:43,280 --> 02:26:45,840 MACHINE LEARNING, PLUS THE OTHER 4113 02:26:45,840 --> 02:26:48,200 TOOLS SO THAT AS DANIELLE SAID, 4114 02:26:48,200 --> 02:26:49,720 WE CAN KNOW WHEN TO THINK SLOW 4115 02:26:49,720 --> 02:26:52,920 AND WHEN WHEN TO THINK FAST. 4116 02:26:52,920 --> 02:26:56,720 >>I'M ONE OF THE SLOW THINKERS. 4117 02:26:56,720 --> 02:26:59,800 I REALLY APPRECIATE THAT 4118 02:26:59,800 --> 02:27:00,080 QUESTION. 4119 02:27:00,080 --> 02:27:01,200 IT'S A GOOD ONE. 4120 02:27:01,200 --> 02:27:02,520 I DON'T KNOW THAT WE REALLY 4121 02:27:02,520 --> 02:27:04,080 FIGURED IT OUT YET AND I STILL 4122 02:27:04,080 --> 02:27:07,160 THINK THAT WE HAVEN'T SOLVED THE 4123 02:27:07,160 --> 02:27:08,360 AI ISSUES EITHER. 4124 02:27:08,360 --> 02:27:10,080 I THINK THERE IS STILL A LOT OF 4125 02:27:10,080 --> 02:27:10,400 HYPE THERE. 4126 02:27:10,400 --> 02:27:11,920 WE HAVE A LOT OF -- WE ARE 4127 02:27:11,920 --> 02:27:13,920 BASING IT ON A LOT OF DNA THAT 4128 02:27:13,920 --> 02:27:18,320 HAS A LOT OF MISSINGNESS IN IT. 4129 02:27:18,320 --> 02:27:19,920 SO PART OF OUR THOUGHT IN THIS 4130 02:27:19,920 --> 02:27:21,120 SPACE IS TO UNDERSTAND HOW WE 4131 02:27:21,120 --> 02:27:22,520 CAN BRING ABOUT MORE 4132 02:27:22,520 --> 02:27:24,240 TRANSPARENCY TO WHAT THE DATA 4133 02:27:24,240 --> 02:27:25,920 ARE THAT IS GOING INTO 4134 02:27:25,920 --> 02:27:28,000 DEVELOPING ALGORITHMS SO WE CAN 4135 02:27:28,000 --> 02:27:29,200 SURFACE THE BIASES OR ISSUES 4136 02:27:29,200 --> 02:27:31,440 THAT ARE ASSOCIATED WITH THEM. 4137 02:27:31,440 --> 02:27:32,960 IF NOT TO OVERCOME THEM, KNOW 4138 02:27:32,960 --> 02:27:34,800 ABOUT THEM. 4139 02:27:34,800 --> 02:27:36,160 SO THAT'S ONE AREA THAT WE ARE 4140 02:27:36,160 --> 02:27:37,120 THINKING ABOUT. 4141 02:27:37,120 --> 02:27:38,800 THE OTHER AREA ON WEARABLES IS A 4142 02:27:38,800 --> 02:27:39,280 GREAT QUESTION. 4143 02:27:39,280 --> 02:27:41,640 AND I THINK THERE IS A LOT OF OF 4144 02:27:41,640 --> 02:27:44,400 VALUE TO THINKING ABOUT THE USE 4145 02:27:44,400 --> 02:27:46,040 OF WEARABLES AND OTHER KINDS OF 4146 02:27:46,040 --> 02:27:49,240 TECHNOLOGIES LIKE TELEHEALTH AND 4147 02:27:49,240 --> 02:27:50,840 TELEMEDICINE THAT ARE ALSO SORT 4148 02:27:50,840 --> 02:27:52,720 OF REALLY IMPORTANT TO BE 4149 02:27:52,720 --> 02:27:53,760 THINKING ABOUT REACHING 4150 02:27:53,760 --> 02:27:56,720 COMMUNITIES THAT WE DON'T OFTEN 4151 02:27:56,720 --> 02:27:56,920 REACH. 4152 02:27:56,920 --> 02:27:58,520 WE THINK ABOUT ALL OF OUR 4153 02:27:58,520 --> 02:28:00,640 STUDIES IN ACADEMIC MEDICAL 4154 02:28:00,640 --> 02:28:02,040 CENTERS OR AROUND ACADEMIC 4155 02:28:02,040 --> 02:28:04,080 MEDICAL CENTERS BUT GETTING OUT 4156 02:28:04,080 --> 02:28:06,040 INTO THE RURAL COMMUNITIES AND 4157 02:28:06,040 --> 02:28:08,600 UNDERSERVED COMMUNITIES, 4158 02:28:08,600 --> 02:28:09,800 WEARABLES, MOBILE HEALTH 4159 02:28:09,800 --> 02:28:11,680 TECHNOLOGY, TELEHEALTH AND 4160 02:28:11,680 --> 02:28:12,520 TELEMEDICINE, THESE MIGHT BE 4161 02:28:12,520 --> 02:28:14,040 THESE THINGS THAT CAN REALLY 4162 02:28:14,040 --> 02:28:16,640 HELP US THINK ABOUT EVEN GOING 4163 02:28:16,640 --> 02:28:19,160 INTO DECENTRALIZED TRIALS OR 4164 02:28:19,160 --> 02:28:19,840 DECENTRALIZED RESEARCH 4165 02:28:19,840 --> 02:28:21,240 APPROACHES WE CAN DO. 4166 02:28:21,240 --> 02:28:24,120 SO I THINK THE PROMISE IS THERE. 4167 02:28:24,120 --> 02:28:28,920 AND AT THE SAME TIME, SO 4168 02:28:28,920 --> 02:28:30,480 THINKING VERIES FAST THINKING. 4169 02:28:30,480 --> 02:28:31,720 I LIKE THAT WAY OF THINKING 4170 02:28:31,720 --> 02:28:33,000 ABOUT THAT. 4171 02:28:33,000 --> 02:28:33,960 IT'S THAT VELOCITY. 4172 02:28:33,960 --> 02:28:36,680 SO THINKING ABOUT THE WEARABLES. 4173 02:28:36,680 --> 02:28:38,040 WE WEAR THESE WATCHES. 4174 02:28:38,040 --> 02:28:40,400 EVERYBODY HAS THEIR WATCH ON. 4175 02:28:40,400 --> 02:28:42,160 I STOPPED USING IT AS MUCH AS I 4176 02:28:42,160 --> 02:28:42,840 USED TO. 4177 02:28:42,840 --> 02:28:44,560 I'M A EARLY ADAPTER AND NOW I 4178 02:28:44,560 --> 02:28:46,440 DON'T USE IT AS MUCH AS I HAVE 4179 02:28:46,440 --> 02:28:46,840 BEFORE. 4180 02:28:46,840 --> 02:28:48,560 MAINLY BECAUSE NOW I THINK I 4181 02:28:48,560 --> 02:28:49,640 CHANGED MY BEHAVIOR ENOUGH THAT 4182 02:28:49,640 --> 02:28:51,840 I'M ABLE TO KNOW WHAT IS THE 4183 02:28:51,840 --> 02:28:53,280 ISSUE OR NOT. 4184 02:28:53,280 --> 02:28:56,880 DID I NOT GET SLEEP LAST NIGHT? 4185 02:28:56,880 --> 02:28:58,440 PROBABLY -- DUH! 4186 02:28:58,440 --> 02:29:00,280 SO I THINK THAT THESE WEARABLES 4187 02:29:00,280 --> 02:29:00,880 ARE GOOD FOR THOSE SORTS OF 4188 02:29:00,880 --> 02:29:01,160 THINGS. 4189 02:29:01,160 --> 02:29:03,080 AND AS WE GET MORE SOPHISTICATED 4190 02:29:03,080 --> 02:29:05,680 IN THAT WE CAN HIGHLIGHT DEVICES 4191 02:29:05,680 --> 02:29:09,440 THAT CAN TAKE A LOOK AT YOUR 4192 02:29:09,440 --> 02:29:10,120 ANEMIA, FOR EXAMPLE. 4193 02:29:10,120 --> 02:29:11,880 TAKE PHOTOS OF YOUR NAIL BEDS 4194 02:29:11,880 --> 02:29:14,280 AND LOOK AT ANEMIA, THERE ARE A 4195 02:29:14,280 --> 02:29:17,040 VARIETY OF WAYS IF WE DON'T DO 4196 02:29:17,040 --> 02:29:18,280 EVERYTHING, WE HAVE A CHANCE. 4197 02:29:18,280 --> 02:29:20,040 IF WE THINK ABOUT WHAT IS THE 4198 02:29:20,040 --> 02:29:22,040 QUESTION WE'RE ASKING, WE HAVE A 4199 02:29:22,040 --> 02:29:22,280 CHANCE. 4200 02:29:22,280 --> 02:29:23,960 SO I THINK IT'S THE SLOW 4201 02:29:23,960 --> 02:29:25,560 THINKERS THAT CAN PROBABLY HELP 4202 02:29:25,560 --> 02:29:26,560 US GET TO THE QUESTIONS WE NEED 4203 02:29:26,560 --> 02:29:29,080 TO ASK AND THEN THE FAST 4204 02:29:29,080 --> 02:29:30,280 THINKERS TO SAY THIS IS HOW TO 4205 02:29:30,280 --> 02:29:30,960 DO IT. 4206 02:29:30,960 --> 02:29:33,960 IT'S THINKING ABOUT COMBINED 4207 02:29:33,960 --> 02:29:34,480 IDEAS. 4208 02:29:34,480 --> 02:29:35,320 >>I APPRECIATE THAT ANSWER AND 4209 02:29:35,320 --> 02:29:37,960 I JUST HAVE A CALL FOR ACTION 4210 02:29:37,960 --> 02:29:39,720 FOR NIH ABOUT HOW WE THINK 4211 02:29:39,720 --> 02:29:42,080 TOGETHER ACROSS ALL THE ICs 4212 02:29:42,080 --> 02:29:43,760 AND CREATING GUARDRAILS ABOUT AI 4213 02:29:43,760 --> 02:29:45,080 AND UNDERSTANDING WHEN SILENT 4214 02:29:45,080 --> 02:29:46,600 BEST APPLICATION OF THAT AND 4215 02:29:46,600 --> 02:29:48,680 WHEN MAYBE IS IT NOT A GOOD 4216 02:29:48,680 --> 02:29:50,720 APPLICATION. 4217 02:29:50,720 --> 02:29:52,640 >>ABSOLUTELY. 4218 02:29:52,640 --> 02:29:54,680 WITH THE WORK ON THE ELECTRONIC 4219 02:29:54,680 --> 02:29:55,560 HEALTH RECORDS FOR EXAMPLE, 4220 02:29:55,560 --> 02:29:57,000 THERE HAS BEEN A LOT MORE 4221 02:29:57,000 --> 02:30:00,400 ACTIVITY IN THINKING ABOUT 4222 02:30:00,400 --> 02:30:00,960 ARTIFICIAL INTELLIGENCE AND 4223 02:30:00,960 --> 02:30:03,480 MACHINE LEARNING FOR ADOPTING 4224 02:30:03,480 --> 02:30:04,680 ALGORITHMS TO IDENTIFY PEOPLE 4225 02:30:04,680 --> 02:30:06,200 WHO MIGHT BE MORE SEVERE OR AT 4226 02:30:06,200 --> 02:30:08,120 RISK FOR CERTAIN DISEASE. 4227 02:30:08,120 --> 02:30:09,200 THERE AGAIN I THINK WE NEED TO 4228 02:30:09,200 --> 02:30:10,280 BE CAUTIOUS ABOUT THAT AND WE 4229 02:30:10,280 --> 02:30:12,480 NEED TO DO A LOT OF VALIDATION 4230 02:30:12,480 --> 02:30:12,960 AROUND THAT. 4231 02:30:12,960 --> 02:30:14,760 AND WE HAVEN'T DONE ENOUGH YET. 4232 02:30:14,760 --> 02:30:16,160 I THINK WE WERE STARTING TO 4233 02:30:16,160 --> 02:30:18,960 RECOGNIZE THAT BECAUSE IT HASN'T 4234 02:30:18,960 --> 02:30:19,800 REALLY RISEN TO THE LEVEL THAT 4235 02:30:19,800 --> 02:30:22,080 WE KIND OF ALL EXPECTED IT TO DO 4236 02:30:22,080 --> 02:30:23,800 ABOUT FIVE YEARS AGO, RIGHT? 4237 02:30:23,800 --> 02:30:24,600 BUT I THINK THIS IS SOMETHING 4238 02:30:24,600 --> 02:30:26,000 THAT WILL GET THERE AND I'LL 4239 02:30:26,000 --> 02:30:28,480 JUST SAY, TOO, SINCE WE ARE 4240 02:30:28,480 --> 02:30:31,080 TALKING ABOUT BIG DATA HERE; THE 4241 02:30:31,080 --> 02:30:32,800 VERY SMALLEST ASPECTS OF DATA 4242 02:30:32,800 --> 02:30:37,320 SCIENCE TO ME, ARIAN TOUGH. 4243 02:30:37,320 --> 02:30:37,560 QUANTUM. 4244 02:30:37,560 --> 02:30:38,200 THERE ARE QUANTUM BASED 4245 02:30:38,200 --> 02:30:40,600 APPROACHES USING QUANTUM 4246 02:30:40,600 --> 02:30:41,800 COMPUTING THAT MIGHT BE VERY 4247 02:30:41,800 --> 02:30:44,120 BENEFICIAL FOR US IN LOOKING AT 4248 02:30:44,120 --> 02:30:45,320 DATA IN WAYS WE HAVEN'T BEEN 4249 02:30:45,320 --> 02:30:46,960 ABLE TO DO BEFORE AND HIGHLIGHT 4250 02:30:46,960 --> 02:30:50,400 THOSE ISSUES OF BIAS AND MISSING 4251 02:30:50,400 --> 02:30:52,600 MORE READILY BUT IN A WAY THAT 4252 02:30:52,600 --> 02:30:54,200 MIGHT IDENTIFY HOW TO GO OUT AND 4253 02:30:54,200 --> 02:30:55,520 FIND THOSE AND FILL IN THE 4254 02:30:55,520 --> 02:30:56,240 MISSING PIECES. 4255 02:30:56,240 --> 02:30:59,320 I THINK THERE IS EVEN MORE TO 4256 02:30:59,320 --> 02:31:04,320 COME IN THIS SPACE. 4257 02:31:04,320 --> 02:31:05,840 >>IN THE INTEREST OF TIME, I 4258 02:31:05,840 --> 02:31:07,160 DON'T WANT TO CUT TOO MUCH INTO 4259 02:31:07,160 --> 02:31:07,480 YOUR BREAK. 4260 02:31:07,480 --> 02:31:09,040 WE STILL HAVE A LOT THIS 4261 02:31:09,040 --> 02:31:09,280 AFTERNOON. 4262 02:31:09,280 --> 02:31:12,480 SO JONI, I REALLY WANT TO THANK 4263 02:31:12,480 --> 02:31:15,000 YOU FOR INFORMATION-PACKED TALK. 4264 02:31:15,000 --> 02:31:16,400 AND I DON'T KNOW IF YOU HAVE THE 4265 02:31:16,400 --> 02:31:19,120 TIME TO STAY FOR A FEW MINUTES 4266 02:31:19,120 --> 02:31:21,320 IF PEOPLE WANT TO ASK QUESTIONS 4267 02:31:21,320 --> 02:31:22,640 DURING THE BREAK. 4268 02:31:22,640 --> 02:31:23,080 >>ABSOLUTELY. 4269 02:31:23,080 --> 02:31:25,320 >>SO NOW WE'LL TAKE A 15-MINUTE 4270 02:31:25,320 --> 02:31:27,200 BREAK AND WE WILL RETURN TO THE 4271 02:31:27,200 --> 02:31:29,600 ROOM AT 2:45. 4272 02:31:29,600 --> 02:31:38,720 >>THANK YOU VERY MUCH. 4273 02:31:38,720 --> 02:31:41,920 NEXT, WE ARE GOING TO HEAR FROM 4274 02:31:41,920 --> 02:31:45,000 OUR BRAND NEW NICHD DIRECTOR OF 4275 02:31:45,000 --> 02:31:46,840 CLINICAL RESEARCH IN THE 4276 02:31:46,840 --> 02:31:47,480 DIVISION OF INTRAMURAL RESEARCH 4277 02:31:47,480 --> 02:31:51,120 AND THAT IS DR. CATHERINE 4278 02:31:51,120 --> 02:31:55,880 GORDON, WHO LITERALLY JOINED 4279 02:31:55,880 --> 02:31:56,680 NICHD YESTERDAY. 4280 02:31:56,680 --> 02:31:58,640 COMING FROM THE BAYLOR COLLEGE 4281 02:31:58,640 --> 02:31:59,800 OF MEDICINE WHERE SHE WAS 4282 02:31:59,800 --> 02:32:03,800 PROFESSOR OF PEDIATRICS, SHE'S 4283 02:32:03,800 --> 02:32:05,880 HIGHLIGHTY RATTERRED FOR HER 4284 02:32:05,880 --> 02:32:07,000 PIONEERING RESEARCH ON BONE 4285 02:32:07,000 --> 02:32:09,320 HEALTH AND BONE LOSS IN PEOPLE 4286 02:32:09,320 --> 02:32:11,080 WITH EATING DISORDERS. 4287 02:32:11,080 --> 02:32:13,240 SHE HAS PARTICULAR FOCUS ON WAYS 4288 02:32:13,240 --> 02:32:15,000 TO PREVENT OSTEOPOROSIS AND TO 4289 02:32:15,000 --> 02:32:16,600 OPTIMIZE FACTORS THAT ARE 4290 02:32:16,600 --> 02:32:18,320 CRITICAL FOR BONE DEVELOPMENT. 4291 02:32:18,320 --> 02:32:20,400 SUCH AS NUTRITION AND EXERCISE. 4292 02:32:20,400 --> 02:32:23,800 FOR MORE THAN TWO DECADES, 4293 02:32:23,800 --> 02:32:26,320 DR. GORDON LED HER OWN NIH 4294 02:32:26,320 --> 02:32:28,080 FUNDED RESEARCH PROGRAM IN 4295 02:32:28,080 --> 02:32:30,800 ADOLESCENT BONE HEALTH AND 4296 02:32:30,800 --> 02:32:31,360 REPRODUCTIVE ENDOCRINOLOGY. 4297 02:32:31,360 --> 02:32:33,520 SHE IS A FAMILIAR FACE TO THOSE 4298 02:32:33,520 --> 02:32:36,520 OF YOU WHO HAVE LONGEVITY HERE 4299 02:32:36,520 --> 02:32:37,840 BECAUSE SHE SERVED AS THE KEY 4300 02:32:37,840 --> 02:32:41,280 MEMBER OF OUR ADVISORY COUNCIL 4301 02:32:41,280 --> 02:32:43,240 FROM 2016-2020. 4302 02:32:43,240 --> 02:32:46,840 ALSO VERY ACTIVE IN OUR PRIOR 4303 02:32:46,840 --> 02:32:48,920 STRATEGIC PLANNING PROCESS AND 4304 02:32:48,920 --> 02:32:50,440 CONTRIBUTED TO THE CREATION OF 4305 02:32:50,440 --> 02:32:52,360 OUR NEW MISSION AND VISION 4306 02:32:52,360 --> 02:32:54,960 STATEMENTS THAT WERE UNVEILED IN 4307 02:32:54,960 --> 02:32:55,760 2020. 4308 02:32:55,760 --> 02:32:57,240 DR. GORDON RECEIVED HER MD FROM 4309 02:32:57,240 --> 02:32:59,800 THE UNIVERSITY OF NORTH 4310 02:32:59,800 --> 02:33:02,360 CAROLINA-CHAPEL HILL AND HER MSC 4311 02:33:02,360 --> 02:33:03,320 FROM HARVARD MEDICAL SCHOOL. 4312 02:33:03,320 --> 02:33:05,760 SHE COMPLETED HER RESIDENCY IN 4313 02:33:05,760 --> 02:33:07,520 GENERAL PEDIATRICS AND COMBINED 4314 02:33:07,520 --> 02:33:09,720 FELLOWSHIP IN PEDIATRIC 4315 02:33:09,720 --> 02:33:12,240 ENDOCRINOLOGY AND ADOLESCENT 4316 02:33:12,240 --> 02:33:13,640 MEDICINE AT BOSTON CHILDREN'S 4317 02:33:13,640 --> 02:33:16,320 HOSPITAL AND HER TALK TODAY IS 4318 02:33:16,320 --> 02:33:18,520 TITLED, YOUNG WOMEN'S HEALTH, 4319 02:33:18,520 --> 02:33:20,320 SUPPORTING ADOLESCENTS, YOUNG 4320 02:33:20,320 --> 02:33:22,040 ADULTS AND THEIR FAMILIES. 4321 02:33:22,040 --> 02:33:23,720 WELCOME DR. GORDON. 4322 02:33:23,720 --> 02:33:25,640 >>THANK YOU, SO MUCH 4323 02:33:25,640 --> 02:33:26,160 DR. BIANCHI. 4324 02:33:26,160 --> 02:33:28,200 IT'S SO NICE TO BE HERE. 4325 02:33:28,200 --> 02:33:30,400 WHEN I ROTATED OFF THE COUNCIL, 4326 02:33:30,400 --> 02:33:31,920 SOME OF YOU WERE JUST STARTING 4327 02:33:31,920 --> 02:33:35,680 SO IT'S REALLY GREAT TO SEE YOU 4328 02:33:35,680 --> 02:33:35,880 AGAIN. 4329 02:33:35,880 --> 02:33:39,360 THANK YOU TO DR. BIANCHI AND 4330 02:33:39,360 --> 02:33:40,640 DR. BANE AND DR. MENSA IN THE 4331 02:33:40,640 --> 02:33:42,480 BACK WHO WAS OUR ACTING CLINICAL 4332 02:33:42,480 --> 02:33:43,920 DIRECTOR JUST FOR THE WARM 4333 02:33:43,920 --> 02:33:44,760 WELCOME, EVERYONE. 4334 02:33:44,760 --> 02:33:47,960 IT'S BEEN JUST INCREDIBLE AND 4335 02:33:47,960 --> 02:33:53,840 GREAT TO BE HERE. 4336 02:33:53,840 --> 02:33:55,680 I'M GOING TO GIVE YOU A LITTLE 4337 02:33:55,680 --> 02:33:57,560 BACKGROUND ABOUT MYSELF AS A 4338 02:33:57,560 --> 02:33:59,880 SCIENTIST, AS A LEADER, MY 4339 02:33:59,880 --> 02:34:01,640 SCIENTIFIC INTERESTS AND THEN 4340 02:34:01,640 --> 02:34:03,240 LAUNCH INTO MY VISION STATEMENT, 4341 02:34:03,240 --> 02:34:06,200 MY VISION FOR THE NICHD AS THE 4342 02:34:06,200 --> 02:34:07,640 CLINICAL DIRECTOR, THINKING 4343 02:34:07,640 --> 02:34:11,800 ABOUT HOW TO SUPPORT CLINICAL 4344 02:34:11,800 --> 02:34:13,440 INVESTIGATORS, CLINICAL 4345 02:34:13,440 --> 02:34:14,840 TRANSLATIONAL SCIENTISTS, SOME 4346 02:34:14,840 --> 02:34:16,040 NEW SCIENTIFIC INITIATIVES AND 4347 02:34:16,040 --> 02:34:18,280 IDEAS WE HAVE IN TRYING TO ALIGN 4348 02:34:18,280 --> 02:34:20,360 IT WITH THE STRATEGIC PLAN. 4349 02:34:20,360 --> 02:34:24,640 AND I WILL SAY DR. BIANCHI AND 4350 02:34:24,640 --> 02:34:25,680 BANE DIDN'T LOOK AT EACH OTHER'S 4351 02:34:25,680 --> 02:34:28,680 SLIDES BUT THERE IS A REMARKABLE 4352 02:34:28,680 --> 02:34:30,880 ECHOING OF SOME OF THE POINTS. 4353 02:34:30,880 --> 02:34:34,080 SO I'M ORIGINALLY FROM NORTH 4354 02:34:34,080 --> 02:34:34,360 CAROLINA. 4355 02:34:34,360 --> 02:34:36,480 BOTH MY PARENTS WERE TEACHERS. 4356 02:34:36,480 --> 02:34:39,600 SO BEING A RESEARCHER, BEING A 4357 02:34:39,600 --> 02:34:42,160 MENTOR, GOING INTO MEDICINE 4358 02:34:42,160 --> 02:34:43,640 REALLY CAME NATURALLY. 4359 02:34:43,640 --> 02:34:46,280 AS DR. BIANCHI MENTIONED, I DID 4360 02:34:46,280 --> 02:34:47,600 MY UNDERGRADUATE IN MEDICAL 4361 02:34:47,600 --> 02:34:49,200 SCHOOL IN NORTH CAROLINA AND 4362 02:34:49,200 --> 02:34:51,960 THEN NORTH TO BOSTON AND STAYED 4363 02:34:51,960 --> 02:34:55,600 A LONG TIME, DID MY PEDIATRIC 4364 02:34:55,600 --> 02:34:56,880 RESIDENCY, DR. ROW ETCH WAS A 4365 02:34:56,880 --> 02:34:58,880 FELLOW WHEN I WAS A RESIDENT AND 4366 02:34:58,880 --> 02:35:00,480 HELPED TO GET ME INTO CLINICAL 4367 02:35:00,480 --> 02:35:00,720 RESEARCH. 4368 02:35:00,720 --> 02:35:02,520 I WANTED TO GIVE HIM THAT SHOUT 4369 02:35:02,520 --> 02:35:05,120 OUT AND THEN PURSUED THE DUAL 4370 02:35:05,120 --> 02:35:06,800 FELLOWSHIP ENDOCRINOLOGY IN 4371 02:35:06,800 --> 02:35:07,680 ADOLESCENT MEDICINE AND THEN 4372 02:35:07,680 --> 02:35:09,480 DURING MY FELLOWSHIP GOT A 4373 02:35:09,480 --> 02:35:13,400 MASTERS IN CLINICAL 4374 02:35:13,400 --> 02:35:13,720 INVESTIGATION. 4375 02:35:13,720 --> 02:35:15,000 SO HERE I AM. 4376 02:35:15,000 --> 02:35:18,800 I'M A GROWNUP SUMMER INTERN. 4377 02:35:18,800 --> 02:35:20,640 SO CIRCA 1984 I WORKED IN 4378 02:35:20,640 --> 02:35:23,800 BUILDING 38, THE NATIONAL 4379 02:35:23,800 --> 02:35:24,680 LIBRARY OF MEDICINE. 4380 02:35:24,680 --> 02:35:27,000 THAT BUILDING HASN'T CHANGED A 4381 02:35:27,000 --> 02:35:28,280 LOT. 4382 02:35:28,280 --> 02:35:29,720 AND INTERESTINGLY, AT LEAST ON 4383 02:35:29,720 --> 02:35:31,200 THE OUTSIDE, HAVEN'T BEEN INSIDE 4384 02:35:31,200 --> 02:35:34,240 A LONG TIME, ITCHES A VOLUNTEER 4385 02:35:34,240 --> 02:35:37,200 ON THE PEDIATRIC CANCER WARD IN 4386 02:35:37,200 --> 02:35:39,280 THE CLINICAL CENTER AND MY 4387 02:35:39,280 --> 02:35:41,920 OFFICE IS NOW IN THE CLINICAL 4388 02:35:41,920 --> 02:35:42,160 CENTER. 4389 02:35:42,160 --> 02:35:44,200 SO LIFE HAS REALLY COME FULL 4390 02:35:44,200 --> 02:35:44,440 CIRCLE. 4391 02:35:44,440 --> 02:35:47,000 I WANTED TO SAY THAT EXPERIENCE 4392 02:35:47,000 --> 02:35:50,720 WAS SO TRANSFORMATIVE FOR ME, 4393 02:35:50,720 --> 02:35:51,880 REALLY CONFIRM MY WANTING TO GO 4394 02:35:51,880 --> 02:35:52,920 INTO MEDICINE AND FOR THE FIRST 4395 02:35:52,920 --> 02:35:56,080 TIME THINKING ABOUT RESEARCH AND 4396 02:35:56,080 --> 02:35:57,400 COMBINING THE TWO. 4397 02:35:57,400 --> 02:36:00,200 SO SUPPORTIVE OF HOW TO KEEP 4398 02:36:00,200 --> 02:36:01,240 PROGRAMS STRONG. 4399 02:36:01,240 --> 02:36:03,200 IT'S WHEN I THINK OF THE WORK 4400 02:36:03,200 --> 02:36:05,720 THAT I DO, TRAINED AS A 4401 02:36:05,720 --> 02:36:06,600 CLINICIAN, EVENTUALLY TRAINING 4402 02:36:06,600 --> 02:36:09,920 AS A RESEARCHER. 4403 02:36:09,920 --> 02:36:12,120 ENJOY TEACHING STUDENTS AND 4404 02:36:12,120 --> 02:36:14,120 RESIDENTS AND FELLOWS. 4405 02:36:14,120 --> 02:36:15,520 LOVE MENTORING. 4406 02:36:15,520 --> 02:36:16,720 AND THEN HAVE ENJOYED 4407 02:36:16,720 --> 02:36:18,520 INCREASINGLY GETTING INTO 4408 02:36:18,520 --> 02:36:19,920 ADMINISTRATIVE ROLES. 4409 02:36:19,920 --> 02:36:22,000 AND I SEE A LITTLE OPPORTUNITY 4410 02:36:22,000 --> 02:36:26,040 FOR ADVOCACY AND ADMINISTRATIVE 4411 02:36:26,040 --> 02:36:26,240 ROLE. 4412 02:36:26,240 --> 02:36:30,120 AND I HAVE A FAMILY. 4413 02:36:30,120 --> 02:36:35,040 MY HUSBAND, BOB, TO THE LEFT OF 4414 02:36:35,040 --> 02:36:36,440 ME, THOMAS IS A BASKETBALL 4415 02:36:36,440 --> 02:36:38,240 PLAYER WHO LIVES IN DC. 4416 02:36:38,240 --> 02:36:40,720 MY SON JACK IN ARIZONA IN 4417 02:36:40,720 --> 02:36:41,120 COLLEGE. 4418 02:36:41,120 --> 02:36:42,360 AND MY CAT, MOLLY. 4419 02:36:42,360 --> 02:36:45,360 WE ALWAYS HAD A CAT OR A DOG. 4420 02:36:45,360 --> 02:36:48,040 VERY SENSITIVE TO WORK LIFE 4421 02:36:48,040 --> 02:36:50,160 BALANCE ISSUES INTEGRATION AND 4422 02:36:50,160 --> 02:36:51,040 REALLY IMPORTANT TO THINK ABOUT 4423 02:36:51,040 --> 02:36:55,920 THAT AS WE BUILD TEAMS. 4424 02:36:55,920 --> 02:36:57,440 EVERY YOUNG SCIENTIST, MORE 4425 02:36:57,440 --> 02:36:58,440 SENIOR SCIENTISTS WILL HAVE 4426 02:36:58,440 --> 02:37:01,120 DIFFERENT ISSUES WITH CARE 4427 02:37:01,120 --> 02:37:03,080 GIVING AND MAYBE THEIR CAREER. 4428 02:37:03,080 --> 02:37:04,720 AND IT'S IMPORTANT TO MEET 4429 02:37:04,720 --> 02:37:05,760 PEOPLE WHERE THEY ARE TO MAKE 4430 02:37:05,760 --> 02:37:09,960 SURE THEY ARE THE MOST 4431 02:37:09,960 --> 02:37:10,720 PRODUCTIVE. 4432 02:37:10,720 --> 02:37:12,240 AFTER MENSA AND I TALKED ABOUT 4433 02:37:12,240 --> 02:37:14,120 WELLNESS AND PROMOTING PROGRAMS 4434 02:37:14,120 --> 02:37:15,840 AROUND WELLNESS AND REALLY 4435 02:37:15,840 --> 02:37:23,360 TAPPING INTO EVERYONE'S PERSONAL 4436 02:37:23,360 --> 02:37:23,600 SITUATION. 4437 02:37:23,600 --> 02:37:25,640 FRESH OUT OF FELLOWSHIP, I HAD 4438 02:37:25,640 --> 02:37:27,440 THE OPPORTUNITY AT BOSTON 4439 02:37:27,440 --> 02:37:29,720 CHILDREN'S TO TAKE ON MY FIRST 4440 02:37:29,720 --> 02:37:30,840 LEADERSHIP ROLE AND IT WAS ONE 4441 02:37:30,840 --> 02:37:33,440 OF THOSE I HAD BEEN USING A 4442 02:37:33,440 --> 02:37:34,840 DEXASCANSER TO MEASURE BONE 4443 02:37:34,840 --> 02:37:37,360 DENSITY AND WAS ASKED TO LEAD 4444 02:37:37,360 --> 02:37:38,760 THE PROGRAM BECAUSE BOSTON 4445 02:37:38,760 --> 02:37:40,760 CHILDREN'S WAS GETTING THE 4446 02:37:40,760 --> 02:37:41,160 SCANNER. 