1 00:00:08,040 --> 00:00:09,320 >>WELCOME, I'M 2 00:00:09,320 --> 00:00:12,800 ERIC PERREAULT FROM NORTHWESN 3 00:00:12,800 --> 00:00:13,200 ALBERTA. 4 00:00:13,200 --> 00:00:16,360 I'D LIKE TO START TODAY BY DOING 5 00:00:16,360 --> 00:00:18,720 A ROLL CALL AND AS I CALL ON 6 00:00:18,720 --> 00:00:20,440 EACH OF YOU, IF YOU CAN PLEASE 7 00:00:20,440 --> 00:00:21,600 LET US ME YOUR A 8 00:00:21,600 --> 00:00:24,440 ATION 9 00:00:24,440 --> 00:00:26,640 AND WE HAVE TWO NEW MEMBERS AND 10 00:00:26,640 --> 00:00:28,200 I'LL INTRODUCE AT THE END AND 11 00:00:28,200 --> 00:00:30,160 LOUIS AND KATHLEEN, WHEN YOU ARE 12 00:00:30,160 --> 00:00:31,400 INTRODUCING YOURSELVES, TAKE THE 13 00:00:31,400 --> 00:00:32,760 TIME TO TELL US MORE ABOUT WHAT 14 00:00:32,760 --> 00:00:35,720 YOU DO OUTSIDE OF THIS ADVISORY 15 00:00:35,720 --> 00:00:38,040 BOARD. 16 00:00:38,040 --> 00:00:42,840 SO, FIRST MEMBER IS -- [ROLL 17 00:00:42,840 --> 00:00:45,680 CALL] PLEASE ANNOUNCE THAT YOU 18 00:00:45,680 --> 00:00:47,360 ARE HERE AND GIVE YOUR 19 00:00:47,360 --> 00:00:49,680 AFFILIATION. 20 00:00:49,680 --> 00:00:59,920 [ROLL CALL] 21 00:01:22,320 --> 00:01:32,480 [ROLL CALL] 22 00:01:55,560 --> 00:01:58,880 I'M PROFESSOR AT GEORGIA TECH. 23 00:01:58,880 --> 00:01:59,520 >>Chair Dr. Perreault: SINCE 24 00:01:59,520 --> 00:02:01,120 THIS IS YOUR FIRST MEETING, 25 00:02:01,120 --> 00:02:02,480 WOULD YOU MIND TELLING US MORE 26 00:02:02,480 --> 00:02:03,120 ABOUT YOUR RESEARCH? 27 00:02:03,120 --> 00:02:04,520 >>SURE. 28 00:02:04,520 --> 00:02:06,720 MY RESEARCH AREA IS FOCUSED IN 29 00:02:06,720 --> 00:02:08,280 ON UNDERSTANDING NERVE 30 00:02:08,280 --> 00:02:11,840 REHABILITATION AND PEOPLE WITH 31 00:02:11,840 --> 00:02:12,720 UPPER LIMB LOSS AND HOW PEOPLE 32 00:02:12,720 --> 00:02:16,720 LEARN HOW TO USE PROSTHETIC 33 00:02:16,720 --> 00:02:19,040 TECHNOLOGIES THROUGH PRINCIPLES 34 00:02:19,040 --> 00:02:23,400 OF MOTOR LEARNING AND NEURO 35 00:02:23,400 --> 00:02:23,920 REPAIR. 36 00:02:23,920 --> 00:02:26,480 >>Chair Dr. Perreault: THANK 37 00:02:26,480 --> 00:02:26,640 YOU. 38 00:02:26,640 --> 00:02:29,920 >>KATHLEEN. 39 00:02:29,920 --> 00:02:33,160 >>HI, I AM REALLY PLEASED TO BE 40 00:02:33,160 --> 00:02:33,360 HERE. 41 00:02:33,360 --> 00:02:36,560 I WORK WITH THE NATIONAL M.S. 42 00:02:36,560 --> 00:02:39,360 SOCIETY AND I HAVE A DEGREE IN 43 00:02:39,360 --> 00:02:40,320 OCCUPATIONAL THERAPY AND 44 00:02:40,320 --> 00:02:42,520 EXERCISE PHYSIOLOGY AND SCIENCE 45 00:02:42,520 --> 00:02:46,160 AND MY RESEARCH FOR 15 YEARS WAS 46 00:02:46,160 --> 00:02:49,600 FOCUSED ON UNDERSTANDING GAIT 47 00:02:49,600 --> 00:02:52,360 AND BALANCE AND DEGENERATING, 48 00:02:52,360 --> 00:02:54,160 NEURO DEGENERATING CONTINUES AND 49 00:02:54,160 --> 00:02:55,840 I FOLLOWED THAT PORTFOLIO AT THE 50 00:02:55,840 --> 00:02:57,640 NATIONAL M.S. SOCIETY SO I'M 51 00:02:57,640 --> 00:02:58,480 VERY HAPPY TO BE HERE. 52 00:02:58,480 --> 00:02:59,400 THANK YOU,. 53 00:02:59,400 --> 00:03:00,040 >>Chair Dr. Perreault: THANK 54 00:03:00,040 --> 00:03:01,760 YOU AND WELCOME TO BOTH OF YOU. 55 00:03:01,760 --> 00:03:04,120 I WOULD LIKE TO NOTE WE HAVE 56 00:03:04,120 --> 00:03:05,200 SEVERAL NEW MEMBERS WHO ARE 57 00:03:05,200 --> 00:03:06,800 STILL BEING CLEARED TO ACTIVELY 58 00:03:06,800 --> 00:03:08,080 PARTICIPATE IN THE MEETING, BUT 59 00:03:08,080 --> 00:03:09,760 THEY'RE OBSERVING THROUGH THE 60 00:03:09,760 --> 00:03:12,200 NIH VIDEO CAST. 61 00:03:12,200 --> 00:03:15,160 IN ADDITION TO OUR BOARD 62 00:03:15,160 --> 00:03:17,120 MEMBERS, WE HAVE SEVERAL 63 00:03:17,120 --> 00:03:19,440 EX-OFFICIO MEMBERS AND GIVE YOUR 64 00:03:19,440 --> 00:03:19,760 AFFILIATION. 65 00:03:19,760 --> 00:03:22,600 DIANA BIANCHI. 66 00:03:22,600 --> 00:03:23,560 >>Dr. Bianchi: I HAVE TO 67 00:03:23,560 --> 00:03:24,240 UNMUTE. 68 00:03:24,240 --> 00:03:27,400 HELLO, EVERYBODY, I'M THE 69 00:03:27,400 --> 00:03:28,840 DIRECTOR OF NICHD AND I'M SPEAK 70 00:03:28,840 --> 00:03:35,200 >>Chair Dr. Perreault: DELLFANC 71 00:03:35,200 --> 00:03:35,360 HEN. 72 00:03:35,360 --> 00:03:37,200 >>I'M HERE REPRESENTING THE 73 00:03:37,200 --> 00:03:39,160 NATIONAL INSTITUTE OF 74 00:03:39,160 --> 00:03:40,720 NEUROLOGICAL DISORDER AND 75 00:03:40,720 --> 00:03:40,920 STROKE. 76 00:03:40,920 --> 00:03:42,200 >>THERESA. 77 00:03:42,200 --> 00:03:45,480 >>GOOD MORNING, I'M THE 78 00:03:45,480 --> 00:03:46,920 DIRECTOR OF NCMRR. 79 00:03:46,920 --> 00:03:47,880 THANK YOU FOR BEING HERE. 80 00:03:47,880 --> 00:03:49,760 >>PATRICIA. 81 00:03:49,760 --> 00:03:51,640 >>HI, GOOD MORNING, I'M WITH 82 00:03:51,640 --> 00:03:55,800 THE DEPARTMENT OF VETERAN 83 00:03:55,800 --> 00:03:57,680 AFFAIRS AND RESEARCH AND 84 00:03:57,680 --> 00:03:59,040 DEVELOPMENT AND REHABILITATION 85 00:03:59,040 --> 00:04:00,240 RESEARCH AND DEVELOPMENT SERVICE 86 00:04:00,240 --> 00:04:02,000 WHERE I SERVE AS THE DIRECTOR 87 00:04:02,000 --> 00:04:05,680 AND WE ARE CLOSE PARTNERS WITH 88 00:04:05,680 --> 00:04:05,880 NCMRR. 89 00:04:05,880 --> 00:04:08,000 THANK YOU. 90 00:04:08,000 --> 00:04:08,680 >>Chair Dr. Perreault: ROBERT. 91 00:04:08,680 --> 00:04:10,800 >>GOOD MORNING, I'M THE ACTING 92 00:04:10,800 --> 00:04:13,160 DEPUTY DIRECTOR FOR PUBLIC 93 00:04:13,160 --> 00:04:15,200 COORDINATION PLANNING AND 94 00:04:15,200 --> 00:04:16,680 STRATEGIC INITIATIVES HERE AT 95 00:04:16,680 --> 00:04:16,840 NIH. 96 00:04:16,840 --> 00:04:18,280 THANK YOU. 97 00:04:18,280 --> 00:04:21,960 >>JEROME FLAG. 98 00:04:21,960 --> 00:04:29,600 >>GOOD MORNING, THIS IS 99 00:04:29,600 --> 00:04:31,720 CHRISTIE HILL I'M STANDING IN 100 00:04:31,720 --> 00:04:33,320 FOR Dr. PRATT THIS MORNING. 101 00:04:33,320 --> 00:04:35,880 I'M THE DEPUTY DIRECTOR AT THE 102 00:04:35,880 --> 00:04:40,120 NATIONAL INSTITUTE ON DISABILITY 103 00:04:40,120 --> 00:04:42,800 AND INDEPENDENT LIVING AND 104 00:04:42,800 --> 00:04:43,080 RESEARCH. 105 00:04:43,080 --> 00:04:44,080 >>Chair Dr. Perreault: LINDEN 106 00:04:44,080 --> 00:04:44,320 JOSEPH. 107 00:04:44,320 --> 00:04:44,920 >>GOOD MORNING. 108 00:04:44,920 --> 00:04:47,240 MY NAME IS LINDEN JOSEPH AND I'M 109 00:04:47,240 --> 00:04:48,680 A PROGRAM OFFICER AT THE 110 00:04:48,680 --> 00:04:52,480 NATIONAL INSTITUTE ON AGING. 111 00:04:52,480 --> 00:04:53,120 >>Chair Dr. Perreault: RALPH, 112 00:04:53,120 --> 00:04:53,600 YOU ALREADY HEARD FROM. 113 00:04:53,600 --> 00:04:55,240 >>YES, I'M HERE I'M THE 114 00:04:55,240 --> 00:04:55,960 EXECUTIVE SECRETARY FOR THIS 115 00:04:55,960 --> 00:04:57,760 BOARD AND ALSO THE DEPUTY 116 00:04:57,760 --> 00:04:58,760 DIRECTOR OF THE NATIONAL CENTER 117 00:04:58,760 --> 00:05:04,840 FOR MEDICAL REHABILITATION 118 00:05:04,840 --> 00:05:05,080 RESEARCH. 