4447 02:37:41,160 --> 02:37:43,120 AND DIDN'T FEEL LIKE I KNEW THAT 4448 02:37:43,120 --> 02:37:45,200 MUCH ABOUT DEXA, BUT REALLY 4449 02:37:45,200 --> 02:37:47,680 LEARNED QUICKLY AND GREW INTO 4450 02:37:47,680 --> 02:37:50,080 THAT ROLE GETTING OUT OF ONE'S 4451 02:37:50,080 --> 02:37:52,600 COMFORT ZONE, PUSHING BACK THE 4452 02:37:52,600 --> 02:37:54,280 IMPOSTOR SYNDROME AND LEADING A 4453 02:37:54,280 --> 02:37:54,640 PROGRAM. 4454 02:37:54,640 --> 02:37:56,760 AND IT HAD A CLINICAL AND 4455 02:37:56,760 --> 02:37:57,200 RESEARCH COMPONENT. 4456 02:37:57,200 --> 02:38:00,240 AND REALLY LEARNED A LOT ABOUT 4457 02:38:00,240 --> 02:38:01,640 USING THAT TOOL. 4458 02:38:01,640 --> 02:38:02,840 WE USED CLINICALLY AS WELL AS 4459 02:38:02,840 --> 02:38:04,080 FOR RESEARCH AND THEN YOU CAN 4460 02:38:04,080 --> 02:38:06,960 SEE THERE ON THE BOTTOM LEFT, 4461 02:38:06,960 --> 02:38:08,240 PERIPHERAL QUANTITATIVE 4462 02:38:08,240 --> 02:38:12,000 COMPUTATIVE TOMOGRAPHY SCANNER, 4463 02:38:12,000 --> 02:38:13,560 PQCT, WHICH ENABLES US TO LOOK 4464 02:38:13,560 --> 02:38:14,960 AT THE PERIPHERAL SKELETON. 4465 02:38:14,960 --> 02:38:17,080 CHILDREN AND ADOLESCENTS TEND TO 4466 02:38:17,080 --> 02:38:18,560 FRACTURE ARMS AND LEGS, NOT HIP 4467 02:38:18,560 --> 02:38:19,520 AND SPINE. 4468 02:38:19,520 --> 02:38:23,920 IT WAS NICE TO INTEGRATE THE TWO 4469 02:38:23,920 --> 02:38:24,360 TOOLS. 4470 02:38:24,360 --> 02:38:26,280 THEN I GOT INTERESTED AGAIN, I 4471 02:38:26,280 --> 02:38:29,640 DID A FULL YEAR OF MEDICINE AS A 4472 02:38:29,640 --> 02:38:31,800 FELLOW, FULL YEAR OF 4473 02:38:31,800 --> 02:38:33,680 ENDOCRINOLOGY, LEARNED THAT 4474 02:38:33,680 --> 02:38:35,600 ANOREXIA NERVOSA, RESTRICTED 4475 02:38:35,600 --> 02:38:36,920 EATING DISORDERS ARE A PUBLIC 4476 02:38:36,920 --> 02:38:38,800 HEALTH ISSUE. 4477 02:38:38,800 --> 02:38:40,440 I SAW MANY PATIENTS PRESENTING 4478 02:38:40,440 --> 02:38:43,080 WITH AMEN RIA, LACK OF PERIODS, 4479 02:38:43,080 --> 02:38:45,760 BONE LOSS, STRESS FRACTURES AND 4480 02:38:45,760 --> 02:38:47,400 GOT INTERESTED AS AN 4481 02:38:47,400 --> 02:38:48,680 ENDOCRINOLOGIST AND WHY IS THIS 4482 02:38:48,680 --> 02:38:51,520 HAPPENING, WHAT IS THE HORMONAL 4483 02:38:51,520 --> 02:38:51,800 COMPONENT. 4484 02:38:51,800 --> 02:38:54,600 SO BEGAN DOING WORK TRYING TO 4485 02:38:54,600 --> 02:38:56,560 NON-INVASIVELY LOOK AT THE BONE 4486 02:38:56,560 --> 02:38:58,800 MARROW AND THE STEM CELLS AND 4487 02:38:58,800 --> 02:39:03,200 WHAT HORMONAL DRIVERS ARE GOING 4488 02:39:03,200 --> 02:39:04,200 TO EFFECT BURN TURNOVER. 4489 02:39:04,200 --> 02:39:06,600 WE LEARNED FROM OUR STUDIES AND 4490 02:39:06,600 --> 02:39:08,120 CONFIRMED BY OTHERS, STUDYING 4491 02:39:08,120 --> 02:39:11,600 ADULTS, THAT THE MSCs ARE 4492 02:39:11,600 --> 02:39:16,920 SHUNTED TOWARDS FAT, TOWARDS 4493 02:39:16,920 --> 02:39:18,280 DIFFERENTIATED HEP OOCYTES 4494 02:39:18,280 --> 02:39:20,680 RATHER THAN OSTEOBLAST AND THAT 4495 02:39:20,680 --> 02:39:22,480 EXPLAINS WHY BONE FORMATION IS 4496 02:39:22,480 --> 02:39:25,000 LOW IN ALL THESE STUDIES. 4497 02:39:25,000 --> 02:39:26,920 ONE MIGHT ASK WHY WOULD A THIN 4498 02:39:26,920 --> 02:39:29,400 PURPOSE HAVE FAT IN THEIR BONE 4499 02:39:29,400 --> 02:39:29,720 MARROW? 4500 02:39:29,720 --> 02:39:31,520 MAYBE IT'S A COMPENSATORY 4501 02:39:31,520 --> 02:39:34,160 MECHANISM, A WAY TO KEEP WARP, 4502 02:39:34,160 --> 02:39:38,120 BUT AT THENCE EXPENSE OF 4503 02:39:38,120 --> 02:39:39,160 INFLAMMATION. 4504 02:39:39,160 --> 02:39:41,200 I HAVE OVER THE PAST YEAR, 4505 02:39:41,200 --> 02:39:42,200 DR. BIANCHI MENTIONED I HAVE 4506 02:39:42,200 --> 02:39:46,120 BEEN AT BAYLOR, HAVE HAD A 4507 02:39:46,120 --> 02:39:46,440 BLAST. 4508 02:39:46,440 --> 02:39:48,120 A LOT OF FUN AS A SCIENTIST WITH 4509 02:39:48,120 --> 02:39:54,520 A HIGH RESOLUTION PQCT SCANNER 4510 02:39:54,520 --> 02:40:00,520 AND I'M GRATEFUL FOR SAYING YES 4511 02:40:00,520 --> 02:40:01,240 TO PURCHASE ONE FOR THE 4512 02:40:01,240 --> 02:40:01,600 INTRAMURAL TRAM. 4513 02:40:01,600 --> 02:40:05,040 THIS ALLOWS TO GET A TOTAL BONE 4514 02:40:05,040 --> 02:40:06,640 DENSITY AND LOOK SPECIFICALLY 4515 02:40:06,640 --> 02:40:11,000 WITHIN THE CORTICOAND 4516 02:40:11,000 --> 02:40:12,600 CONVECTULAR COMPARTMENTS OF 4517 02:40:12,600 --> 02:40:12,920 BONE. 4518 02:40:12,920 --> 02:40:14,240 YOU SEE SOME OF THE IMAGES HERE 4519 02:40:14,240 --> 02:40:17,320 AND THAT IS GOING TO HELP US TO 4520 02:40:17,320 --> 02:40:18,520 UNDERSTAND FRACTURE RISK IN A 4521 02:40:18,520 --> 02:40:20,160 NUMBER OF DIFFERENT:CALL MODELS. 4522 02:40:20,160 --> 02:40:22,320 AND I FEEL LIKE I HAVE BECOME 4523 02:40:22,320 --> 02:40:24,120 THE NEW CD WITH THE TOOL. 4524 02:40:24,120 --> 02:40:25,560 I HAVE ALREADY GOT SOME E-MAILS. 4525 02:40:25,560 --> 02:40:28,040 A LOT OF INTEREST, EVEN FROM 4526 02:40:28,040 --> 02:40:30,720 OTHER INSTITUTES AND 4527 02:40:30,720 --> 02:40:33,240 COLLABORATING WITH NICHD AND 4528 02:40:33,240 --> 02:40:35,800 LAUNCHING SOME OF THESE STUDIES. 4529 02:40:35,800 --> 02:40:39,040 SO THANK YOU FOR THAT. 4530 02:40:39,040 --> 02:40:42,040 JUST SPEAKING ABOUT RARE 4531 02:40:42,040 --> 02:40:43,040 DISEASES, HAD A GREAT 4532 02:40:43,040 --> 02:40:44,160 OPPORTUNITY OVER THE PAST COUPLE 4533 02:40:44,160 --> 02:40:46,320 OF DECADES TO WORK WITH CHILDREN 4534 02:40:46,320 --> 02:40:47,960 WITH PROGERIA. 4535 02:40:47,960 --> 02:40:50,160 WHICH IS MANY OF YOU KNOW, IS A 4536 02:40:50,160 --> 02:40:53,160 RARE FATAL GENETIC CONDITION. 4537 02:40:53,160 --> 02:40:54,960 THESE CHILDREN DEVELOP WHAT 4538 02:40:54,960 --> 02:40:56,160 SEEMINGLY EARLY AGING AND THEN 4539 02:40:56,160 --> 02:40:58,480 DIE OF CARDIOVASCULAR EVENTS 4540 02:40:58,480 --> 02:41:00,000 VERY EARLY IN THEIR LIFE. 4541 02:41:00,000 --> 02:41:02,560 AND TYPICALLY DURING THE 4542 02:41:02,560 --> 02:41:03,440 TEENAGED YEARS. 4543 02:41:03,440 --> 02:41:04,920 AT BOSTON CHILDREN'S WHEN I WAS 4544 02:41:04,920 --> 02:41:06,080 THERE AND CONTINUE TO WORK WITH 4545 02:41:06,080 --> 02:41:07,880 THEM, WE HAVE BEEN TRYING TO 4546 02:41:07,880 --> 02:41:09,560 IDENTIFY CHEMO THERAPEUTIC AGENT 4547 02:41:09,560 --> 02:41:12,680 TO PROLONG THE LIFE OF THESE 4548 02:41:12,680 --> 02:41:12,960 CHILDREN. 4549 02:41:12,960 --> 02:41:17,600 WE GOT AN FDA INDICATION ABOUT A 4550 02:41:17,600 --> 02:41:18,800 YEAR AND A HALF AGO, WHICH WAS 4551 02:41:18,800 --> 02:41:21,080 REALLY AN EXCITING DAY. 4552 02:41:21,080 --> 02:41:26,920 THESE PATIENTS HAVE A MUTATION 4553 02:41:26,920 --> 02:41:27,800 WHICH CREATES CRIMMIC SPLICE 4554 02:41:27,800 --> 02:41:29,800 SITE IN THE LMNA GENE. 4555 02:41:29,800 --> 02:41:32,600 THEY ALSO MAKE PRO GERIAN, AN AB 4556 02:41:32,600 --> 02:41:34,480 RANT PROTEIN AND THERE IS 4557 02:41:34,480 --> 02:41:35,600 NUCLEAR MEMBRANE DISTORTION IN 4558 02:41:35,600 --> 02:41:38,960 CELLS THROUGHOUT THE BODY. 4559 02:41:38,960 --> 02:41:41,080 MY ROLE AS A SCIENTIST WAS TO 4560 02:41:41,080 --> 02:41:43,760 THINK ABOUT THE SKELETAL 4561 02:41:43,760 --> 02:41:45,680 PHENOTYPE AND EVEN BEFORE WE 4562 02:41:45,680 --> 02:41:48,560 LOOKED AT THE DATA FOR BONE 4563 02:41:48,560 --> 02:41:50,280 DENSITY, WE JUST EXAMINED OUR 4564 02:41:50,280 --> 02:41:52,880 SKELETAL IMAGES AND YOU CAN SEE 4565 02:41:52,880 --> 02:41:54,400 THE ERROR IN THERE. 4566 02:41:54,400 --> 02:41:55,880 THIS IS THE RADIUS OF A CHILD 4567 02:41:55,880 --> 02:41:59,080 WITH PROGERIA VERSUS THE 4568 02:41:59,080 --> 02:42:00,000 CYLINDRICAL SHAPE OF A HEALTHY 4569 02:42:00,000 --> 02:42:02,200 CONTROL AND AS I HOOK AS WE MOVE 4570 02:42:02,200 --> 02:42:05,240 UP THE ARM MEASURING THE RADIAL 4571 02:42:05,240 --> 02:42:06,880 BONE TOWARDS THE SHOULDER. 4572 02:42:06,880 --> 02:42:10,000 SO VERY DIFFERENT BONE 4573 02:42:10,000 --> 02:42:12,000 MORPHOLOGY AND THAT PROBABLY 4574 02:42:12,000 --> 02:42:14,200 LONG TERM IMPACTS THE FRACTURE 4575 02:42:14,200 --> 02:42:14,520 RISK. 4576 02:42:14,520 --> 02:42:17,760 THEY ALSO DEVELOP THESE EXTRA 4577 02:42:17,760 --> 02:42:20,080 CELLULAR CALCIFICATIONS AT THE 4578 02:42:20,080 --> 02:42:22,720 TIPS OF THEIR FINGERS 4579 02:42:22,720 --> 02:42:23,120 RADIOGRAPHICSALLY. 4580 02:42:23,120 --> 02:42:24,400 WE HAVE BEEN TRYING TO 4581 02:42:24,400 --> 02:42:28,680 UNDERSTAND THEIR CALCIUM CONTENT 4582 02:42:28,680 --> 02:42:30,560 AS WELL. 4583 02:42:30,560 --> 02:42:32,440 I THEN GOT INTO WHAT HAS BECOME 4584 02:42:32,440 --> 02:42:36,080 A CONTROVERSIAL AREA OF BONE 4585 02:42:36,080 --> 02:42:38,200 HEALTH AND TRANSGENDER YOUTH. 4586 02:42:38,200 --> 02:42:39,480 AND I THINK PART OF THE 4587 02:42:39,480 --> 02:42:40,920 CONTROVERSY IS NOT HAVING THE 4588 02:42:40,920 --> 02:42:41,400 DATA. 4589 02:42:41,400 --> 02:42:47,200 SO THE QUESTION IS, WHAT HAPPENS 4590 02:42:47,200 --> 02:42:49,920 WHEN WE BLOCK SIGNALS AS A YOUNG 4591 02:42:49,920 --> 02:42:50,120 PERSON. 4592 02:42:50,120 --> 02:42:55,200 WE HAVE THE ABILITY TO PRESCRIBE 4593 02:42:55,200 --> 02:42:57,720 RELEASING HORMONE AGONIST WHICH 4594 02:42:57,720 --> 02:43:02,000 WILL BLOCK TESTOSTERONE AND IT 4595 02:43:02,000 --> 02:43:03,920 BLOCKS PUBERTY. 4596 02:43:03,920 --> 02:43:08,120 IT'S A LIFESAVER WITH GENDER 4597 02:43:08,120 --> 02:43:08,400 DYSPHORIA. 4598 02:43:08,400 --> 02:43:09,120 WHAT HAPPENS LONG TERM? 4599 02:43:09,120 --> 02:43:10,840 WE ARE USING THE SAME PROTOCOL 4600 02:43:10,840 --> 02:43:12,800 THAT WE USED FOR OUR ANOREXIA 4601 02:43:12,800 --> 02:43:16,840 STUDIES LOOKING AT BONE MARROW, 4602 02:43:16,840 --> 02:43:19,520 BONE DENSITY EFFECTS PERIPHERAL 4603 02:43:19,520 --> 02:43:23,800 AND PQCT AND THE STUDY IS 4604 02:43:23,800 --> 02:43:24,360 ONGOING. 4605 02:43:24,360 --> 02:43:25,640 THE INTRAMURAL PROGRAM WE PASSED 4606 02:43:25,640 --> 02:43:27,760 ON THE TORCH TO DR. AMY AND WE 4607 02:43:27,760 --> 02:43:33,840 ARE ABOUT FOUR YEARS INTO AN R 4608 02:43:33,840 --> 02:43:34,800 RO1. 4609 02:43:34,800 --> 02:43:38,080 NEXT ONE OF MY MOST EXCITING 4610 02:43:38,080 --> 02:43:40,840 NEXT STEPS IS THE CO-DIRECTOR IN 4611 02:43:40,840 --> 02:43:43,120 MY OWN RESEARCH PROGRAM IS TO 4612 02:43:43,120 --> 02:43:46,840 LAUNCH A CENTER FOR PREMATURE 4613 02:43:46,840 --> 02:43:49,960 OVARIAN INSUFFICIENCY, EARLY 4614 02:43:49,960 --> 02:43:51,040 MENOPAUSE IN ADOLESCENT GIRLS. 4615 02:43:51,040 --> 02:43:54,720 IT'S ALREADY KNOWN FOR HEALTHY 4616 02:43:54,720 --> 02:43:57,240 WOMAN DISORDER AND REALLY 4617 02:43:57,240 --> 02:43:59,240 BUILDING THAT WITH DR. LOBO 4618 02:43:59,240 --> 02:44:00,640 THINKING ABOUT ADOLESCENTS WHO 4619 02:44:00,640 --> 02:44:02,760 HAVE POI FROM A NUMBER OF 4620 02:44:02,760 --> 02:44:06,120 DIFFERENT ETIOLOGIES. 4621 02:44:06,120 --> 02:44:09,040 SO MY VISION IS TO MAKE NICHD A 4622 02:44:09,040 --> 02:44:10,440 NUMBER 1 RESEARCH DESTINATION 4623 02:44:10,440 --> 02:44:13,560 CENTER FOR POI. 4624 02:44:13,560 --> 02:44:16,040 AND IN PARTICULAR TO FILL 4625 02:44:16,040 --> 02:44:18,120 KNOWLEDGE GAPS AROUND ESTROGEN 4626 02:44:18,120 --> 02:44:18,920 REPLACEMENT THERAPY. 4627 02:44:18,920 --> 02:44:20,160 WHAT WE CURRENTLY PRESCRIBE IN 4628 02:44:20,160 --> 02:44:25,040 THE CLINICS IS BASED ON 4629 02:44:25,040 --> 02:44:26,080 ANECDOTAL INFORMATION. 4630 02:44:26,080 --> 02:44:27,640 WE HAVE A OPPORTUNITY TO GET 4631 02:44:27,640 --> 02:44:30,640 DATA ON WHAT TYPE OF ESTROGEN TO 4632 02:44:30,640 --> 02:44:32,360 USE, HOW FAST TO ESCALATE 4633 02:44:32,360 --> 02:44:34,040 DOSING, WHEN TO ADD 4634 02:44:34,040 --> 02:44:34,360 PROGESTERONE. 4635 02:44:34,360 --> 02:44:36,760 A LOT OF THIS IS WEIGHTING OF 4636 02:44:36,760 --> 02:44:38,960 HANDS, DEPENDING ON WHICH 4637 02:44:38,960 --> 02:44:40,280 ENDOCRINOLOGIST OR GYNECOLOGIST 4638 02:44:40,280 --> 02:44:40,960 YOU ASK. 4639 02:44:40,960 --> 02:44:43,000 WE CAN LOOK AT THE BROAD 4640 02:44:43,000 --> 02:44:43,960 SPECTRUM. 4641 02:44:43,960 --> 02:44:46,440 THOSE WITH POI FROM UNKNOWN 4642 02:44:46,440 --> 02:44:48,160 CAUSES FROM INDUCED BY 4643 02:44:48,160 --> 02:44:50,360 CHEMOTHERAPY OR FROM GENETIC 4644 02:44:50,360 --> 02:44:50,640 SYNDROMES. 4645 02:44:50,640 --> 02:44:52,400 SO IT'S A REAL OPPORTUNITY TO 4646 02:44:52,400 --> 02:44:54,760 ENGAGE PEDIATRICIANS AND 4647 02:44:54,760 --> 02:44:58,920 GYNECOLOGISTS WITHIN THE NICHD. 4648 02:44:58,920 --> 02:45:01,760 AND LASTLY, OVER THIS PAST YEAR 4649 02:45:01,760 --> 02:45:03,360 FROM SOME OF THE WORK I HAVE 4650 02:45:03,360 --> 02:45:05,200 BEEN DOING IN HOUSTON, I LEARNED 4651 02:45:05,200 --> 02:45:07,680 AND THINKING ABOUT POSTPARTUM 4652 02:45:07,680 --> 02:45:10,200 DEPRESSION AND ADOLESCENT 4653 02:45:10,200 --> 02:45:10,400 MOTHERS. 4654 02:45:10,400 --> 02:45:12,880 THE PREVALENCE OF PPD APPEARS TO 4655 02:45:12,880 --> 02:45:14,200 BE DOUBLE THAT SCENE IN ADULTS 4656 02:45:14,200 --> 02:45:17,080 BUT WE ONLY HAVE SPARSE DATA TO 4657 02:45:17,080 --> 02:45:18,720 SUPPORT WHAT I JUST SAID. 4658 02:45:18,720 --> 02:45:21,320 AND IMPORTANTLY, TO THINK ABOUT 4659 02:45:21,320 --> 02:45:24,480 THE BIOLOGICAL, PSYCHOLOGICAL 4660 02:45:24,480 --> 02:45:27,680 UNDERLYING RISK FACTORS, HOW THE 4661 02:45:27,680 --> 02:45:29,000 BODY MASS INDEX FACTORS INTO 4662 02:45:29,000 --> 02:45:31,000 THAT LOW OR HIGH BMI AND 4663 02:45:31,000 --> 02:45:32,400 THINKING ABOUT THE SOCIAL 4664 02:45:32,400 --> 02:45:34,080 DETERMINANTS OF HEALTH. 4665 02:45:34,080 --> 02:45:35,720 UNFORTUNATELY, WE MAY SEE MORE 4666 02:45:35,720 --> 02:45:37,120 TEENAGE PREG SEIZE AFTER THE 4667 02:45:37,120 --> 02:45:38,400 OVERTURN OF ROE v. WADE SO 4668 02:45:38,400 --> 02:45:41,000 IT'S A VERY TIMELY ISSUES THAT 4669 02:45:41,000 --> 02:45:43,720 RESONATES WITH THE STRATEGIC 4670 02:45:43,720 --> 02:45:44,880 PLANNED THEME, SETTING THE 4671 02:45:44,880 --> 02:45:47,520 FOUNDATION FOR HEALTHY 4672 02:45:47,520 --> 02:45:48,400 PREGNANCIES. 4673 02:45:48,400 --> 02:45:50,320 THERE HAS ANYONE A LOT OF TALK 4674 02:45:50,320 --> 02:45:52,320 AND GREAT DISCUSSION TODAY ABOUT 4675 02:45:52,320 --> 02:45:54,640 SUPPORTING THE CLINICAL 4676 02:45:54,640 --> 02:45:56,400 RESEARCH, THE RESEARCH PIPELINE 4677 02:45:56,400 --> 02:45:58,480 OR SOMETIMES CALLED A PATHWAY. 4678 02:45:58,480 --> 02:46:00,280 AND FROM BEING OF THE FRA MURAL 4679 02:46:00,280 --> 02:46:01,280 SIDE, I HAVE SEEN OVER AND OVER 4680 02:46:01,280 --> 02:46:05,000 THAT THE KEY TO SUCCESS AT TOP 4681 02:46:05,000 --> 02:46:06,680 RESEARCH INSTITUTIONS IS TO 4682 02:46:06,680 --> 02:46:08,640 ATTRACT THE TRAINEES WHO THEN 4683 02:46:08,640 --> 02:46:10,520 GROW UP TO BECOME THAT 4684 02:46:10,520 --> 02:46:11,000 SCIENTIFIC LEADER. 4685 02:46:11,000 --> 02:46:12,840 BUT THERE NEEDS TO BE THE 4686 02:46:12,840 --> 02:46:14,960 INFRASTRUCTURE THAT ALLOWS 4687 02:46:14,960 --> 02:46:16,920 TRAINEES AND NEUROSCIENTISTS TO 4688 02:46:16,920 --> 02:46:17,640 SUCCEED. 4689 02:46:17,640 --> 02:46:19,720 DR. McBAIN REALLY NICELY 4690 02:46:19,720 --> 02:46:22,280 OUTLINED A LOT OF THE PROGRAMS 4691 02:46:22,280 --> 02:46:24,240 THAT ARE ONGOING AND ALSO 4692 02:46:24,240 --> 02:46:25,440 IMPORTANTLY HE MENTIONED TRYING 4693 02:46:25,440 --> 02:46:27,840 TO TARGET THOSE WHO ARE UNDER 4694 02:46:27,840 --> 02:46:30,920 REPRESENTED IN MEDICINE OR 4695 02:46:30,920 --> 02:46:31,320 SCIENCE. 4696 02:46:31,320 --> 02:46:33,040 TRYING TO ATTRACT MORE WOMEN, 4697 02:46:33,040 --> 02:46:35,120 MORE GIRLS, THE VOICE OF THE 4698 02:46:35,120 --> 02:46:37,520 PARTICIPANT IS BACK THERE, GIRLS 4699 02:46:37,520 --> 02:46:39,440 GOING INTO SCIENCE AND 4700 02:46:39,440 --> 02:46:40,640 UNDERREPRESENTED MINORITIES AND 4701 02:46:40,640 --> 02:46:41,520 REALIZING THAT THESE GROUPS MAY 4702 02:46:41,520 --> 02:46:46,840 NOT HAVE HAD THE SAME EARLY 4703 02:46:46,840 --> 02:46:47,160 OPPORTUNITIES. 4704 02:46:47,160 --> 02:46:49,960 AND WHERE DOES ONE TACKLE THIS 4705 02:46:49,960 --> 02:46:51,720 ACADEMIC OR RESEARCH PIPELINE 4706 02:46:51,720 --> 02:46:53,640 AND PREVENT IT FROM LEAKING? 4707 02:46:53,640 --> 02:46:56,440 WE TALKED EARLY ABOUT MULTIPLE 4708 02:46:56,440 --> 02:46:58,360 POINTS BUT MY BIAS WOULD BE THAT 4709 02:46:58,360 --> 02:47:00,760 WE NEED TO START EARLY AND WHERE 4710 02:47:00,760 --> 02:47:04,240 DOES ONE SEE THE OPTIMAL RETURN 4711 02:47:04,240 --> 02:47:06,120 ON INVESTMENT? 4712 02:47:06,120 --> 02:47:08,440 I JUST WANT TO MENTION, I HAVE 4713 02:47:08,440 --> 02:47:09,720 BEEN FORTUNATE TO SERVE IN A 4714 02:47:09,720 --> 02:47:11,480 NUMBER OF LEADERSHIP ROLES AT 4715 02:47:11,480 --> 02:47:13,120 DIFFERENT PLACES AND DIFFERENT 4716 02:47:13,120 --> 02:47:13,960 PARTS OF THE COUNTRY. 4717 02:47:13,960 --> 02:47:17,080 HAVE LEARNED A LOT FROM ALL OF 4718 02:47:17,080 --> 02:47:17,440 THEM. 4719 02:47:17,440 --> 02:47:20,760 AND I'M EXCITED TO USE SOME OF 4720 02:47:20,760 --> 02:47:22,160 THE TOOLS AND THINGS I'VE 4721 02:47:22,160 --> 02:47:24,040 LEARNED IN THESE POSITIONS HERE 4722 02:47:24,040 --> 02:47:29,240 IN THE INTRAMURAL PROGRAM AT 4723 02:47:29,240 --> 02:47:29,440 NICHD. 4724 02:47:29,440 --> 02:47:31,160 AND IT WAS MENTIONED THERE IS A 4725 02:47:31,160 --> 02:47:32,840 PICTURE OF DR. BIANCHI AND ME 4726 02:47:32,840 --> 02:47:34,760 PROVING THAT I WAS ON THE 4727 02:47:34,760 --> 02:47:37,280 COUNCIL 2016-2020. 4728 02:47:37,280 --> 02:47:40,360 THAT WAS MY FIRST COUNCIL 4729 02:47:40,360 --> 02:47:43,160 MEETING AND IT WAS JUST SUCH AN 4730 02:47:43,160 --> 02:47:43,840 INCREDIBLE EXPERIENCE TO BE 4731 02:47:43,840 --> 02:47:45,280 AROUND THE TABLE WITH YOU ALL 4732 02:47:45,280 --> 02:47:47,480 AND WORKING ON THE MISSION AND 4733 02:47:47,480 --> 02:47:48,880 VISION STATEMENTS, GETTING TO 4734 02:47:48,880 --> 02:47:50,880 REVIEW THE STRATEGIC PLAN. 4735 02:47:50,880 --> 02:47:52,360 THRILLED TO HAVE THE OPPORTUNITY 4736 02:47:52,360 --> 02:47:53,160 TO REVISE IT AGAIN. 4737 02:47:53,160 --> 02:47:54,880 I THINK WE LEARNED A LOT THE 4738 02:47:54,880 --> 02:47:55,680 FIRST TIME. 4739 02:47:55,680 --> 02:47:57,400 I HAVE ENJOYED BEING A 4740 02:47:57,400 --> 02:47:58,880 SCIENTIFIC MENTOR AND ENJOYED 4741 02:47:58,880 --> 02:48:00,880 SERVING ON DATA AND SAFETY 4742 02:48:00,880 --> 02:48:02,200 MONITORING BOARDS AND HAD QUITE 4743 02:48:02,200 --> 02:48:04,040 A BIT OF EXPERIENCE WITH THE FDA 4744 02:48:04,040 --> 02:48:09,200 FROM THE MY OWN STUDIES AND FROM 4745 02:48:09,200 --> 02:48:09,440 MENTORING. 4746 02:48:09,440 --> 02:48:12,480 SO MY VISION FOR MY VISION 4747 02:48:12,480 --> 02:48:15,680 STATEMENT AS THE NEW CLINICAL 4748 02:48:15,680 --> 02:48:18,720 DIRECTOR IS YOU: 4749 02:48:18,720 --> 02:48:28,960 [ READING ] 4750 02:48:30,640 --> 02:48:35,760 IS: 4751 02:48:35,760 --> 02:48:45,960 [ READING ] 4752 02:48:46,440 --> 02:48:49,080 AND MY VISION IS GROUNDED IN THE 4753 02:48:49,080 --> 02:48:51,200 MISSION STATEMENTS AND THE 4754 02:48:51,200 --> 02:48:52,200 VISION STATEMENTS THAT WE TALKED 4755 02:48:52,200 --> 02:48:58,480 ABOUT A LOT IN THIS MEETING. 4756 02:48:58,480 --> 02:49:00,600 AND MY BROAD GOALS AS A LEADER 4757 02:49:00,600 --> 02:49:03,880 AND AGAIN DR. BIANCHI AND I BOTH 4758 02:49:03,880 --> 02:49:05,720 GRAVITATED TOWARDS A PUZZLE 4759 02:49:05,720 --> 02:49:05,920 IMAGE. 4760 02:49:05,920 --> 02:49:07,800 BUT IT'S MULTI-FOLD. 4761 02:49:07,800 --> 02:49:10,320 INVESTING AND SUPPORTING PEOPLE, 4762 02:49:10,320 --> 02:49:11,880 MANAGING CHANGE AND BRINGING 4763 02:49:11,880 --> 02:49:13,280 STABILITY, PROVIDING 4764 02:49:13,280 --> 02:49:13,600 REASSURANCE. 4765 02:49:13,600 --> 02:49:15,200 IT'S ALWAYS HARD WHEN THERE IS A 4766 02:49:15,200 --> 02:49:16,920 NEW LEADER, WHAT IS THE NEW 4767 02:49:16,920 --> 02:49:17,880 LEADER? 4768 02:49:17,880 --> 02:49:19,400 THE NEW SCHAFER IN TOWN GOING TO 4769 02:49:19,400 --> 02:49:20,000 DOEN? 4770 02:49:20,000 --> 02:49:22,200 COURAGING OPEN DIALOGUE AND 4771 02:49:22,200 --> 02:49:24,720 TRANSPARENCY, FOSTERING JUSTICE, 4772 02:49:24,720 --> 02:49:26,320 EQUITY, DIVERSITY AND INCLUSION. 4773 02:49:26,320 --> 02:49:28,000 PROMOTING RESEARCH EXCELLENCE. 4774 02:49:28,000 --> 02:49:30,520 ATTRACTING TALENT, PROMOTING 4775 02:49:30,520 --> 02:49:32,520 WELL-BEING, PROFESSIONALISM, 4776 02:49:32,520 --> 02:49:34,320 STRENGTHENING PARTNERSHIPS AND 4777 02:49:34,320 --> 02:49:35,320 FOSTERING FACULTY TRAINEE AND 4778 02:49:35,320 --> 02:49:35,960 STAFF DEVELOPMENT. 4779 02:49:35,960 --> 02:49:40,720 A LOT OF THIS DR. McBAIN 4780 02:49:40,720 --> 02:49:41,720 TALKED ABOUT. 4781 02:49:41,720 --> 02:49:43,800 A THEME THAT HAS ALWAYS 4782 02:49:43,800 --> 02:49:45,400 RESONATED WITH ME FROM THE 4783 02:49:45,400 --> 02:49:47,320 STRATEGIC PLAN IS ADVANCING SAFE 4784 02:49:47,320 --> 02:49:49,440 AND EFFECTIVE THERAPEUTICS AND 4785 02:49:49,440 --> 02:49:50,840 DEVICES FOR PREGNANT AND 4786 02:49:50,840 --> 02:49:52,200 LACTATING WOMEN, CHILDREN AND 4787 02:49:52,200 --> 02:49:53,120 PEOPLE WITH DISABILITIES. 4788 02:49:53,120 --> 02:49:55,320 AND DR. BIANCHI HAS DONE SOME 4789 02:49:55,320 --> 02:49:58,920 GREAT WORK WITH THE PEDIATRIC 4790 02:49:58,920 --> 02:50:01,000 RESEARCH STRATEGIC PLAN, THE 4791 02:50:01,000 --> 02:50:02,120 TASK FORCE. 4792 02:50:02,120 --> 02:50:05,000 A LOT OF WORK IS UNDERWAY. 4793 02:50:05,000 --> 02:50:06,280 BUT SINCE I WAS ON COUNCIL, 4794 02:50:06,280 --> 02:50:07,560 THERE HAS BEEN A LOT OF WORK 4795 02:50:07,560 --> 02:50:10,000 ABOUT MAKING IT EASIER FOR YOUNG 4796 02:50:10,000 --> 02:50:12,000 CHILDREN TO BE SEEN IN THE 4797 02:50:12,000 --> 02:50:13,520 CLINICAL CENTER, FOR PREGNANT 4798 02:50:13,520 --> 02:50:15,360 WOMEN TO BE ON PROTOCOLS, MAKING 4799 02:50:15,360 --> 02:50:17,320 SURE THAT IT IS SAFE AND 4800 02:50:17,320 --> 02:50:19,240 ENSURING EXCELLENT IN-PATIENT 4801 02:50:19,240 --> 02:50:19,480 SERVICES. 4802 02:50:19,480 --> 02:50:22,920 I'LL BE THINKING A LOT ABOUT 4803 02:50:22,920 --> 02:50:25,440 PREGNANT AND PEDIATRIC 4804 02:50:25,440 --> 02:50:25,760 ENDOCRINOLOGY. 4805 02:50:25,760 --> 02:50:28,680 ALL THESE OPPORTUNITIES TO HAVE 4806 02:50:28,680 --> 02:50:31,640 THE IMPETUS TO PARTNER WITH 4807 02:50:31,640 --> 02:50:33,320 LOCAL HOSPITALS, WITH THE 4808 02:50:33,320 --> 02:50:35,520 NEONATAL AND CRITICAL CARE 4809 02:50:35,520 --> 02:50:35,880 COVERAGE. 4810 02:50:35,880 --> 02:50:37,760 AND THEN CONTRIBUTING TO THE 4811 02:50:37,760 --> 02:50:39,240 PRECISION MEDICINE AND THE 4812 02:50:39,240 --> 02:50:40,840 PRECISION NUTRITION EFFORTS THAT 4813 02:50:40,840 --> 02:50:43,880 ARE SPOKEN ABOUT IN THE 4814 02:50:43,880 --> 02:50:47,360 STRATEGIC PLAN. 4815 02:50:47,360 --> 02:50:48,720 EQUITY, DIVERSITY AND INCLUSION. 4816 02:50:48,720 --> 02:50:50,360 I TALKED ABOUT TODAY ALREADY IN 4817 02:50:50,360 --> 02:50:51,520 THIS MEETING. 4818 02:50:51,520 --> 02:50:53,560 IT'S OUTLINED IN DETAIL IN THE 4819 02:50:53,560 --> 02:50:54,240 STRATEGIC PLAN. 4820 02:50:54,240 --> 02:50:57,360 I HAVE BEEN VERY, VERY 4821 02:50:57,360 --> 02:50:59,080 INTERESTED IN THE PROGRAMS FOR 4822 02:50:59,080 --> 02:50:59,760 YOUNG SCIENTISTS. 4823 02:50:59,760 --> 02:51:04,120 I DIRECTED THE NICHD FUNDED 4824 02:51:04,120 --> 02:51:04,720 STUDENT SUMMER RESEARCH PROGRAM 4825 02:51:04,720 --> 02:51:08,320 WITH THE AMERICAN PEDIATRIC 4826 02:51:08,320 --> 02:51:08,760 SOCIETY. 4827 02:51:08,760 --> 02:51:10,560 THERE ARE A LOT OF 4828 02:51:10,560 --> 02:51:11,040 OPPORTUNITIES. 4829 02:51:11,040 --> 02:51:13,360 AND PART OF MY VISION IS HAVING 4830 02:51:13,360 --> 02:51:16,280 A EDI CHAMPION FROM THE DIR WHO 4831 02:51:16,280 --> 02:51:18,600 IS HELPING ME AS A CLINICAL 4832 02:51:18,600 --> 02:51:20,360 DIRECTOR, HELPING THE LEADERSHIP 4833 02:51:20,360 --> 02:51:23,360 TEAM TO CONSTANTLY BE THINKING 4834 02:51:23,360 --> 02:51:25,240 ABOUT THE OPPORTUNITIES WE HAVE, 4835 02:51:25,240 --> 02:51:27,160 THE INTENTIONAL OUTREACH TO 4836 02:51:27,160 --> 02:51:28,960 APPLICANTS, NOT ONLY FOR THE 4837 02:51:28,960 --> 02:51:30,880 TRAINEES BUT FOR JUNIOR AND 4838 02:51:30,880 --> 02:51:31,760 SENIOR SCIENTISTS AND A NUMBER 4839 02:51:31,760 --> 02:51:33,280 OF ROLES THAT ARE OPEN RIGHT 4840 02:51:33,280 --> 02:51:33,560 NOW. 4841 02:51:33,560 --> 02:51:35,360 WE ARE RECRUITING. 4842 02:51:35,360 --> 02:51:37,960 AND AS THE CHAIR AT BAYLOR WAS 4843 02:51:37,960 --> 02:51:41,000 VERY INVOLVED IN THIS WORK, AND 4844 02:51:41,000 --> 02:51:42,680 WE BROUGHT JEDI INTO IT. 4845 02:51:42,680 --> 02:51:43,760 WE ADDED JUSTICE. 4846 02:51:43,760 --> 02:51:45,840 SO I WILL COME TO MY CLINICAL 4847 02:51:45,840 --> 02:51:52,400 DIRECTOR ROLE WITH MY YODA EARS 4848 02:51:52,400 --> 02:51:52,600 ON. 4849 02:51:52,600 --> 02:51:54,880 JUST BRIEFLY, AGAIN, FACULTY 4850 02:51:54,880 --> 02:51:58,960 DEVELOPMENT AND WELLNESS IS A 4851 02:51:58,960 --> 02:51:59,240 PRIORITY. 4852 02:51:59,240 --> 02:52:01,080 TEAMS ARE TIRED. 4853 02:52:01,080 --> 02:52:04,280 AFTER THE PANDEMIC AND WE'RE 4854 02:52:04,280 --> 02:52:06,200 FIGURING OUT HOW TO BE TOGETHER 4855 02:52:06,200 --> 02:52:08,680 AGAIN IN THE RIGHT COMBINATION 4856 02:52:08,680 --> 02:52:11,560 OF HYBRID WORK, BEING REMOTE AND 4857 02:52:11,560 --> 02:52:12,960 BEING TOGETHER. 4858 02:52:12,960 --> 02:52:15,480 THINKING ABOUT PRODUCTIVITY, 4859 02:52:15,480 --> 02:52:16,960 SATISFACTION AND ADVANCEMENT. 4860 02:52:16,960 --> 02:52:19,520 IF WE GET THOSE RIGHT WE CAN 4861 02:52:19,520 --> 02:52:21,000 RETAIN OUR KEY SCIENTISTS OR 4862 02:52:21,000 --> 02:52:24,080 HAVE THOSE TRAINEES WANT TO STAY 4863 02:52:24,080 --> 02:52:24,240 ON. 4864 02:52:24,240 --> 02:52:26,200 AND ALSO HAVE THE PRIVILEGE OF 4865 02:52:26,200 --> 02:52:27,480 CO-CHAIRING FOR THE AMERICAN 4866 02:52:27,480 --> 02:52:29,080 PEDIATRIC SOCIETY, THE CAREER 4867 02:52:29,080 --> 02:52:30,400 SUPPORT COMMITTEE. 4868 02:52:30,400 --> 02:52:33,000 AND WE HAVE THOUGHT A LOT ABOUT 4869 02:52:33,000 --> 02:52:36,000 AS A COMMITTEE, BUT WITHIN OUR 4870 02:52:36,000 --> 02:52:37,200 INSTITUTIONS THE DIFFERENCE IN 4871 02:52:37,200 --> 02:52:38,880 MENTORING AND COACHING AND 4872 02:52:38,880 --> 02:52:40,080 SPONSORSHIP AND TRYING TO 4873 02:52:40,080 --> 02:52:44,320 PROMOTE ALL OF THAT WITHIN THE 4874 02:52:44,320 --> 02:52:46,000 DIR. 4875 02:52:46,000 --> 02:52:48,000 CAREER DEVELOPMENT AND WELLNESS. 4876 02:52:48,000 --> 02:52:50,720 EVALUATING A LOT OF THE 4877 02:52:50,720 --> 02:52:51,320 PROGRAMS. 4878 02:52:51,320 --> 02:52:53,880 AGAIN DR. McBAIN ALREADY 4879 02:52:53,880 --> 02:52:54,960 OUTLINED SOME TREMENDOUS 4880 02:52:54,960 --> 02:52:57,200 ACTIVITY THAT ARE ALREADY 4881 02:52:57,200 --> 02:52:57,440 ONGOING. 4882 02:52:57,440 --> 02:52:59,280 OPPORTUNITIES FOR THOSE AFFINITY 4883 02:52:59,280 --> 02:53:01,120 GROUPS THAT HE TALKED ABOUT TO 4884 02:53:01,120 --> 02:53:03,000 GET-TOGETHER AND SOCIALIZE. 4885 02:53:03,000 --> 02:53:04,480 IT'S REALLY IMPORTANT. 4886 02:53:04,480 --> 02:53:06,800 WE WANT OUR TRAINEES AND OUR 4887 02:53:06,800 --> 02:53:08,200 SCIENTISTS TO BE EXCITED ABOUT 4888 02:53:08,200 --> 02:53:10,600 COMING TO WORK TO WANT TO COME 4889 02:53:10,600 --> 02:53:12,400 BACK IN. 4890 02:53:12,400 --> 02:53:15,600 AND TIMES TO NETWORK AND 4891 02:53:15,600 --> 02:53:15,880 SOCIALIZE. 4892 02:53:15,880 --> 02:53:17,000 MAKE ALL OF US MORE CREATIVE 4893 02:53:17,000 --> 02:53:18,920 WHEN WE RELAX AND ENJOY WHAT WE 4894 02:53:18,920 --> 02:53:20,160 ARE DOING WHEN WE'RE CREATIVE 4895 02:53:20,160 --> 02:53:23,400 AND IT'S GOING TO LEAD TO BETTER 4896 02:53:23,400 --> 02:53:25,320 PRODUCTIVITY FOR THE SCIENTIFIC 4897 02:53:25,320 --> 02:53:29,800 PROGRAM AND THE DIR. 4898 02:53:29,800 --> 02:53:30,800 AND THE STRATEGIC PLAN TALKS 4899 02:53:30,800 --> 02:53:32,520 ABOUT ENHANCING THE DEVELOPMENT 4900 02:53:32,520 --> 02:53:34,800 OF ITS WORKFORCE AND I THINK WE 4901 02:53:34,800 --> 02:53:37,120 OFTEN THINK A LOT ABOUT EARLY 4902 02:53:37,120 --> 02:53:38,080 CAREER INVESTIGATORS. 4903 02:53:38,080 --> 02:53:39,640 I JUST WANT TO MAKE SURE THERE 4904 02:53:39,640 --> 02:53:42,320 WAS A QUESTION ASKED ABOUT IT. 4905 02:53:42,320 --> 02:53:44,840 THE SENIOR SITE, ESTABLISHED 4906 02:53:44,840 --> 02:53:45,280 INVESTIGATORS. 4907 02:53:45,280 --> 02:53:47,720 THEY ARE FIGURING OUT EN TIRED 4908 02:53:47,720 --> 02:53:49,840 AFTER THE PANDEMIC AND MANY OF 4909 02:53:49,840 --> 02:53:51,440 US WERE LEADING THE CLINICAL 4910 02:53:51,440 --> 02:53:53,240 TEAMS DURING COVID-19. 4911 02:53:53,240 --> 02:53:56,640 AND WAYS TO BE CONSTANTLY 4912 02:53:56,640 --> 02:53:57,960 EVALUATING WHAT WE'RE DOING, 4913 02:53:57,960 --> 02:54:01,040 CAREER ENHANCEMENT AND 4914 02:54:01,040 --> 02:54:03,520 SATISFACTION AND LEADERSHIP 4915 02:54:03,520 --> 02:54:04,160 DEVELOPMENT OPPORTUNITIES TO BE 4916 02:54:04,160 --> 02:54:09,120 A COACH, RETREATS, MAYBE 4917 02:54:09,120 --> 02:54:10,000 RELEVANT TO RESEARCH, 4918 02:54:10,000 --> 02:54:11,320 OPPORTUNITIES FOR NETWORK, 4919 02:54:11,320 --> 02:54:12,840 TRAINING AND PROFESSIONAL ITCH, 4920 02:54:12,840 --> 02:54:13,840 COMMUNICATION, HOW TO RUN A 4921 02:54:13,840 --> 02:54:17,240 TEAM, HOW TO RUN A RESEARCH 4922 02:54:17,240 --> 02:54:17,440 GROUP. 4923 02:54:17,440 --> 02:54:21,120 AND THE OPPORTUNITY FOR ADVISORY 4924 02:54:21,120 --> 02:54:22,280 COMMITTEES CRITICAL CAREER 4925 02:54:22,280 --> 02:54:23,720 DEVELOPMENT COMMITTEES FOR THE 4926 02:54:23,720 --> 02:54:25,920 YOUNG SCIENTISTS BUT ALSO 4927 02:54:25,920 --> 02:54:29,320 IMPORTANT FOR SENIOR SCIENTISTS 4928 02:54:29,320 --> 02:54:32,560 TO KEEP THEMSELVES -- EN VIG 4929 02:54:32,560 --> 02:54:32,760 RATED. 4930 02:54:32,760 --> 02:54:34,440 I ALSO BELIEVE THAT NONE OF US 4931 02:54:34,440 --> 02:54:36,040 ARE TOO OLD TO HAVE A MENTOR. 4932 02:54:36,040 --> 02:54:37,440 AND I'M VERY INTERESTED IN THE 4933 02:54:37,440 --> 02:54:39,960 CONCEPT OF REVERSE MENTORING, 4934 02:54:39,960 --> 02:54:42,560 WHERE MY MENTEES GIVE FEEDBACK 4935 02:54:42,560 --> 02:54:44,960 AND MAKE SURE THAT THE WAY I'M 4936 02:54:44,960 --> 02:54:46,760 MENTORING THEM IS RELEVANT. 4937 02:54:46,760 --> 02:54:49,040 I HAVE BEEN REMINDED OVER AND 4938 02:54:49,040 --> 02:54:50,960 OVER HOW IMPORTANT LISTENING TO 4939 02:54:50,960 --> 02:54:52,160 WHAT THE YOUNG SCIENTISTS ARE 4940 02:54:52,160 --> 02:54:53,880 TELLING ME IS PROBABLY SOMETIMES 4941 02:54:53,880 --> 02:54:55,560 MORE IMPORTANT THAN THE ADVICE 4942 02:54:55,560 --> 02:54:59,880 I'M GIVING THEM. 4943 02:54:59,880 --> 02:55:02,240 ANOTHER THEME, IMPROVING CHILD 4944 02:55:02,240 --> 02:55:03,720 AND ADOLESCENT HEALTH AND THE 4945 02:55:03,720 --> 02:55:05,360 TRANSITION TO ADULTHOOD. 4946 02:55:05,360 --> 02:55:07,560 THIS WAS A PRIORITY. 4947 02:55:07,560 --> 02:55:11,680 THE 2020 STRATEGIC PLAN, 4948 02:55:11,680 --> 02:55:13,800 ALIGNING EFFORTS WITHIN THE 4949 02:55:13,800 --> 02:55:16,640 INSTITUTE OR ACROSS INSTITUTES. 4950 02:55:16,640 --> 02:55:17,640 NICHD HAS THE OPPORTUNITY TO BE 4951 02:55:17,640 --> 02:55:20,880 A LEADER IN THIS AREA AND TO 4952 02:55:20,880 --> 02:55:25,760 FURTHER DEVELOP AND REFINE 4953 02:55:25,760 --> 02:55:26,880 ALGORITHMS TO -- WE CAN DECIDE 4954 02:55:26,880 --> 02:55:29,280 WHICH METRICS WE SHOULD BE 4955 02:55:29,280 --> 02:55:30,280 FOLLOWING SO BEFORE THEY CROSS 4956 02:55:30,280 --> 02:55:31,960 THE BRIDGE THEY HAVE THAT 4957 02:55:31,960 --> 02:55:34,680 READINESS FOR TRANSITION TO GO 4958 02:55:34,680 --> 02:55:35,880 INTO ADULT CARE. 4959 02:55:35,880 --> 02:55:39,880 AND IMPORTANTLY, THINKING ABOUT 4960 02:55:39,880 --> 02:55:41,880 THE CHILD, THE ADOLESCENT WITH 4961 02:55:41,880 --> 02:55:43,120 MEDICAL COMPLEXITY DOING BONE 4962 02:55:43,120 --> 02:55:43,960 HEALTH CLINICAL WORK. 4963 02:55:43,960 --> 02:55:46,400 A NUMBER OF MY PATIENTS ARE NON 4964 02:55:46,400 --> 02:55:48,280 AMBULATORY REMEMBERING THAT THE 4965 02:55:48,280 --> 02:55:50,400 INSTITUTE WAS FOUNDED IN THE 4966 02:55:50,400 --> 02:55:53,480 60s TO REALLY ADDRESS THE 4967 02:55:53,480 --> 02:55:55,800 NEEDS OF PEOPLE WITH 4968 02:55:55,800 --> 02:55:56,120 DISABILITIES. 4969 02:55:56,120 --> 02:55:58,600 SO AGAIN, THINKING ABOUT 4970 02:55:58,600 --> 02:55:59,680 TRANSITION BUT IMPORTANTLY 4971 02:55:59,680 --> 02:56:01,080 THINKING ABOUT IT IN PATIENTS 4972 02:56:01,080 --> 02:56:02,800 WITH DISABILITIES BECAUSE THEY 4973 02:56:02,800 --> 02:56:04,320 HAVE GREATER NEEDS AND IT'S A 4974 02:56:04,320 --> 02:56:05,720 DIFFERENT SET OF ISSUES THAT WE 4975 02:56:05,720 --> 02:56:07,320 NEED TO BE THINKING ABOUT. 4976 02:56:07,320 --> 02:56:09,600 AND IMPORTANTLY, THINKING ABOUT 4977 02:56:09,600 --> 02:56:10,800 PHYSICAL NEEDS BUT ALSO MENTAL 4978 02:56:10,800 --> 02:56:15,760 HEALTH NEEDS. 4979 02:56:15,760 --> 02:56:17,600 THERE IS THE CLINICAL CENTER. 4980 02:56:17,600 --> 02:56:19,680 THIS PART LOOKS THE VERY SAME AS 4981 02:56:19,680 --> 02:56:21,240 WHEN I WAS A SUMMER INTERN. 4982 02:56:21,240 --> 02:56:24,200 BUT THERE IS A HUGE PART BEHIND 4983 02:56:24,200 --> 02:56:25,120 IT NOW. 4984 02:56:25,120 --> 02:56:27,640 AGAIN JUST RECAPPING AND 4985 02:56:27,640 --> 02:56:29,440 ENSURING THE EXCELLENCE THAT 4986 02:56:29,440 --> 02:56:30,840 SPECIALTY SERVICES, AND THINKING 4987 02:56:30,840 --> 02:56:34,320 OF NEW MODELS TO OPTIMIZE SAMPLE 4988 02:56:34,320 --> 02:56:36,800 AND DATA COLLECTION. 4989 02:56:36,800 --> 02:56:38,320 ECHOING SOME OF WHAT 4990 02:56:38,320 --> 02:56:39,000 DR. McBAIN SAID. 4991 02:56:39,000 --> 02:56:42,520 MAKING SURE WE HAVE OUTSTANDING 4992 02:56:42,520 --> 02:56:44,600 ASSESSMENT TOOLS, EXCITING THE 4993 02:56:44,600 --> 02:56:45,920 SCANNER WILLING OVER THERE AND 4994 02:56:45,920 --> 02:56:47,520 ENHANCING THE OPPORTUNITIES FOR 4995 02:56:47,520 --> 02:56:49,200 MULTI-SITE COLLABORATIONS 4996 02:56:49,200 --> 02:56:51,400 WHETHER MULTI-SITE INTRAMURAL OR 4997 02:56:51,400 --> 02:56:57,200 EXTRAMURAL OR ACROSS THE 4998 02:56:57,200 --> 02:56:57,520 INSTITUTES. 4999 02:56:57,520 --> 02:56:59,840 ONE CONCEPT I WANTED TO PICK UP 5000 02:56:59,840 --> 02:57:03,000 ON, DR. McBAIN ALSO TALKED 5001 02:57:03,000 --> 02:57:03,560 ABOUT COMMUNITY ENGAGEMENT. 5002 02:57:03,560 --> 02:57:05,840 AND THINKING ABOUT WAYS TO 5003 02:57:05,840 --> 02:57:07,720 EXPAND WHAT WE'RE DOING NOT THE 5004 02:57:07,720 --> 02:57:09,600 TRADITIONAL MODEL OF HAVING A 5005 02:57:09,600 --> 02:57:11,440 CLINICAL RESEARCH CENTER WHERE 5006 02:57:11,440 --> 02:57:14,040 PATIENTS COME TO NIH, BUT GOING 5007 02:57:14,040 --> 02:57:15,320 OUT INTO THE COMMUNITY. 5008 02:57:15,320 --> 02:57:18,040 IT'S PROBABLY A LESS BIAS WAY TO 5009 02:57:18,040 --> 02:57:20,360 GET WHAT IS REALLY UNDERSTAND 5010 02:57:20,360 --> 02:57:23,720 WHAT IS GOING ON TO GET THE REAL 5011 02:57:23,720 --> 02:57:26,320 AUTHENTIC DATA. 5012 02:57:26,320 --> 02:57:28,760 NICHD HAS A NUMBER OF 5013 02:57:28,760 --> 02:57:29,600 COMMUNITY-BASED RESEARCH 5014 02:57:29,600 --> 02:57:31,240 CONTRACTS WITH LOCAL PROGRAMS 5015 02:57:31,240 --> 02:57:31,720 AND SCHOOLS. 5016 02:57:31,720 --> 02:57:35,040 MANY OF THESE ARE PIPELINE 5017 02:57:35,040 --> 02:57:35,320 INITIATIVES. 5018 02:57:35,320 --> 02:57:38,320 BUT OPTIMIZING THOSE ALSO 5019 02:57:38,320 --> 02:57:40,640 OPTIMIZING ACCESS TO GET INTO 5020 02:57:40,640 --> 02:57:42,640 CLINICAL TRIALS, MAKING SURE 5021 02:57:42,640 --> 02:57:44,640 THAT ALL PATIENTS HAVE THE 5022 02:57:44,640 --> 02:57:46,480 OPPORTUNITIES TO PARTICIPATE 5023 02:57:46,480 --> 02:57:48,720 PERHAPS TO GET A NEW 5024 02:57:48,720 --> 02:57:51,640 INTERVENTION BEING STUDIED THAT 5025 02:57:51,640 --> 02:57:52,160 IS PROMISING. 5026 02:57:52,160 --> 02:57:53,560 THAT IS THE OTHER BIAS WE SEE IN 5027 02:57:53,560 --> 02:57:54,160 CLINICAL RESEARCH. 5028 02:57:54,160 --> 02:57:56,240 AND NOT FORGETTING THE GLOBAL 5029 02:57:56,240 --> 02:57:56,520 COMMUNITY. 5030 02:57:56,520 --> 02:57:58,040 WHEN WE THINK ABOUT COMMUNITY, 5031 02:57:58,040 --> 02:58:02,720 THE GLOBAL HEALTH COMMUNITY, AS 5032 02:58:02,720 --> 02:58:02,960 WELL. 5033 02:58:02,960 --> 02:58:06,160 SO I'M ABOUT TO WRAP UP. 5034 02:58:06,160 --> 02:58:07,840 EXCITED TO HIT THE GROUND 5035 02:58:07,840 --> 02:58:09,440 RUNNING THINKING ABOUT CLINICAL 5036 02:58:09,440 --> 02:58:10,760 AND TRANSLATIONAL RESEARCH 5037 02:58:10,760 --> 02:58:12,760 THROUGH COLLABORATIVES, ONGOING 5038 02:58:12,760 --> 02:58:15,560 AND NEW PARTNERSHIPS, PROMOTING 5039 02:58:15,560 --> 02:58:18,360 TEAM SCIENCE, VERY SELECTIVELY 5040 02:58:18,360 --> 02:58:19,560 THINKING ABOUT AI AND MACHINE 5041 02:58:19,560 --> 02:58:22,160 LEARNING AND WHERE IS THAT 5042 02:58:22,160 --> 02:58:24,960 APPROPRIATE TO EMPLOY? 5043 02:58:24,960 --> 02:58:25,760 TECHNOLOGY TRANSFER. 5044 02:58:25,760 --> 02:58:28,560 I HAVE A NUMBER OF IDEAS FOR NEW 5045 02:58:28,560 --> 02:58:29,440 VENTURES AND PROGRAMS AND I'M 5046 02:58:29,440 --> 02:58:32,080 EXCITED TO THINK WITH THE TEAM 5047 02:58:32,080 --> 02:58:33,280 ABOUT THEM. 5048 02:58:33,280 --> 02:58:36,400 AND ALSO AS A CLINICAL DIRECTOR, 5049 02:58:36,400 --> 02:58:37,360 THINKING ABOUT FACILITIES. 5050 02:58:37,360 --> 02:58:41,520 SPACE IS ALWAYS AN ISSUE 5051 02:58:41,520 --> 02:58:42,320 WHEREVER ONE GOES. 5052 02:58:42,320 --> 02:58:44,160 AS CLINICAL DIRECTOR, THINKING 5053 02:58:44,160 --> 02:58:46,680 ABOUT DRY LABS AND WET LABS FOR 5054 02:58:46,680 --> 02:58:48,760 COLLABORATIVE BENCH TO BEDSIDE 5055 02:58:48,760 --> 02:58:49,680 COLLABORATIONS, WHICH CORE 5056 02:58:49,680 --> 02:58:51,280 FACILITIES DO WE HAVE? 5057 02:58:51,280 --> 02:58:53,160 DO WE NEED? 5058 02:58:53,160 --> 02:58:54,680 WHICH SUPPORT SERVICES? 5059 02:58:54,680 --> 02:58:55,960 HOW TO OPTIMIZE THE 5060 02:58:55,960 --> 02:58:58,560 INFRASTRUCTURE TO MAKE IT EASY 5061 02:58:58,560 --> 02:59:00,160 FOR PATIENTS AND THEIR FAMILIES 5062 02:59:00,160 --> 02:59:01,760 TO COME IN. 5063 02:59:01,760 --> 02:59:03,680 THINKING ABOUT BUILDING 10 AND 5064 02:59:03,680 --> 02:59:04,760 THINKING BEYOND BUILDING 10 ON 5065 02:59:04,760 --> 02:59:08,680 THE CAMPUS AND THEN IMPORTANTLY, 5066 02:59:08,680 --> 02:59:10,000 THINKING ABOUT THE COMMUNITY. 5067 02:59:10,000 --> 02:59:12,240 I FEEL FORTUNATE TO SAY I HAVE A 5068 02:59:12,240 --> 02:59:15,360 NUMBER OF FRIENDS AND COLLEAGUES 5069 02:59:15,360 --> 02:59:20,000 AT JOHNS HOPKINS AND CHILDREN'S 5070 02:59:20,000 --> 02:59:20,680 INITIAL, UNIVERSITY OF MARYLAND, 5071 02:59:20,680 --> 02:59:21,400 WHICH THERE ARE OPPORTUNITIES 5072 02:59:21,400 --> 02:59:23,840 THERE AND AGAIN TRYING TO 5073 02:59:23,840 --> 02:59:25,600 INTEGRATE RESEARCH INTO LOCAL 5074 02:59:25,600 --> 02:59:27,960 PRACTICES. 5075 02:59:27,960 --> 02:59:29,600 THERE IS SOME INTERESTING 5076 02:59:29,600 --> 02:59:31,000 ARTICLES SITE HERE FOR YOUR 5077 02:59:31,000 --> 02:59:32,680 ATTENTION FROM THE NEW ENGLAND 5078 02:59:32,680 --> 02:59:36,160 JOURNAL THAT TALKS ABOUT WHAT IS 5079 02:59:36,160 --> 02:59:37,680 DISCUSSING GOING INTO THE 5080 02:59:37,680 --> 02:59:38,200 COMMUNITY, PARTICULARLY 5081 02:59:38,200 --> 02:59:43,320 COLLECTING DATA AND OUTCOMES. 5082 02:59:43,320 --> 02:59:45,640 SO, IN SUMMARY, DAY NUMBER 2, I 5083 02:59:45,640 --> 02:59:48,880 AM LAUNCHING A LISTENING TOUR 5084 02:59:48,880 --> 02:59:50,000 WHICH I'M GOING TO GO ON OVER 5085 02:59:50,000 --> 02:59:51,320 THE NEXT FEW WEEKS. 5086 02:59:51,320 --> 02:59:53,800 I LEARNED AS A NEW LEADER, IT'S 5087 02:59:53,800 --> 02:59:56,120 BETTER TO LISTEN MORE THAN WE 5088 02:59:56,120 --> 02:59:57,640 TALK IN THE FIRST FEW WEEKS. 5089 02:59:57,640 --> 02:59:59,520 AND THAT'S THE WAY WE HEAR WHAT 5090 02:59:59,520 --> 03:00:00,600 IS GOING ON. 5091 03:00:00,600 --> 03:00:02,000 WE THINK ABOUT -- I CAN THINK 5092 03:00:02,000 --> 03:00:03,680 ABOUT AS A LEADER WHAT IS GOING 5093 03:00:03,680 --> 03:00:06,920 WELL, WHERE THE CHALLENGES ARE 5094 03:00:06,920 --> 03:00:07,720 AND ESTABLISH PRIORITIES. 5095 03:00:07,720 --> 03:00:09,520 LOOK FORWARD TO WORKING TOGETHER 5096 03:00:09,520 --> 03:00:14,160 TO TACKLE MAJOR CHALLENGES IN 5097 03:00:14,160 --> 03:00:16,680 CHILD AND ADOLESCENT HEALTH, THE 5098 03:00:16,680 --> 03:00:18,440 BEHAVIORAL HEALTH CRISIS AND THE 5099 03:00:18,440 --> 03:00:19,840 MENTAL HEALTH PANDEMIC THAT 5100 03:00:19,840 --> 03:00:21,720 STEMMED FROM THE COVID-19 5101 03:00:21,720 --> 03:00:22,840 PANDEMIC. 5102 03:00:22,840 --> 03:00:25,320 CHILDHOOD OBESITY, ADOLESCENT 5103 03:00:25,320 --> 03:00:27,120 EATING DISORDERS SKYROCKETED. 5104 03:00:27,120 --> 03:00:29,280 EATING DISORDERS, PREVALENCE 5105 03:00:29,280 --> 03:00:31,440 QUADRUPLED SINCE BEFORE THE 5106 03:00:31,440 --> 03:00:31,920 PANDEMIC. 5107 03:00:31,920 --> 03:00:34,320 THERE HAS BEEN TALK ABOUT OPIOID 5108 03:00:34,320 --> 03:00:36,720 USE AMONG ADOLESCENTS AND 5109 03:00:36,720 --> 03:00:39,160 ADDICTIVE BEHAVIORS EFFECTIVE 5110 03:00:39,160 --> 03:00:40,240 CLIMATE CHANGE AND 5111 03:00:40,240 --> 03:00:40,560 ENVIRONMENTAL. 5112 03:00:40,560 --> 03:00:43,720 THERE IS WORK BEING DONE ACROSS 5113 03:00:43,720 --> 03:00:44,320 NIH AND EAGER TO GET ONBOARD. 5114 03:00:44,320 --> 03:00:47,600 I HAVE DONE SOME WORK WITH 5115 03:00:47,600 --> 03:00:48,200 ENDOCRINE DISRUPTURS AND WOULD 5116 03:00:48,200 --> 03:00:50,160 LIKE TO THINK ABOUT THAT IN THE 5117 03:00:50,160 --> 03:00:51,040 CONTEXT OF CLIMATE CHANGE. 5118 03:00:51,040 --> 03:00:54,840 I'M EXCITED TO HELP DEVELOP, 5119 03:00:54,840 --> 03:00:57,360 RETAIN AND NURTURE THE MANY 5120 03:00:57,360 --> 03:01:02,040 TALENTED TEAMS WITH NICHD AND 5121 03:01:02,040 --> 03:01:02,960 ENSURING SCIENTIFIC OFFERINGS 5122 03:01:02,960 --> 03:01:04,560 AND THOSE THAT PROMOTE 5123 03:01:04,560 --> 03:01:06,400 PROFESSIONALISM AND WELLNESS. 5124 03:01:06,400 --> 03:01:09,480 AND EXCITED TO HIRE AND RETAIN 5125 03:01:09,480 --> 03:01:11,160 TALENT, TO REALIZE THIS 5126 03:01:11,160 --> 03:01:14,680 IMPORTANT GOAL, THE 2020 5127 03:01:14,680 --> 03:01:15,040 STRATEGIC PLAN. 5128 03:01:15,040 --> 03:01:16,560 SO THANK YOU AGAIN FOR THE WARM 5129 03:01:16,560 --> 03:01:17,560 WELCOME. 