119 00:05:05,080 --> 00:05:08,360 GOOD MORNING, I'M LANA FROM THE 120 00:05:08,360 --> 00:05:09,800 NATIONAL INSTITUTE OF DEAFNESS 121 00:05:09,800 --> 00:05:11,120 AND OTHER COMMUNICATION 122 00:05:11,120 --> 00:05:12,000 DISORDERS. 123 00:05:12,000 --> 00:05:14,720 HAPPY TO BE WITH YOU. 124 00:05:14,720 --> 00:05:23,520 >>CHRISTOPHER STEEL. 125 00:05:23,520 --> 00:05:23,800 >> 126 00:05:23,800 --> 00:05:26,880 >>HI, I'M ED AND I'M THE CHIEF 127 00:05:26,880 --> 00:05:28,560 OF THE TECHNICAL ASSISTANCE IN 128 00:05:28,560 --> 00:05:32,000 THE REHABILITATION SERVICES 129 00:05:32,000 --> 00:05:34,360 ADMINISTRATION IN THE OFFICE OF 130 00:05:34,360 --> 00:05:36,200 SPECIAL LIFE AND REHABILITATIVE 131 00:05:36,200 --> 00:05:43,080 SERVICES AT THE DEPARTMENT OF 132 00:05:43,080 --> 00:05:44,160 EDUCATION. 133 00:05:44,160 --> 00:05:44,440 >>CHUCK. 134 00:05:44,440 --> 00:05:47,640 >>GREAT. 135 00:05:47,640 --> 00:05:49,080 THANK YOU TO ALL OF US. 136 00:05:49,080 --> 00:05:52,320 I'D LIKE TO NOW IS FOR APPROVAL 137 00:05:52,320 --> 00:05:54,120 OF THE MINUTES. 138 00:05:54,120 --> 00:05:54,920 COULD HE HAVE MOTION TO APPROVE 139 00:05:54,920 --> 00:05:56,600 THE MINUTES OF LAST -- I GUESS I 140 00:05:56,600 --> 00:05:58,680 SHOULD ASK, DOES ANYONE HAVE ANY 141 00:05:58,680 --> 00:06:00,560 ADDITIONS OR CHANGES THAT THEY 142 00:06:00,560 --> 00:06:04,400 REQUEST TO BE MADE TO THE LAST 143 00:06:04,400 --> 00:06:05,240 MINUTES? 144 00:06:05,240 --> 00:06:07,040 IF NOT, CAN CAN I ASK FOR A 145 00:06:07,040 --> 00:06:10,040 MOTION I TO APPROVE THE MINUTES? 146 00:06:10,040 --> 00:06:11,120 >>SO MOVED. 147 00:06:11,120 --> 00:06:11,760 >>Chair Dr. Perreault: AND A 148 00:06:11,760 --> 00:06:12,160 SECOND? 149 00:06:12,160 --> 00:06:13,440 >>I SECOND. 150 00:06:13,440 --> 00:06:14,320 >>GREAT. 151 00:06:14,320 --> 00:06:20,200 THANK YOUMENT AALL IN FAVOR RAI. 152 00:06:20,200 --> 00:06:21,800 >>ANY OPPOSED? 153 00:06:21,800 --> 00:06:22,520 GREAT. 154 00:06:22,520 --> 00:06:25,560 THE MEETING MINUTES ARE 155 00:06:25,560 --> 00:06:25,840 APPROVED. 156 00:06:25,840 --> 00:06:26,640 THANK YOU, EVERYONE. 157 00:06:26,640 --> 00:06:28,680 SO WITH THAT I'D LIKE TO 158 00:06:28,680 --> 00:06:31,760 INTRODUCE OUR FIRST PREN TAG FON 159 00:06:31,760 --> 00:06:32,520 FOR TODAY. 160 00:06:32,520 --> 00:06:37,640 Dr. BIANCHI WILL GIVE HER 161 00:06:37,640 --> 00:06:37,960 PRESENTATION. 162 00:06:37,960 --> 00:06:38,600 >>Dr. Bianchi: THANK YOU SO 163 00:06:38,600 --> 00:06:42,080 MUCH, Dr. PER A LOT. 164 00:06:42,080 --> 00:06:42,360 PERRAULT. 165 00:06:42,360 --> 00:06:44,760 IF SOMEONE CAN BRING UP THE 166 00:06:44,760 --> 00:06:45,000 SLIDES. 167 00:06:45,000 --> 00:06:52,040 AND JUST FOR THE NEW PEOPLE, 168 00:06:52,040 --> 00:06:53,480 NABMRR IS A CENTER WITHIN THE 169 00:06:53,480 --> 00:06:54,560 NATIONAL INSTITUTE OF CHILD 170 00:06:54,560 --> 00:06:59,080 HEALTH AND HUMAN DEVELOPMENT. 171 00:06:59,080 --> 00:07:01,760 AND WE FREQUENTLY TALK ABOUT OUR 172 00:07:01,760 --> 00:07:03,120 POPULATIONS, WHICH INCLUDE 173 00:07:03,120 --> 00:07:05,000 CHILDREN, PEOPLE OF REPRODUCTIVE 174 00:07:05,000 --> 00:07:06,960 AGE AND PEOPLE WITH INTELLECTUAL 175 00:07:06,960 --> 00:07:08,440 AND PHYSICAL DISABILITIES. 176 00:07:08,440 --> 00:07:09,960 SO, A LOT OF WHAT YOU ARE GOING 177 00:07:09,960 --> 00:07:12,160 TO HEAR FROM ME IN MY 178 00:07:12,160 --> 00:07:13,400 PRESENTATION THIS MORNING, IS 179 00:07:13,400 --> 00:07:18,280 REALLY THE 30,000-FOOT OVERVIEW 180 00:07:18,280 --> 00:07:20,440 OF HOW NICHD IS CONTRIBUTING TO 181 00:07:20,440 --> 00:07:24,840 MULTIPLE PROJECTS ACROSS THE NIH 182 00:07:24,840 --> 00:07:27,360 AND JUST SOME, AGAIN, HIGH-LEVEL 183 00:07:27,360 --> 00:07:29,600 CHANGES THAT ARE GOING ON, ET 184 00:07:29,600 --> 00:07:33,240 CETERA, THEN Dr. CRUZ WILL 185 00:07:33,240 --> 00:07:35,480 GIVE YOU A FOCUSED PRESENTATION 186 00:07:35,480 --> 00:07:40,040 ON EXACTLY WHAT IS HAPPENING 187 00:07:40,040 --> 00:07:47,680 WITH NCMRR, AND WE CAN BOTH 188 00:07:47,680 --> 00:07:51,000 ANSWER QUESTIONS. 189 00:07:51,000 --> 00:07:52,320 SO TODAY I'M GOING TO SPEAK 190 00:07:52,320 --> 00:07:54,840 ABOUT THE 60th ANNIVERSARY 191 00:07:54,840 --> 00:07:56,840 SYMPOSIUM THAT WE HELD. 192 00:07:56,840 --> 00:07:58,320 I'M GOING TO GIVE YOU AN UPDATE 193 00:07:58,320 --> 00:08:00,120 ON THE BUDGET, NOT THAT THERE'S 194 00:08:00,120 --> 00:08:01,480 MUCH NEWS THERE BUT I'LL TELL 195 00:08:01,480 --> 00:08:04,160 WHAT YOU WE KNOW. 196 00:08:04,160 --> 00:08:06,400 AND THEN, SOME OF THE 197 00:08:06,400 --> 00:08:08,800 INITIATIVES IN WHICH MULTIPLE 198 00:08:08,800 --> 00:08:12,120 STAFF MEMBERS FROM NICHD ARE 199 00:08:12,120 --> 00:08:12,480 PARTICIPATED. 200 00:08:12,480 --> 00:08:16,760 THERE'S BEEN A TREND TOWARDS 201 00:08:16,760 --> 00:08:18,000 THESE NCCIH WIDE INITIATIVES AND 202 00:08:18,000 --> 00:08:19,280 IT REALLY IS AN OPPORTUNITY FOR 203 00:08:19,280 --> 00:08:21,360 US TO ADVOCATE FOR PARTICIPATION 204 00:08:21,360 --> 00:08:25,040 AND ENGAGEMENT THAT INCLUDES OUR 205 00:08:25,040 --> 00:08:25,800 POPULATIONS. 206 00:08:25,800 --> 00:08:26,960 THEN, WE THOUGHT WE WOULD 207 00:08:26,960 --> 00:08:29,360 HIGHLIGHT SOME OF THE RECENT 208 00:08:29,360 --> 00:08:30,840 OPPORTUNITIES AND FIREARMS AND 209 00:08:30,840 --> 00:08:36,760 VIOLENCE RESEARCH BECAUSE 210 00:08:36,760 --> 00:08:38,080 CLEARLY, UNFORTUNATELY IT LEADS 211 00:08:38,080 --> 00:08:41,000 TO PHYSICAL DISABILITIES AND 212 00:08:41,000 --> 00:08:41,920 INTELLECTUAL DISABILITIES. 213 00:08:41,920 --> 00:08:42,720 THERE WAS A REQUEST TO HEAR 214 00:08:42,720 --> 00:08:46,040 ABOUT THE RECOVERY INITIATIVE 215 00:08:46,040 --> 00:08:48,760 AND LONG COVID, BECAUSE THAT'S 216 00:08:48,760 --> 00:08:50,880 OF INTEREST TO MANY OF YOU AND 217 00:08:50,880 --> 00:08:53,280 FINISHING UP WITH STAFF UPDATES. 218 00:08:53,280 --> 00:08:55,400 THAT'S OUR ROADMAP, NEXT LIED, 219 00:08:55,400 --> 00:08:55,600 PLEASE. 220 00:08:55,600 --> 00:08:57,040 SO FOR THOSE OF YOU WHO DIDN'T 221 00:08:57,040 --> 00:08:59,240 HAVE RAY CHANCE TO WATCH OUR 222 00:08:59,240 --> 00:09:01,520 60th ANNIVERSARY CELEBRATION, 223 00:09:01,520 --> 00:09:04,360 IT WAS HELD ON OCTOBER 17th, 224 00:09:04,360 --> 00:09:09,280 WHICH WAS OUR ACTUAL 60t 225 00:09:09,280 --> 00:09:09,800 60th ANNIVERSARY. 