5130 03:01:17,560 --> 03:01:19,880 REALLY LOOKING FORWARD TO 5131 03:01:19,880 --> 03:01:22,920 STRIVING TOGETHER TO DEVELOP A 5132 03:01:22,920 --> 03:01:25,560 TOPNOTCH AND DIVERSE TEAM FROM 5133 03:01:25,560 --> 03:01:26,480 THE STRATEGIC PLAN TO IDENTIFY 5134 03:01:26,480 --> 03:01:29,240 AREAS IN WHICH NICHD AND PARTNER 5135 03:01:29,240 --> 03:01:31,960 AND LEAD AND CLA BE RATE. 5136 03:01:31,960 --> 03:01:33,280 EXCITED TO WORK WITH ALL OF YOU 5137 03:01:33,280 --> 03:01:35,480 BUT IN MY OWN CLINICAL RESEARCH 5138 03:01:35,480 --> 03:01:37,720 STUDIES EXCITED TO MEET CHILDREN 5139 03:01:37,720 --> 03:01:38,760 AND ADOLESCENTS AND FAMILIES WHO 5140 03:01:38,760 --> 03:01:40,960 ARE PART OF OUR PROTOCOLS. 5141 03:01:40,960 --> 03:01:41,800 THANK YOU. 5142 03:01:41,800 --> 03:01:49,760 [ APPLAUSE ] 5143 03:01:49,760 --> 03:01:50,880 >>THANK YOU VERY MUCH FOR THIS 5144 03:01:50,880 --> 03:01:52,120 GREAT PRESENTATION. 5145 03:01:52,120 --> 03:01:55,280 I THINK WE CAN TAKE ONE OR TWO 5146 03:01:55,280 --> 03:01:55,840 QUESTIONS. 5147 03:01:55,840 --> 03:01:57,320 >>CATHERINE, NICE PRESENTATION. 5148 03:01:57,320 --> 03:01:59,280 DAVID FROM UNIVERSITY OF 5149 03:01:59,280 --> 03:01:59,560 CAMBRIDGE. 5150 03:01:59,560 --> 03:02:01,240 AND I REALLY APPRECIATE YOUR 5151 03:02:01,240 --> 03:02:03,200 THOUGHTFUL APPROACH IN TERMS OF 5152 03:02:03,200 --> 03:02:05,800 ROADMAPPING AND TAKING THE PULSE 5153 03:02:05,800 --> 03:02:07,280 TO IDENTIFY WHERE THE 5154 03:02:07,280 --> 03:02:08,160 OPPORTUNITIES MIGHT BE. 5155 03:02:08,160 --> 03:02:09,680 AND I GUESS WE ALSO HIGHLIGHTED 5156 03:02:09,680 --> 03:02:11,600 WHERE YOU NEEDED TO BUILD SOME 5157 03:02:11,600 --> 03:02:12,520 CAPACITY IN THE LAB. 5158 03:02:12,520 --> 03:02:14,560 AND I THINK CHRIS IN HIS TALK 5159 03:02:14,560 --> 03:02:16,960 ALSO SUGGESTED THAT THERE BE 5160 03:02:16,960 --> 03:02:18,160 SOME REORGANIZATION OF THE AREAS 5161 03:02:18,160 --> 03:02:19,520 OF INTEREST WITHIN THE 5162 03:02:19,520 --> 03:02:20,400 INTRAMURAL PROGRAM. 5163 03:02:20,400 --> 03:02:21,920 AND I THINK IT WOULD BE VERY 5164 03:02:21,920 --> 03:02:23,720 INTERESTING TO SEE HOW THE 5165 03:02:23,720 --> 03:02:25,000 PRIORITIES IN THE CLINICAL 5166 03:02:25,000 --> 03:02:29,800 PROGRAM AND THE INTRAMURAL MIGHT 5167 03:02:29,800 --> 03:02:31,400 COINCIDE AND OVERLAP TO BUILD ON 5168 03:02:31,400 --> 03:02:32,240 THAT SYNERGY. 5169 03:02:32,240 --> 03:02:33,800 I WISH YOU THE BEST OF LUCK IN 5170 03:02:33,800 --> 03:02:36,440 THIS REALLY EXCITING ENDEAVOR. 5171 03:02:36,440 --> 03:02:37,720 >>THANK YOU, APPRECIATE THE 5172 03:02:37,720 --> 03:02:46,720 GREAT SUGGESTION. 5173 03:02:46,720 --> 03:02:47,720 >>TWO QUICK QUESTIONS. 5174 03:02:47,720 --> 03:02:51,480 ONE WAS ON ONE OF THOSE LAST 5175 03:02:51,480 --> 03:02:55,120 SLIDES WHERE YOU HAD CHALLENGES. 5176 03:02:55,120 --> 03:02:56,160 I DIDN'T SEE FIREARM RELATED 5177 03:02:56,160 --> 03:03:01,000 INJURY OR VIOLENCE. 5178 03:03:01,000 --> 03:03:03,320 >>I RAN OUT OF THE ROOM. 5179 03:03:03,320 --> 03:03:04,120 UNFORTUNATELY THERE ARE PROBABLY 5180 03:03:04,120 --> 03:03:05,480 A LOT OF BULLETS. 5181 03:03:05,480 --> 03:03:06,960 THAT'S SUCH A PROBLEM. 5182 03:03:06,960 --> 03:03:09,080 AND ONE THAT WE THINK ABOUT A 5183 03:03:09,080 --> 03:03:10,840 LOT IN ADOLESCENT MEDICINE. 5184 03:03:10,840 --> 03:03:12,200 SO APPRECIATE YOUR BRINGING 5185 03:03:12,200 --> 03:03:13,320 ATTENTION TO THAT. 5186 03:03:13,320 --> 03:03:14,600 >>THE OTHER QUESTION I HAVE IS 5187 03:03:14,600 --> 03:03:17,600 SORT OF YOUR VIEWS ON 5188 03:03:17,600 --> 03:03:19,600 INCORPORATING SOCIAL AND 5189 03:03:19,600 --> 03:03:24,400 ECONOMIC OUTCOMES INTO YOUR 5190 03:03:24,400 --> 03:03:24,680 FRAMEWORK. 5191 03:03:24,680 --> 03:03:27,720 AS AN EXAMPLE OF PORT PARTUM 5192 03:03:27,720 --> 03:03:29,000 DEPRESSION AMONG UNDERAGED MOMS 5193 03:03:29,000 --> 03:03:31,120 AND LOOKING AT THE SOCIAL AND 5194 03:03:31,120 --> 03:03:34,400 ECONOMIC CONSEQUENCES OF THAT, 5195 03:03:34,400 --> 03:03:37,920 TREATING THAT, FOR THEM AND THE 5196 03:03:37,920 --> 03:03:38,200 CHILDREN. 5197 03:03:38,200 --> 03:03:39,240 >>WONDERFUL POINT. 5198 03:03:39,240 --> 03:03:42,120 I WAS PRESENTING A LOT OF VERY 5199 03:03:42,120 --> 03:03:42,360 QUICKLY. 5200 03:03:42,360 --> 03:03:45,520 WE JUST FINISHED A PILOT STUDY 5201 03:03:45,520 --> 03:03:47,840 IN HOUSTON IN AN URBAN SETTING 5202 03:03:47,840 --> 03:03:52,040 AND HAVE TRIED TO LOOK AT THAT, 5203 03:03:52,040 --> 03:03:54,120 HOW ZIP CODE AND EVEN THE 5204 03:03:54,120 --> 03:03:56,720 PREVALENCE OF PREGNANCY, WHAT 5205 03:03:56,720 --> 03:03:57,640 SUPPORTS THE YOUNG MOTHER HAS 5206 03:03:57,640 --> 03:04:00,360 AND TIEING IT TO MENTAL HEALTH 5207 03:04:00,360 --> 03:04:01,440 OUTCOMES. 5208 03:04:01,440 --> 03:04:02,960 AND I THINK IT'S IMPORTANT IN 5209 03:04:02,960 --> 03:04:03,960 DESCRIPTIVE STUDIES TO 5210 03:04:03,960 --> 03:04:05,040 UNDERSTAND THAT BUT ALSO 5211 03:04:05,040 --> 03:04:07,360 PROBABLY MORE IMPORTANTLY THE 5212 03:04:07,360 --> 03:04:08,000 INTERVENTIONS BECAUSE WE ARE 5213 03:04:08,000 --> 03:04:11,320 GOING TO HAVE A DIFFERENT 5214 03:04:11,320 --> 03:04:13,720 INTERVENTION FOR WHEN THE 5215 03:04:13,720 --> 03:04:16,840 DIFFERENT ANSWERS AROUND SOCIAL 5216 03:04:16,840 --> 03:04:17,160 DETERMINANTS. 5217 03:04:17,160 --> 03:04:23,440 THANK YOU. 5218 03:04:23,440 --> 03:04:25,440 >>MAY I INVITE THE VOICE OF THE 5219 03:04:25,440 --> 03:04:26,320 PARTICIPANT UP? 5220 03:04:26,320 --> 03:04:27,840 >>YES, WE ARE GOING TO START 5221 03:04:27,840 --> 03:04:30,240 THAT AND MAYBE SOMEONE CAN HELP 5222 03:04:30,240 --> 03:04:31,840 CATHERINE WITH THE CHAIRS. 5223 03:04:31,840 --> 03:04:33,560 FOR THOSE WHO ARE FAMILIAR WITH 5224 03:04:33,560 --> 03:04:35,240 OUR ADVISORY COUNCIL MEETINGS, 5225 03:04:35,240 --> 03:04:37,040 YOU KNOW THAT WE REGULARLY 5226 03:04:37,040 --> 03:04:39,040 FEATURE A SEGMENT CALLED, THE 5227 03:04:39,040 --> 03:04:41,280 VOICE OF THE PARTICIPANT. 5228 03:04:41,280 --> 03:04:42,560 THIS GIVES US A CHANCE TO HEAR 5229 03:04:42,560 --> 03:04:45,040 FROM THOSE WHO HAD PERSONAL 5230 03:04:45,040 --> 03:04:47,160 EXPERIENCES RELATED TO RESEARCH 5231 03:04:47,160 --> 03:04:51,040 THAT NICHD FUNDS. 5232 03:04:51,040 --> 03:04:53,360 TODAY, WE ARE DELIGHTED TO 5233 03:04:53,360 --> 03:04:57,760 WELCOME CAROLINEA RODRIGUEZ AND 5234 03:04:57,760 --> 03:05:01,920 HER MOTHER TO THE NIH FOR OUR 5235 03:05:01,920 --> 03:05:03,760 NICHD ADVISORY COUNCIL MEETING. 5236 03:05:03,760 --> 03:05:05,760 CAROLINEA WAS A PARTICIPANT IN A 5237 03:05:05,760 --> 03:05:08,480 RESEARCH STUDY OF DR. GORDON'S 5238 03:05:08,480 --> 03:05:14,280 IN HOUSTON, TEXAS, THROUGH THE 5239 03:05:14,280 --> 03:05:15,200 USDAARS CHILDREN'S NUTRITION 5240 03:05:15,200 --> 03:05:16,400 RESEARCH CENTER. 5241 03:05:16,400 --> 03:05:19,040 DR. GORDON IS GOING TO PROVIDE 5242 03:05:19,040 --> 03:05:19,680 ADDITIONAL INFORMATION ABOUT 5243 03:05:19,680 --> 03:05:24,920 THIS STUDY IN HER COMMENTS. 5244 03:05:24,920 --> 03:05:27,160 SO, WELCOME CAROLINEA AND HER 5245 03:05:27,160 --> 03:05:27,400 MOTHER. 5246 03:05:27,400 --> 03:05:30,480 [ APPLAUSE ] 5247 03:05:30,480 --> 03:05:32,160 >>CARINA AND HER MOTHER CAME A 5248 03:05:32,160 --> 03:05:34,080 LONG WAY TO BE HERE WITH US 5249 03:05:34,080 --> 03:05:34,280 TODAY. 5250 03:05:34,280 --> 03:05:35,800 IT'S HER FIRST IF I'M IN 5251 03:05:35,800 --> 03:05:36,560 WASHINGTON, D.C. 5252 03:05:36,560 --> 03:05:38,760 SO IT'S A VERY EXCITING TRIP FOR 5253 03:05:38,760 --> 03:05:39,120 HER. 5254 03:05:39,120 --> 03:05:42,280 I'M GOING TO GIVE A LITTLE 5255 03:05:42,280 --> 03:05:42,920 BACKGROUND INFORMATION AND WE'LL 5256 03:05:42,920 --> 03:05:44,360 START OUR INTERVIEW. 5257 03:05:44,360 --> 03:05:46,400 SO, I'M DELIGHTED TO WELCOME 5258 03:05:46,400 --> 03:05:49,400 CAROLINEA RODRIGUEZ AND HER 5259 03:05:49,400 --> 03:05:56,760 MOTHER WHO TRAVELED FROM 5260 03:05:56,760 --> 03:05:57,000 HOUSTON. 5261 03:05:57,000 --> 03:05:59,080 WE ARE DELIGHTED TO HAVE YOU 5262 03:05:59,080 --> 03:06:02,280 SPEAK TO MY COLLEAGUES AND OUR 5263 03:06:02,280 --> 03:06:03,880 GREAT ADVISORY COUNCIL AND 5264 03:06:03,880 --> 03:06:05,040 GUESTS IN PURPOSE IN THE BACK 5265 03:06:05,040 --> 03:06:07,520 AND ALSO STREAMING INTO THIS 5266 03:06:07,520 --> 03:06:08,320 MEETING. 5267 03:06:08,320 --> 03:06:11,840 AND AS I INTRODUCEAL OF YOU, 5268 03:06:11,840 --> 03:06:13,240 CARINA PARTICIPATED IN A 5269 03:06:13,240 --> 03:06:16,120 CLINICAL RESEARCH STUDY OF MINE 5270 03:06:16,120 --> 03:06:17,960 IN HOUSTON, ASPECTS OF PHYSICAL 5271 03:06:17,960 --> 03:06:19,440 HEALTH AND WILL QUALITY OF LIFE 5272 03:06:19,440 --> 03:06:21,360 IN CHILDHOOD CANCER SURVIVORS. 5273 03:06:21,360 --> 03:06:24,320 AND TO BE ELIGIBLE FOR MY TEEN 5274 03:06:24,320 --> 03:06:25,960 STUDY, PARTICIPANTS HAD TO BE 5275 03:06:25,960 --> 03:06:26,960 GIRLS WHO HAD BEEN DIAGNOSED 5276 03:06:26,960 --> 03:06:29,840 WITH EARLY SIGNS OF PREMATURE 5277 03:06:29,840 --> 03:06:31,920 HEARING AND SUFFICIENCY WHO WERE 5278 03:06:31,920 --> 03:06:33,640 NOT YET ON A THERAPY AND WHO 5279 03:06:33,640 --> 03:06:36,600 WERE BETWEEN THE AGES OF 10 AND 5280 03:06:36,600 --> 03:06:36,760 24. 5281 03:06:36,760 --> 03:06:38,520 CARLENEA JUST MADE IT. 5282 03:06:38,520 --> 03:06:40,720 SHE WAS 10 WHEN SHE WAS IN MY 5283 03:06:40,720 --> 03:06:40,920 STUDY. 5284 03:06:40,920 --> 03:06:42,360 AS I SPOKE ABOUT MY 5285 03:06:42,360 --> 03:06:44,440 PRESENTATION, I HAVE A LONG TERM 5286 03:06:44,440 --> 03:06:46,280 INTEREST IN POI AND ESPECIALLY 5287 03:06:46,280 --> 03:06:47,760 THE IMPACT ON BONE HEALTH. 5288 03:06:47,760 --> 03:06:50,560 AND I HAVE CARED FOR LONG TERM 5289 03:06:50,560 --> 03:06:53,320 CANCER SURVIVORS LIKE CAROLINEA 5290 03:06:53,320 --> 03:06:54,680 WHO RECEIVED CHEMOTHERAPY AND 5291 03:06:54,680 --> 03:06:56,240 RADIATION AND I HAVE PRACTICED 5292 03:06:56,240 --> 03:06:57,600 FOR OVER 25 YEARS. 5293 03:06:57,600 --> 03:06:59,680 CAROLINEA AND I JUST WANT TO SAY 5294 03:06:59,680 --> 03:07:01,400 THAT I FIND PATIENTS LIKE YOU TO 5295 03:07:01,400 --> 03:07:02,600 BE INSPIRING. 5296 03:07:02,600 --> 03:07:04,680 YOU REALLY DRIVE ME TO DO MY 5297 03:07:04,680 --> 03:07:06,080 RESEARCH AND TO WANT TO GET MORE 5298 03:07:06,080 --> 03:07:06,320 ANSWERS. 5299 03:07:06,320 --> 03:07:09,280 SO AGAIN, I APPRECIATE YOU BEING 5300 03:07:09,280 --> 03:07:09,480 HERE. 5301 03:07:09,480 --> 03:07:12,320 SO WE ARE GOING TO DIVE INTO OUR 5302 03:07:12,320 --> 03:07:12,560 INTERVIEW. 5303 03:07:12,560 --> 03:07:17,720 SO MAYBE STAND UP HERE BESIDES 5304 03:07:17,720 --> 03:07:19,160 ME AND TELL MY COLLEAGUES HOW 5305 03:07:19,160 --> 03:07:20,440 OLD ARE YOU? 5306 03:07:20,440 --> 03:07:23,040 >>I'M 11 YEARS OLD. 5307 03:07:23,040 --> 03:07:24,160 >>AGAIN SHE WAS 10 IN MY 5308 03:07:24,160 --> 03:07:25,840 RESEARCH STUDY. 5309 03:07:25,840 --> 03:07:28,960 WHAT GRADE ARE YOU? 5310 03:07:28,960 --> 03:07:30,400 >>5th GRADE. 5311 03:07:30,400 --> 03:07:31,560 >>WHAT'S YOUR FAVORITE SUBJECT 5312 03:07:31,560 --> 03:07:32,560 IN SCHOOL. 5313 03:07:32,560 --> 03:07:38,360 >>EITHER MATH OR SCIENCE. 5314 03:07:38,360 --> 03:07:41,120 >>WE REALLY WANT YOU TO COME TO 5315 03:07:41,120 --> 03:07:43,480 NIH SOME DAY AND BE A SUMMER 5316 03:07:43,480 --> 03:07:46,320 STUDENT OR A SUMMER INTERN JUST 5317 03:07:46,320 --> 03:07:47,720 LIKE I WAS. 5318 03:07:47,720 --> 03:07:49,240 I LOOKED A LITTLE BIT YOUNGER IN 5319 03:07:49,240 --> 03:07:50,520 THAT PICTURE, DIDN'T I? 5320 03:07:50,520 --> 03:07:51,960 AND WHAT WOULD YOU LIKE TO DO 5321 03:07:51,960 --> 03:07:53,600 WHEN YOU GROW UP? 5322 03:07:53,600 --> 03:07:56,800 >>I WOULD ACTUALLY LIKE TO BE 5323 03:07:56,800 --> 03:08:00,000 LIKE AN ENGINEER. 5324 03:08:00,000 --> 03:08:01,200 >>THE SHE WANTS TO BE AN 5325 03:08:01,200 --> 03:08:01,480 ENGINEER. 5326 03:08:01,480 --> 03:08:02,840 LET ME HAVE YOU SPEAK UP A 5327 03:08:02,840 --> 03:08:04,240 LITTLE BIT CLOSER HERE. 5328 03:08:04,240 --> 03:08:06,240 >>WE HAVE A HAND MIC. 5329 03:08:06,240 --> 03:08:08,040 CAN YOU REPEAT? 5330 03:08:08,040 --> 03:08:11,040 >>SO I ASKED CAROLINEA WHAT SHE 5331 03:08:11,040 --> 03:08:17,800 COULD LIKE TO DO -- AND SHE SAID 5332 03:08:17,800 --> 03:08:20,160 THAT SHE WOULD LIKE -- BE AN 5333 03:08:20,160 --> 03:08:21,880 ENGINEER. 5334 03:08:21,880 --> 03:08:22,200 >>PERFECT. 5335 03:08:22,200 --> 03:08:25,760 AGAIN WE LOVE SEEING GIRLS WHO 5336 03:08:25,760 --> 03:08:27,560 WANT TO GO INTO SCIENCE AND 5337 03:08:27,560 --> 03:08:27,880 ENGINEERING. 5338 03:08:27,880 --> 03:08:31,680 SO KEEP UP THE GOOD WORK. 5339 03:08:31,680 --> 03:08:33,000 FOR CAROLINEA'S MOM, MAYBE I'LL 5340 03:08:33,000 --> 03:08:35,280 GIVE YOU THE MICROPHONE. 5341 03:08:35,280 --> 03:08:37,520 CAN YOU YOU BRIEFLY TELL US A 5342 03:08:37,520 --> 03:08:40,000 LITTLE BIT ABOUT CAROLINEA'S 5343 03:08:40,000 --> 03:08:41,760 CANCER DIAGNOSIS AND HOW LONG 5344 03:08:41,760 --> 03:08:44,640 SHE WAS ON CHEMOTHERAPY AND 5345 03:08:44,640 --> 03:08:44,920 RADIATION? 5346 03:08:44,920 --> 03:08:46,240 >>YES, FIRST OF ALL, THANK YOU 5347 03:08:46,240 --> 03:08:47,080 FOR HAVING ME. 5348 03:08:47,080 --> 03:08:49,480 I FEEL HONORED TO BE HERE WITH 5349 03:08:49,480 --> 03:08:51,480 ALL OF YOU GUYS. 5350 03:08:51,480 --> 03:08:57,960 SHE WAS DIAGNOSED IN APRIL OF 5351 03:08:57,960 --> 03:09:00,360 2018 WITH A TUMOR. 5352 03:09:00,360 --> 03:09:04,680 AND SHE STARTED CHEMO AND 5353 03:09:04,680 --> 03:09:07,880 RADIATION SHORTLY AFTER THAT. 5354 03:09:07,880 --> 03:09:10,800 >>AND SHE WAS ON THE CHEMO 5355 03:09:10,800 --> 03:09:12,200 RADIATION OVER THE COURSE OF A 5356 03:09:12,200 --> 03:09:13,760 YEAR, RIGHT? 5357 03:09:13,760 --> 03:09:16,000 >>THAT'S CORRECT. 5358 03:09:16,000 --> 03:09:17,600 SHE STARTED, OF COURSE THEY TOOK 5359 03:09:17,600 --> 03:09:20,200 HER RIGHT KIDNEY OUT. 5360 03:09:20,200 --> 03:09:22,400 AFTER THEY TOOK THE RIGHT KIDNEY 5361 03:09:22,400 --> 03:09:26,320 OUT, THEY DID TELL ME THAT THE 5362 03:09:26,320 --> 03:09:27,800 CANCER HAD SPREAD. 5363 03:09:27,800 --> 03:09:29,320 SO SHE WAS DIAGNOSED WITH STAGE 5364 03:09:29,320 --> 03:09:31,400 4 CANCER. 5365 03:09:31,400 --> 03:09:33,880 SHE STARTED CHEMOTHERAPY IN 5366 03:09:33,880 --> 03:09:35,120 APRIL AFTER THEY TOOK OUT THE 5367 03:09:35,120 --> 03:09:36,480 RIGHT KIDNEY. 5368 03:09:36,480 --> 03:09:39,400 AND THEN STARTED RADIATION IN 5369 03:09:39,400 --> 03:09:39,600 JUNE. 5370 03:09:39,600 --> 03:09:40,960 PRAISE THE LORD, BY JULY AFTER 5371 03:09:40,960 --> 03:09:44,000 DOING A SCAN, SHE WAS CANCER 5372 03:09:44,000 --> 03:09:44,200 FREE. 5373 03:09:44,200 --> 03:09:48,000 BUT DID CONTINUE CHEMO AND 5374 03:09:48,000 --> 03:09:50,600 RADIATION -- OR PARDON ME, CHEMO 5375 03:09:50,600 --> 03:09:51,720 UNTIL DECEMBER. 5376 03:09:51,720 --> 03:09:52,680 >>CAROLINA'S STORY IS THE 5377 03:09:52,680 --> 03:09:58,920 REASON A NUMBER OF US GO INTO 5378 03:09:58,920 --> 03:10:09,120 PEDIATRICS. 5379 03:10:12,880 --> 03:10:14,720 THIS IS SO INSPIRING. 5380 03:10:14,720 --> 03:10:17,120 WHEN DID YOU LEARN THERE MIGHT 5381 03:10:17,120 --> 03:10:21,840 BE AN ENDOCRINOLOGIST OR HORMONE 5382 03:10:21,840 --> 03:10:23,240 SPECIALIST? 5383 03:10:23,240 --> 03:10:24,840 >>WELL THE DEAR DID TELL ME 5384 03:10:24,840 --> 03:10:27,520 WHEN THEY DID THE RADIATION THAT 5385 03:10:27,520 --> 03:10:29,640 SHE MIGHT HAVE ISSUES -- THE 5386 03:10:29,640 --> 03:10:33,320 DOCTOR -- THEY TOLD ME EARLY ON 5387 03:10:33,320 --> 03:10:35,320 TO CONSULT WITH SOMEONE. 5388 03:10:35,320 --> 03:10:39,120 >>AND THE BACKGROUND STORY -- 5389 03:10:39,120 --> 03:10:42,040 I'M A CLOSE COLLEAGUE OF 5390 03:10:42,040 --> 03:10:44,360 CAROLINEA'S ONCOLOGIST AND WAS 5391 03:10:44,360 --> 03:10:46,160 STARTING TO SHOW SIGNS OF DELAY 5392 03:10:46,160 --> 03:10:48,520 AND CONCERNS ABOUT LATE PUBERTY 5393 03:10:48,520 --> 03:10:50,560 OR DELAYED PUBERTY WHICH LED YOU 5394 03:10:50,560 --> 03:10:53,040 TO ME AND THEN THE RESEARCH 5395 03:10:53,040 --> 03:10:53,320 PROTOCOL. 5396 03:10:53,320 --> 03:10:55,240 SO TO TALK A LITTLE BIT ABOUT 5397 03:10:55,240 --> 03:10:56,440 THE RESEARCH AND EITHER OF YOU 5398 03:10:56,440 --> 03:10:58,960 CAN ANSWER THIS, WHAT MOTIVATED 5399 03:10:58,960 --> 03:11:01,480 YOU TO WANT TO PARTICIPATE IN 5400 03:11:01,480 --> 03:11:04,880 OUR RESEARCH STUDY? 5401 03:11:04,880 --> 03:11:08,880 >>YOU KNOW, AFTER SHE WAS 5402 03:11:08,880 --> 03:11:11,280 CANCER FREE, AS PARENTS, WE ASK 5403 03:11:11,280 --> 03:11:11,480 WHY? 5404 03:11:11,480 --> 03:11:12,280 WHY ME? 5405 03:11:12,280 --> 03:11:13,840 SO AND WHEN YOU REACHED OUT TO 5406 03:11:13,840 --> 03:11:17,040 ME ABOUT IT, I WAS ONBOARD. 5407 03:11:17,040 --> 03:11:18,560 I FELT LIKE THERE WAS A PURPOSE. 5408 03:11:18,560 --> 03:11:19,760 THERE WAS A REASON WHY WE WENT 5409 03:11:19,760 --> 03:11:24,200 THROUGH WHAT WE WENT THROUGH. 5410 03:11:24,200 --> 03:11:26,360 SO ANYTHING RESEARCH TO BETTER 5411 03:11:26,360 --> 03:11:27,960 THEM, I WAS ONBOARD. 5412 03:11:27,960 --> 03:11:28,320 >>THANK YOU. 5413 03:11:28,320 --> 03:11:29,960 I WAS ALWAYS SO STRUCK BY YOUR 5414 03:11:29,960 --> 03:11:31,280 ANSWER AND WE HAD DISCUSSIONS 5415 03:11:31,280 --> 03:11:34,480 ABOUT THE WAY WE MOVE THE FIELD 5416 03:11:34,480 --> 03:11:36,280 FORWARD, IS TO HAVE FAMILIES WHO 5417 03:11:36,280 --> 03:11:38,080 ARE ONBOARD AND PARTNERING WITH 5418 03:11:38,080 --> 03:11:39,000 US. 5419 03:11:39,000 --> 03:11:41,120 CAROLINEA, WHAT DO YOU REMEMBER 5420 03:11:41,120 --> 03:11:42,800 ABOUT THAT DAY? 5421 03:11:42,800 --> 03:11:47,160 CAROLINEA CAME TO THE USGAARS 5422 03:11:47,160 --> 03:11:48,360 RESEARCH CENTER. 5423 03:11:48,360 --> 03:11:49,840 WE HAVE AN OUTPATIENT PROGRAM 5424 03:11:49,840 --> 03:11:51,080 THAT IS QUITE SIMILAR TO WHAT IS 5425 03:11:51,080 --> 03:11:53,320 IN THE CLINICAL CENTER. 5426 03:11:53,320 --> 03:11:55,280 >>SO WHAT I REMEMBER ABOUT IT 5427 03:11:55,280 --> 03:11:58,320 IS THAT THERE WAS LIKE SCANS I 5428 03:11:58,320 --> 03:12:00,160 HAD TO DO AND LIKE QUESTIONS 5429 03:12:00,160 --> 03:12:03,560 THAT YOU GAVE ME. 5430 03:12:03,560 --> 03:12:06,560 >>SO CAROLINEA WAS A REAL 5431 03:12:06,560 --> 03:12:07,360 TROOPER. 5432 03:12:07,360 --> 03:12:11,280 SHE UNDERWENT DEXASCANS, PCTC 5433 03:12:11,280 --> 03:12:13,960 SCANS, SO ARM AND LEG BONE 5434 03:12:13,960 --> 03:12:14,360 DENSITY. 5435 03:12:14,360 --> 03:12:15,560 REMEMBER YOU PUT YOUR LEG IN 5436 03:12:15,560 --> 03:12:16,760 THAT BIG SCANNER AND THEN YOUR 5437 03:12:16,760 --> 03:12:20,280 ARM AND THEN WE DID A NUMBER OF 5438 03:12:20,280 --> 03:12:23,800 QUALITY OF LIFE AND MOOD 5439 03:12:23,800 --> 03:12:24,160 QUESTIONNAIRES. 5440 03:12:24,160 --> 03:12:26,000 BECAUSE CONCERNED WITH MAYBE 5441 03:12:26,000 --> 03:12:27,680 FALLY ESTROGEN LEVELS IT WAS 5442 03:12:27,680 --> 03:12:28,880 MAKING YOU TIRED OR JUST NOT 5443 03:12:28,880 --> 03:12:29,680 FEEL AS GOOD. 5444 03:12:29,680 --> 03:12:30,840 SO WE WERE TRYING TO DOCUMENT 5445 03:12:30,840 --> 03:12:33,880 WHAT WAS GOING ON. 5446 03:12:33,880 --> 03:12:35,360 ARE THERE THINGS YOU COULD -- 5447 03:12:35,360 --> 03:12:37,480 I'LL ASK YOU FIRST, WHAT WAS 5448 03:12:37,480 --> 03:12:48,040 YOUR FAVORITE PART OF THE VISIT. 5449 03:13:02,160 --> 03:13:04,400 >>MY FAVORITE PART WAS SOME 5450 03:13:04,400 --> 03:13:06,120 QUESTIONS YOU GIVE ME ARE LIKE 5451 03:13:06,120 --> 03:13:10,120 ONES I REALLY NEEDED TO TALK 5452 03:13:10,120 --> 03:13:10,920 ABOUT. 5453 03:13:10,920 --> 03:13:12,200 >>SO SOME OF THE QUESTIONS 5454 03:13:12,200 --> 03:13:13,880 CAROLINEA SAID, WERE THINGS SHE 5455 03:13:13,880 --> 03:13:17,680 REALLY WANTED TO TALK ABOUT. 5456 03:13:17,680 --> 03:13:20,120 AND THAT'S WHY I INVITED YOU. 5457 03:13:20,120 --> 03:13:21,520 CAROLINEA AND I HAD SOME GOOD 5458 03:13:21,520 --> 03:13:24,040 DISCUSSIONS THAT DAY AND I THINK 5459 03:13:24,040 --> 03:13:27,800 THE QUESTIONNAIRES JOG SOME GOOD 5460 03:13:27,800 --> 03:13:28,840 DISCUSSION ABOUT WHAT YOU HAVE 5461 03:13:28,840 --> 03:13:31,800 BEEN THROUGH AND WHAT WAS AHEAD 5462 03:13:31,800 --> 03:13:33,560 AND HOW I COULD SUPPORT YOU IN 5463 03:13:33,560 --> 03:13:36,560 THE MEDICAL TEAM COULD SUPPORT 5464 03:13:36,560 --> 03:13:36,760 YOU. 5465 03:13:36,760 --> 03:13:39,520 WE ALSO GIVE OUR PATIENTS A 5466 03:13:39,520 --> 03:13:40,840 REALLY NICE SNACK MIDDAY. 5467 03:13:40,840 --> 03:13:43,160 YOU REMEMBER THAT? 5468 03:13:43,160 --> 03:13:47,800 BUT SHE DIDN'T SAVE THE SNACK. 5469 03:13:47,800 --> 03:13:48,840 ARE THERE THINGS YOU COULD SHARE 5470 03:13:48,840 --> 03:13:51,040 WITH ME AND OTHER CLINICAL 5471 03:13:51,040 --> 03:13:52,520 RESEARCHERS HERE ABOUT HOW WE 5472 03:13:52,520 --> 03:13:55,240 COULD MAKE THE VISIT BETTER, THE 5473 03:13:55,240 --> 03:13:58,880 WHOLE RESEARCH EXPERIENCE 5474 03:13:58,880 --> 03:14:00,280 BETTER? 5475 03:14:00,280 --> 03:14:00,560 >>NO. 5476 03:14:00,560 --> 03:14:02,960 IT'S ALREADY BETTER. 5477 03:14:02,960 --> 03:14:09,000 >>I REMEMBER WE HAD ONE 5478 03:14:09,000 --> 03:14:09,840 CONVERSATION ABOUT HOLDING YOUR 5479 03:14:09,840 --> 03:14:11,800 LEG IN THE SCANNER A LONG TIME. 5480 03:14:11,800 --> 03:14:15,400 IT'S HARD TO KEEP STILL, ISN'T 5481 03:14:15,400 --> 03:14:16,480 IT? 5482 03:14:16,480 --> 03:14:20,160 >>SHE HAS BEEN THROUGH A LOT. 5483 03:14:20,160 --> 03:14:26,880 SHE'S BEEN THROUGH A LOT. 5484 03:14:26,880 --> 03:14:30,000 SO STANDING STILL -- 5485 03:14:30,000 --> 03:14:31,880 >>YOU GET TIRED OF THAT AND 5486 03:14:31,880 --> 03:14:32,680 CAROLINEA'S IS ASKING QUESTIONS 5487 03:14:32,680 --> 03:14:34,880 ABOUT WHAT WE CAN DO BETTER, 5488 03:14:34,880 --> 03:14:39,200 MOTIVATES ME TO FIND A WAY TO 5489 03:14:39,200 --> 03:14:41,080 EVALUATE REALLY QUICK. 5490 03:14:41,080 --> 03:14:42,640 PUT YOUR ARM THERE AND SNAPSHOT 5491 03:14:42,640 --> 03:14:43,800 THE PICTURE AND THE IT'S DONE. 5492 03:14:43,800 --> 03:14:45,800 THE WAY IT IS NOW IT'S A CAT 5493 03:14:45,800 --> 03:14:46,000 SCAN. 5494 03:14:46,000 --> 03:14:49,080 SO YOU HAVE TO KEEP THE ARM OR 5495 03:14:49,080 --> 03:14:51,680 THE LEG THERE FOR, FOUR OR FIVE 5496 03:14:51,680 --> 03:14:53,400 MINUTES UNTIL WE GET A GOOD 5497 03:14:53,400 --> 03:14:53,600 IMAGE. 5498 03:14:53,600 --> 03:14:56,880 AND THAT'S A LONG TIME. 5499 03:14:56,880 --> 03:14:58,920 I JUST WANT TO OPEN IT UP TO SEE 5500 03:14:58,920 --> 03:15:03,120 WHAT QUESTIONS THE COUNCIL MIGHT 5501 03:15:03,120 --> 03:15:04,920 HAVE. 5502 03:15:04,920 --> 03:15:06,800 >>HI, CAROLINEA, I'M TRISHA. 5503 03:15:06,800 --> 03:15:08,000 THANK YOU FOR BEING HERE. 5504 03:15:08,000 --> 03:15:09,520 CAN YOU TELL ME, HAVE YOU HAD A 5505 03:15:09,520 --> 03:15:13,200 CHANCE TO TALK TO OTHER 5506 03:15:13,200 --> 03:15:16,760 CHILDREN, KIDS YOUR AGE, WHO ARE 5507 03:15:16,760 --> 03:15:18,160 EXPERIENCING MEDICAL SITUATIONS 5508 03:15:18,160 --> 03:15:19,720 LIKE YOURSELF, CANCER OR OTHER 5509 03:15:19,720 --> 03:15:20,000 THINGS? 5510 03:15:20,000 --> 03:15:22,160 DO YOU HAVE A CHANCE TO MEET AND 5511 03:15:22,160 --> 03:15:26,320 TALK TO OTHER KIDS? 5512 03:15:26,320 --> 03:15:27,320 >>LIKE I THINK IT WAS YES, 5513 03:15:27,320 --> 03:15:28,320 BECAUSE WHEN I WAS IN THE 5514 03:15:28,320 --> 03:15:29,680 HOSPITAL THERE ARE OTHER KIDS 5515 03:15:29,680 --> 03:15:31,600 THAT KIND OF HAVE THE SAME THING 5516 03:15:31,600 --> 03:15:32,320 AS ME. 5517 03:15:32,320 --> 03:15:34,680 LIKE THERE IS LIKE A ROOM WHERE 5518 03:15:34,680 --> 03:15:36,920 I CAN TALK WITH THEM. 5519 03:15:36,920 --> 03:15:38,880 >>THANK YOU. 5520 03:15:38,880 --> 03:15:40,960 I LIKE THE IDEA I THINK SUPPORT 5521 03:15:40,960 --> 03:15:43,240 GROUPS CAN BE REALLY HELPFUL FOR 5522 03:15:43,240 --> 03:15:45,280 PATIENTS AND FOR PARENTS. 5523 03:15:45,280 --> 03:15:47,080 AND FIGURING OUT HOW TO BEST 5524 03:15:47,080 --> 03:15:48,840 SUPPORT AS A PARENT, HOW TO 5525 03:15:48,840 --> 03:15:49,600 SUPPORT OTHER PATIENTS. 5526 03:15:49,600 --> 03:15:52,960 SO WE PROBABLY NEED MORE OF 5527 03:15:52,960 --> 03:15:57,360 THOSE. 5528 03:15:57,360 --> 03:15:59,280 >>THANK YOU, BOTH FOR BEING 5529 03:15:59,280 --> 03:15:59,440 HERE. 5530 03:15:59,440 --> 03:16:01,680 AND CAROLINEA, YOU DO INSPIRE US 5531 03:16:01,680 --> 03:16:04,760 AND SO DOES YOUR MOM. 5532 03:16:04,760 --> 03:16:06,160 FOR TAKING SOMETHING THAT WAS SO 5533 03:16:06,160 --> 03:16:07,480 HARD AND TRYING TO MAKE THINGS 5534 03:16:07,480 --> 03:16:08,560 BETTER FOR OTHER PEOPLE. 5535 03:16:08,560 --> 03:16:11,360 COULD YOU JUST TELL US FROM YOUR 5536 03:16:11,360 --> 03:16:14,560 PERSPECTIVE WHAT RESEARCH MEANS 5537 03:16:14,560 --> 03:16:17,840 TO YOU? 5538 03:16:17,840 --> 03:16:21,000 >>RESEARCH MEANS LIKE JUST 5539 03:16:21,000 --> 03:16:26,200 LEARNING MORE ABOUT OF AN OBJECT 5540 03:16:26,200 --> 03:16:28,600 OR A THING. 5541 03:16:28,600 --> 03:16:32,600 >>CAN YOU REPEAT HER ANSWER? 5542 03:16:32,600 --> 03:16:33,840 >>AS A TRUE SCIENTIST, RESEARCH 5543 03:16:33,840 --> 03:16:36,480 IS LEARNING MORE ABOUT AN OBJECT 5544 03:16:36,480 --> 03:16:39,400 OR A THING AND,WORKS, RIGHT? 5545 03:16:39,400 --> 03:16:42,880 AND MOM WOULD YOU LIKE TO -- 5546 03:16:42,880 --> 03:16:46,480 >>IT'S IMPORTANT TO ME BECAUSE 5547 03:16:46,480 --> 03:16:53,000 I HOPE THAT YOU WHO FIND BETTER 5548 03:16:53,000 --> 03:16:56,400 WAYS OR TREATMENT AND THEN AFTER 5549 03:16:56,400 --> 03:16:59,600 TREATMENTS FOR THEM, WHAT WE CAN 5550 03:16:59,600 --> 03:17:02,360 DO AS A PARENT -- BECAUSE THEY 5551 03:17:02,360 --> 03:17:05,280 TELL ME THERE WAS A LOT OF 5552 03:17:05,280 --> 03:17:07,000 THINGS THAT DIDN'T HAPPEN LATER, 5553 03:17:07,000 --> 03:17:08,480 WHICH I HAVE FAITH IN THE LORD, 5554 03:17:08,480 --> 03:17:09,480 THAT'S WHY SHE IS HERE. 5555 03:17:09,480 --> 03:17:11,480 I KNOW SHE'S GOING TO BE FINE. 5556 03:17:11,480 --> 03:17:14,960 BUT RESEARCH, I FEEL THAT HELPS 5557 03:17:14,960 --> 03:17:16,800 THEM FOR THEIR FUTURE TO GET 5558 03:17:16,800 --> 03:17:21,080 BETTER, MEDICINE, TO HELP THEM. 5559 03:17:21,080 --> 03:17:23,680 SO I THINK IT'S VERY IMPORTANT. 5560 03:17:23,680 --> 03:17:33,880 SO THANK ALL YOU GUYS FOR THAT. 5561 03:17:33,880 --> 03:17:35,440 >>THANK YOU FOR BEING HERE. 5562 03:17:35,440 --> 03:17:38,680 AND FOR CONTRIBUTING TO THE 5563 03:17:38,680 --> 03:17:39,080 RESEARCH. 5564 03:17:39,080 --> 03:17:43,000 I GUESS I'M DR. NEIL CARRY, A 5565 03:17:43,000 --> 03:17:45,000 REPRODUCTIVE ENDOCRINOLOGIST AND 5566 03:17:45,000 --> 03:17:45,200 OBGYN. 5567 03:17:45,200 --> 03:17:46,320 AND I GUESS THE QUESTION I HAVE 5568 03:17:46,320 --> 03:17:47,920 FOR YOU IS, IF THERE WAS ONE 5569 03:17:47,920 --> 03:17:51,800 THING YOU WANTED US TO KNOW 5570 03:17:51,800 --> 03:17:53,400 ABOUT YOUR EXPERIENCE THAT MAYBE 5571 03:17:53,400 --> 03:17:54,800 THE EXPERIENCE OF OTHERS THAT 5572 03:17:54,800 --> 03:17:57,120 COULD MAKE IT BETTER, WHAT WOULD 5573 03:17:57,120 --> 03:18:01,400 THAT BE? 5574 03:18:01,400 --> 03:18:03,320 >>GOING BACK FROM THE DAY WE 5575 03:18:03,320 --> 03:18:05,840 FOUND SHE HAD THE CANCER -- IT 5576 03:18:05,840 --> 03:18:10,320 WAS THE HARDEST DAY EVER. 5577 03:18:10,320 --> 03:18:13,800 AND I SAID I WAS NOT GOING TO 5578 03:18:13,800 --> 03:18:13,960 CRY. 5579 03:18:13,960 --> 03:18:14,520 BUT IT WAS HARD. 5580 03:18:14,520 --> 03:18:18,240 BUT I HAVE A LOT OF FAITH IN GOD 5581 03:18:18,240 --> 03:18:21,400 AND I SAID, LORD, YOU SAID IF I 5582 03:18:21,400 --> 03:18:24,040 TRUSTED YOU YOU'RE -- I WAS 5583 03:18:24,040 --> 03:18:25,440 HONEST SINCE DAY ONE. 5584 03:18:25,440 --> 03:18:27,320 I TOLD HER WE ARE GOING TO GO 5585 03:18:27,320 --> 03:18:28,400 THROUGH SOME HARD THINGS BUT 5586 03:18:28,400 --> 03:18:29,800 WE'LL GET THROUGH THIS. 5587 03:18:29,800 --> 03:18:30,720 I BELIEVE IN SCIENCE. 5588 03:18:30,720 --> 03:18:32,600 I HAVE FAITH IN GOD. 5589 03:18:32,600 --> 03:18:34,520 AND I KNEW THAT WE WERE GOING TO 5590 03:18:34,520 --> 03:18:36,440 GET THROUGH IT. 5591 03:18:36,440 --> 03:18:39,440 AND NOT KNOWING ANYTHING 5592 03:18:39,440 --> 03:18:41,800 HONESTLY WHEN HE TOLD ME SHE HAD 5593 03:18:41,800 --> 03:18:43,440 STAGE 4 CANCER, I'M LIKE WHAT 5594 03:18:43,440 --> 03:18:44,640 DOES THAT MEAN? 5595 03:18:44,640 --> 03:18:46,240 I DIDN'T KNOW ANYBODY THAT HAD 5596 03:18:46,240 --> 03:18:46,480 CANCER. 5597 03:18:46,480 --> 03:18:48,480 I DIDN'T KNOW WHAT -- NOW I KNOW 5598 03:18:48,480 --> 03:18:50,840 WHAT IT MEANS. 5599 03:18:50,840 --> 03:18:52,640 BUT I KNEW IT WASN'T GOOD WHEN 5600 03:18:52,640 --> 03:18:57,240 THEY TOLD ME IT WAS STAGE 4. 5601 03:18:57,240 --> 03:18:59,560 SO, IT WAS HARD BUT MY FAITH IN 5602 03:18:59,560 --> 03:19:03,320 GOD, MY FAITH IN SCIENCE, 5603 03:19:03,320 --> 03:19:04,840 RESEARCH AND I WAS IN HOUSTON 5604 03:19:04,840 --> 03:19:06,400 AND I KNEW I WAS IN THE BEST 5605 03:19:06,400 --> 03:19:11,040 PLACE TO BE. 5606 03:19:11,040 --> 03:19:11,960 BEST DOCTORS IN THE WORLD. 5607 03:19:11,960 --> 03:19:17,240 SO I KNEW I WAS GOING TO BE 5608 03:19:17,240 --> 03:19:17,760 OKAY. 5609 03:19:17,760 --> 03:19:20,080 >>I'LL REMIND TO EVERYONE, THE 5610 03:19:20,080 --> 03:19:21,880 MD ANDERSON CANCER CENTER IS 5611 03:19:21,880 --> 03:19:24,120 RIGHT THERE IN HOUSTON AND WORKS 5612 03:19:24,120 --> 03:19:28,000 IN A COLLABORATIVE WAY WITH 5613 03:19:28,000 --> 03:19:30,320 TEXAS CHILDREN'S TO HAVE THIS 5614 03:19:30,320 --> 03:19:38,000 DIAGNOSIS IT'S A FANTASTIC PLA 5615 03:19:38,000 --> 03:19:46,240 PLACE. 5616 03:19:46,240 --> 03:19:50,320 >>OCCASIONALLPLACE. 5617 03:19:50,320 --> 03:19:52,560 >>CAROLINA IS PROBABLY SAYING, 5618 03:19:52,560 --> 03:19:56,040 I WANT TO GO SEE DC AND THE 5619 03:19:56,040 --> 03:19:56,960 WHITE HOUSE. 5620 03:19:56,960 --> 03:20:02,520 THANK YOU VERY MUCH! 5621 03:20:02,520 --> 03:20:06,840 [ APPLAUSE ] 5622 03:20:06,840 --> 03:20:07,840 >>THANK YOU VERY MUCH CAROLINA 5623 03:20:07,840 --> 03:20:10,560 AND Ms. RODRIGUEZ. 5624 03:20:10,560 --> 03:20:11,160 I GOT CHILLS WHEN YOU WERE 5625 03:20:11,160 --> 03:20:12,840 TALKING AND YOU INSPIRE ALL OF 5626 03:20:12,840 --> 03:20:13,240 US. 5627 03:20:13,240 --> 03:20:15,160 YOU'RE THE REASON WHY WE DO WHAT 5628 03:20:15,160 --> 03:20:20,960 WE DO. 5629 03:20:20,960 --> 03:20:23,880 NOW WE HAVE ANOTHER PART OF OUR 5630 03:20:23,880 --> 03:20:24,280 COUNCIL MEETINGS. 5631 03:20:24,280 --> 03:20:25,880 WE WILL HEAR FROM OUR RETIRING 5632 03:20:25,880 --> 03:20:27,880 MEMBERS AND I'M GOING TO CALL ON 5633 03:20:27,880 --> 03:20:30,480 YOU IN ALPHABETICAL ORDER. 5634 03:20:30,480 --> 03:20:33,040 THIS IS A VERY SPECIAL GROUP OF 5635 03:20:33,040 --> 03:20:36,080 ADVISORS WHO STARTED JUST BEFORE 5636 03:20:36,080 --> 03:20:38,560 THE PANDEMIC AND THEY SEAMLESSLY 5637 03:20:38,560 --> 03:20:41,360 TRANSITIONED TO THE VIRTUAL 5638 03:20:41,360 --> 03:20:41,600 FORMAT. 5639 03:20:41,600 --> 03:20:46,160 THEY PLAYED AN AMAZING ROLE IN 5640 03:20:46,160 --> 03:20:50,680 KEEPING OUR TRAINS RUNNING. 5641 03:20:50,680 --> 03:20:53,000 WHILE WE ARE IN THE MIDST OF A 5642 03:20:53,000 --> 03:20:54,400 GLOBAL PANDEMIC. 5643 03:20:54,400 --> 03:20:57,440 I MEAN WE REALLY NEVER HAD A 5644 03:20:57,440 --> 03:20:59,280 HICCUP IN OUR USUAL OPERATIONS 5645 03:20:59,280 --> 03:21:01,600 IN TERMS OF GETTING GRANTS OUT 5646 03:21:01,600 --> 03:21:03,680 THE DOOR. 5647 03:21:03,680 --> 03:21:06,480 SO THAT IS A TRIBUTE TO ALL OF 5648 03:21:06,480 --> 03:21:08,800 YOU AS WELL AS OUR GRANTS 5649 03:21:08,800 --> 03:21:11,520 MANAGEMENT STAFF. 5650 03:21:11,520 --> 03:21:13,160 AND OUR PROGRAM OFFICIALS. 5651 03:21:13,160 --> 03:21:15,960 SO, DO WE HAVE DR. COUGHLIN ON? 5652 03:21:15,960 --> 03:21:19,120 SO WE ARE GOING TO START WITH 5653 03:21:19,120 --> 03:21:21,440 DR. COUGHLIN VIRTUALLY. 5654 03:21:21,440 --> 03:21:22,520 >>HI, DIANA. 5655 03:21:22,520 --> 03:21:23,880 THANK YOU FOR THE OPPORTUNITY TO 5656 03:21:23,880 --> 03:21:27,480 SAY HELLO TODAY AND GOOD BY. 5657 03:21:27,480 --> 03:21:29,080 IT'S BEEN QUITE A FOUR YEARS AS 5658 03:21:29,080 --> 03:21:32,280 YOU ALLUDED TO. 5659 03:21:32,280 --> 03:21:35,080 PARTICULARLY AS AN INSIGHT FROM 5660 03:21:35,080 --> 03:21:42,320 A NON-NIH GOVERNMENTAL-TYPE 5661 03:21:42,320 --> 03:21:42,520 PERSON. 5662 03:21:42,520 --> 03:21:43,800 IT'S JUST A REMARKABLE ABILITY 5663 03:21:43,800 --> 03:21:47,760 TO SEE HOW THIS IS WORKING AND 5664 03:21:47,760 --> 03:21:50,320 THE WORK THAT NIH HAS BEEN 5665 03:21:50,320 --> 03:21:50,520 DOING. 5666 03:21:50,520 --> 03:21:55,400 AND I WANTED TO JUST GO BACK 5667 03:21:55,400 --> 03:21:56,800 OVER THREE PAPERS OR ARTICLES OR 5668 03:21:56,800 --> 03:21:59,920 ISSUES THAT WE DISCUSSED THAT I 5669 03:21:59,920 --> 03:22:00,840 ALWAYS THINK ABOUT. 5670 03:22:00,840 --> 03:22:03,040 SOME OF IT IS JUST THE 5671 03:22:03,040 --> 03:22:04,960 SIMPLICITY THAT YOU HAVE BEEN 5672 03:22:04,960 --> 03:22:07,920 ABLE TO DISTILL AND FUND AND GET 5673 03:22:07,920 --> 03:22:08,160 RESULTS. 5674 03:22:08,160 --> 03:22:09,800 I REMEMBER THE FIRST, THE 5675 03:22:09,800 --> 03:22:13,800 HARVARD NICU, THE QUALITY OF 5676 03:22:13,800 --> 03:22:15,120 MOTHER'S MILK FOR THE GROWTH OF 5677 03:22:15,120 --> 03:22:15,600 BABIES. 5678 03:22:15,600 --> 03:22:17,320 JUST A BEAUTIFUL SIMPLE CONCEPT. 5679 03:22:17,320 --> 03:22:18,520 BUT SOMEBODY HAD TO ANSWER THE 5680 03:22:18,520 --> 03:22:18,760 QUESTION. 5681 03:22:18,760 --> 03:22:20,920 AND SOMEBODY HAD TO ANSWER IT 5682 03:22:20,920 --> 03:22:22,040 AND YOU DID THAT. 5683 03:22:22,040 --> 03:22:25,320 AND I THOUGHT THE RESULTS 5684 03:22:25,320 --> 03:22:26,520 PRESENTED WERE JUST REMARKABLE 5685 03:22:26,520 --> 03:22:30,000 AND SPOKE WELL TO YOUR EFFORTS. 5686 03:22:30,000 --> 03:22:32,520 ALSO AS A SURGEON, NEXT YEAR OR 5687 03:22:32,520 --> 03:22:34,840 THE NEXT MEETING, WE 5688 03:22:34,840 --> 03:22:36,920 DISCUSSED -- NO ONE EVER 5689 03:22:36,920 --> 03:22:39,320 DISCUSSED THE COMPLICATIONS OF 5690 03:22:39,320 --> 03:22:40,760 APPEND SIGHTIS AND THAT GOT MY 5691 03:22:40,760 --> 03:22:41,040 ATTENTION. 5692 03:22:41,040 --> 03:22:43,360 I REALLY SAT UP AS PROBABLY 5693 03:22:43,360 --> 03:22:43,600 NOTICED. 5694 03:22:43,600 --> 03:22:48,320 AND THE FACT THAT YOUR GROUP CAN 5695 03:22:48,320 --> 03:22:51,440 FUND SUCH WORK, BASIC 5696 03:22:51,440 --> 03:22:52,560 FUNDAMENTAL BUT IMPORTANT WORK, 5697 03:22:52,560 --> 03:22:55,840 WORK THAT AFFECTS ME DAILY, 5698 03:22:55,840 --> 03:22:57,040 PRACTICALLY, I THINK IS QUITE 5699 03:22:57,040 --> 03:22:57,320 IMPORTANT. 5700 03:22:57,320 --> 03:23:00,560 AND FINALLY, I THINK KUDOS TO 5701 03:23:00,560 --> 03:23:04,640 YOU AND TO YOURS FOR BRINGING TO 5702 03:23:04,640 --> 03:23:06,960 LIGHT -- IF YOU REMEMBER DURING 5703 03:23:06,960 --> 03:23:08,840 THAT TERRIBLE COVID -- THOSE 5704 03:23:08,840 --> 03:23:09,560 TERRIBLE COVID YEARS, REALLY 5705 03:23:09,560 --> 03:23:11,160 THAT YOU BROUGHT TO LIGHT THE 5706 03:23:11,160 --> 03:23:14,480 WORK THAT NORTH CAROLINA AND HOW 5707 03:23:14,480 --> 03:23:15,960 SAFE IT WAS FOR THESE DESPERATE 5708 03:23:15,960 --> 03:23:17,880 CHILDREN TO RETURN TO THE 5709 03:23:17,880 --> 03:23:18,200 SCHOOLROOM. 5710 03:23:18,200 --> 03:23:19,320 AND IF YOU WEREN'T THE FIRST TO 5711 03:23:19,320 --> 03:23:20,720 BRING THAT TO THE WORLD'S 5712 03:23:20,720 --> 03:23:21,920 ATTENTION, YOU WERE AMONG THE 5713 03:23:21,920 --> 03:23:22,120 FIRST. 5714 03:23:22,120 --> 03:23:24,840 AND AGAIN, KUDOS TO YOU. 5715 03:23:24,840 --> 03:23:27,760 SO THANKS FOR THE OPPORTUNITY TO 5716 03:23:27,760 --> 03:23:31,040 SERVE AND I CERTAINLY WILL 5717 03:23:31,040 --> 03:23:32,960 CHERISH THIS EXPERIENCE. 5718 03:23:32,960 --> 03:23:34,360 >>THANK YOU VERY MUCH. 5719 03:23:34,360 --> 03:23:38,560 WE TRULY APPRECIATE YOUR SERVICE 5720 03:23:38,560 --> 03:23:38,920 DR. COUGHLIN. 5721 03:23:38,920 --> 03:23:41,320 AND NOW DR. KATHLEEN EGAN AND 5722 03:23:41,320 --> 03:23:43,880 FOR THOSE WHO DON'T KNOW, 5723 03:23:43,880 --> 03:23:46,960 DR. EGAN WAS ALSO A VOICE OF THE 5724 03:23:46,960 --> 03:23:47,280 PARTICIPANT. 5725 03:23:47,280 --> 03:23:50,080 SHE IS THE MOTHER OF HER SON, 5726 03:23:50,080 --> 03:23:50,400 DAVID EGAN. 5727 03:23:50,400 --> 03:23:52,960 AND BY THE WAY, WE HAVE ALL OF 5728 03:23:52,960 --> 03:23:55,880 OUR PRIOR VOICE OF THE 5729 03:23:55,880 --> 03:23:56,520 PARTICIPANT SESSIONS, THEY ALL 5730 03:23:56,520 --> 03:23:58,560 HAVE BEEN RECORDED. 5731 03:23:58,560 --> 03:24:02,160 AND THEY CAN BE ACCESSED BY THE 5732 03:24:02,160 --> 03:24:03,360 NIH VIDEOCAST. 5733 03:24:03,360 --> 03:24:06,600 SO KATHLEEN, OVER TO YOU. 5734 03:24:06,600 --> 03:24:09,040 >>AS YOU SAID BEFORE, THIS IS 5735 03:24:09,040 --> 03:24:12,560 SAD BUT AT THE SAME TIME, IT IS 5736 03:24:12,560 --> 03:24:13,960 REALLY TIME TO SAY THANK YOU. 5737 03:24:13,960 --> 03:24:16,160 THANKS FOR INVITING ME AS A 5738 03:24:16,160 --> 03:24:18,960 VOICE OF THE PARTICIPANT WITH MY 5739 03:24:18,960 --> 03:24:20,560 SON, DAVID. 5740 03:24:20,560 --> 03:24:21,480 I HAVE LEARNED SO MUCH THROUGH 5741 03:24:21,480 --> 03:24:22,200 THE EIGHT YEARS. 5742 03:24:22,200 --> 03:24:24,680 IT WAS AN HONOR AND PRIVILEGE TO 5743 03:24:24,680 --> 03:24:27,760 BE CHOSEN TO SERVE. 5744 03:24:27,760 --> 03:24:29,600 I SAW IT MORE AS A SERVICE THAN 5745 03:24:29,600 --> 03:24:33,360 A TASK OR A JOB. 5746 03:24:33,360 --> 03:24:36,520 I HAVE LEARNED A LOT, I HAVE TO 5747 03:24:36,520 --> 03:24:36,720 ADMIT. 5748 03:24:36,720 --> 03:24:40,480 IT'S A FIELD -- RESEARCH I 5749 03:24:40,480 --> 03:24:43,080 UNDERSTAND BUT MEDICAL FIELD AND 5750 03:24:43,080 --> 03:24:44,880 PHARMACEUTICAL AND BIOGENETICS 5751 03:24:44,880 --> 03:24:47,440 AND ALL OF THAT WAS NEW TO ME. 5752 03:24:47,440 --> 03:24:50,800 NEW TO ME IN TERMS OF SCIENTIFIC 5753 03:24:50,800 --> 03:24:51,120 UNDERSTANDING. 5754 03:24:51,120 --> 03:24:55,080 BUT WHAT I THINK I LEARNED IS 5755 03:24:55,080 --> 03:24:56,880 THAT SCIENCE CUTS ACROSS. 5756 03:24:56,880 --> 03:24:58,080 I MEAN THERE ARE CERTAIN 5757 03:24:58,080 --> 03:24:59,240 ESSENTIAL THINGS IN SCIENCE. 5758 03:24:59,240 --> 03:25:00,400 IT DOESN'T MATTER WHAT SCIENCE 5759 03:25:00,400 --> 03:25:02,440 YOU ARE LOOKING AT. 5760 03:25:02,440 --> 03:25:05,360 AND IT WAS REALLY A PRIVILEGE TO 5761 03:25:05,360 --> 03:25:09,400 BE AMONG SUCH DIVERSE GROUP OF 5762 03:25:09,400 --> 03:25:09,800 PEOPLE. 5763 03:25:09,800 --> 03:25:12,120 SO MAYBE WHAT I TOOK AWAY FROM 5764 03:25:12,120 --> 03:25:16,000 HERE IS DATA IS IMPORTANT BUT 5765 03:25:16,000 --> 03:25:18,400 THE TOOLS THAT WE USE ARE 5766 03:25:18,400 --> 03:25:18,680 IMPORTANT. 5767 03:25:18,680 --> 03:25:21,120 AND THEN THE IMPACT, WHAT'S THE 5768 03:25:21,120 --> 03:25:21,360 IMPACT? 5769 03:25:21,360 --> 03:25:23,800 I SAID THAT LAST NIGHT AND NOW I 5770 03:25:23,800 --> 03:25:25,440 WANT TO REITERATE IT. 5771 03:25:25,440 --> 03:25:28,440 IT'S NOT ONLY ABOUT -- WHAT DO 5772 03:25:28,440 --> 03:25:32,160 THEY SAY SOMETIMES, BRILLIANT 5773 03:25:32,160 --> 03:25:33,920 SCIENTISTS IS NOT WORKING ON -- 5774 03:25:33,920 --> 03:25:35,200 WALKING ON LAND. 5775 03:25:35,200 --> 03:25:35,880 THEY ARE DREAMING. 5776 03:25:35,880 --> 03:25:37,920 IT'S GOOD TO HAVE DREAMS BUT 5777 03:25:37,920 --> 03:25:38,640 MONEY SPEAKS TOO. 5778 03:25:38,640 --> 03:25:41,120 AND SO YOU WANT TO MAKE SURE 5779 03:25:41,120 --> 03:25:43,920 THAT CONGRESS CONTINUES TO FUND 5780 03:25:43,920 --> 03:25:44,080 YOU. 5781 03:25:44,080 --> 03:25:46,240 AND SO IF WE CAN SHOW THE IMPACT 5782 03:25:46,240 --> 03:25:47,920 AND I THINK YOU HAVE SHOWN IT. 5783 03:25:47,920 --> 03:25:50,200 YOU HAVE SHOWN IT IN MANY, MANY 5784 03:25:50,200 --> 03:25:50,400 WAYS. 5785 03:25:50,400 --> 03:25:52,080 AND SO I CHERISH THAT MOMENT AND 5786 03:25:52,080 --> 03:25:54,040 I'M GOING TO MISS BEING HERE. 5787 03:25:54,040 --> 03:25:56,200 AND PLEASE CALL ON ME WHENEVER 5788 03:25:56,200 --> 03:25:57,720 YOU NEED. 5789 03:25:57,720 --> 03:25:59,840 >>THANK YOU VERY MUCH, 5790 03:25:59,840 --> 03:26:00,080 KATHLEEN. 5791 03:26:00,080 --> 03:26:03,120 AND WE ARE SO HONORED BY YOUR 5792 03:26:03,120 --> 03:26:05,120 PRESENCE AND WE WILL TRULY MISS 5793 03:26:05,120 --> 03:26:05,840 YOU. 5794 03:26:05,840 --> 03:26:06,920 SO THANK YOU FOR SERVING AND WE 5795 03:26:06,920 --> 03:26:09,640 LOOK FORWARD TO SEEING YOU IN 5796 03:26:09,640 --> 03:26:11,840 OTHER CONTENTS LATER IN THE 5797 03:26:11,840 --> 03:26:13,440 INCLUDE INITIATIVE. 5798 03:26:13,440 --> 03:26:20,200 NEXT IS DR. LUCKY JAIN. 5799 03:26:20,200 --> 03:26:24,800 >>THANK YOU DR. BIANCHI. 5800 03:26:24,800 --> 03:26:30,040 WHAT SHOULD I SAY? 5801 03:26:30,040 --> 03:26:34,040 THE LAST COUPLE OF DAYS I HAVE 5802 03:26:34,040 --> 03:26:35,680 PARTICIPATED IN A COUPLE OF 5803 03:26:35,680 --> 03:26:39,080 FAREWELLS AND THOSE TYPES OF 5804 03:26:39,080 --> 03:26:42,920 EVENTS. 5805 03:26:42,920 --> 03:26:46,440 AND JUST GOING DOWN MEMORY LANE 5806 03:26:46,440 --> 03:26:50,240 I'M REMINDED OF AN EVENT 50 5807 03:26:50,240 --> 03:26:52,480 YEARS AGO. 5808 03:26:52,480 --> 03:26:55,200 IT WAS GRADUATION FROM MY HIGH 5809 03:26:55,200 --> 03:26:57,600 SCHOOL AND THE JESUIT PRINCIPLE 5810 03:26:57,600 --> 03:27:01,840 OF OUR SCHOOL SAID TO US, 5811 03:27:01,840 --> 03:27:03,240 CONSIDER YOUR PROFESSIONAL 5812 03:27:03,240 --> 03:27:10,360 JOURNEY AS A BUS RIDE. 5813 03:27:10,360 --> 03:27:15,560 AND ON THIS BUS BE OBSERVANT 5814 03:27:15,560 --> 03:27:18,360 WHEN PEOPLE BOARD THE BUS, WHO 5815 03:27:18,360 --> 03:27:21,640 COMES AND SITS WHERE. 