226 00:09:09,800 --> 00:09:11,560 THE THEME WAS HEALTHY 227 00:09:11,560 --> 00:09:12,680 PREGNANCIES, HEALTHY CHILDREN, 228 00:09:12,680 --> 00:09:14,960 HEALTHY AND OPTIMAL LIVES, WHICH 229 00:09:14,960 --> 00:09:18,800 IS OUR VISION STATEMENT AND THE 230 00:09:18,800 --> 00:09:20,360 VIDEO CAST IS PUBLICLY AVAILABLE 231 00:09:20,360 --> 00:09:22,560 IF YOU JUST TYPE IN THAT WEBSITE 232 00:09:22,560 --> 00:09:24,360 YOU CAN WATCH IT AND YOU CAN 233 00:09:24,360 --> 00:09:25,360 FAST FORWARD. 234 00:09:25,360 --> 00:09:30,760 THERE ARE NO COMMERCIALS BUT YOU 235 00:09:30,760 --> 00:09:31,920 CAN CAST FORWARD TO PARTS YOU 236 00:09:31,920 --> 00:09:33,880 WOULD ENJOY AND I HEALEY 237 00:09:33,880 --> 00:09:35,600 RECOMMEND THAT YOU HEAR THE 238 00:09:35,600 --> 00:09:37,800 COMMENTS MADE BY TIM SCHRIBER, 239 00:09:37,800 --> 00:09:44,440 THE SON OF EUNICE KENNEDY 240 00:09:44,440 --> 00:09:45,960 SCHRIBER AND PASSION ABOUT 241 00:09:45,960 --> 00:09:46,560 DISABILITIES. 242 00:09:46,560 --> 00:09:48,280 ALSO, THERE WAS JUST ANNA MAZE 243 00:09:48,280 --> 00:09:50,040 BE INTERVIEW THAT THERESA DID 244 00:09:50,040 --> 00:09:53,480 WITH JUDY HUMAN AND I WOULD 245 00:09:53,480 --> 00:09:55,560 RECOMMEND WATCHING AS MUCH AS 246 00:09:55,560 --> 00:10:00,160 YOU CAN CAN OF THE WHOLE THING 247 00:10:00,160 --> 00:10:01,400 BUT THOSE TWO PARTICULAR 248 00:10:01,400 --> 00:10:02,480 SECTIONS WOULD BE OF INTEREST TO 249 00:10:02,480 --> 00:10:03,960 YOU AND WE ALSO ARE STILL 250 00:10:03,960 --> 00:10:05,840 MAINTAINING OUR 60t 251 00:10:05,840 --> 00:10:06,480 60th ANNIVERSARY WEB PAGE 252 00:10:06,480 --> 00:10:09,240 WHICH IS A SOURCE OF MILESTONES 253 00:10:09,240 --> 00:10:11,760 IN OUR HISTORY. 254 00:10:11,760 --> 00:10:12,800 COULD EVERYBODY MUTE, IF YOU ARE 255 00:10:12,800 --> 00:10:16,960 NOT SPEAKING. 256 00:10:16,960 --> 00:10:18,200 IT'S A LITTLE BIT DISTRACTING. 257 00:10:18,200 --> 00:10:18,680 THANK YOU. 258 00:10:18,680 --> 00:10:20,000 AND THEN, WE HAVE A LITTLE BIT 259 00:10:20,000 --> 00:10:23,200 ABOUT OUR FUTURE RESEARCH 260 00:10:23,200 --> 00:10:26,160 DIRECTIONS AS WELL AS PEOPLE WHO 261 00:10:26,160 --> 00:10:28,440 ARE PART OF THE NICHD, 262 00:10:28,440 --> 00:10:30,760 COLLEAGUES, WHO WE HAVE PROFILES 263 00:10:30,760 --> 00:10:32,600 WHO PEOPLE HELPING US TO ACHIEVE 264 00:10:32,600 --> 00:10:33,320 OUR MISSION. 265 00:10:33,320 --> 00:10:37,240 NEXT SLIDE, PLEASE. 266 00:10:37,240 --> 00:10:39,000 I WISH I COULD SAY MORE ABOUT 267 00:10:39,000 --> 00:10:41,640 THE BUDGET. 268 00:10:41,640 --> 00:10:43,360 I BELIEVE, EVEN AT OUR LAST 269 00:10:43,360 --> 00:10:44,880 MEETING IN JUNE, SHOWED PRETTY 270 00:10:44,880 --> 00:10:47,200 MUCH THE IDENTICAL SLIDE BECAUSE 271 00:10:47,200 --> 00:10:49,040 ALL WE HAD AT THAT TIME WAS THE 272 00:10:49,040 --> 00:10:53,160 PRESIDENT'S PROPOSED BUDGET. 273 00:10:53,160 --> 00:10:54,920 CONGRESS DECIDE NOT TO MAKE 274 00:10:54,920 --> 00:10:56,160 DECISIONS UNTIL AFTER THE 275 00:10:56,160 --> 00:10:58,480 MIDTERM ELECTIONS. 276 00:10:58,480 --> 00:11:00,040 WE ARE ALWAYS SORT OF ONE STEP 277 00:11:00,040 --> 00:11:07,040 AHEAD OF THEM IN THAT WE PUT 278 00:11:07,040 --> 00:11:08,760 TOGETHER A JUSTICE CONGRESSIONAL 279 00:11:08,760 --> 00:11:10,000 DOCUMENT THAT TALKS ABOUT WHAT 280 00:11:10,000 --> 00:11:11,640 WE WANT TO FUND AND PROGRAM PRE 281 00:11:11,640 --> 00:11:17,360 FILES AND HI LIGHTS AND WHY WE 282 00:11:17,360 --> 00:11:18,840 DESERVE AN INCREASE IN OUR 283 00:11:18,840 --> 00:11:19,080 BUDGET. 284 00:11:19,080 --> 00:11:22,080 WE'VE DONE IT FOR FISCAL YEAR 285 00:11:22,080 --> 00:11:24,280 '24 BUT WE'RE WELL INTO FISCAL 286 00:11:24,280 --> 00:11:28,360 YEAR '23 NOW AND WE D DON'T HAVA 287 00:11:28,360 --> 00:11:28,600 BUDGET. 288 00:11:28,600 --> 00:11:29,480 WE HAVE THE CONTINUING 289 00:11:29,480 --> 00:11:36,600 RESOLUTION AND CONGRESS MADE 290 00:11:36,600 --> 00:11:37,560 THAT DECEMBER 16th. 291 00:11:37,560 --> 00:11:38,560 THERE'S NOT BEEN A LOT 292 00:11:38,560 --> 00:11:38,800 HAPPENING. 293 00:11:38,800 --> 00:11:44,040 WHAT WE KNOW, AS OF LAST WEEK, 294 00:11:44,040 --> 00:11:45,600 IS THAT MEMBERS OF CONGRESS HAVE 295 00:11:45,600 --> 00:11:54,280 AGREED ON A TOP LINE BUDGET FOR 296 00:11:54,280 --> 00:11:56,200 THE NIH AND BUDGET 297 00:11:56,200 --> 00:11:57,200 APPROPRIATIONS PACKAGE. 298 00:11:57,200 --> 00:11:59,680 IT'S IN DOUBT THEY WILL COMPLETE 299 00:11:59,680 --> 00:12:00,560 THIS BY DECEMBER 16th. 300 00:12:00,560 --> 00:12:02,760 SO WE JUST GO WEEK BY WEEK. 301 00:12:02,760 --> 00:12:03,840 THEY'LL THEN PROBABLY KICK THE 302 00:12:03,840 --> 00:12:07,360 CAN DOWN THE ROAD AND SET 303 00:12:07,360 --> 00:12:09,280 ANOTHER DEADLINE, AND 304 00:12:09,280 --> 00:12:10,600 POTENTIALLY THEY'LL WAIT UNTIL 305 00:12:10,600 --> 00:12:12,000 THE NEXT CONGRESS IS SEATED AND 306 00:12:12,000 --> 00:12:14,800 OF COURSE THEY'LL HAVE SOMEWHAT 307 00:12:14,800 --> 00:12:15,760 DIFFERENT PRIORITIES SO WE'RE 308 00:12:15,760 --> 00:12:18,800 HOPING THAT SOME OF THE NIH 309 00:12:18,800 --> 00:12:20,600 CHAMPIONS, WHO ARE RETIRING THIS 310 00:12:20,600 --> 00:12:24,360 YEAR WILL HAVE THEIR SAY AND ARE 311 00:12:24,360 --> 00:12:27,080 ABLE TO GO OUT ON A HIGH NOTE 312 00:12:27,080 --> 00:12:30,040 AND ADVOCATE FOR THE NIH BEFORE 313 00:12:30,040 --> 00:12:36,280 THERE ARE CHANGES IN THE VARIOUS 314 00:12:36,280 --> 00:12:36,720 COMMITTEES. 315 00:12:36,720 --> 00:12:38,040 SOMETHING I DIDN'T REALIZE UNTIL 316 00:12:38,040 --> 00:12:40,160 I STARTED TO WORK AT THE NIH 317 00:12:40,160 --> 00:12:42,320 BECAUSE I WAS AN EXTRAMURAL 318 00:12:42,320 --> 00:12:44,240 INVESTIGATOR FUNDED BY NICHD 319 00:12:44,240 --> 00:12:47,160 BEFORE I TOOK THIS POSITION, 320 00:12:47,160 --> 00:12:50,320 WHEN THERE'S A LATE 321 00:12:50,320 --> 00:12:52,760 APPROPRIATION, IT MEANS THAT THE 322 00:12:52,760 --> 00:12:57,640 DEADLINES FOR FUNDING 323 00:12:57,640 --> 00:12:58,880 ANNOUNCEMENTS ALL GET SHORTER. 