5816 03:27:21,640 --> 03:27:23,160 WHO POSSESSES WHAT SKILL SET. 5817 03:27:23,160 --> 03:27:26,680 BECAUSE AS THE BUS GOES THROUGH 5818 03:27:26,680 --> 03:27:30,800 UPS AND DOWNS OF THE JOURNEY, 5819 03:27:30,800 --> 03:27:33,800 CALLED LIFE, YOU WILL NEED ALL 5820 03:27:33,800 --> 03:27:35,840 OF THEM. 5821 03:27:35,840 --> 03:27:37,160 THEY ARE ALL POSSESSING 5822 03:27:37,160 --> 03:27:38,240 DIFFERENT SKILLS. 5823 03:27:38,240 --> 03:27:40,480 SOME HAVE NAVIGATIONAL SKILLS. 5824 03:27:40,480 --> 03:27:42,280 SOME HAVE THE ABILITY TO FIX A 5825 03:27:42,280 --> 03:27:42,600 TIRE. 5826 03:27:42,600 --> 03:27:46,080 SOME WILL JUST HAVE THE ABILITY 5827 03:27:46,080 --> 03:27:47,280 TO CHEER EVERYONE UP. 5828 03:27:47,280 --> 03:27:52,960 SOME WILL HAVE THE SCIENTIFIC 5829 03:27:52,960 --> 03:27:53,560 DETAIL ENGRAVED IN THEIR DNA 5830 03:27:53,560 --> 03:27:56,360 THAT WILL ALLOW YOU TO MAKE 5831 03:27:56,360 --> 03:27:57,560 CLEAR DECISIONS. 5832 03:27:57,560 --> 03:28:08,120 BUT HE MENTIONED ONE MORE THING 5833 03:28:09,040 --> 03:28:11,080 ALSO BE OBSERVANT OF WHERE YOUR 5834 03:28:11,080 --> 03:28:12,520 BUS STOPS ON ITS WAY. 5835 03:28:12,520 --> 03:28:19,640 SOME OF THOSE STOPS WILL BE 5836 03:28:19,640 --> 03:28:21,320 SEQUENTIAL AND YOU WILL LEARN 5837 03:28:21,320 --> 03:28:22,320 FROM THOSE BUS STOPS. 5838 03:28:22,320 --> 03:28:24,520 ONE OF THOSE BUS STOPS FOR ME 5839 03:28:24,520 --> 03:28:29,600 WAS AT THE NICHD AND TO ALL OF 5840 03:28:29,600 --> 03:28:33,200 YOU THE STAFF IN THE BACK AND 5841 03:28:33,200 --> 03:28:34,800 THE LEADERSHIP UNDER 5842 03:28:34,800 --> 03:28:35,080 DR. BIANCHI. 5843 03:28:35,080 --> 03:28:41,560 I WANT YOU TO KNOW THAT THIS 5844 03:28:41,560 --> 03:28:43,640 STOP OF MY BUS, MY HUMBLE 5845 03:28:43,640 --> 03:28:48,680 JOURNEY AND SCIENCE AND ACADEMIA 5846 03:28:48,680 --> 03:28:54,680 HAS BEEN QUITE A SEQUENTIAL BUS 5847 03:28:54,680 --> 03:28:56,040 STOP AS FATHER ROSEN HAD 5848 03:28:56,040 --> 03:28:57,280 PREDICTED 50 YEARS AGO. 5849 03:28:57,280 --> 03:29:00,480 MY HEART IS FILLED WITH 5850 03:29:00,480 --> 03:29:04,360 GRATITUDE FOR ALL YOU DO EVERY 5851 03:29:04,360 --> 03:29:06,800 DAY AND FOR THE OPPORTUNITY YOU 5852 03:29:06,800 --> 03:29:10,520 HAVE GIVEN US. 5853 03:29:10,520 --> 03:29:17,240 >>THANK YOU LUCKY AND AGAIN, WE 5854 03:29:17,240 --> 03:29:20,360 WILL MISS YOU ABOUT YOU THE BUS 5855 03:29:20,360 --> 03:29:21,800 WILL CONTINUE TO ROLL ON BECAUSE 5856 03:29:21,800 --> 03:29:24,520 YOU'RE SERVING AS THE CO-CHAIR 5857 03:29:24,520 --> 03:29:28,120 OF THE WORKING GROUP OF COUNSEL 5858 03:29:28,120 --> 03:29:28,800 ON STILL BIRTH RESEARCH. 5859 03:29:28,800 --> 03:29:32,800 SO WE ARE GRATEFUL FOR YOU FOR 5860 03:29:32,800 --> 03:29:34,120 ALL YOUR CONTINUED SERVICE FOR 5861 03:29:34,120 --> 03:29:35,600 AN AREA THAT REALLY DOES NEED 5862 03:29:35,600 --> 03:29:35,880 ATTENTION. 5863 03:29:35,880 --> 03:29:37,120 AND THAT IS STILL BIRTH. 5864 03:29:37,120 --> 03:29:37,680 SO THANK YOU. 5865 03:29:37,680 --> 03:29:44,600 AND NEXT WE HAVE MISS MISSY 5866 03:29:44,600 --> 03:29:44,840 LAVENDER. 5867 03:29:44,840 --> 03:29:46,040 >>THANK YOU DR. BIANCHI AND 5868 03:29:46,040 --> 03:29:48,560 EVERYONE ASSOCIATED WITH NICHD. 5869 03:29:48,560 --> 03:29:50,320 FIRST OF ALL, I'M NOT A DR. 5870 03:29:50,320 --> 03:29:54,520 I KEEP GETTING MISLABELED. 5871 03:29:54,520 --> 03:29:56,520 I'M A COMMUNITY-BASED 5872 03:29:56,520 --> 03:29:56,840 RESEARCHER. 5873 03:29:56,840 --> 03:29:59,480 I WAS FORTUNATE TO GET AN SBIR 5874 03:29:59,480 --> 03:30:02,600 FROM NICHD WHICH LAUNCHED MY 5875 03:30:02,600 --> 03:30:06,000 COMPANY AND I HAVE BEEN ON 5876 03:30:06,000 --> 03:30:09,920 ANOTHER NIH INITIATIVES LIKE 5877 03:30:09,920 --> 03:30:12,040 NIDDK ON THE CONSORTIUM 5878 03:30:12,040 --> 03:30:13,960 ET CETERA, AND HEARD A LOT AND 5879 03:30:13,960 --> 03:30:17,040 PARTICIPATED A LOT IN RESEARCH. 5880 03:30:17,040 --> 03:30:20,360 BUT I HAVE BEEN SO BLOWN AWAY BY 5881 03:30:20,360 --> 03:30:23,240 THE PROCESSES IN THIS INSTITUTE, 5882 03:30:23,240 --> 03:30:25,720 BY WHAT YOU ALL -- BY WHAT WE 5883 03:30:25,720 --> 03:30:26,760 ALL ARE DOING. 5884 03:30:26,760 --> 03:30:28,520 JUST THE INCREDIBLE BREATH OF 5885 03:30:28,520 --> 03:30:30,440 TOPICS THAT THIS GROUP TACKLES. 5886 03:30:30,440 --> 03:30:32,160 AND AS HAS BEEN MENTIONED, JUST 5887 03:30:32,160 --> 03:30:34,120 THE FANTASTIC INITIATIVES. 5888 03:30:34,120 --> 03:30:38,320 SOME SO BASIC BUT SO IMPORTANT. 5889 03:30:38,320 --> 03:30:42,560 AND I HAD REALLY NO IDEA HOW IT 5890 03:30:42,560 --> 03:30:44,160 ALL HAPPENED. 5891 03:30:44,160 --> 03:30:45,640 I'M JUST GRATEFUL TO HAVE BEEN 5892 03:30:45,640 --> 03:30:46,680 IN THE ROOM. 5893 03:30:46,680 --> 03:30:48,240 I'M GRATEFUL FOR WHAT LITTLE 5894 03:30:48,240 --> 03:30:49,560 LIFE I FEEL LIKE I HAVE BEEN 5895 03:30:49,560 --> 03:30:51,200 ABLE TO CONTRIBUTE BASED ON ALL 5896 03:30:51,200 --> 03:30:53,040 OF THESE INCREDIBLE MINDS. 5897 03:30:53,040 --> 03:30:57,800 BUT I HAVE TOLD SO MANY PEOPLE 5898 03:30:57,800 --> 03:30:59,320 ABOUT THIS. 5899 03:30:59,320 --> 03:31:03,480 AND PEOPLE REALLY -- I HAVE NO 5900 03:31:03,480 --> 03:31:04,560 IDEA JUST THE DEPTH AND BREADTH 5901 03:31:04,560 --> 03:31:06,720 OF WHAT YOU DO. 5902 03:31:06,720 --> 03:31:08,080 IT'S JUST BEEN A JOY. 5903 03:31:08,080 --> 03:31:09,200 SO THANK YOU VERY MUCH FOR 5904 03:31:09,200 --> 03:31:12,360 LETTING ME BE HERE AND HELP WHEN 5905 03:31:12,360 --> 03:31:14,160 I COULD. 5906 03:31:14,160 --> 03:31:15,520 >>THANK YOU VERY MUCH, MISSY 5907 03:31:15,520 --> 03:31:19,920 AND WE WILL MISS YOU AS WELL AND 5908 03:31:19,920 --> 03:31:24,600 YOU DEFINITELY CONTRIBUTED A 5909 03:31:24,600 --> 03:31:26,000 UNIQUE VOICE FROM SPECIFIC 5910 03:31:26,000 --> 03:31:28,120 BUSINESS PERSPECTIVE WHICH HAS 5911 03:31:28,120 --> 03:31:29,480 BEEN VERY MUCH APPRECIATED AND 5912 03:31:29,480 --> 03:31:31,200 YOU ARE AN INCREDIBLE ADVOCATE 5913 03:31:31,200 --> 03:31:33,240 FOR WOMEN'S HEALTH. 5914 03:31:33,240 --> 03:31:34,080 SO WE THANK YOU. 5915 03:31:34,080 --> 03:31:44,640 AND LAST BUT NOT LEAST, DR. ADAM 5916 03:31:46,800 --> 03:31:47,760 RESNICK. 5917 03:31:47,760 --> 03:31:49,920 >>WE WERE ALL ON MULTIPLE 5918 03:31:49,920 --> 03:31:53,920 COMMITTEES AND INSTITUTIONAL 5919 03:31:53,920 --> 03:31:55,120 INITIATIVES AND TYPICALLY WHEN 5920 03:31:55,120 --> 03:31:56,800 THAT BUS STOP ARRIVES, THERE WAS 5921 03:31:56,800 --> 03:32:00,320 A SENSE OF RELIEF FOR MOST OF 5922 03:32:00,320 --> 03:32:02,120 THOSE COMMITTEES. 5923 03:32:02,120 --> 03:32:06,680 BUT THIS IS A REAL EXCEPTION FOR 5924 03:32:06,680 --> 03:32:08,680 ME, ESPECIALLY. 5925 03:32:08,680 --> 03:32:10,240 I THINK THIS WAS REALLY A 5926 03:32:10,240 --> 03:32:13,480 SPECIAL MOMENT IN TIME FOR NICHD 5927 03:32:13,480 --> 03:32:16,920 THAT WE GOT TO BE PARTICIPATORY 5928 03:32:16,920 --> 03:32:17,240 IN. 5929 03:32:17,240 --> 03:32:20,440 THOSE WHO WILL CONTINUE, IT 5930 03:32:20,440 --> 03:32:22,040 WAS -- YOU'RE JUST LAUNCHING A 5931 03:32:22,040 --> 03:32:25,800 NEW STRATEGIC PLAN, COVID HIT, 5932 03:32:25,800 --> 03:32:26,400 REPRODUCTIVE HEALTH POLICY 5933 03:32:26,400 --> 03:32:30,520 CHANGED DURING THAT ENTIRE TIME, 5934 03:32:30,520 --> 03:32:32,640 AND FOR MY BIAS, THE ROLE AND 5935 03:32:32,640 --> 03:32:34,440 IMPACT OF DATA INFRASTRUCTURE 5936 03:32:34,440 --> 03:32:37,120 AND BIG DATA AND DATA SHARING 5937 03:32:37,120 --> 03:32:39,120 COMPLETELY EXPLODED IN WAYS THAT 5938 03:32:39,120 --> 03:32:42,640 I THINK NICHD JUST HARNESSED AND 5939 03:32:42,640 --> 03:32:44,440 DEMONSTRATED SUCH PROFOUND 5940 03:32:44,440 --> 03:32:45,920 LEADERSHIP IN TAKING CHARGE OF 5941 03:32:45,920 --> 03:32:46,120 THIS. 5942 03:32:46,120 --> 03:32:49,640 AND FOR ME, A SENSE OF 5943 03:32:49,640 --> 03:32:51,120 PROFESSIONALISM AND THE STAFF 5944 03:32:51,120 --> 03:32:53,480 AND THE DEDICATION THAT 5945 03:32:53,480 --> 03:32:56,040 EVERYBODY REPRESENTED, WHICH IS 5946 03:32:56,040 --> 03:32:56,480 TOTALLY INSPIRING. 5947 03:32:56,480 --> 03:32:59,280 MAYBE I'LL JUST END BY -- I WAS 5948 03:32:59,280 --> 03:33:02,560 TALKING ON THE WAY OVER HERE AND 5949 03:33:02,560 --> 03:33:05,960 I KNOW HOW SPECIAL NICHDS IN A 5950 03:33:05,960 --> 03:33:07,240 WAY THAT JONI MENTIONED. 5951 03:33:07,240 --> 03:33:08,760 WHICH IS THAT THE LANDSCAPE IS 5952 03:33:08,760 --> 03:33:12,600 CHANGING IN WAYS THAT 5953 03:33:12,600 --> 03:33:14,160 PEDIATRICS, MATERNAL HEALTH, ARE 5954 03:33:14,160 --> 03:33:16,640 BEING BECOMING THE ANCHOR FOR 5955 03:33:16,640 --> 03:33:18,160 ALL HEALTH. 5956 03:33:18,160 --> 03:33:21,960 THE HUB OR THE STARTING POINT OF 5957 03:33:21,960 --> 03:33:22,600 LIFESPAN OF HEALTH. 5958 03:33:22,600 --> 03:33:24,560 SO THERE IS A REAL OPPORTUNITY 5959 03:33:24,560 --> 03:33:26,680 TO TRANSFORM HEALTH CARE AT 5960 03:33:26,680 --> 03:33:28,160 LARGE THROUGH THE PEDIATRIC 5961 03:33:28,160 --> 03:33:30,680 LENSE IN WAYS THAT I THINK NICHD 5962 03:33:30,680 --> 03:33:33,080 IS SO PRIVILEGED TO TAKE ON. 5963 03:33:33,080 --> 03:33:34,480 AND UNIQUELY. 5964 03:33:34,480 --> 03:33:35,680 I THINK ALL OF US WHO ARE A PART 5965 03:33:35,680 --> 03:33:37,880 OF THE INSTITUTIONS RECOGNIZE 5966 03:33:37,880 --> 03:33:41,880 THAT MOST INSTITUTIONS ARE 5967 03:33:41,880 --> 03:33:42,440 CHALLENGED BY CHANGE. 5968 03:33:42,440 --> 03:33:46,200 BUT I REALLY FEEL LIKE THE 5969 03:33:46,200 --> 03:33:49,000 PEDIATRIC ENTERPRISE, NICHD 5970 03:33:49,000 --> 03:33:50,600 ESPECIALLY IS UNIQUELY POISED 5971 03:33:50,600 --> 03:33:53,400 BECAUSE WHETHER IT IS MATERNAL 5972 03:33:53,400 --> 03:33:55,640 HEALTH OR PEDIATRICS YOU'RE 5973 03:33:55,640 --> 03:33:56,080 STEWARDS OF CHANGE. 5974 03:33:56,080 --> 03:33:57,600 THE WHOLE PROCESS OF DEVELOPMENT 5975 03:33:57,600 --> 03:33:58,400 OR BIRTH. 5976 03:33:58,400 --> 03:33:59,720 SO I THINK IT'S EMBEDDED IN 5977 03:33:59,720 --> 03:34:01,320 EVERYTHING I HAVE SEEN HAPPEN AS 5978 03:34:01,320 --> 03:34:02,960 PART OF THIS COUNSEL. 5979 03:34:02,960 --> 03:34:05,640 AND REALLY AMAZING WAYS THAT I 5980 03:34:05,640 --> 03:34:07,400 THINK THAT PROVIDES A SENSE OF 5981 03:34:07,400 --> 03:34:08,640 OPTIMISM FOR THAT VISION. 5982 03:34:08,640 --> 03:34:11,200 ON BEHALF OF PEDIATRICSED AND 5983 03:34:11,200 --> 03:34:12,800 MATERNAL HEALTH, MAYBE HEALTH 5984 03:34:12,800 --> 03:34:14,320 CARE AT LARGE. 5985 03:34:14,320 --> 03:34:17,880 SO VERY GRATEFUL. 5986 03:34:17,880 --> 03:34:27,400 LEARNED SO MUCH. 5987 03:34:27,400 --> 03:34:28,720 >>THANK YOU. 5988 03:34:28,720 --> 03:34:31,720 YOU HAVE BEEN AN ENORMOUS 5989 03:34:31,720 --> 03:34:32,280 CONTRIBUTOR. 5990 03:34:32,280 --> 03:34:33,600 IT'S BEEN A TRUE JOY TO HAVE ALL 5991 03:34:33,600 --> 03:34:35,240 OF YOU SERVING ON THE COUNCIL 5992 03:34:35,240 --> 03:34:37,080 AND CONTINUING THE BUS METAPHOR, 5993 03:34:37,080 --> 03:34:38,120 I THINK IT'S SAFE TO SAY THAT 5994 03:34:38,120 --> 03:34:45,120 YOU EARNED A FREE METRO CARD. 5995 03:34:45,120 --> 03:34:46,200 AND WE WILL ASK YOU TO GET ON 5996 03:34:46,200 --> 03:34:47,560 THE BUS OR TRAIN IN THE FUTURE 5997 03:34:47,560 --> 03:34:50,040 TO HELP ADVISE US ON 5998 03:34:50,040 --> 03:34:51,720 PARTICULARLY WITH THE STRATEGIC 5999 03:34:51,720 --> 03:34:52,640 PLAN, FOR EXAMPLE. 6000 03:34:52,640 --> 03:34:59,080 OR AREAS WHERE WE GOT IT RIGHT 6001 03:34:59,080 --> 03:35:00,080 AND THE WHERE WE COULD HAVE DONE 6002 03:35:00,080 --> 03:35:01,320 BETTER AND WHAT DO YOU SEE AS 6003 03:35:01,320 --> 03:35:03,080 IMPORTANT TOPICS IN THE FUTURE? 6004 03:35:03,080 --> 03:35:04,920 BUT WE ARE ALL -- I'M SPEAKING 6005 03:35:04,920 --> 03:35:06,560 ON BEHALF OF THE ENTIRE 6006 03:35:06,560 --> 03:35:06,960 INSTITUTE. 6007 03:35:06,960 --> 03:35:09,680 WE ARE ALL IN INCREDIBLY 6008 03:35:09,680 --> 03:35:13,880 GRATEFUL FOR YOUR INPUT, YOUR 6009 03:35:13,880 --> 03:35:14,200 ENTHUSIASM. 6010 03:35:14,200 --> 03:35:17,200 YOU NEVER SAID NO TO ANYTHING WE 6011 03:35:17,200 --> 03:35:17,520 ASKED. 6012 03:35:17,520 --> 03:35:20,640 AND IT'S JUST BEEN AN INCREDIBLE 6013 03:35:20,640 --> 03:35:20,960 JOY. 6014 03:35:20,960 --> 03:35:22,040 SO THANK YOU. 6015 03:35:22,040 --> 03:35:31,480 [ APPLAUSE ] 6016 03:35:31,480 --> 03:35:32,680 NOW I'LL TURN THE MICROPHONE 6017 03:35:32,680 --> 03:35:34,800 OVER TO REBEKAH. 6018 03:35:34,800 --> 03:35:37,360 >>IT'S ALWAYS VERY 6019 03:35:37,360 --> 03:35:38,320 ANTI-CLIMATIC TO COME FROM NIECE 6020 03:35:38,320 --> 03:35:42,520 SORT OF MOVING AND MEANINGFUL 6021 03:35:42,520 --> 03:35:44,520 TALKS TO THE BUSINESS OF 6022 03:35:44,520 --> 03:35:46,520 COUNCIL. 6023 03:35:46,520 --> 03:35:48,320 BUT NEVERTHELESS, THIS AFTERNOON 6024 03:35:48,320 --> 03:35:51,200 WE ARE PRESENTING FOUR CONCEPTS 6025 03:35:51,200 --> 03:35:52,920 FOR YOUR CONSIDERATION. 6026 03:35:52,920 --> 03:35:54,520 FOR EACH CONCEPT, I'M GOING TO 6027 03:35:54,520 --> 03:35:57,680 ASK THE STAFF TO GIVE YOU A 6028 03:35:57,680 --> 03:35:58,440 BRIEF OAF VIEW OF THE INITIATIVE 6029 03:35:58,440 --> 03:36:00,680 AND THEN ASK YOU AS COUNCIL 6030 03:36:00,680 --> 03:36:02,520 MEMBERS FOR DISCUSSION REGARDING 6031 03:36:02,520 --> 03:36:03,280 THE CONCEPT. 6032 03:36:03,280 --> 03:36:05,440 AT THE CONCLUSION OF THE 6033 03:36:05,440 --> 03:36:06,760 DISCUSSION, FOR EACH CONCEPT 6034 03:36:06,760 --> 03:36:09,240 I'LL ASK YOU TO VOTE ON WHETHER 6035 03:36:09,240 --> 03:36:12,920 YOU CONCUR OR NOT. 6036 03:36:12,920 --> 03:36:15,200 SO, OUR FIRST CONCEPT WILL BE 6037 03:36:15,200 --> 03:36:17,640 PRESENTED BY DR. TRACY KING FROM 6038 03:36:17,640 --> 03:36:19,840 THE INTELLECTUAL AND 6039 03:36:19,840 --> 03:36:20,760 DEVELOPMENTAL DISABILITIES 6040 03:36:20,760 --> 03:36:21,120 BRANCH. 6041 03:36:21,120 --> 03:36:22,960 AND SHE'LL PRESENT THE CENTERS 6042 03:36:22,960 --> 03:36:25,360 FOR COLLABORATIVE RESEARCH IN 6043 03:36:25,360 --> 03:36:28,040 FRAGILE X AND FMRI ASSOCIATED 6044 03:36:28,040 --> 03:36:30,160 CONDITIONS. 6045 03:36:30,160 --> 03:36:31,240 TRACY? 6046 03:36:31,240 --> 03:36:31,960 >>THANK YOU FOR THE OPPORTUNITY 6047 03:36:31,960 --> 03:36:35,840 TO PRESENT THIS CONCEPT TODAY. 6048 03:36:35,840 --> 03:36:37,080 PROGRAM SEEKS COUNSEL APPROVAL 6049 03:36:37,080 --> 03:36:39,760 FOR RENEWAL OF INITIATIVE 6050 03:36:39,760 --> 03:36:40,200 ENTITLED CENTERS FOR 6051 03:36:40,200 --> 03:36:41,480 COLLABORATIVE RESEARCH AND 6052 03:36:41,480 --> 03:36:44,960 FRAGILE X AND THE FMR1 6053 03:36:44,960 --> 03:36:45,840 ASSOCIATED CONDITIONS. 6054 03:36:45,840 --> 03:36:49,040 THIS IS THE MOST COMMON FORM OF 6055 03:36:49,040 --> 03:36:50,040 INHERITED INTELLECTUAL 6056 03:36:50,040 --> 03:36:51,080 DISABILITY CAUSED BY LARGE 6057 03:36:51,080 --> 03:36:52,960 MUTATIONS CALLED FULL MUTATIONS 6058 03:36:52,960 --> 03:36:54,840 AND THE GENE ON THE X CHROMOSOME 6059 03:36:54,840 --> 03:36:56,800 THAT LEAD TO GENE SILENCING. 6060 03:36:56,800 --> 03:36:59,080 ANOTHER CATEGORY OF FMR1 6061 03:36:59,080 --> 03:37:00,920 MUTATIONS CALLED PRE-MUTATIONS 6062 03:37:00,920 --> 03:37:02,480 PLAY A ROLE IN A RANGE EVER 6063 03:37:02,480 --> 03:37:04,280 MEDICAL CONDITIONS THAT AFFECT 6064 03:37:04,280 --> 03:37:06,280 CHILDREN, ADULTS AND SENIORS. 6065 03:37:06,280 --> 03:37:08,600 SINCE 2000, CONGRESS DIRECTED 6066 03:37:08,600 --> 03:37:11,680 NIH TO FUND AT LEAST THREE 6067 03:37:11,680 --> 03:37:13,080 MULTIDISCIPLINARY RESEARCH 6068 03:37:13,080 --> 03:37:13,480 CENTERS. 6069 03:37:13,480 --> 03:37:15,120 THESE CENTERS CONTRIBUTED TO 6070 03:37:15,120 --> 03:37:16,200 MAJOR ADVANCES IN UNDERSTANDING 6071 03:37:16,200 --> 03:37:18,520 THE MECHANISMS THAT UNDERLIE 6072 03:37:18,520 --> 03:37:19,800 THESE CONDITIONS AS WELL AS THE 6073 03:37:19,800 --> 03:37:21,000 IDENTIFICATION OF THERAPEUTIC 6074 03:37:21,000 --> 03:37:22,800 CAR GETS THAT SHOWN PROMISE IN 6075 03:37:22,800 --> 03:37:24,720 CELLULAR ANIMAL STUDIES. 6076 03:37:24,720 --> 03:37:26,400 HOWEVER, THESE PRODUCTS AND 6077 03:37:26,400 --> 03:37:30,400 FINDINGS HAVE NOT TRANSLATED TO 6078 03:37:30,400 --> 03:37:31,720 EFFECTIVE TREATMENTS FOR 6079 03:37:31,720 --> 03:37:33,920 INDIVIDUALS WITH THESE 6080 03:37:33,920 --> 03:37:34,480 CONDITIONS. 6081 03:37:34,480 --> 03:37:36,000 THE GOAL OF THE PROGRAM IS TO 6082 03:37:36,000 --> 03:37:37,400 ACCELERATE THE TRANSLATION OF 6083 03:37:37,400 --> 03:37:40,840 DISCOVERY TO EFFECTIVE CLINICAL 6084 03:37:40,840 --> 03:37:44,920 INTERVENTIONS. 6085 03:37:44,920 --> 03:37:45,920 >>ARE THERE QUESTIONS OR 6086 03:37:45,920 --> 03:37:49,760 COMMENTS FOR TRACY? 6087 03:37:49,760 --> 03:37:50,320 >>THANK YOU. 6088 03:37:50,320 --> 03:37:51,480 CAN YOU TELL US A LITTLE BIT, 6089 03:37:51,480 --> 03:37:52,880 SINCE THIS HAS BEEN IN PLACE 6090 03:37:52,880 --> 03:37:56,320 SINCE 2000, WHAT ARE SOME OF THE 6091 03:37:56,320 --> 03:37:57,640 ADVANCEMENTS AND WHERE DO WE 6092 03:37:57,640 --> 03:38:00,240 HOPE TO GO NEXT? 6093 03:38:00,240 --> 03:38:03,920 >>THAT'S A GREAT QUESTION. 6094 03:38:03,920 --> 03:38:05,480 SO, THERE HAVE BEEN MULTIPLE 6095 03:38:05,480 --> 03:38:13,880 GENE TARGETS THAT HAVE BEEN 6096 03:38:13,880 --> 03:38:15,760 FOUND TO BE RESPONSIVE TO 6097 03:38:15,760 --> 03:38:17,720 THERAPEUTIC AND PHARMACOLOGICAL 6098 03:38:17,720 --> 03:38:18,720 TREATMENTS, PARTICULARLY IN 6099 03:38:18,720 --> 03:38:20,920 MOUSE MODELS BUT ALSO IN FLY 6100 03:38:20,920 --> 03:38:24,240 MODELS AND CELLULAR MODELS AND A 6101 03:38:24,240 --> 03:38:28,040 LOT OF WORK IN THINKING ABOUT 6102 03:38:28,040 --> 03:38:30,040 HOW BIOMARKERS BETWEEN ANIMAL 6103 03:38:30,040 --> 03:38:31,160 MODELS AND HUMANS MIGHT 6104 03:38:31,160 --> 03:38:33,040 TRANSLATE IN A WAY THAT 6105 03:38:33,040 --> 03:38:37,960 ACCELERATES MOVEMENT TO CLINICAL 6106 03:38:37,960 --> 03:38:38,240 TRIALS. 6107 03:38:38,240 --> 03:38:41,360 MANY OF THE ADVANCES IN THESE 6108 03:38:41,360 --> 03:38:42,560 CENTERS HAVE GONE ON TO BE 6109 03:38:42,560 --> 03:38:44,840 TESTED IN CLIN DALTRIALS. 6110 03:38:44,840 --> 03:38:46,040 UNFORTUNATELY, THOSE CLINICAL 6111 03:38:46,040 --> 03:38:50,080 TRIALS HAVE NOT YET RESULTED IN 6112 03:38:50,080 --> 03:38:52,760 FINDINGS OF EFFICACIOUS 6113 03:38:52,760 --> 03:38:53,360 INTERESTS VENTIONS BUT LED THE 6114 03:38:53,360 --> 03:38:55,080 FIELD TO START THINKING ABOUT 6115 03:38:55,080 --> 03:38:56,760 WHAT ARE THE DIFFERENCES BETWEEN 6116 03:38:56,760 --> 03:38:59,120 ANIMAL MODELS AND HUMANS AND HOW 6117 03:38:59,120 --> 03:39:02,360 DO YOU MODEL THE HETEROGENEITY 6118 03:39:02,360 --> 03:39:05,680 OF HUMANS WITH FMR1 ASSOCIATED 6119 03:39:05,680 --> 03:39:10,680 CONDITIONS BETTER USING ANIMAL 6120 03:39:10,680 --> 03:39:12,360 MODELS. 6121 03:39:12,360 --> 03:39:17,200 >>OTHER QUESTIONS? 6122 03:39:17,200 --> 03:39:18,800 IF THERE IS NO FURTHER 6123 03:39:18,800 --> 03:39:21,680 DISCUSSION, IS THERE A MOTION TO 6124 03:39:21,680 --> 03:39:26,880 APPROVE? 6125 03:39:26,880 --> 03:39:32,880 NEIL PERRY MOVE TO APPROVE? 6126 03:39:32,880 --> 03:39:33,360 >>SECOND. 6127 03:39:33,360 --> 03:39:36,880 >>ALL IN FAVOR? 6128 03:39:36,880 --> 03:39:39,160 ALL RIGHT. 6129 03:39:39,160 --> 03:39:40,240 THANK YOU VERY MUCH. 6130 03:39:40,240 --> 03:39:43,800 SO NEXT IS DR. SONIA LEE, THE 6131 03:39:43,800 --> 03:39:46,800 CHIEF OF THE MATERNAL AND 6132 03:39:46,800 --> 03:39:48,240 PEDIATRIC INFECTIOUS DISEASE 6133 03:39:48,240 --> 03:39:49,240 BRANCH. 6134 03:39:49,240 --> 03:39:51,000 AND CELL PRESENT OPTIMIZING 6135 03:39:51,000 --> 03:39:52,560 HEALTH OF CHILDREN IN 6136 03:39:52,560 --> 03:39:56,320 ADOLESCENCE WITH PERINATAL HIV 6137 03:39:56,320 --> 03:39:56,600 EXPOSURE. 6138 03:39:56,600 --> 03:39:57,480 >>THANK YOU FOR THE OPPORTUNITY 6139 03:39:57,480 --> 03:39:58,680 TO PRESENT THIS CONCEPT THIS 6140 03:39:58,680 --> 03:39:59,200 AFTERNOON. 6141 03:39:59,200 --> 03:40:00,800 IT'S BEEN QUITE THE INSPIRING 6142 03:40:00,800 --> 03:40:01,080 AFTERNOON. 6143 03:40:01,080 --> 03:40:02,280 SO THANKS FOR THAT AS WELL. 6144 03:40:02,280 --> 03:40:04,280 SO WE ARE SEEKING COUNCIL 6145 03:40:04,280 --> 03:40:06,400 APPROVAL FOR INITIATIVE TITLED, 6146 03:40:06,400 --> 03:40:07,600 OPTIMIZING THE HEALTH OF 6147 03:40:07,600 --> 03:40:09,720 CHILDREN AND ADD LES WHENCE 6148 03:40:09,720 --> 03:40:10,880 PERINATAL HIV EXPOSURE. 6149 03:40:10,880 --> 03:40:13,080 THE NUMBER OF CHILDREN EXPOSED 6150 03:40:13,080 --> 03:40:17,600 TO HIV AND ANTI-RETROVIRAL 6151 03:40:17,600 --> 03:40:19,080 THERAPY IN UTERO AND DURING 6152 03:40:19,080 --> 03:40:20,600 BREASTFEEDING WHO ARE UNINFECTED 6153 03:40:20,600 --> 03:40:22,200 AND THUS NOT LIVING WITH HIV 6154 03:40:22,200 --> 03:40:24,240 WILL CONTINUE TO INCREASE FROM 6155 03:40:24,240 --> 03:40:26,360 THEIT SOMEWHATTED 15.9 MILLION 6156 03:40:26,360 --> 03:40:29,400 CHILDREN IN 2021. 6157 03:40:29,400 --> 03:40:31,080 FURTHERMORE, INCREASING NUMBER 6158 03:40:31,080 --> 03:40:32,760 OF THESE CHILDREN ARE NOW 6159 03:40:32,760 --> 03:40:34,520 GROWING INTO ADOLESCENCE AND 6160 03:40:34,520 --> 03:40:34,840 ADULTHOOD. 6161 03:40:34,840 --> 03:40:36,800 THE GOAL OF THIS INITIATIVE IS 6162 03:40:36,800 --> 03:40:39,400 TO UNDERSTAND HOW THE FACTORS 6163 03:40:39,400 --> 03:40:40,200 CONTRIBUTING TO THE HEALTH 6164 03:40:40,200 --> 03:40:43,520 OUTCOMES OF POPULATIONS WHO ARE 6165 03:40:43,520 --> 03:40:46,520 HEU, INCLUDING SOCIAL 6166 03:40:46,520 --> 03:40:47,520 DETERMINANTS, INEQUITABLE ACCESS 6167 03:40:47,520 --> 03:40:50,400 TO SERVICES, STIGMA, STRUCTURAL 6168 03:40:50,400 --> 03:40:52,120 INEQUALITIES, EXPOSURES TO OTHER 6169 03:40:52,120 --> 03:40:53,720 INFECTIOUS DISEASES OR 6170 03:40:53,720 --> 03:40:55,240 ENVIRONMENTAL FACTORS AND 6171 03:40:55,240 --> 03:40:58,240 EXPOSURES TO NEW ART REGIMENS. 6172 03:40:58,240 --> 03:40:59,120 INNOVATIVE APPROACHES TO 6173 03:40:59,120 --> 03:41:01,640 UNDERSTAND THE LONG TERM IMPACT 6174 03:41:01,640 --> 03:41:03,840 OVER THE LIFE COURSE WILL ALLOW 6175 03:41:03,840 --> 03:41:05,520 FOR BETTER IDENTIFICATION OF 6176 03:41:05,520 --> 03:41:07,400 THOSE IN NEED AND OF DEVELOPMENT 6177 03:41:07,400 --> 03:41:09,840 OF EARLY OPPORTUNITIES FOR 6178 03:41:09,840 --> 03:41:14,800 PREVENTION AND TREATMENT. 6179 03:41:14,800 --> 03:41:15,560 >>THANK YOU. 6180 03:41:15,560 --> 03:41:16,960 ARE THERE QUESTIONS? 6181 03:41:16,960 --> 03:41:23,720 OR COMMENTS? 6182 03:41:23,720 --> 03:41:25,120 >>THANK YOU. 6183 03:41:25,120 --> 03:41:26,560 I WANT TO THANK YOU AND THE 6184 03:41:26,560 --> 03:41:29,960 BRANCH FOR CONTINUING TO EXPLORE 6185 03:41:29,960 --> 03:41:31,040 OPPORTUNITIES TO IMPROVE THE 6186 03:41:31,040 --> 03:41:32,840 HEALTH OF THESE CHILDREN AS YOU 6187 03:41:32,840 --> 03:41:33,360 SAID. 6188 03:41:33,360 --> 03:41:36,320 THEY ARE GROWING POPULATIONS AND 6189 03:41:36,320 --> 03:41:38,360 I THINK THE UNDERSTANDING OF 6190 03:41:38,360 --> 03:41:39,560 THEIR DISEASE PROCESS OR 6191 03:41:39,560 --> 03:41:42,280 POTENTIAL DISEASE PROCESSES ARE 6192 03:41:42,280 --> 03:41:46,040 STILL UNKNOWN AND REMAIN A BIG 6193 03:41:46,040 --> 03:41:47,280 TOPIC OF INTEREST, NOT ONLY IN 6194 03:41:47,280 --> 03:41:49,880 THE U.S. BUT AROUND THE WORLD. 6195 03:41:49,880 --> 03:41:51,040 THANK YOU. 6196 03:41:51,040 --> 03:41:55,240 >>THANK YOU. 6197 03:41:55,240 --> 03:41:55,840 >>THANK YOU. 6198 03:41:55,840 --> 03:41:58,040 ALL RIGHT, IF THERE ARE NO 6199 03:41:58,040 --> 03:42:00,000 FURTHER QUESTIONS OR COMMENTS, 6200 03:42:00,000 --> 03:42:03,640 IS THERE A MOTION TO APPROVE? 6201 03:42:03,640 --> 03:42:07,080 >>SHERRY BARK IN MOVE TO 6202 03:42:07,080 --> 03:42:07,320 APPROVE. 6203 03:42:07,320 --> 03:42:10,800 >>SECOND AND ALL IN FAVOR? 6204 03:42:10,800 --> 03:42:11,880 THANK YOU SO MUCH. 6205 03:42:11,880 --> 03:42:15,600 SO NEXT UP IS DR. STEVEN KAUFMAN 6206 03:42:15,600 --> 03:42:17,280 FROM THE CONTRACEPTION RESEARCH 6207 03:42:17,280 --> 03:42:19,560 BRANCH WHO WILL BE PRESENTING 6208 03:42:19,560 --> 03:42:23,360 WOMEN'S REPRODUCTIVE HEALTH 6209 03:42:23,360 --> 03:42:24,520 RESEARCH PROGRAM. 6210 03:42:24,520 --> 03:42:26,360 >>THANK YOU AND GOOD AFTERNOON. 6211 03:42:26,360 --> 03:42:28,000 DR. BIANCHI, YOU HAD TO PICK THE 6212 03:42:28,000 --> 03:42:29,640 HOTTEST DAY OF THE YEAR TO MAKE 6213 03:42:29,640 --> 03:42:31,680 ME PUT ON A TIE AND COME INTO 6214 03:42:31,680 --> 03:42:32,400 THE OFFICE. 6215 03:42:32,400 --> 03:42:34,640 I HAVE BEEN FORTUNATE TO WORK 6216 03:42:34,640 --> 03:42:35,800 FULL-TIME FROM HOME FOR A LONG 6217 03:42:35,800 --> 03:42:38,000 TIME NOW, WHICH IS GREAT. 6218 03:42:38,000 --> 03:42:39,840 BUT IT'S GREAT TO BE HERE TOO. 6219 03:42:39,840 --> 03:42:42,120 THIS IS A RECOMPETITION OF THE 6220 03:42:42,120 --> 03:42:44,400 WOMEN'S REPRODUCTIVE HEALTH 6221 03:42:44,400 --> 03:42:45,080 RESEARCH CAREER DEVELOPMENT 6222 03:42:45,080 --> 03:42:48,520 PROGRAM, WHICH WE REFER TO AS 6223 03:42:48,520 --> 03:42:48,800 WRHR. 6224 03:42:48,800 --> 03:42:52,120 THE INITIATIVE USES THE K12 6225 03:42:52,120 --> 03:42:52,760 INSTITUTIONAL CAREER DEVELOPMENT 6226 03:42:52,760 --> 03:42:54,400 PROGRAM MECHANISM TO PREPARE 6227 03:42:54,400 --> 03:42:56,520 JUNIOR FACULTY WHO RECENTLY 6228 03:42:56,520 --> 03:43:01,000 COMPLETED THEIR OBGYY TRAINING 6229 03:43:01,000 --> 03:43:02,680 AND PREPARE FOR INDEPENDENT 6230 03:43:02,680 --> 03:43:03,280 RESEARCH CAREERS. 6231 03:43:03,280 --> 03:43:07,640 OUR GOAL IS TO CONTINUE BUILDING 6232 03:43:07,640 --> 03:43:09,200 A NATIONAL CADRE OF OUTSTANDING 6233 03:43:09,200 --> 03:43:11,120 JUNIOR CLINICIAN INVESTIGATORS 6234 03:43:11,120 --> 03:43:12,800 WHO WILL STRENGTHEN THE FIELD OF 6235 03:43:12,800 --> 03:43:14,080 OBSTETRICS AND GYNECOLOGIY AND 6236 03:43:14,080 --> 03:43:16,400 CONTRIBUTE TO THE IMPROVEMENT OF 6237 03:43:16,400 --> 03:43:17,000 WOMEN'S HEALTH. 6238 03:43:17,000 --> 03:43:18,400 THIS NOTICE OF FUNDING 6239 03:43:18,400 --> 03:43:19,680 OPPORTUNITY WILL SUPPORT 6240 03:43:19,680 --> 03:43:22,120 TRAINEES PURSUING BASIC, 6241 03:43:22,120 --> 03:43:22,960 TRANSLATIONAL OR CLINICAL 6242 03:43:22,960 --> 03:43:25,720 RESEARCH FOR 2-5 YEARS EACH 6243 03:43:25,720 --> 03:43:25,920 TRAINEE. 6244 03:43:25,920 --> 03:43:27,960 AND IT PROVIDES UP TO FIVE YEARS 6245 03:43:27,960 --> 03:43:30,360 OF SUPPORT FOR EACH 6246 03:43:30,360 --> 03:43:30,960 PARTICIPATING INSTITUTION. 6247 03:43:30,960 --> 03:43:33,800 IT HAS BEEN RE-ISSUED EVERY FIVE 6248 03:43:33,800 --> 03:43:38,000 YEARS SINCE 1998. 6249 03:43:38,000 --> 03:43:39,920 >>ARE THERE ANY QUESTIONS OR 6250 03:43:39,920 --> 03:43:45,880 COMMENTS ON THIS CONCEPT? 6251 03:43:45,880 --> 03:43:48,480 >>I HAD ONE QUICK QUESTION. 6252 03:43:48,480 --> 03:43:52,080 DOES THIS INTERACT AT ALL WITH 6253 03:43:52,080 --> 03:43:53,920 SOME OF THE PREVIOUS 6254 03:43:53,920 --> 03:43:56,200 PRESENTATIONS WE SAW INDICATING 6255 03:43:56,200 --> 03:43:57,800 THAT THERE WAS SIGNIFICANT 6256 03:43:57,800 --> 03:43:59,840 HEALTH CARE DESERTS IN THIS 6257 03:43:59,840 --> 03:44:00,040 SPACE? 6258 03:44:00,040 --> 03:44:01,200 >>I'M NOT SURE I HEARD ALL OF 6259 03:44:01,200 --> 03:44:01,600 THAT. 6260 03:44:01,600 --> 03:44:03,160 IT SOUNDS LIKE YOU'RE ASKING TO 6261 03:44:03,160 --> 03:44:04,560 WHAT EXTENT DOES THIS INTERACT 6262 03:44:04,560 --> 03:44:06,600 WITH THE PREVIOUS PRESENTATIONS 6263 03:44:06,600 --> 03:44:06,800 TODAY? 6264 03:44:06,800 --> 03:44:10,400 >>ON THE CENTERS OF EXCELLENCE 6265 03:44:10,400 --> 03:44:12,200 BEING LOCATED WHERE THERE ARE 6266 03:44:12,200 --> 03:44:13,720 DESERTS IN MATERNAL CARE. 6267 03:44:13,720 --> 03:44:15,760 >>DOES THIS ADDRESS IN ANY WAY 6268 03:44:15,760 --> 03:44:19,120 OR INTERACT WITH OR ADDRESS THE 6269 03:44:19,120 --> 03:44:23,440 FACT THAT THERE ARE SIGMA TERNAL 6270 03:44:23,440 --> 03:44:23,800 HEALTH DESERTS? 6271 03:44:23,800 --> 03:44:25,040 >>THAT'S A REALLY GOOD POINT. 6272 03:44:25,040 --> 03:44:27,440 WE SHOULD WORK THAT INTO THE RFA 6273 03:44:27,440 --> 03:44:28,640 TO WHATEVER EXTENT WE CAN. 6274 03:44:28,640 --> 03:44:31,440 SO YOU PROBABLY KNOW, IT'S OPEN 6275 03:44:31,440 --> 03:44:31,720 COMPETITION. 6276 03:44:31,720 --> 03:44:33,960 SO ANY INSTITUTION IN THE U.S. 6277 03:44:33,960 --> 03:44:35,640 CAN APPLY AND THEY'LL BE 6278 03:44:35,640 --> 03:44:36,760 ENCOURAGED TO APPLY. 6279 03:44:36,760 --> 03:44:39,160 MAYBE WE CAN TAKE SPECIALESTS TO 6280 03:44:39,160 --> 03:44:41,960 ENCOURAGE THOSE YOU'RE REFERRING 6281 03:44:41,960 --> 03:44:43,520 TO. 6282 03:44:43,520 --> 03:44:47,160 -- SPECIAL EVIDENCE. 6283 03:44:47,160 --> 03:44:49,560 >>I THINK THIS IS A VERY 6284 03:44:49,560 --> 03:44:51,560 WORTHWHILE PROGRAM BUT SINCE 6285 03:44:51,560 --> 03:44:53,720 IT'S BEEN OFFERED SINCE 1998, 6286 03:44:53,720 --> 03:44:55,640 VERY INTERESTING TO LOOK AT THE 6287 03:44:55,640 --> 03:44:56,320 OUTCOMES OVER TIME. 6288 03:44:56,320 --> 03:44:57,840 BECAUSE I THINK THERE IS A LOT 6289 03:44:57,840 --> 03:44:59,520 OF STRESS WITHIN THE OBSTETRICS 6290 03:44:59,520 --> 03:45:00,640 TRAINING COMMUNITY IN TERMS OF 6291 03:45:00,640 --> 03:45:03,120 THE TRANSITION TO SUCCESS AS 6292 03:45:03,120 --> 03:45:04,880 YOUNG SCIENTISTS OR CLINICAL 6293 03:45:04,880 --> 03:45:05,200 INVESTIGATORS. 6294 03:45:05,200 --> 03:45:08,160 SO I'M HOPING THAT THERE ARE 6295 03:45:08,160 --> 03:45:10,600 SOME OVERSIGHT OF THE OUTCOMES 6296 03:45:10,600 --> 03:45:12,520 OF THE BENEFICIARIES OF THE 6297 03:45:12,520 --> 03:45:13,840 PROGRAM AND IS YOUR FEELING 6298 03:45:13,840 --> 03:45:15,240 POSITIVE OR DO YOU THINK WE ALSO 6299 03:45:15,240 --> 03:45:18,440 HAVE TO CONFIRM MAYBE SOME OTHER 6300 03:45:18,440 --> 03:45:20,920 STRESSORS ON THE ACADEMIC 6301 03:45:20,920 --> 03:45:23,160 COMMUNITY IN OBSTETRICS? 6302 03:45:23,160 --> 03:45:24,240 >>AGAIN I'M NOT SURE I CAUGHT 6303 03:45:24,240 --> 03:45:25,240 ALL OF THAT. 6304 03:45:25,240 --> 03:45:26,600 BUT I THINK I GOT THE GIST OF 6305 03:45:26,600 --> 03:45:26,960 IT. 6306 03:45:26,960 --> 03:45:28,560 WE ARE VERY BIG ON OUTCOMES 6307 03:45:28,560 --> 03:45:28,880 HERE. 6308 03:45:28,880 --> 03:45:30,280 WE DON'T JUST FOCUS ON HANDING 6309 03:45:30,280 --> 03:45:30,960 OUT MONEY. 6310 03:45:30,960 --> 03:45:34,960 AS YOU KNOW, EACH GRANTEE HAS TO 6311 03:45:34,960 --> 03:45:36,520 PREPARE AND PRESENT AN ANNUAL 6312 03:45:36,520 --> 03:45:37,880 REPORT SAYING WHAT HAPPENED 6313 03:45:37,880 --> 03:45:38,120 THATTER. 6314 03:45:38,120 --> 03:45:39,560 >>>, WHAT WENT WELL, WHAT 6315 03:45:39,560 --> 03:45:41,880 DIDN'T, WHAT THEY CAN DO ABOUT 6316 03:45:41,880 --> 03:45:43,760 THINGS THAT DIDN'T GO WELL. 6317 03:45:43,760 --> 03:45:45,280 THEY DON'T JUST SEND THEM IN. 6318 03:45:45,280 --> 03:45:47,680 WE REVIEW THEM AND IF NECESSARY, 6319 03:45:47,680 --> 03:45:49,320 FOLLOW-UP ON ISSUES THAT NEED TO 6320 03:45:49,320 --> 03:45:51,080 BE FOLLOWED UP ON. 6321 03:45:51,080 --> 03:45:52,800 I'M NOT SURE IF THAT 6322 03:45:52,800 --> 03:45:54,040 ADDRESSES -- 6323 03:45:54,040 --> 03:45:54,560 >>IT'S A GOOD POINT. 6324 03:45:54,560 --> 03:45:56,040 I WAS TALKING ABOUT THE LONG 6325 03:45:56,040 --> 03:45:56,640 TERM OUTCOMES. 6326 03:45:56,640 --> 03:45:58,200 SO IF YOU LOOK IN 5-10 YEARS 6327 03:45:58,200 --> 03:46:01,200 LATER AND THEN OVER TIME, DO WE 6328 03:46:01,200 --> 03:46:03,000 THINK PEOPLE ARE LESS LIKELY TO 6329 03:46:03,000 --> 03:46:05,880 STAY ACTIVE IN A CAREER IN 6330 03:46:05,880 --> 03:46:07,520 ACADEMICS AND IF SO -- 6331 03:46:07,520 --> 03:46:09,000 >>I UNDERSTAND BETTER. 6332 03:46:09,000 --> 03:46:11,520 I CAN'T SAY MUCH ABOUT IT 6333 03:46:11,520 --> 03:46:12,920 BECAUSE I'M NOT SURE IT'S IN 6334 03:46:12,920 --> 03:46:16,000 PRESS OR JUST ACCEPTED AND NOT 6335 03:46:16,000 --> 03:46:17,880 QUITE IN PRESS YET. 6336 03:46:17,880 --> 03:46:21,200 BUT A THOROUGH SOLARLY REVIEW OF 6337 03:46:21,200 --> 03:46:21,840 THE WHOLE HIST OF THE PROGRAM 6338 03:46:21,840 --> 03:46:24,600 SINCE IS STARTED GOING OVER WHAT 6339 03:46:24,600 --> 03:46:27,280 HAS HAPPENED, WHAT IS HAS 6340 03:46:27,280 --> 03:46:28,120 PRODUCED, WHICH I LOOK FORWARD 6341 03:46:28,120 --> 03:46:30,040 TO SEEING THAT. 6342 03:46:30,040 --> 03:46:31,480 AND I'M SURE YOU'LL SEE IT 6343 03:46:31,480 --> 03:46:32,760 QUICKLY ONCE IT COMES OUT AS 6344 03:46:32,760 --> 03:46:32,960 WELL. 6345 03:46:32,960 --> 03:46:39,280 I CAN TELL YOU THAT AS OF JULY, 6346 03:46:39,280 --> 03:46:41,800 THE CURRENT -- THE AWARDS MADE 6347 03:46:41,800 --> 03:46:43,960 IN RESPONSE TO THE MOST RECENT 6348 03:46:43,960 --> 03:46:47,840 RFA FIVE YEARS AGO SUPPORTED 43 6349 03:46:47,840 --> 03:46:50,760 SCHOLARS AND THOSE 43 ARE THE 6350 03:46:50,760 --> 03:46:55,200 TRAINEES AND MAKES THEM FEEL 6351 03:46:55,200 --> 03:46:55,440 BETTER. 6352 03:46:55,440 --> 03:46:57,960 OF THOSE 43 -- I'M SORRY, YES, 6353 03:46:57,960 --> 03:47:01,440 43 PEOPLE HAVE SUBMITTED 40 6354 03:47:01,440 --> 03:47:03,840 APPLICATIONS TO NIH FOR GRANT 6355 03:47:03,840 --> 03:47:05,120 SUPPORT. 6356 03:47:05,120 --> 03:47:08,680 AND OF THOSE 40 -- I'M TRYING TO 6357 03:47:08,680 --> 03:47:10,400 READ THIS QUICKLY, A BUNCH HAVE 6358 03:47:10,400 --> 03:47:10,920 BEEN PAID. 6359 03:47:10,920 --> 03:47:13,040 I CAN GET YOU MORE DETAILS 6360 03:47:13,040 --> 03:47:13,320 SEPARATELY. 6361 03:47:13,320 --> 03:47:15,520 >>THANK YOU VERY MUCH. 6362 03:47:15,520 --> 03:47:19,240 >>I SEE DR. NEIL PERRY AND 6363 03:47:19,240 --> 03:47:20,640 DR. VARGA. 6364 03:47:20,640 --> 03:47:21,840 DR. PERRY? 6365 03:47:21,840 --> 03:47:23,320 >>THERE IS A PAPER COMING OUT 6366 03:47:23,320 --> 03:47:24,600 IN AMERICAN JOURNAL OF 6367 03:47:24,600 --> 03:47:26,360 OBSTETRICS AND GYNECOLOGY THAT 6368 03:47:26,360 --> 03:47:29,000 DOES LOOK AT TIMELINE. 6369 03:47:29,000 --> 03:47:32,920 AND OUTPUT FROM THIS GRANT 6370 03:47:32,920 --> 03:47:33,320 MECHANISM. 6371 03:47:33,320 --> 03:47:35,720 AND I BELIEVE 70% OF PEOPLE ARE 6372 03:47:35,720 --> 03:47:38,920 STILL ACTIVE IN SOME FORM OF 6373 03:47:38,920 --> 03:47:40,160 RESEARCH, FROM WHAT I RECALL. 6374 03:47:40,160 --> 03:47:44,280 AND MANY HAVE BECOME CHAIRS OR 6375 03:47:44,280 --> 03:47:45,320 RESEARCH DETECTORS FOR A BIG 6376 03:47:45,320 --> 03:47:45,560 PROGRAM. 6377 03:47:45,560 --> 03:47:47,440 SO I THINK THERE HAS BEEN GREAT 6378 03:47:47,440 --> 03:47:49,120 RETURN ON INVESTMENT. 6379 03:47:49,120 --> 03:47:51,840 I THINK YOUR COMMENT ABOUT ARE 6380 03:47:51,840 --> 03:47:55,160 WE ADDRESSING THE STRESSORS FOR 6381 03:47:55,160 --> 03:47:57,440 SURGEONS WHO ARE ENGAGED IN 6382 03:47:57,440 --> 03:48:00,040 RESEARCH AS AN IMPORTANT ONE. 6383 03:48:00,040 --> 03:48:02,960 AND I THINK IT'S A GOOD THING TO 6384 03:48:02,960 --> 03:48:04,240 THINK ABOUT AND IT IS SOMETHING 6385 03:48:04,240 --> 03:48:06,040 WE SHOULD DISCUSS BECAUSE IT IS 6386 03:48:06,040 --> 03:48:09,040 DIFFERENT FOR SURGEONS WHO ARE 6387 03:48:09,040 --> 03:48:12,240 ENGAGED IN RESEARCH THAN FOR 6388 03:48:12,240 --> 03:48:12,600 NON-SURGEONS. 6389 03:48:12,600 --> 03:48:15,680 >>WE HAVE DATA ON WHAT HAPPENS 6390 03:48:15,680 --> 03:48:18,360 IN PREVIOUS SCHOLARS WHO 6391 03:48:18,360 --> 03:48:19,720 GRADUATED FROM THIS PROGRAM. 6392 03:48:19,720 --> 03:48:21,360 I DIDN'T BRING THAT WITH ME. 6393 03:48:21,360 --> 03:48:22,720 I'M HAPPY TO SEND YOU WHAT I 6394 03:48:22,720 --> 03:48:24,680 HAVE AFTER THE MEETING. 6395 03:48:24,680 --> 03:48:27,840 >>CHRISTINA DO YOU HAVE A 6396 03:48:27,840 --> 03:48:28,120 QUESTION? 6397 03:48:28,120 --> 03:48:28,640 >>THANK YOU VERY MUCH. 6398 03:48:28,640 --> 03:48:30,560 IN GENERAL I'M VERY SUPPORTIVE. 6399 03:48:30,560 --> 03:48:32,280 ABOUT A QUESTION I REPRESENT THE 6400 03:48:32,280 --> 03:48:34,160 INDUSTRY HERE ON THIS COUNCIL. 6401 03:48:34,160 --> 03:48:36,040 SO I'M WONDERING IF THERE WILL 6402 03:48:36,040 --> 03:48:36,920 BE ANY CONSIDERATIONS BUILT INTO 6403 03:48:36,920 --> 03:48:39,000 THE NEXT ITERATION, ESPECIALLY 6404 03:48:39,000 --> 03:48:41,200 ON THE BASIC AND TRANSLATIONAL 6405 03:48:41,200 --> 03:48:42,960 SIDE FOR PARTNERSHIPS, 6406 03:48:42,960 --> 03:48:44,360 COLLABORATIONS WITH 6407 03:48:44,360 --> 03:48:45,560 TRANSLATIONAL UNITS WITHIN THE 6408 03:48:45,560 --> 03:48:48,680 INDUSTRY TO TRY AND SEE SOME 6409 03:48:48,680 --> 03:48:51,080 POTENTIAL ASSETS OR POTENTIAL 6410 03:48:51,080 --> 03:48:53,160 TARGETS BECOME REALIZED IN THE 6411 03:48:53,160 --> 03:48:56,480 CONTEXT OF THERAPEUTIC 6412 03:48:56,480 --> 03:48:56,760 DEVELOPMENT? 6413 03:48:56,760 --> 03:48:57,560 THANK YOU. 6414 03:48:57,560 --> 03:48:59,200 >>AGAIN, I'M SORRY, THE SOUND 6415 03:48:59,200 --> 03:49:01,280 UP HERE IS NOT AS GOOD. 6416 03:49:01,280 --> 03:49:03,280 IT SOUNDS LIKE YOU'RE ASKING TO 6417 03:49:03,280 --> 03:49:05,880 WHAT EXTENT WILL TRANSLATIONAL 6418 03:49:05,880 --> 03:49:06,960 RESEARCH BE PURSUED? 6419 03:49:06,960 --> 03:49:08,680 IS THAT RIGHT? 6420 03:49:08,680 --> 03:49:08,920 >>NO. 6421 03:49:08,920 --> 03:49:12,280 WHAT I WAS -- I'LL TRY AND THROW 6422 03:49:12,280 --> 03:49:13,080 MY VOICE TOO. 6423 03:49:13,080 --> 03:49:15,280 I REPRESENT THE PHARMACEUTICAL 6424 03:49:15,280 --> 03:49:17,680 INDUSTRY HERE IN THIS COUNCIL. 6425 03:49:17,680 --> 03:49:20,600 SO SPECIFICALLY TO THE BASIC AND 6426 03:49:20,600 --> 03:49:21,600 TRANSLATIONAL COMPONENT. 6427 03:49:21,600 --> 03:49:23,600 >>PUT THE MICROPHONE CLOSER TO 6428 03:49:23,600 --> 03:49:24,640 YOUR MOUTH. 6429 03:49:24,640 --> 03:49:25,880 >>THIS IS THE CLOSEST I CAN 6430 03:49:25,880 --> 03:49:26,920 GOAT MY MOUTH. 6431 03:49:26,920 --> 03:49:28,400 SPECIFIC TO THE BASIC AND 6432 03:49:28,400 --> 03:49:30,520 TRANSLATIONAL COMPONENT, IS 6433 03:49:30,520 --> 03:49:33,720 THERE AN INTENTION FOR THIS NEXT 6434 03:49:33,720 --> 03:49:35,960 ITERATION TO BETTER PARTNER, 6435 03:49:35,960 --> 03:49:38,000 COLLABORATE WITH BASIC AND 6436 03:49:38,000 --> 03:49:39,800 TRANSLATIONAL UNITS WITHIN THE 6437 03:49:39,800 --> 03:49:42,920 INNOVATIVE INDUSTRY SO WE CAN 6438 03:49:42,920 --> 03:49:44,080 SEE SOME POTENTIAL DIRECTION 6439 03:49:44,080 --> 03:49:46,920 TOWARDS TARGETS THAT MIGHT BE 6440 03:49:46,920 --> 03:49:48,880 ABLE BE REALIZED INTO 6441 03:49:48,880 --> 03:49:50,200 THERAPEUTIC INTERVENTIONS IN. 6442 03:49:50,200 --> 03:49:51,680 >>I SEE. 6443 03:49:51,680 --> 03:49:53,240 WELL, I THINK THE HISTORY OF 6444 03:49:53,240 --> 03:49:55,400 THIS PROGRAM IS WE LEAVE THE 6445 03:49:55,400 --> 03:49:57,680 TRAINEES OBVIOUSLY GET TRAINED 6446 03:49:57,680 --> 03:49:58,800 IN DOING RESEARCH. 6447 03:49:58,800 --> 03:50:00,080 THEY DEVELOP PROJECTS BASED ON 6448 03:50:00,080 --> 03:50:01,400 THEIR INTEREST AND WHAT THE 6449 03:50:01,400 --> 03:50:04,720 INSTITUTION RECOMMENDS AND WHAT 6450 03:50:04,720 --> 03:50:07,040 THEIR MENTORS AND SO FORTH. 6451 03:50:07,040 --> 03:50:08,000 SO WE DON'T SAY WE WANT YOU TO 6452 03:50:08,000 --> 03:50:10,520 DO WHAT YOU JUST SAID. 6453 03:50:10,520 --> 03:50:13,000 BUT THAT SOUNDS GREAT. 6454 03:50:13,000 --> 03:50:16,120 AND I WOULD THINK IN THIS 6455 03:50:16,120 --> 03:50:19,320 INDUSTRIAL FOLKS CAN TALK TO THE 6456 03:50:19,320 --> 03:50:21,040 GRANTEE -- REPRESENTATIVES, 6457 03:50:21,040 --> 03:50:23,240 PIs AND THE RESEARCH DIRECTORS 6458 03:50:23,240 --> 03:50:24,520 TO SAY, TO HAVE A CONVERSATION 6459 03:50:24,520 --> 03:50:26,240 AND SEE WHAT CAN COME OUT OF 6460 03:50:26,240 --> 03:50:26,600 THAT. 6461 03:50:26,600 --> 03:50:29,520 BUT WE DON'T SAY, WE DON'T 6462 03:50:29,520 --> 03:50:32,720 SPECIFY DO THIS KIND OF PROJECT 6463 03:50:32,720 --> 03:50:40,240 BEYOND THE GENERAL THRUST THAT I 6464 03:50:40,240 --> 03:50:40,760 DESCRIBED. 6465 03:50:40,760 --> 03:50:42,320 >>I WANTED TO BUILD OFF MY 6466 03:50:42,320 --> 03:50:42,960 COLLEAGUE'S COMMENTS. 6467 03:50:42,960 --> 03:50:44,520 I'M WONDERING FOR THESE 6468 03:50:44,520 --> 03:50:45,800 PROPOSALS THAT COME TO US THAT 6469 03:50:45,800 --> 03:50:47,800 ARE REALLY REOCCURRING 6470 03:50:47,800 --> 03:50:50,680 INITIATIVES FROM A COUNSELOR 6471 03:50:50,680 --> 03:50:51,720 SUSPECTIVES IF AS WE CONSIDER 6472 03:50:51,720 --> 03:50:53,400 THEM, AND YOU'LL LET US KNOW 6473 03:50:53,400 --> 03:50:56,240 PROCESS WISE IF THIS CONCEPT 6474 03:50:56,240 --> 03:50:58,120 LEVEL IS THE PLACE FOR THE 6475 03:50:58,120 --> 03:50:58,440 CONVERSATION. 6476 03:50:58,440 --> 03:51:00,320 BUT IT WOULD BE HELPFUL TO KNOW 6477 03:51:00,320 --> 03:51:02,680 WHAT THE PRIOR OUTCOMES WERE AS 6478 03:51:02,680 --> 03:51:05,840 WELL AS HOW DO WE INTEND TO MOVE 6479 03:51:05,840 --> 03:51:07,200 FORWARD GIVEN THE NEEDS OF NOW 6480 03:51:07,200 --> 03:51:10,320 AND THE TOOLS OF TODAY? 6481 03:51:10,320 --> 03:51:12,400 SO AND PERHAPS THE CONCEPT 6482 03:51:12,400 --> 03:51:13,840 PROPOSAL PHASE ISN'T THE 6483 03:51:13,840 --> 03:51:14,840 CONVERSATION HERE. 6484 03:51:14,840 --> 03:51:16,440 BUT I DON'T WANT US TO FEEL LIKE 6485 03:51:16,440 --> 03:51:18,360 IT'S A RUBBER STAMP. 6486 03:51:18,360 --> 03:51:21,240 OF COURSE IT'S A GREAT IDEA. 6487 03:51:21,240 --> 03:51:23,040 THIS IS AN AREA WE WANT TO 6488 03:51:23,040 --> 03:51:23,280 SUPPORT. 6489 03:51:23,280 --> 03:51:24,760 I THINK WE HAVE AN OPPORTUNITY 6490 03:51:24,760 --> 03:51:26,760 TO THINK ABOUT WHAT NEXT AND 6491 03:51:26,760 --> 03:51:28,560 WHAT NOW WITH THE TOOLS OF TODAY 6492 03:51:28,560 --> 03:51:32,440 SO WE CONTINUE TO EVOLVE THESE 6493 03:51:32,440 --> 03:51:36,840 REOCCURRING INITIATIVES. 6494 03:51:36,840 --> 03:51:39,880 >>I THINK WE HAVE TRIED TO KEEP 6495 03:51:39,880 --> 03:51:41,640 THESE SHORT AND AT A VERY HIGH 6496 03:51:41,640 --> 03:51:44,680 LEVEL BECAUSE THIS IS OPEN 6497 03:51:44,680 --> 03:51:45,760 SESSION. 