324 00:12:58,880 --> 00:13:00,440 FOR EXAMPLE, THIS YEAR IN MARCH, 325 00:13:00,440 --> 00:13:02,360 WE GOT THE BUDGET IN MARCH, WE 326 00:13:02,360 --> 00:13:03,200 WERE HIGHLY CONSERVATIVE IN 327 00:13:03,200 --> 00:13:09,080 TERMS OF FUNDING WELL-SCORED 328 00:13:09,080 --> 00:13:10,560 APPLICATIONS BUT YOU CAN CAN'T 329 00:13:10,560 --> 00:13:12,520 SPEND MONEY YOU DON'T HAVE. 330 00:13:12,520 --> 00:13:13,720 YOU HAVE TO WAIT UNTIL YOU GET A 331 00:13:13,720 --> 00:13:15,840 BUDGET AND THERE'S A FLURRY OF 332 00:13:15,840 --> 00:13:16,960 ACTIVITIES THAT MEANS OUR SHOULD 333 00:13:16,960 --> 00:13:23,320 HAVE HAVE TO WORK EXTRA HARD TO 334 00:13:23,320 --> 00:13:25,640 GET THE MONEY OUT THE DOOR BY 335 00:13:25,640 --> 00:13:27,040 DEPARTMENT 30th OF THAT FISCAL 336 00:13:27,040 --> 00:13:27,240 YEAR. 337 00:13:27,240 --> 00:13:31,200 THERE'S A CHALLENGE WHEN THERE 338 00:13:31,200 --> 00:13:33,120 ARE NEW INITIATIVES THAT ARE 339 00:13:33,120 --> 00:13:37,360 PART OF THAT FISCAL YEAR SO IT'S 340 00:13:37,360 --> 00:13:38,840 AN AREA WHERE WHATEVER IS GOING 341 00:13:38,840 --> 00:13:41,040 ON POLITICALLY, DIRECTLY AFFECTS 342 00:13:41,040 --> 00:13:42,120 THE WORK WE DO. 343 00:13:42,120 --> 00:13:43,280 SO IF YOU ARE INVESTIGATORS AND 344 00:13:43,280 --> 00:13:50,760 YOU ARE WONDERING WHY A GRANT 345 00:13:50,760 --> 00:13:52,600 WITH AN 8% SHOULD HAVE BEEN 346 00:13:52,600 --> 00:13:54,400 FUNDED THIS IS THE REASON WHY. 347 00:13:54,400 --> 00:13:56,480 IT DOESN'T BEEN FUNDED BECAUSE 348 00:13:56,480 --> 00:13:58,400 WE DO A BUDGET YET. 349 00:13:58,400 --> 00:13:59,480 WE DO THIS CONSERVATIVE 350 00:13:59,480 --> 00:14:01,240 CONTINUING RESOLUTION, WHERE WE 351 00:14:01,240 --> 00:14:04,240 USE THE BUDGET FROM THE PREVIOUS 352 00:14:04,240 --> 00:14:06,120 YEAR, FISCAL YEAR '22 SO 353 00:14:06,120 --> 00:14:07,320 ESTIMATE WHAT IS GOING TO HAPPEN 354 00:14:07,320 --> 00:14:08,080 THIS YEAR. 355 00:14:08,080 --> 00:14:13,480 NEXT SLIDE, PLEASE. 356 00:14:13,480 --> 00:14:15,040 SPEAKING OF CONGRESS, WE'VE BEEN 357 00:14:15,040 --> 00:14:16,480 VERY ACTIVE IN MEETING WITH 358 00:14:16,480 --> 00:14:18,800 MEMBERS OF CONGRESS SO BACK IN 359 00:14:18,800 --> 00:14:20,080 SEPTEMBER, IF YOU LOCK ALL THE 360 00:14:20,080 --> 00:14:22,160 WAY TO THE RIGHT IN THIS 361 00:14:22,160 --> 00:14:24,760 PICTURE, THAT IS SENATOR JERRY 362 00:14:24,760 --> 00:14:27,000 MORAN FROM KANSAS WHO IS A 363 00:14:27,000 --> 00:14:29,800 CO-CHAIR OF THE DOWN SYNDROME 364 00:14:29,800 --> 00:14:30,040 CAUCUS. 365 00:14:30,040 --> 00:14:31,760 WE WERE ASKED TO MEET WITH HIM, 366 00:14:31,760 --> 00:14:35,960 WE WERE ACTUALLY IN ONE OF THE 367 00:14:35,960 --> 00:14:40,000 VERY FANCY SENATE ROOMS. 368 00:14:40,000 --> 00:14:41,280 IT WAS FUN BEING ON THE OTHER 369 00:14:41,280 --> 00:14:44,000 SIDE OF THE BENCH. 370 00:14:44,000 --> 00:14:45,840 AND WE WERE ASKED TO GIVE AN 371 00:14:45,840 --> 00:14:51,080 UPDATE ON THE INCLUDE INITIATIVE 372 00:14:51,080 --> 00:14:52,520 IN WHICH NICHD PLAYS A MAJOR 373 00:14:52,520 --> 00:14:53,760 ROLE WHERE ONE OF THE 374 00:14:53,760 --> 00:14:56,800 CO-CHAIRING INSTITUTES OF THE 375 00:14:56,800 --> 00:15:00,200 INITIATIVE AND IT STANDS FOR 376 00:15:00,200 --> 00:15:10,120 INVESTIGATION OF CO -- THIS WAS 377 00:15:10,120 --> 00:15:10,760 A NEW EXPERIENCE FOR ME BECAUSE 378 00:15:10,760 --> 00:15:12,680 WHEN YOU TESTIFY, AT THE 379 00:15:12,680 --> 00:15:13,880 APPROPRIATIONS HEARINGS, YOU 380 00:15:13,880 --> 00:15:17,280 BASICALLY GET TWO MINUTES TO 381 00:15:17,280 --> 00:15:18,000 MAKE YOUR CASE. 382 00:15:18,000 --> 00:15:19,000 HERE, WE HAD AN HOUR. 383 00:15:19,000 --> 00:15:20,320 IF YOU LOOK AT THE GENTLEMAN TO 384 00:15:20,320 --> 00:15:22,960 THE LEFT OF ME, THAT IS Mr. 385 00:15:22,960 --> 00:15:25,400 FRANK STEVENS, WHO WAS A 386 00:15:25,400 --> 00:15:27,560 SELF-ADVOCATE WITH DOWN SYNDROME 387 00:15:27,560 --> 00:15:31,840 AND TWO REPRESENTATIVES FROM THE 388 00:15:31,840 --> 00:15:33,240 SEA FOUNDATION, THE UNIVERSITY 389 00:15:33,240 --> 00:15:37,400 OF COLORADO WHO ARE MAJOR 390 00:15:37,400 --> 00:15:38,760 RECIPIENTS OF NIH FUNDING. 391 00:15:38,760 --> 00:15:41,760 IT WAS A VERY PRODUCTIVE MEETING 392 00:15:41,760 --> 00:15:44,320 AND REALLY ENJOYABLE AND SENATOR 393 00:15:44,320 --> 00:15:45,880 MORAN WAS VERY POSITIVE AS WELL. 394 00:15:45,880 --> 00:15:48,320 HE SAID THAT, IT'S A RARE 395 00:15:48,320 --> 00:15:51,640 OCCASION FOR HIM TO SEE THE 396 00:15:51,640 --> 00:15:54,480 INCREDIBLY POSITIVE IMPACT OF 397 00:15:54,480 --> 00:15:56,000 FUNDING AND WHAT FUNDING CAN DO 398 00:15:56,000 --> 00:15:58,000 FOR RESEARCH INITIATIVES AND HOW 399 00:15:58,000 --> 00:16:03,320 THOSE RESEARCH INITIATIVES CAN 400 00:16:03,320 --> 00:16:05,400 CHANGE PEOPLE'S LIVES WHAT YOU 401 00:16:05,400 --> 00:16:06,760 DON'T SEE ARE MEMBERS OF VARIOUS 402 00:16:06,760 --> 00:16:08,680 DOWN SYNDROME ADVOCACY GROUPS 403 00:16:08,680 --> 00:16:10,040 FROM ACROSS COUNTRY SO THAT WAS 404 00:16:10,040 --> 00:16:11,800 A VERY POSITIVE HOUR WE SPENT 405 00:16:11,800 --> 00:16:13,920 WITH HIM. 406 00:16:13,920 --> 00:16:17,360 THERE'S ALSO GREAT INTEREST IN 407 00:16:17,360 --> 00:16:20,880 CONGRESS ABOUT MEDICATIONS TAKEN 408 00:16:20,880 --> 00:16:25,120 BY PREGNANT AND LACTATING WOMEN. 409 00:16:25,120 --> 00:16:28,680 THE PREGLAC TASK FORCE THAT 410 00:16:28,680 --> 00:16:32,480 NICHD LED IN 2017 AND 2018, THE 411 00:16:32,480 --> 00:16:33,480 SENATE HELPED STAFF AS WELL AS 412 00:16:33,480 --> 00:16:36,160 MEMBERS OF CONGRESS ARE QUITE 413 00:16:36,160 --> 00:16:40,880 INTERESTED IN HOW WE CAN TO MORE 414 00:16:40,880 --> 00:16:42,880 TO LEARN MORE ABOUT HOW 415 00:16:42,880 --> 00:16:44,520 MEDICATIONS TAKEN BY PREGNANT 416 00:16:44,520 --> 00:16:47,160 AND LACTATING WOMEN, EFFECT 417 00:16:47,160 --> 00:16:48,120 THEIR HEALTH. 418 00:16:48,120 --> 00:16:55,760 LASTLY, TOMORROW, WE'RE MEETING 419 00:16:55,760 --> 00:16:57,560 WITH REPRESENTATIVE LAUREN 420 00:16:57,560 --> 00:16:59,200 UNDERWOOD WHO IS THE CHAP YUN 421 00:16:59,200 --> 00:17:01,320 FOR BLACK MATERNAL HEALTH. 422 00:17:01,320 --> 00:17:04,840 SHE CO-CHAIRS THE BLACK MATERNAL 423 00:17:04,840 --> 00:17:06,160 HEALTH CAUCUS AND SHE WAS THE 424 00:17:06,160 --> 00:17:15,000 DRIVING FORCE HYPED GETTING 425 00:17:15,000 --> 00:17:16,760 $30 MILLION TO OUR FISCAL 426 00:17:16,760 --> 00:17:20,440 '22 BUDGET TO IMPROVE MATERNAL 427 00:17:20,440 --> 00:17:20,920 HEALTH. 428 00:17:20,920 --> 00:17:24,280 SPEAKING OF IMPROVE, THIS AGAIN 429 00:17:24,280 --> 00:17:26,880 IS A TRANS NIH INITIATIVE THAT 430 00:17:26,880 --> 00:17:32,520 IS FOCUSED ON REDUCING CAUSES 431 00:17:32,520 --> 00:17:34,160 AND IMPROVING HEALTH FOR WOMEN 432 00:17:34,160 --> 00:17:35,640 BEFORE, DURING AND AFTER 433 00:17:35,640 --> 00:17:38,400 DELIVERY WITH AN EMPHASIS ON 434 00:17:38,400 --> 00:17:40,080 HEALTH DISPARITIES AND 435 00:17:40,080 --> 00:17:43,480 DISPROPORTIONATELY EFFECTED 436 00:17:43,480 --> 00:17:46,880 POPULATIONS UP AND ALASKA NATIVE 437 00:17:46,880 --> 00:17:48,320 WOMEN OR BIRTHING PEOPLE 438 00:17:48,320 --> 00:17:55,360 DEPENDING ON THE TERM THAT YOU 439 00:17:55,360 --> 00:18:05,480 PREFER. 440 00:18:35,520 --> 00:18:37,080 >>WE HAD $30 MILLION TO SPEND 441 00:18:37,080 --> 00:18:39,080 BEFORE SEPTEMBER 30th AND IT'S 442 00:18:39,080 --> 00:18:40,560 GREAT CREDIT TO THE STAFF 443 00:18:40,560 --> 00:18:42,000 INVOLVED IN SIX DIFFERENT 444 00:18:42,000 --> 00:18:45,160 COMPONENTS OF IMPROVE 445 00:18:45,160 --> 00:18:45,480 INITIATIVE. 446 00:18:45,480 --> 00:18:47,760 THERE WAS AN 'EM PHYSICIAN ON 447 00:18:47,760 --> 00:18:50,920 INFRASTRUCTURE AND COMMUNITY 448 00:18:50,920 --> 00:18:54,400 ORGANIZATIONS AND BECAUSE THERE 449 00:18:54,400 --> 00:19:04,840 ARE SO MANY TO ACCELERATE 450 00:19:08,360 --> 00:19:09,840 TECHNOLOGY AND IMPROVE MATERNAL 451 00:19:09,840 --> 00:19:11,760 HEALTH FOR PEOPLE WHO DON'T HAVE 452 00:19:11,760 --> 00:19:18,080 DIRECT ACCESS TO OBSTETRICALLY 453 00:19:18,080 --> 00:19:22,280 TRAINED PERSON AGAIN, COMMUNITY 454 00:19:22,280 --> 00:19:24,760 FOCUSED IMPLEMENTATION AND BASED 455 00:19:24,760 --> 00:19:29,320 MA PERSONAL HEALTH INTER FENCES 456 00:19:29,320 --> 00:19:30,920 AND THERE'S A CONNECTATHON 457 00:19:30,920 --> 00:19:33,200 ESTABLISHING A LONGITUDINAL 458 00:19:33,200 --> 00:19:34,560 HEALTH RECORD FOR THE PREGNANT 459 00:19:34,560 --> 00:19:36,720 PERSON AND CURRENTLY WE HAVE THE 460 00:19:36,720 --> 00:19:38,920 PROBLEM THAT THE OBSTETRICAL 461 00:19:38,920 --> 00:19:41,400 RECORD OFTEN IS QUITE SEPARATE 462 00:19:41,400 --> 00:19:43,840 FROM THE PREGNANT PERSONS HEALTH 463 00:19:43,840 --> 00:19:46,280 RECORD EITHER BEFORE OR AFTER 464 00:19:46,280 --> 00:19:49,040 PREGNANCY AND SO TRYING TO UNIFY 465 00:19:49,040 --> 00:19:53,360 THAT INFORMATION TO BOTH ADDRESS 466 00:19:53,360 --> 00:19:55,000 RISK FACT OR FOR COMPLICATIONS 467 00:19:55,000 --> 00:19:58,480 DURING PREGNANCY OR SIMILARLY 468 00:19:58,480 --> 00:20:01,040 HAVING INTERNISTS BE AWARE OF 469 00:20:01,040 --> 00:20:02,600 RECENT PREGNANCY TO BE ON THE 470 00:20:02,600 --> 00:20:10,200 LOOK OUT FOR THINGS LIKE CARDIO 471 00:20:10,200 --> 00:20:11,640 HIGH ON THEE AND THERE'S A NEED 472 00:20:11,640 --> 00:20:14,480 TO LINK AN ELECTRONIC HEALTH 473 00:20:14,480 --> 00:20:18,680 RECORD ON THE PORT WITH THE MOTD 474 00:20:18,680 --> 00:20:20,640 TO LOOK AT EXPOSURES THE BABY 475 00:20:20,640 --> 00:20:22,800 MAY HAVE HAD DURING PREGNANCY. 476 00:20:22,800 --> 00:20:25,200 AND WE ALSO WERE ABLE TO FUND A 477 00:20:25,200 --> 00:20:27,280 NUMBER OF GRANTS THAT DIDN'T 478 00:20:27,280 --> 00:20:29,200 QUITE MAKE PAYLINES AT THEIR 479 00:20:29,200 --> 00:20:30,680 INDIVIDUAL INSTITUTES THAT WERE 480 00:20:30,680 --> 00:20:33,920 FOCUSED ON DISSEMINATION AND 481 00:20:33,920 --> 00:20:35,240 IMPLEMENTATION RESEARCH. 482 00:20:35,240 --> 00:20:40,400 AND ALL OF THESE KIND OF INITIAL 483 00:20:40,400 --> 00:20:42,240 OPPORTUNITIES ARE MEANT TO 484 00:20:42,240 --> 00:20:42,600 PROVIDE. 485 00:20:42,600 --> 00:20:43,920 >>Tara: THAT WILL THEN BE USED 486 00:20:43,920 --> 00:20:45,880 IN THE MATERNAL HEALTH CENTERS 487 00:20:45,880 --> 00:20:48,560 OF EXCELLENCE WHICH IS THE MAJOR 488 00:20:48,560 --> 00:20:51,120 FOCUS OF OUR FUNDING THIS YEAR. 489 00:20:51,120 --> 00:20:53,840 NEXT SLIDE, PLEASE. 490 00:20:53,840 --> 00:20:57,720 AND IT'S VERY IMPORTANT THAT WE 491 00:20:57,720 --> 00:20:59,160 INCLUDE WOMEN OR PREGNANT PEOPLE 492 00:20:59,160 --> 00:21:01,760 WITH DISABILITIES IN THIS OFFER 493 00:21:01,760 --> 00:21:03,440 ALL INITIATIVE AS WELL AS WE 494 00:21:03,440 --> 00:21:09,400 HAVE SEPARATE FUNDING AT NICHD 495 00:21:09,400 --> 00:21:10,560 OR NOTICE OF SPECIAL INTEREST, 496 00:21:10,560 --> 00:21:13,920 IN THAT, WE WANT TO INTERSECT IN 497 00:21:13,920 --> 00:21:16,120 AREAS WHERE WE'RE UNIQUELY 498 00:21:16,120 --> 00:21:19,200 CAPABLE SO WE HAVE FUNDED 499 00:21:19,200 --> 00:21:21,080 PORTFOLIO ON REPRODUCTIVE HEALTH 500 00:21:21,080 --> 00:21:22,920 AND WE ALSO OBVIOUSLY HAVE A 501 00:21:22,920 --> 00:21:25,480 FUNDED PORTFOLIO ON PEOPLE WITH 502 00:21:25,480 --> 00:21:28,240 DISABILITIES AND IT IS KNOWN 503 00:21:28,240 --> 00:21:32,440 THAT PEOPLE OF RO REPRODUCTIVE E 504 00:21:32,440 --> 00:21:34,000 WHO HAVE PHYSICAL DISABILITIES, 505 00:21:34,000 --> 00:21:36,680 DO NOT GET THE APPROPRIATE CARE, 506 00:21:36,680 --> 00:21:39,480 WHETHER IT'S PRECONCEPTION, 507 00:21:39,480 --> 00:21:43,040 PREGNANCY, OR POSTPARTUM. 508 00:21:43,040 --> 00:21:44,880 WE KNOW THAT, FOR EXAMPLE, WOMEN 509 00:21:44,880 --> 00:21:46,840 WITH DISABILITIES, WHO WERE 510 00:21:46,840 --> 00:21:48,440 PREGNANT DURING THE PANDEMIC, 511 00:21:48,440 --> 00:21:50,000 DIDN'T EVEN GET THE OPPORTUNITY 512 00:21:50,000 --> 00:21:52,960 TO GET VACCINATED. 513 00:21:52,960 --> 00:21:57,560 SO THE GOAL OF THIS NO SEE IS 514 00:21:57,560 --> 00:22:00,840 REDUCE BARRIERS IN MEANINGFUL 515 00:22:00,840 --> 00:22:02,000 REPRODUCTIVE HEALTH, PREGNANCY 516 00:22:02,000 --> 00:22:03,680 AND PARENTING EXPERIENCING AMONG 517 00:22:03,680 --> 00:22:05,640 WOMEN WITH DISABILITIES AND 518 00:22:05,640 --> 00:22:07,800 IMPROVE OVER ALL OUTCOMES FOR 519 00:22:07,800 --> 00:22:09,640 BOTH THE MOTHER AND THE BABY. 520 00:22:09,640 --> 00:22:12,360 AND THE NOSI ENCOURAGED RESEARCH 521 00:22:12,360 --> 00:22:14,200 TO ESTABLISH A STRONG 522 00:22:14,200 --> 00:22:16,280 EVIDENCE-BASE FOR INTERVENTIONS 523 00:22:16,280 --> 00:22:18,080 AND CLINICAL PRACTICE GUIDELINES 524 00:22:18,080 --> 00:22:21,720 THAT WILL SUPPORT HEALTHCARE 525 00:22:21,720 --> 00:22:26,080 ACCESS AND INCLUSION, RELEVANT, 526 00:22:26,080 --> 00:22:28,000 ASSIST DEVICE AND TECHNOLOGY 527 00:22:28,000 --> 00:22:28,600 DEVELOPMENT AS WELL AS 528 00:22:28,600 --> 00:22:33,520 ENVIRONMENTAL MODIFICATIONS. 529 00:22:33,520 --> 00:22:35,080 SO, PLEASE, WRITE DOWN THIS 530 00:22:35,080 --> 00:22:35,400 OPPORTUNITY. 531 00:22:35,400 --> 00:22:38,040 NEXT SLIDE, PLEASE. 532 00:22:38,040 --> 00:22:41,120 ANOTHER AREA WHERE WE ARE 533 00:22:41,120 --> 00:22:43,640 PARTICIPATING NIH WIDE, IS THE 534 00:22:43,640 --> 00:22:46,800 STRATEGIC PLAN FOR NIH NUTRITION 535 00:22:46,800 --> 00:22:47,080 RESEARCH. 