6498 03:51:45,760 --> 03:51:47,560 SO IT'S TO NOT -- ULTIMATELY 6499 03:51:47,560 --> 03:51:48,960 WE'LL WRITE THE RFA. 6500 03:51:48,960 --> 03:51:52,160 WE DON'T WANT -- IF YOU ALL TELL 6501 03:51:52,160 --> 03:51:54,360 US WHAT TO WRITE, THEN IN 6502 03:51:54,360 --> 03:51:55,960 THEORY, YOU THEN BECOME IN 6503 03:51:55,960 --> 03:51:57,160 CONFLICT AND WE WOULDN'T BE ABLE 6504 03:51:57,160 --> 03:51:58,200 TO APPLY. 6505 03:51:58,200 --> 03:51:59,840 SO WE KEPT IT A VERY HIGH LEVEL 6506 03:51:59,840 --> 03:52:00,720 FOR THAT REASON. 6507 03:52:00,720 --> 03:52:02,440 BUT I DO THINK, SHERRY, YOU'RE 6508 03:52:02,440 --> 03:52:03,320 TALKING ABOUT AND I THINK IT 6509 03:52:03,320 --> 03:52:05,760 WILL COME UP WITH WE TALK ABOUT 6510 03:52:05,760 --> 03:52:07,880 TRAINING PROGRAMS IN ANOTHER 6511 03:52:07,880 --> 03:52:09,400 COUNSELOR TWO AS WELL. 6512 03:52:09,400 --> 03:52:10,760 PROGMALTICALLY REALLY HOW DO WE 6513 03:52:10,760 --> 03:52:12,760 THINK OF THESE NOT JUST AS 6514 03:52:12,760 --> 03:52:14,480 INDIVIDUAL PROGRAMS BUT SORT OF 6515 03:52:14,480 --> 03:52:16,720 OVERALL WHAT OUR OVERALL GOALS 6516 03:52:16,720 --> 03:52:16,920 ARE? 6517 03:52:16,920 --> 03:52:18,680 AND I THINK THAT'S WHERE WE 6518 03:52:18,680 --> 03:52:19,880 CERTAINLY WOULD BE ABLE TO HAVE 6519 03:52:19,880 --> 03:52:21,480 A LOT OF DISCUSSION. 6520 03:52:21,480 --> 03:52:23,560 BUT THE ACTUAL SHAPING OF A 6521 03:52:23,560 --> 03:52:25,560 INDIVIDUAL RFA, WE TRY TO KEEP 6522 03:52:25,560 --> 03:52:27,960 AT A VERY HIGH LEVEL SO THAT YOU 6523 03:52:27,960 --> 03:52:34,840 ALL POTENTIALLY COULD ACQUIRE IF 6524 03:52:34,840 --> 03:52:35,120 RELEVANT. 6525 03:52:35,120 --> 03:52:39,360 I WILL SAY, OTHER INSTITUTES CAN 6526 03:52:39,360 --> 03:52:40,800 DO IT DIFFERENTLY AS WELL. 6527 03:52:40,800 --> 03:52:42,880 SO LIKE MANY THINGS AT NIH, 6528 03:52:42,880 --> 03:52:46,480 THERE ARE 27 INSTITUTES AND 54 6529 03:52:46,480 --> 03:52:49,520 WAYS OF DOING THINGS. 6530 03:52:49,520 --> 03:52:52,480 >>MAY I ADD ONE LITTLE THING? 6531 03:52:52,480 --> 03:52:54,680 ONE THING I'VE MISSED DURING THE 6532 03:52:54,680 --> 03:52:56,320 ADVISORY COUNCIL IS TO 6533 03:52:56,320 --> 03:52:59,280 UNDERSTAND HOW DO YOU DECIDE 6534 03:52:59,280 --> 03:53:02,400 WHAT PROPOSALS GO OUT? 6535 03:53:02,400 --> 03:53:04,400 HOW DO YOU DETERMINE WHERE ARE 6536 03:53:04,400 --> 03:53:07,040 THE GAPS IF AND WHAT SHOULD -- I 6537 03:53:07,040 --> 03:53:08,680 MEAN I MANUAL IN THERE MUST BE A 6538 03:53:08,680 --> 03:53:09,000 DISCUSSION? 6539 03:53:09,000 --> 03:53:10,200 MAYBE THIS IS NOT A GOOD TIME 6540 03:53:10,200 --> 03:53:12,800 FOR IT, BUT WHENEVER IS A GOOD 6541 03:53:12,800 --> 03:53:14,600 TIME, JUST CURIOSITY. 6542 03:53:14,600 --> 03:53:18,080 HOW DO YOU DECIDE? 6543 03:53:18,080 --> 03:53:22,720 >>SO LET ME TRY WITH THAT ONE. 6544 03:53:22,720 --> 03:53:24,880 THIS IS THE RIGHT PLACE. 6545 03:53:24,880 --> 03:53:26,400 THIS IS THE RIGHT PLACE AND THE 6546 03:53:26,400 --> 03:53:29,440 RIGHT TIME TO THINK ABOUT HOW 6547 03:53:29,440 --> 03:53:33,920 YOU TAKE A POT OF MONEY AND IN 6548 03:53:33,920 --> 03:53:37,400 SOME LARGE BIG PICTURE VIEW 6549 03:53:37,400 --> 03:53:42,000 DECIDE HOW YOU MIGHT ALLOCATE TO 6550 03:53:42,000 --> 03:53:46,840 DIFFERENT PRIORITIES. 6551 03:53:46,840 --> 03:53:49,120 AND I THINK CAROLINE SPOKE ABOUT 6552 03:53:49,120 --> 03:53:51,080 THAT PROCESS AND I'M GOING TO 6553 03:53:51,080 --> 03:53:52,520 SAY THAT WAS IN JUNE THAT SHE 6554 03:53:52,520 --> 03:53:54,320 SPOKE ABOUT THAT. 6555 03:53:54,320 --> 03:53:58,120 AND I'M HAPPY TO REFRESH YOUR 6556 03:53:58,120 --> 03:54:01,320 MEMORY ON THAT POINT. 6557 03:54:01,320 --> 03:54:02,920 BUT I THINK THAT THE UPSHOT OF 6558 03:54:02,920 --> 03:54:06,520 THAT CONVERSATION WAS THAT WE 6559 03:54:06,520 --> 03:54:08,960 UNDERGO A LENGTHY PLANNING 6560 03:54:08,960 --> 03:54:10,600 PROCESS WITHIN THE INSTITUTE 6561 03:54:10,600 --> 03:54:15,240 WHERE LOTS OF IDEAS BUBBLE UP. 6562 03:54:15,240 --> 03:54:16,880 AND ONLY A FEW OF THEM MOVE 6563 03:54:16,880 --> 03:54:21,120 FORWARD BUT THE IDEAS THEMSELVES 6564 03:54:21,120 --> 03:54:22,840 COME FROM THE COMMUNITY AND FROM 6565 03:54:22,840 --> 03:54:26,040 THE LITERATURE AND FROM BEING 6566 03:54:26,040 --> 03:54:27,720 WITHIN THE RESEARCH FIELD. 6567 03:54:27,720 --> 03:54:29,520 IT'S NOT A THEORETICAL EXERCISE 6568 03:54:29,520 --> 03:54:32,520 WHERE WE ALL SIT AROUND IN 6569 03:54:32,520 --> 03:54:33,720 ARMCHAIRS AND SMOKE PIPES SO TO 6570 03:54:33,720 --> 03:54:36,120 SPEAK AND COME UP WITH OUR BEST 6571 03:54:36,120 --> 03:54:36,320 IDEAS. 6572 03:54:36,320 --> 03:54:39,000 BUT RATHER IT IS VERY MUCH A 6573 03:54:39,000 --> 03:54:40,360 REFLECTION OF THE RESEARCH WORLD 6574 03:54:40,360 --> 03:54:41,360 IN WHICH WE LIVE. 6575 03:54:41,360 --> 03:54:44,000 AND THE INPUT THAT WE HEAR AT 6576 03:54:44,000 --> 03:54:47,000 THESE MEETINGS AND OTHER 6577 03:54:47,000 --> 03:54:47,280 MEETINGS. 6578 03:54:47,280 --> 03:54:49,760 AND THAT BALANCED BY THE REALITY 6579 03:54:49,760 --> 03:54:52,560 OF A LIMITED BUDGET TO DO 6580 03:54:52,560 --> 03:54:54,840 ANYTHING THAT IS DISCRETIONARY 6581 03:54:54,840 --> 03:54:57,120 WHILE STILL MAINTAINING A 6582 03:54:57,120 --> 03:54:58,280 VIBRANT COMMUNITY OF RESEARCHERS 6583 03:54:58,280 --> 03:55:02,720 WHO CAN COME FORWARD WITH THEIR 6584 03:55:02,720 --> 03:55:03,760 OWN IDEAS. 6585 03:55:03,760 --> 03:55:05,320 >>I WOULD JUST ADD TO THAT, 6586 03:55:05,320 --> 03:55:09,360 THAT THIS IS WHERE OUR PRIOR 6587 03:55:09,360 --> 03:55:10,160 STRATEGIC PLAN WAS VERY 6588 03:55:10,160 --> 03:55:11,960 IMPORTANT BECAUSE WE HAD NOT HAD 6589 03:55:11,960 --> 03:55:15,560 A STRATEGIC PLAN FOR 20 YEARS. 6590 03:55:15,560 --> 03:55:18,840 SO WE WERE FUNDING A LOT OF 6591 03:55:18,840 --> 03:55:22,240 GRANTS WITHOUT REALLY A 6592 03:55:22,240 --> 03:55:24,360 STRATEGIC OVERVIEW OF WHERE DID 6593 03:55:24,360 --> 03:55:26,240 WE WANT TO GO DEEP, AS CATHERINE 6594 03:55:26,240 --> 03:55:26,440 SAID. 6595 03:55:26,440 --> 03:55:27,960 WHERE DID WE WANT TO THE LEAD 6596 03:55:27,960 --> 03:55:29,880 AND WHERE DID WE WANT TO 6597 03:55:29,880 --> 03:55:30,080 PARTNER? 6598 03:55:30,080 --> 03:55:32,160 SO THE STRATEGIC PLAN IS 6599 03:55:32,160 --> 03:55:34,720 IMPORTANT AND THAT'S WHERE WE 6600 03:55:34,720 --> 03:55:38,160 WILL BE ENCOURAGING FEEDBACK ON 6601 03:55:38,160 --> 03:55:39,520 THE DRAFT REVISION. 6602 03:55:39,520 --> 03:55:41,480 BUT ALSO REMEMBER THAT OUR 6603 03:55:41,480 --> 03:55:43,480 PROGRAM OFFICIALS ARE ALL 6604 03:55:43,480 --> 03:55:45,360 SCIENTIST IN THEIR OWN RIGHT. 6605 03:55:45,360 --> 03:55:47,800 THEY ARE EXPERTS. 6606 03:55:47,800 --> 03:55:49,280 WE FUND THEM TO GO TO MEETINGS 6607 03:55:49,280 --> 03:55:50,800 SO THEY HEAR ABOUT WHAT IS BEING 6608 03:55:50,800 --> 03:55:52,600 DISCUSSED AND THEN THEY BRING 6609 03:55:52,600 --> 03:55:57,000 THAT BACK TO THE INSTITUTE FOR 6610 03:55:57,000 --> 03:55:58,200 FURTHER DISCUSSION TO DISCUSS 6611 03:55:58,200 --> 03:56:05,760 WHERE WE SHOULD BE FUNDING. 6612 03:56:05,760 --> 03:56:07,400 >>ALL RIGHT. 6613 03:56:07,400 --> 03:56:08,680 ARE THERE ANY FURTHER COMMENTS 6614 03:56:08,680 --> 03:56:12,360 OR QUESTIONS? 6615 03:56:12,360 --> 03:56:16,120 IF NOT CAN I HAVE A MOTION TO 6616 03:56:16,120 --> 03:56:16,480 APPROVE? 6617 03:56:16,480 --> 03:56:18,400 >>I MAKE A MOTION TO APPROVE. 6618 03:56:18,400 --> 03:56:19,400 >>AND SECOND. 6619 03:56:19,400 --> 03:56:20,080 >>SECOND. 6620 03:56:20,080 --> 03:56:24,200 >>AND ALL IN FAVOR. 6621 03:56:24,200 --> 03:56:25,480 ALL RIGHT, VERY GOOD. 6622 03:56:25,480 --> 03:56:26,120 THANK YOU. 6623 03:56:26,120 --> 03:56:28,280 AND THEN FINALLY TO CLOSE OUT 6624 03:56:28,280 --> 03:56:33,400 THE CONCEPTS PORTION OF THE ME 6625 03:56:33,400 --> 03:56:37,080 MEETING, FROM THE POPULATION 6626 03:56:37,080 --> 03:56:38,160 DYNAMICS BRANCH WILL PRESENT 6627 03:56:38,160 --> 03:56:40,520 POPULATION DYNAMICS RESEARCH 6628 03:56:40,520 --> 03:56:42,440 INFRASTRUCTURE PROGRAM OR I POP. 6629 03:56:42,440 --> 03:56:44,720 >>GOOD AFTERNOON, EVERYONE. 6630 03:56:44,720 --> 03:56:45,920 I'M NOT JIM GRIFFIN. 6631 03:56:45,920 --> 03:56:49,240 SORRY TO DISAPPOINT. 6632 03:56:49,240 --> 03:56:51,360 AND THANKS FOR STICKING WITH ME 6633 03:56:51,360 --> 03:56:55,040 THROUGH THIS LAST A LITTLE BIT. 6634 03:56:55,040 --> 03:56:56,200 STOW PROGRAM SEEKS COUNCIL 6635 03:56:56,200 --> 03:56:57,200 APPROVAL OF THE POPULATION 6636 03:56:57,200 --> 03:56:59,360 DYNAMICS RESEARCH INFRASTRUCTURE 6637 03:56:59,360 --> 03:57:02,040 PROGRAM OR IPOP INITIATIVE. 6638 03:57:02,040 --> 03:57:03,320 WHICH WILL SUPPORT RESEARCH 6639 03:57:03,320 --> 03:57:04,720 INFRASTRUCTURE FOR NEW AND 6640 03:57:04,720 --> 03:57:06,440 EXISTING HIGHLY PRODUCTIVE 6641 03:57:06,440 --> 03:57:09,520 POPULATION DYNAMICS RESEARCH 6642 03:57:09,520 --> 03:57:10,280 CENTERS. 6643 03:57:10,280 --> 03:57:12,120 SOCIAL ECONOMIC AND BEHAVIORAL 6644 03:57:12,120 --> 03:57:13,840 FACTORS SIGNIFICANTLY EFFECT 6645 03:57:13,840 --> 03:57:15,240 HUMAN HEALTH AND DEVELOPMENT AND 6646 03:57:15,240 --> 03:57:17,520 POPULATION DYNAMICS RESEARCH IS 6647 03:57:17,520 --> 03:57:19,520 AT THE FOREFRONT OF 6648 03:57:19,520 --> 03:57:20,520 INVESTIGATING HOW HEALTH, 6649 03:57:20,520 --> 03:57:21,640 DEVELOPMENT AND PRODUCTIVITY 6650 03:57:21,640 --> 03:57:24,120 ACROSS THE LIFESPAN AND 6651 03:57:24,120 --> 03:57:25,240 GENERATIONS ARE AFFECTED BY 6652 03:57:25,240 --> 03:57:26,960 THESE NON-MEDICAL FACTORS, WHICH 6653 03:57:26,960 --> 03:57:28,600 ARE COMMONLY REFERRED TO AS 6654 03:57:28,600 --> 03:57:31,160 SOCIAL DETERMINANTS OF HEALTH. 6655 03:57:31,160 --> 03:57:33,720 THERE ARE THREE MAIN AREAS OF 6656 03:57:33,720 --> 03:57:34,840 POPULATION DYNAMICS RESEARCH 6657 03:57:34,840 --> 03:57:37,640 THAT NICHD SUPPORTS. 6658 03:57:37,640 --> 03:57:38,720 DEMOGRAPHY, THE SCIENTIFIC STUDY 6659 03:57:38,720 --> 03:57:42,320 OF HUMAN POPULATIONS, SOCIAL AND 6660 03:57:42,320 --> 03:57:44,320 BEHAVIORAL RESEARCH ON 6661 03:57:44,320 --> 03:57:45,640 REPRODUCTIVE HEALTH AND RESEARCH 6662 03:57:45,640 --> 03:57:48,280 ON SOCIAL, ECONOMIC, 6663 03:57:48,280 --> 03:57:49,280 INSTITUTIONAL, GEOGRAPHIC AND 6664 03:57:49,280 --> 03:57:51,120 OTHER FACTORS THAT EFFECT HUMAN 6665 03:57:51,120 --> 03:57:53,960 HEALTH AT THE POPULATION LEVEL. 6666 03:57:53,960 --> 03:57:56,280 SO THE OVERALL OBJECTIVE OF THE 6667 03:57:56,280 --> 03:57:58,640 IPOP PROGRAM IS TO IMPROVE THE 6668 03:57:58,640 --> 03:57:59,960 IMPACT AND SCIENTIFIC 6669 03:57:59,960 --> 03:58:01,560 PRODUCTIVITY OF POPULATION 6670 03:58:01,560 --> 03:58:04,360 DYNAMICS RESEARCH IN ALL THOSE 6671 03:58:04,360 --> 03:58:05,280 DOMAINS IN THE UNITED STATES AND 6672 03:58:05,280 --> 03:58:07,960 THE PROGRAM HAS THREE PRIMARY 6673 03:58:07,960 --> 03:58:09,160 GOALS. 6674 03:58:09,160 --> 03:58:10,960 FIRST, TO PROVIDE SCIENTIFIC, 6675 03:58:10,960 --> 03:58:15,000 TECHNICAL AND DEVELOPMENTAL AND 6676 03:58:15,000 --> 03:58:17,160 ADMINISTRATIVE RESEARCH 6677 03:58:17,160 --> 03:58:18,160 INFRASTRUCTURE SUPPORT FOR 6678 03:58:18,160 --> 03:58:19,960 SCIENTISTS AT THESE EXISTING 6679 03:58:19,960 --> 03:58:21,280 POPULATION DYNAMICS RESEARCH 6680 03:58:21,280 --> 03:58:23,120 CENTERS. 6681 03:58:23,120 --> 03:58:25,480 TWO, TO EXTEND ACCESS TO THAT 6682 03:58:25,480 --> 03:58:26,880 RESEARCH INFRASTRUCTURE SUPPORT 6683 03:58:26,880 --> 03:58:29,160 TO EXTERNAL POPULATION 6684 03:58:29,160 --> 03:58:31,480 SCIENTISTS WHO ARE EITHER NOT IN 6685 03:58:31,480 --> 03:58:33,680 THOSE POPULATION CENTERS OR AT 6686 03:58:33,680 --> 03:58:36,080 POPULATION CENTERS THAT ARE NEW 6687 03:58:36,080 --> 03:58:38,680 OR SMALL OR ARE AT CENTERS THAT 6688 03:58:38,680 --> 03:58:40,760 ARE NOT WELL FUNDED. 6689 03:58:40,760 --> 03:58:43,240 AND THEN THREE, HELP SUPPORT 6690 03:58:43,240 --> 03:58:45,280 NIMBLE RESEARCH ON EMERGING 6691 03:58:45,280 --> 03:58:46,800 ISSUES IN PUBLIC HEALTH THROUGH 6692 03:58:46,800 --> 03:58:48,280 THAT RESEARCH INFRASTRUCTURE. 6693 03:58:48,280 --> 03:58:50,400 FOR EXAMPLE, THINGS LIKE 6694 03:58:50,400 --> 03:58:54,720 COVID-19 OR MONKEY POX OR POLICY 6695 03:58:54,720 --> 03:58:55,920 CHANGES ON REPRODUCTIVE HEALTH. 6696 03:58:55,920 --> 03:58:58,280 SO POPULATION DYNAMICS RESEARCH 6697 03:58:58,280 --> 03:59:01,280 IS VERY DATA INTENSIVE. 6698 03:59:01,280 --> 03:59:03,800 IT RELIES ON LARGE LONGITUDINAL 6699 03:59:03,800 --> 03:59:05,880 POPULATION REPRESENTATIVE 6700 03:59:05,880 --> 03:59:06,680 DATASETS OR NATURAL EXPERIMENTS 6701 03:59:06,680 --> 03:59:09,200 WHERE YOU OFTEN HAVE TO GROUP OR 6702 03:59:09,200 --> 03:59:10,480 CLUSTER RANDOMIZED. 6703 03:59:10,480 --> 03:59:13,280 AND SO, THIS RESEARCH IS MOST 6704 03:59:13,280 --> 03:59:15,080 TIME AND COST EFFECTIVE WHEN 6705 03:59:15,080 --> 03:59:18,600 DATASETS AND ADMINISTRATIVE, 6706 03:59:18,600 --> 03:59:19,600 METHODOLOGICAL, TECHNICAL AND 6707 03:59:19,600 --> 03:59:21,880 SCIENTIFIC RESOURCES ARE SHARED. 6708 03:59:21,880 --> 03:59:25,200 SO THIS RFA SUPPORTS RESEARCH 6709 03:59:25,200 --> 03:59:26,280 INFRASTRUCTURE AT THESE 6710 03:59:26,280 --> 03:59:29,120 PRODUCTIVE POPULATION DYNAMICS 6711 03:59:29,120 --> 03:59:30,520 RESEARCH CENTERS TO FACILITATE 6712 03:59:30,520 --> 03:59:32,960 THIS TYPE OF COOPERATION AND 6713 03:59:32,960 --> 03:59:34,600 THAT HELPS TO ADVANCE THE 6714 03:59:34,600 --> 03:59:35,920 DEVELOPMENT OF JUNIOR 6715 03:59:35,920 --> 03:59:36,760 SCIENTISTS, FREE UP SCIENTISTS 6716 03:59:36,760 --> 03:59:38,760 TO FOCUS ON THEIR RESEARCH 6717 03:59:38,760 --> 03:59:40,680 RATHER THAN A LOT OF THOSE 6718 03:59:40,680 --> 03:59:43,320 ADMINISTRATIVE DETAILS AND ALSO 6719 03:59:43,320 --> 03:59:45,400 ENABLE SCIENTISTS TO BETTER 6720 03:59:45,400 --> 03:59:50,400 CONDUCT BETTER RESPONSE 6721 03:59:50,400 --> 03:59:50,920 RESEARCH. 6722 03:59:50,920 --> 03:59:51,400 >>THANK YOU. 6723 03:59:51,400 --> 04:00:01,920 ARE THERE QUESTIONS OR COMMENTS? 6724 04:00:02,480 --> 04:00:05,200 >>IS THIS A NEW PROGRAM OR -- 6725 04:00:05,200 --> 04:00:06,200 RENEWAL. 6726 04:00:06,200 --> 04:00:07,800 >>IT'S A RENEWAL, YES. 6727 04:00:07,800 --> 04:00:09,800 >>AND HOW LONG HAS IT GONE ON? 6728 04:00:09,800 --> 04:00:11,560 >>ARE YOU DOING ANYTHING 6729 04:00:11,560 --> 04:00:13,320 DIFFERENT TO FOLLOW 9 OTHER 6730 04:00:13,320 --> 04:00:13,640 DISCUSSIONS? 6731 04:00:13,640 --> 04:00:14,680 ARE YOU DOING ANYTHING DIFFERENT 6732 04:00:14,680 --> 04:00:16,000 OR LOOKING FOR ANYTHING 6733 04:00:16,000 --> 04:00:17,400 DIFFERENT IN THIS THAN 6734 04:00:17,400 --> 04:00:17,720 PREVIOUSLY? 6735 04:00:17,720 --> 04:00:19,360 >>WE ARE DOING SOME THINGS VERY 6736 04:00:19,360 --> 04:00:19,600 DIFFERENT. 6737 04:00:19,600 --> 04:00:20,920 THIS PROGRAM HAS EXISTED IN 6738 04:00:20,920 --> 04:00:23,120 VARIOUS ITERATIONS FOR A LONG 6739 04:00:23,120 --> 04:00:23,320 TIME. 6740 04:00:23,320 --> 04:00:26,840 THE CURRENT VERSION OF THIS, OF 6741 04:00:26,840 --> 04:00:28,520 OUR POP CENTER PROGRAM HAS 6742 04:00:28,520 --> 04:00:34,040 EXISTED ROUGHLY SINCE 2001. 6743 04:00:34,040 --> 04:00:35,120 SO, THERE ARE VARIOUS VERSIONS 6744 04:00:35,120 --> 04:00:36,720 OF IT BEFORE THAT THAT WERE 6745 04:00:36,720 --> 04:00:38,640 QUITE DIFFERENT IN THEIR 6746 04:00:38,640 --> 04:00:41,560 STRUCTURE AND DESIGN. 6747 04:00:41,560 --> 04:00:43,960 AND WHAT IS REALLY DIFFERENT NOW 6748 04:00:43,960 --> 04:00:45,440 IS, I THINK IN THIS VERSION IN 6749 04:00:45,440 --> 04:00:47,640 PARTICULAR, THE FOCUS ON RAPID 6750 04:00:47,640 --> 04:00:50,160 RESPONSE RESEARCH IS ONE PIECE. 6751 04:00:50,160 --> 04:00:52,760 AND ALSO A DIFFERENT KIND OF 6752 04:00:52,760 --> 04:00:54,600 FOCUS ON EXTENDING THE RESEARCH 6753 04:00:54,600 --> 04:00:59,760 AND THE RESOURCES OUTWARD, VERY 6754 04:00:59,760 --> 04:01:00,040 EXPLICITLY. 6755 04:01:00,040 --> 04:01:02,360 ONE OF THE CHANNELS IS THAT 6756 04:01:02,360 --> 04:01:05,280 THESE ARE NOT DESIGNED TO BE 6757 04:01:05,280 --> 04:01:06,520 DOLLARS THAT HELP START NEW 6758 04:01:06,520 --> 04:01:06,800 PROGRAMS. 6759 04:01:06,800 --> 04:01:08,680 I MEAN, THE SIZE OF THESE GRANTS 6760 04:01:08,680 --> 04:01:12,480 ARE USUALLY ABOUT THE SIZE OF AN 6761 04:01:12,480 --> 04:01:13,680 RO1. 6762 04:01:13,680 --> 04:01:15,040 SO THEY ARE SMALL AND YOU CAN 6763 04:01:15,040 --> 04:01:18,240 SEE THIS ON REPORTER IF YOU LOOK 6764 04:01:18,240 --> 04:01:19,440 THEM UP. 6765 04:01:19,440 --> 04:01:22,600 SO, BUT THE IDEA IS THAT, SO 6766 04:01:22,600 --> 04:01:24,360 THEY ARE HELPING AGAIN, 6767 04:01:24,360 --> 04:01:25,800 INFRASTRUCTURE AWARDS. 6768 04:01:25,800 --> 04:01:28,640 BUT THEY PROVIDE THIS BASELEVEL 6769 04:01:28,640 --> 04:01:32,280 OF SUPPORT THAT THEN HELPS 6770 04:01:32,280 --> 04:01:34,040 PEOPLE AT THOSE INSTITUTIONS 6771 04:01:34,040 --> 04:01:36,360 THEN BE ABLE TO DO THEIR 6772 04:01:36,360 --> 04:01:38,960 RESEARCH PROJECTS MORE 6773 04:01:38,960 --> 04:01:39,880 EFFECTIVELY. 6774 04:01:39,880 --> 04:01:41,720 AND SO, IT PROVIDES THAT KIND OF 6775 04:01:41,720 --> 04:01:44,360 BASELINE AND SO THE HOPE IS THAT 6776 04:01:44,360 --> 04:01:46,560 THERE IS AN EXPLICIT FOCUS IF WE 6777 04:01:46,560 --> 04:01:49,400 MAKE IT A GOAL OF THE PROGRAM, 6778 04:01:49,400 --> 04:01:50,560 THEN THE INSTITUTIONS THAT ARE 6779 04:01:50,560 --> 04:01:52,200 GIVEN THESE AWARDS ARE GOING TO 6780 04:01:52,200 --> 04:01:54,080 BE EVALUATED ON THAT METRIC 6781 04:01:54,080 --> 04:01:56,360 GOING FORWARD AND HOW THEY 6782 04:01:56,360 --> 04:01:57,480 EXTEND THAT SUPPORT GOING OUT. 6783 04:01:57,480 --> 04:02:00,000 SO THAT IS A SHIFT IN THIS NEW 6784 04:02:00,000 --> 04:02:00,280 RFA. 6785 04:02:00,280 --> 04:02:03,200 >>CAN I JUST SAY I THINK THAT 6786 04:02:03,200 --> 04:02:04,200 IS INCREDIBLY IMPORTANT TO BE 6787 04:02:04,200 --> 04:02:05,600 THINKING OUTSIDE OF THE CENTERS. 6788 04:02:05,600 --> 04:02:07,280 AND IT DID MAKE ME WONDER, THE 6789 04:02:07,280 --> 04:02:11,120 COMMENT EARLIER ABOUT THE 6790 04:02:11,120 --> 04:02:11,720 VIRTUAL SUMMER EXPERIENCES. 6791 04:02:11,720 --> 04:02:14,200 AND I WONDERED IF POPULATION -- 6792 04:02:14,200 --> 04:02:15,960 IF THESE CENTERS MIGHT BE SOME 6793 04:02:15,960 --> 04:02:22,760 WAY TO PARTNER IN THAT? 6794 04:02:22,760 --> 04:02:23,600 >>THANK YOU. 6795 04:02:23,600 --> 04:02:25,160 >>I WAS GOING TO MAKE ONE 6796 04:02:25,160 --> 04:02:25,480 COMMENT. 6797 04:02:25,480 --> 04:02:29,400 YOU MENTIONED MONEY FOR DATA 6798 04:02:29,400 --> 04:02:29,760 INFRASTRUCTURE. 6799 04:02:29,760 --> 04:02:31,880 AND THAT HAS BEEN A REAL 6800 04:02:31,880 --> 04:02:34,720 REVOLUTION IN THE PAST FIVE 6801 04:02:34,720 --> 04:02:36,080 YEARS, THE SOCIAL AND ECONOMIC 6802 04:02:36,080 --> 04:02:38,720 AND POPULATION RESEARCH. 6803 04:02:38,720 --> 04:02:42,800 THE KIND OF REALLY NEW AND 6804 04:02:42,800 --> 04:02:43,480 EXCITING ADMINISTRATIVE DATASETS 6805 04:02:43,480 --> 04:02:46,840 THAT REALLY REQUIRE A LOT OF 6806 04:02:46,840 --> 04:02:48,800 RESOURCES AND CREATE AND 6807 04:02:48,800 --> 04:02:50,280 MAINTAIN, AND THAT IS EVEN IF 6808 04:02:50,280 --> 04:02:52,520 YOU HAVE FUNDED THAT IN THE 6809 04:02:52,520 --> 04:02:54,520 CARDS, IT'S REALLY VERY 6810 04:02:54,520 --> 04:02:57,520 DIFFERENT NOW. 6811 04:02:57,520 --> 04:03:03,800 MUCH MORE IMPORTANT. 6812 04:03:03,800 --> 04:03:07,000 >>THANK YOU. 6813 04:03:07,000 --> 04:03:09,520 >>OTHER DISCUSSION? 6814 04:03:09,520 --> 04:03:14,440 ALL RIGHT, MOTION TO APPROVE? 6815 04:03:14,440 --> 04:03:17,240 >>MOVE TO APPROVE. 6816 04:03:17,240 --> 04:03:21,840 >>ALL IN FAVOR. 6817 04:03:21,840 --> 04:03:24,080 OKAY. 6818 04:03:24,080 --> 04:03:24,600 DR. BIANCHI. 6819 04:03:24,600 --> 04:03:28,760 >>THANK YOU, DR.RA SOULY. 6820 04:03:28,760 --> 04:03:29,280 THANK YOU ALL. 6821 04:03:29,280 --> 04:03:31,360 THIS CONCLUDES THE FIRST DAY OF 6822 04:03:31,360 --> 04:03:34,040 OUR TWO DAY NICHD ADVISORY 6823 04:03:34,040 --> 04:03:34,840 COUNCIL MEETING. 6824 04:03:34,840 --> 04:03:36,920 I WANT TO YOU THAT ALL FOR 6825 04:03:36,920 --> 04:03:38,040 ATTENDING, ESPECIALLY THE PEOPLE 6826 04:03:38,040 --> 04:03:40,640 WHO HAVE ATTENDED IN PERSON. 6827 04:03:40,640 --> 04:03:43,360 AND WE LOOK FORWARD TO SEEING 6828 04:03:43,360 --> 04:03:46,960 EVERYONE TOMORROW FOR OUR CLOSED 6829 04:03:46,960 --> 04:03:47,720 SESSION. 6830 04:03:47,720 --> 04:03:48,760 FOR OUR COUNCIL MEMBERS, THE 6831 04:03:48,760 --> 04:03:52,520 START TIME IS 9 A.M. EASTERN 6832 04:03:52,520 --> 04:03:53,960 DAYLIGHT TIME AND THE EXTRAMURAL 6833 04:03:53,960 --> 04:03:56,760 STAFF SHOULD PLAN TO JOIN US AT 6834 04:03:56,760 --> 04:03:59,120 10:15 A.M. 6835 04:03:59,120 --> 04:04:01,320 HAVE A GREAT EVENING AND STAY 6836 04:04:01,320 --> 04:04:01,640 COOL. 6837 04:04:01,640 --> 04:04:02,240 IT'S VERY HOT OUT THERE. 6838 04:04:02,240 --> 04:04:14,400 THANK YOU.