536 00:22:47,080 --> 00:22:51,000 THE UNIFYING VISION IS PRECISION 537 00:22:51,000 --> 00:22:52,400 NUTRITION AND OUR STAFF 538 00:22:52,400 --> 00:22:55,000 PARTICIPATED ACTIVELY IN THE 539 00:22:55,000 --> 00:22:58,000 CREATION OF THIS STRATEGIC PLAN. 540 00:22:58,000 --> 00:22:59,320 PARTICULARLY IN THE ROLE OF 541 00:22:59,320 --> 00:23:01,120 NUTRITION AND THE MICROBIOME AND 542 00:23:01,120 --> 00:23:02,480 THE DEVELOPMENT ORIGINS OF 543 00:23:02,480 --> 00:23:07,000 HEALTH AND DISEASE AND STAFF 544 00:23:07,000 --> 00:23:12,800 FROM NICHD CO-CHAIR THE CO T COE 545 00:23:12,800 --> 00:23:13,800 IMPLEMENTATION WORKING GROUP AND 546 00:23:13,800 --> 00:23:16,160 WE'RE INVOLVED IN NUTRITION TO 547 00:23:16,160 --> 00:23:17,280 PRECISION HEALTH, WHICH IS 548 00:23:17,280 --> 00:23:18,960 POWERED BY THE ALL OF US 549 00:23:18,960 --> 00:23:19,680 RESEARCH PROGRAM. 550 00:23:19,680 --> 00:23:22,840 THIS IS A COMMON-FUND 551 00:23:22,840 --> 00:23:27,240 OPPORTUNITY BUT OUR INSTITUTE IS 552 00:23:27,240 --> 00:23:28,680 MANAGING THE GRANTS AND THERE 553 00:23:28,680 --> 00:23:31,040 WAS A WORKSHOP HELD IN SEPTEMBER 554 00:23:31,040 --> 00:23:33,080 ON MALNUTRITION IN CLINICAL 555 00:23:33,080 --> 00:23:35,280 SETTINGS, RESEARCH GAPS AND 556 00:23:35,280 --> 00:23:36,480 OPPORTUNITIES AND AGAIN, ANY 557 00:23:36,480 --> 00:23:38,200 TIME OUR STAFF ARE INVOLVED, WE 558 00:23:38,200 --> 00:23:40,320 ARE ADVOCATING FOR OUR THREE 559 00:23:40,320 --> 00:23:42,000 CORE GROUPS OF POPULATIONS. 560 00:23:42,000 --> 00:23:45,160 NEXT SLIDE, PLEASE. 561 00:23:45,160 --> 00:23:47,800 AND ANOTHER AREA THAT WE ARE 562 00:23:47,800 --> 00:23:51,360 VERY INVOLVED IN, IS ON CLIMATE 563 00:23:51,360 --> 00:23:53,200 CHANGE AND HUMAN HEALTH. 564 00:23:53,200 --> 00:23:56,040 SO WHEREAS, WE WERE VERY 565 00:23:56,040 --> 00:23:57,600 FORTUNATE, THE PRESIDENT'S 566 00:23:57,600 --> 00:23:59,440 BUDGET ASKED FOR $30 MILLION 567 00:23:59,440 --> 00:24:01,640 FROM MATERNAL HEALTH AND WE GOT 568 00:24:01,640 --> 00:24:05,280 IT, THE PRESIDENT'S BUDGET ASKED 569 00:24:05,280 --> 00:24:05,960 FOR $100 MILLION FOR CLIMATE 570 00:24:05,960 --> 00:24:08,000 CHANGE AND HUMAN HEALTH RESEARCH 571 00:24:08,000 --> 00:24:10,560 AND THEY IT NOT RECEIVE IT. 572 00:24:10,560 --> 00:24:14,560 SO, IT WAS SUPPOSED TO BE IN 573 00:24:14,560 --> 00:24:16,640 NIEHS AND IT WAS NOT 574 00:24:16,640 --> 00:24:17,880 APPROPRIATED. 575 00:24:17,880 --> 00:24:21,160 DESPITE THAT, WE ARE EXTREMELY 576 00:24:21,160 --> 00:24:22,240 CONCERNED ABOUT CLIMATE CHANGE 577 00:24:22,240 --> 00:24:28,640 AND ITS EFFECTS ON HUMAN HEALTH 578 00:24:28,640 --> 00:24:31,800 AND THE GROUP ARE SEVEN ARE PART 579 00:24:31,800 --> 00:24:33,280 AN EXECUTIVE COMMITTEE THAT IS 580 00:24:33,280 --> 00:24:34,960 DEVELOPING A CLIMATE CHANGE IN 581 00:24:34,960 --> 00:24:36,320 HUMAN HEALTH STRATEGY YOU CAN 582 00:24:36,320 --> 00:24:39,080 SEE AS MYSELF, Dr. GIBBONS 583 00:24:39,080 --> 00:24:46,280 FROM NHLBI, Dr. GLASS FROM THE 584 00:24:46,280 --> 00:24:48,920 FOALING FOGERTY AND Dr. 585 00:24:48,920 --> 00:24:50,520 PEREZ-STABLE FROM MINORITY 586 00:24:50,520 --> 00:24:54,960 HEALTH AND HEALTH DISPARITIES, 587 00:24:54,960 --> 00:25:01,080 Dr. AND Dr. ZENK THE 588 00:25:01,080 --> 00:25:02,200 DIRECTOR OF THE NATIONAL 589 00:25:02,200 --> 00:25:04,520 INSTITUTE OF NURSING RESEARCH. 590 00:25:04,520 --> 00:25:08,920 AND WE MEET REGULAR LOW, MONTHLY 591 00:25:08,920 --> 00:25:11,440 AND WE HAVE CREATED PRIORITY 592 00:25:11,440 --> 00:25:12,920 AREAS OF SCIENCE. 593 00:25:12,920 --> 00:25:14,880 EACH INSTITUTE HAS CONTRIBUTED 594 00:25:14,880 --> 00:25:18,520 TO A SEED FUND SO WE CAN START 595 00:25:18,520 --> 00:25:24,800 WITH THESE PROJECTS. 596 00:25:24,800 --> 00:25:26,880 IT'S DATA INTEGRATION, AND 597 00:25:26,880 --> 00:25:33,960 BEHAVIORAL AND SOCIAL SCIENCES 598 00:25:33,960 --> 00:25:37,280 RESEARCH. 599 00:25:37,280 --> 00:25:39,840 SO, AGAIN, I FEEL IT'S MORE THAN 600 00:25:39,840 --> 00:25:41,520 WORTH MY TIME TO BE ABLE TO 601 00:25:41,520 --> 00:25:44,240 ADVOCATE FOR OUR POPULATIONS. 602 00:25:44,240 --> 00:25:47,880 NOT ONLY PEOPLE WITH HEALTH 603 00:25:47,880 --> 00:25:49,200 DISPARITIES, BUT PEOPLE AT 604 00:25:49,200 --> 00:25:50,720 DIFFERENT LIFE STAGES AND I HAVE 605 00:25:50,720 --> 00:25:52,880 TO SAY THAT IT WAS WORTH MY TIME 606 00:25:52,880 --> 00:25:54,720 BECAUSE SOME OF THE INITIAL 607 00:25:54,720 --> 00:25:56,760 GRAPHICS DID NOT INCLUDE PERSONS 608 00:25:56,760 --> 00:25:58,680 WITH DISABILITIES AND DID NOT 609 00:25:58,680 --> 00:26:00,600 INCLUDE PREGNANT PEOPLE OR 610 00:26:00,600 --> 00:26:01,760 CHILDREN SO, I THINK IT'S ON 611 00:26:01,760 --> 00:26:12,280 EVERYBODY'S RADAR SCREEN THESE 612 00:26:12,600 --> 00:26:14,760 ARE ON GOING AREA OF FUNDING AND 613 00:26:14,760 --> 00:26:20,480 WORE HOPING THAT IN FISCAL YEAR 614 00:26:20,480 --> 00:26:28,440 '23 THERE WILL BE AND WILL ARE 615 00:26:28,440 --> 00:26:29,680 NOTICES OF SPECIAL INTEREST IN 616 00:26:29,680 --> 00:26:32,960 THE USE OF COMMON DATA ELEMENT 617 00:26:32,960 --> 00:26:39,640 AND A WIDE VARIETY OF PROJECTS 618 00:26:39,640 --> 00:26:41,240 THAT RELATE TO CLIMB AND HEALTH 619 00:26:41,240 --> 00:26:42,600 AND TECHNOLOGIES AGAIN AND THE 620 00:26:42,600 --> 00:26:47,240 LAST BULLET IS CLOSE SO I WOULD 621 00:26:47,240 --> 00:26:49,600 SPEND TIME ON IT NEXT TIME. 622 00:26:49,600 --> 00:26:51,240 WE THOUGHT WE WOULD SUPPORT 623 00:26:51,240 --> 00:26:53,640 FIREARMS RESEARCH AND THIS IS 624 00:26:53,640 --> 00:26:54,600 EXTREMELY IMPORTANT IT'S ONE OF 625 00:26:54,600 --> 00:26:56,960 THE LEADING CAUSES OF INJURY AND 626 00:26:56,960 --> 00:26:59,760 DEATH IN CHILDREN AND HOMICIDE 627 00:26:59,760 --> 00:27:10,240 IS A LEADING CAUSE OF DEATH. 628 00:27:10,680 --> 00:27:11,960 WE ARE AWARE THAT MORE RESEARCH 629 00:27:11,960 --> 00:27:13,800 IS NEEDED TO PREVENT VIOLENCE 630 00:27:13,800 --> 00:27:14,760 FROM FIREARMS. 631 00:27:14,760 --> 00:27:17,920 SO WE'RE FUNDING A NUMBER OF 632 00:27:17,920 --> 00:27:18,680 DIFFERENT OPPORTUNITIES, 633 00:27:18,680 --> 00:27:20,440 COMMUNITY BASED INTERVENTIONS TO 634 00:27:20,440 --> 00:27:21,440 PREVENT VIOLENCE, SOCIAL AND AK 635 00:27:21,440 --> 00:27:26,800 A 'EM DID I A DEMIC LEADING TO Y 636 00:27:26,800 --> 00:27:28,520 BEHAVE YEAR AND YOUTH. 637 00:27:28,520 --> 00:27:29,920 SAFETY WITH GUN SAFETY EDUCATION 638 00:27:29,920 --> 00:27:31,680 AND POPULATION STUDIES THAT 639 00:27:31,680 --> 00:27:35,840 ANALYZE TRENDS IN GUN OWNERSHIP 640 00:27:35,840 --> 00:27:36,080 ACCESS. 641 00:27:36,080 --> 00:27:40,600 WE WERE AWARDED -- WE AWARDED 642 00:27:40,600 --> 00:27:43,920 NEARLY $2.5 MILLION TO SUPPORT 643 00:27:43,920 --> 00:27:45,920 RESEARCH TO UNDERSTAND AND 644 00:27:45,920 --> 00:27:48,000 PREVENT FIREARMS VIOLENCE 645 00:27:48,000 --> 00:27:50,440 MORTALITY AND I WROTE ABOUT IT 646 00:27:50,440 --> 00:27:51,560 IN MY JULY BLOG. 647 00:27:51,560 --> 00:27:55,760 IT'S AN INCREDIBLY IMPORTANT 648 00:27:55,760 --> 00:28:00,000 AREA THAT INCREASINGLY CONGRESS 649 00:28:00,000 --> 00:28:05,160 IS BEING BEGINNING TO RECOGNIZE. 650 00:28:05,160 --> 00:28:06,640 OUR PARTNER IN THIS AREA IS THE 651 00:28:06,640 --> 00:28:08,520 OFFICE OF BEHAVIORAL AND SOCIAL 652 00:28:08,520 --> 00:28:15,040 SCIENCES IN THE OFFICE OF THE 653 00:28:15,040 --> 00:28:23,040 NIH WITH NETWORK PROJECTS AND 654 00:28:23,040 --> 00:28:24,840 THEY'RE LOOKING AT FUTURE AREAS. 655 00:28:24,840 --> 00:28:25,720 IF THIS IS SOMETHING YOU ARE 656 00:28:25,720 --> 00:28:26,680 INTERESTED IN, WE CAN CONNECT 657 00:28:26,680 --> 00:28:34,080 YOU WITH THE APPROPRIATE PROGRAM 658 00:28:34,080 --> 00:28:36,240 OFFICERS. 659 00:28:36,240 --> 00:28:37,760 THERE WAS A REQUEST TO HEAR 660 00:28:37,760 --> 00:28:38,640 ABOUT RECOVER. 661 00:28:38,640 --> 00:28:40,840 THERE'S A LOT GOING ON AND 662 00:28:40,840 --> 00:28:47,760 THERE'S NOT A LOT THAT WE CAN 663 00:28:47,760 --> 00:28:50,400 SAY HAS COME TO A CONCLUSION. 664 00:28:50,400 --> 00:28:57,960 THEY HAVE ENROLLED 10,000 PLUS 0 665 00:28:57,960 --> 00:28:58,200 ADULTS. 666 00:28:58,200 --> 00:29:00,000 THERE ARE 40 STUDIES GOING ON. 667 00:29:00,000 --> 00:29:01,720 THERE ARE BIOMARKERS THAT ARE 668 00:29:01,720 --> 00:29:04,840 BEING TESTED TO DETERMINE 669 00:29:04,840 --> 00:29:07,200 WHETHER OR NOT THEY CAN PREDICT 670 00:29:07,200 --> 00:29:11,280 MOST ACUTE SEQUELAE OF 671 00:29:11,280 --> 00:29:12,240 SARS-CoV-2 INFECTION AND THEY 672 00:29:12,240 --> 00:29:15,160 ARE LOOKING AT MORE THAN 673 00:29:15,160 --> 00:29:18,320 60 MILLION ELECTRONIC HEALTH 674 00:29:18,320 --> 00:29:21,560 RECORDS AND THE IDEA IS TO 675 00:29:21,560 --> 00:29:25,560 UNDERSTAND THE CLINICAL 676 00:29:25,560 --> 00:29:28,200 ENDPOINTS THAT CAN PREDICT LONG 677 00:29:28,200 --> 00:29:30,000 COVID AND MONITOR IMPROVEMENT 678 00:29:30,000 --> 00:29:30,680 FROM TREATMENT. 679 00:29:30,680 --> 00:29:35,800 NEXT SLIDE, PLEASE. 680 00:29:35,800 --> 00:29:37,640 SO THERE ARE CLINICAL TRIALS 681 00:29:37,640 --> 00:29:40,680 THAT WILL HAPPEN IN THE FUTURE. 682 00:29:40,680 --> 00:29:42,600 EACH TRIAL IS GOING TO TARGET A 683 00:29:42,600 --> 00:29:45,120 SPECIFIC CLUSTER OF SYMPTOMS, 684 00:29:45,120 --> 00:29:48,120 IDENTIFIED BY PATIENT ADVISORY 685 00:29:48,120 --> 00:29:50,680 GROUPS AS BEING THE MOST 686 00:29:50,680 --> 00:29:54,240 IMPACTFUL ON THEIR HEALTH OR 687 00:29:54,240 --> 00:29:54,640 THEIR LIFESTYLES. 688 00:29:54,640 --> 00:29:56,160 THESE TRIALS ARE LOOKING AT 689 00:29:56,160 --> 00:29:58,520 VIRAL PERSISTENCE AND SOME 690 00:29:58,520 --> 00:30:00,320 PEOPLE SAY THAT LONG COVID 691 00:30:00,320 --> 00:30:02,000 REALLY RELATES TO THE FACT THAT 692 00:30:02,000 --> 00:30:04,280 THERE'S STILL VIRUS IN THE BRYN, 693 00:30:04,280 --> 00:30:05,520 FOR EXAMPLE. 694 00:30:05,520 --> 00:30:08,680 AND AUTONOMIC DYSFUNCTION. 695 00:30:08,680 --> 00:30:10,680 SO, YOU KNOW, IS THE VIRUS 696 00:30:10,680 --> 00:30:11,920 CAUSING CHANGES IN THE ABILITY 697 00:30:11,920 --> 00:30:14,240 TO REGULATE HEART RATE, BODY 698 00:30:14,240 --> 00:30:16,800 TEMPERATURES, BREATHING, 699 00:30:16,800 --> 00:30:23,680 DIGESTION IS CEASE SESSION. 700 00:30:23,680 --> 00:30:26,000 WHY OR HOW IS LONG COVID 701 00:30:26,000 --> 00:30:27,920 EFFECTING SLEEP. 702 00:30:27,920 --> 00:30:29,560 PEOPLE DESCRIBE DIFFICULTIES, 703 00:30:29,560 --> 00:30:32,320 LONG-TERM THINKING CLEAR LOW OR 704 00:30:32,320 --> 00:30:33,000 BRYN FOG. 705 00:30:33,000 --> 00:30:35,680 AND THEN THE OVER ALL FATIGUE. 706 00:30:35,680 --> 00:30:40,240 SO PEOPLE TALK ABOUT JUST BEING 707 00:30:40,240 --> 00:30:42,640 HEALTHY ADOLESCENTS OR HEALTHY 708 00:30:42,640 --> 00:30:44,240 COLLEGE STUDENTS PRIOR TO THE 709 00:30:44,240 --> 00:30:50,720 INFECTION NOW REPORT THAT THEY 710 00:30:50,720 --> 00:30:52,320 CAN'T EXERCISE OR PARTICIPATE IN 711 00:30:52,320 --> 00:30:54,480 SPORTS AT THE LEVELS THEY COULD 712 00:30:54,480 --> 00:30:54,840 PREVIOUSLY. 713 00:30:54,840 --> 00:30:56,600 SO, I TO WANT TO LEAVE SOME TIME 714 00:30:56,600 --> 00:30:57,120 FOR QUESTIONS. 715 00:30:57,120 --> 00:30:59,200 LET'S SEE HOW WE'RE DOING. 716 00:30:59,200 --> 00:31:01,120 WE'RE DOING ACTUALLY AHEAD OF 717 00:31:01,120 --> 00:31:04,680 SCHEDULE WHICH IS GOOD. 718 00:31:04,680 --> 00:31:07,600 SO, WHO IS WHO AT THE NIH? 719 00:31:07,600 --> 00:31:09,400 IT'S ALMOST A YEAR NOW SINCE 720 00:31:09,400 --> 00:31:11,600 Dr. FRANCIS COLLINS STEPPED 721 00:31:11,600 --> 00:31:14,800 DOWN AS THE NIH DIRECTOR, IT WAS 722 00:31:14,800 --> 00:31:15,880 DECEMBER 19th, LAST YEAR. 723 00:31:15,880 --> 00:31:22,080 HIS DEPUTY DIRECTOR Dr. LARRY 724 00:31:22,080 --> 00:31:24,040 TABAK BECAME THE ACTING DIRECTOR 725 00:31:24,040 --> 00:31:26,360 BUT THERE'S A TIME LIMIT ON HOW 726 00:31:26,360 --> 00:31:28,160 LONG YOU CAN CAN BE THE ACTING 727 00:31:28,160 --> 00:31:30,360 DIRECTOR SO YOU DON'T HAVE TA 728 00:31:30,360 --> 00:31:32,400 TITLE ANYMORE, THERE'S NOW A NEW 729 00:31:32,400 --> 00:31:34,480 TITLE AND HIS TITLE IS HE IS THE 730 00:31:34,480 --> 00:31:36,360 PERSON PERFORMING THE DUTIES OF 731 00:31:36,360 --> 00:31:38,680 THE NIH DIRECTOR. 732 00:31:38,680 --> 00:31:40,600 THIS IS -- I DON'T KNOW, THIS IS 733 00:31:40,600 --> 00:31:41,560 GOVERNMENT EASE, I DON'T KNOW 734 00:31:41,560 --> 00:31:44,120 HOW TO DESCRIBE IT OTHERWISE. 735 00:31:44,120 --> 00:31:44,880 FUNCTIONALLY, HE IS THE DISTRICT 736 00:31:44,880 --> 00:31:45,880 OR OF NIH. 737 00:31:45,880 --> 00:31:53,480 AT THE OR -- HE IS THE DIRECTOR. 738 00:31:53,480 --> 00:31:56,080 THIS IS A POLITICAL APPOINTMENT, 739 00:31:56,080 --> 00:31:57,560 IT'S A PRESIDENTIAL APPOINTMENT 740 00:31:57,560 --> 00:31:59,480 SO EVEN IF SOMEONE WERE 741 00:31:59,480 --> 00:32:01,080 APPOINTED TOMORROW, THEY ONLY 742 00:32:01,080 --> 00:32:03,520 HAVE A GUARANTEED JOB UNTIL THE 743 00:32:03,520 --> 00:32:04,640 END OF THE JOE BIDEN 744 00:32:04,640 --> 00:32:07,080 ADMINISTRATION, WHEN THAT MAY 745 00:32:07,080 --> 00:32:07,640 BE. 746 00:32:07,640 --> 00:32:11,240 THIS IS WHERE THE OUTCOME OF THE 747 00:32:11,240 --> 00:32:15,880 MIDTERM ELECTIONS EFFECTED NEXT 748 00:32:15,880 --> 00:32:17,600 NIH DIRECTOR BAYS THE SENATE HAS 749 00:32:17,600 --> 00:32:19,080 TO CONFIRM THAT PERSON AND WE 750 00:32:19,080 --> 00:32:21,080 WERE ORIGINALLY TOLD THAT NO 751 00:32:21,080 --> 00:32:23,040 CANDIDATES WOULD BE EXPECTED TO 752 00:32:23,040 --> 00:32:25,040 BE NAMED UNTIL THE END OF THIS 753 00:32:25,040 --> 00:32:26,440 CALENDER YEAR AND FROM WHAT WE 754 00:32:26,440 --> 00:32:27,720 CAN TELL THERE'S BEEN NO ACTION 755 00:32:27,720 --> 00:32:29,280 ON THAT FRONT SO WE DON'T KNOW 756 00:32:29,280 --> 00:32:31,200 WHAT IS GOING ON AND DR. TABAK 757 00:32:31,200 --> 00:32:34,040 IS DOING A FANTASTIC JOB. 758 00:32:34,040 --> 00:32:43,240 HE IS HIGHLY KNOWLEDGEABLE AND 759 00:32:43,240 --> 00:32:44,480 EVERYTHING IS MOVING ALONG AS IT 760 00:32:44,480 --> 00:32:46,120 SHOULD BUT I THINK HE WOULD LIKE 761 00:32:46,120 --> 00:32:47,760 TO STEP DOWN AT SOME POINT. 762 00:32:47,760 --> 00:32:50,720 WE ALSO HAVE SOME NEW ADDITIONS. 763 00:32:50,720 --> 00:32:55,360 Dr. MONICA BERTINOLI WAS 764 00:32:55,360 --> 00:33:06,280 APPOINTED AT THE CONTRACT OF THT 765 00:33:21,280 --> 00:33:21,680 DECEMBER. 766 00:33:21,680 --> 00:33:26,120 Dr. BERTAGNOLLI IS COMING FROM 767 00:33:26,120 --> 00:33:30,200 AND SHE'S AT NIH BUT SHE CAME 768 00:33:30,200 --> 00:33:32,240 FROM HARVARD MEDICAL SCHOOL 769 00:33:32,240 --> 00:33:35,560 WHERE SHE WAS A SURGEON AND 770 00:33:35,560 --> 00:33:37,720 MEMBER OF THE SARCOMA DISEASE 771 00:33:37,720 --> 00:33:39,840 CENTER AT DANA FARBER AND SHE'S 772 00:33:39,840 --> 00:33:41,920 TAKEN THE LEAD ON PRESIDENT JOE 773 00:33:41,920 --> 00:33:43,680 BIDEN'S CANCER MOONSHOT 774 00:33:43,680 --> 00:33:45,000 INITIATIVE AND SHE'S ALREADY 775 00:33:45,000 --> 00:33:46,600 BEEN FILING AROUND THE COUNTRY 776 00:33:46,600 --> 00:33:51,440 WITH THE FIRST LADY, I DON'T 777 00:33:51,440 --> 00:33:53,280 KNOW IF IT WAS AIR FORCE 1 OR 778 00:33:53,280 --> 00:33:54,960 AIR FORCE 2 BUT SHE'S BEEN ON A 779 00:33:54,960 --> 00:33:56,520 LOT OF HIGH-PROFILE TRIPS. 780 00:33:56,520 --> 00:34:00,560 THE GO AHEAD GOOD NEWS FOR US,S 781 00:34:00,560 --> 00:34:02,120 INTERESTED IN PEDIATRIC CANCERS 782 00:34:02,120 --> 00:34:06,080 AND HAS REACH OUT TO US. 783 00:34:06,080 --> 00:34:09,880 AND ACTUALLY, I FORGOT THAT 784 00:34:09,880 --> 00:34:11,560 SINCE WE -- COULD YOU GO BACK 785 00:34:11,560 --> 00:34:12,440 FOR A MOMENT. 786 00:34:12,440 --> 00:34:14,520 SINCE WE MADE UP THESE SLIDES, 787 00:34:14,520 --> 00:34:17,520 THERE'S BEEN ANOTHER NIH 788 00:34:17,520 --> 00:34:24,680 DIRECTOR NAMED SO THE DIRECTOR 789 00:34:24,680 --> 00:34:29,200 OF NCATS HAS BEEN NAMED AND THAT 790 00:34:29,200 --> 00:34:32,520 IS Dr. JOANNIE -- I'M BLANKING 791 00:34:32,520 --> 00:34:39,080 ON HER LAST NAME. 792 00:34:39,080 --> 00:34:39,320 RUTTER. 793 00:34:39,320 --> 00:34:41,120 I KNOW HER WELL I'M HAVING A 794 00:34:41,120 --> 00:34:42,200 MOMENT OF BRAIN FREEZE. 795 00:34:42,200 --> 00:34:46,720 SHE'S BEEN APPOINTED AS THE 796 00:34:46,720 --> 00:34:49,040 PERMANENT DIRECTOR OF NCATS SO 797 00:34:49,040 --> 00:34:52,840 WE'RE QUITE HAPPY THAT WE'RE 798 00:34:52,840 --> 00:34:57,440 MAINTAINING A LEVEL OF ABOUT 10 799 00:34:57,440 --> 00:35:01,440 OR 11 FEMALE IC DIRECTOR AROUND 800 00:35:01,440 --> 00:35:10,040 THE TABLE OF THE TOTAL OF 27. 801 00:35:10,040 --> 00:35:15,680 INTEREST SARAH VAN DRESE IS 802 00:35:15,680 --> 00:35:17,400 JOINING US FINALLY AS A DISTRICT 803 00:35:17,400 --> 00:35:20,440 OR OF THE PEDIATRIC FOR ALL THE 804 00:35:20,440 --> 00:35:20,960 OF US PROGRAM. 805 00:35:20,960 --> 00:35:27,120 THE ALL OF US PROGRAM HAS THE 806 00:35:27,120 --> 00:35:29,160 THEY'VE BEEN ENROLLING PERSONS I 807 00:35:29,160 --> 00:35:31,720 THINK SINCE 2017 AND NOT ONE 808 00:35:31,720 --> 00:35:36,520 CHILD HAS BEEN ENROLLED YET SO 809 00:35:36,520 --> 00:35:40,200 FINALLY, SHE'S A FORMER 810 00:35:40,200 --> 00:35:42,520 PROFESSOR OF PEDIATRICS AND 811 00:35:42,520 --> 00:35:47,480 MEDICINE AT VANDERBILT AND SHE'S 812 00:35:47,480 --> 00:35:48,240 ALSO AN NICHD GRANTEE. 813 00:35:48,240 --> 00:35:49,760 SHE LED THE VANDER AS A RESULT 814 00:35:49,760 --> 00:36:00,320 CVANDERBILT SO WEVERY EXCITED TE 815 00:36:00,320 --> 00:36:02,760 WILL BE MEETING HER SOON AND 816 00:36:02,760 --> 00:36:05,160 CAN'T WAIT FOR THE DAY UNTIL WE 817 00:36:05,160 --> 00:36:15,640 BEGIN ENROLLING CHILDREN. 818 00:36:15,960 --> 00:36:19,040 LASTLY, WE ARE HIRING A DIRECTOR 819 00:36:19,040 --> 00:36:21,200 IN THE EXTRAMURAL DIVISION AND 820 00:36:21,200 --> 00:36:24,160 LOOKING FOR A DEPUTY DIRECTORRER 821 00:36:24,160 --> 00:36:25,800 IN EXTRAMURAL ACTIVITIES AND WE 822 00:36:25,800 --> 00:36:30,920 HAVE EXTRAMURAL BRANCH CHIEF 823 00:36:30,920 --> 00:36:41,240 POSITIONS AND WE HAVE MULTIPLE 824 00:36:41,240 --> 00:36:43,400 OPPORTUNITIES FOR SCIENTIFIC 825 00:36:43,400 --> 00:36:45,000 REVIEW OFFICERS AND PROGRAM 826 00:36:45,000 --> 00:36:48,360 OFFICERS AND PROGRAM ANNALISTS 827 00:36:48,360 --> 00:36:50,360 AND LOTS OF TRAINEE AND FELLOW 828 00:36:50,360 --> 00:36:56,000 FELLOWSHIP OPPORTUNITIES. 829 00:36:56,000 --> 00:36:56,640 AT THE PRESENT TIME, CAN YOU GO 830 00:36:56,640 --> 00:37:04,720 TO THE WEBSITE HERE WW 831 00:37:04,720 --> 00:37:05,680 WWW.NICHD.NIH.GOV ABOUT/JOBS AND 832 00:37:05,680 --> 00:37:10,520 YOU CAN CREATE A USA.GOV JOBS 833 00:37:10,520 --> 00:37:12,000 PROFILE AND SAVE IT AND THAT WAY 834 00:37:12,000 --> 00:37:12,960 WHEN THERE ARE OPPORTUNITIES 835 00:37:12,960 --> 00:37:14,640 THAT COME UP, WHICH ALWAYS HAVE 836 00:37:14,640 --> 00:37:16,800 THESE VERY, VERY SHORT TIME 837 00:37:16,800 --> 00:37:25,920 LINES, YOU WITH JUST HIT SEND. 838 00:37:25,920 --> 00:37:27,960 AND MANY PEOPLE DON'T KNOW THAT. 839 00:37:27,960 --> 00:37:30,600 WE HAVE DOCUMENTS TO TAKE YOU 840 00:37:30,600 --> 00:37:31,920 HOW TO THINK LIKE A GOVERNMENT 841 00:37:31,920 --> 00:37:33,120 OFFICIAL. 842 00:37:33,120 --> 00:37:34,720 IT'S THE FIRST PERSON TO SEE IF 843 00:37:34,720 --> 00:37:35,920 YOU ARE QUALIFIED OR NOT. 844 00:37:35,920 --> 00:37:39,120 IF YOU HAVE ANY INTEREST IN 845 00:37:39,120 --> 00:37:40,800 WORKING FOR OUR TEAM, WE SUGGEST 846 00:37:40,800 --> 00:37:46,080 THAT YOU REACH OUT TO EITHER 847 00:37:46,080 --> 00:37:47,160 Dr. NITKIN OR Dr. CRUZ AND 848 00:37:47,160 --> 00:37:50,200 THEY CAN REFER YOU TO THE MOST 849 00:37:50,200 --> 00:37:51,040 APPROPRIATE PERSON AND WE'RE 850 00:37:51,040 --> 00:37:52,720 ALWAYS LOOKING FORGET POEM TO BE 851 00:37:52,720 --> 00:37:58,200 MEMBERS OF OUR TEAM. 852 00:37:58,200 --> 00:37:58,640 FOR GREAT PEOPLE 853 00:37:58,640 --> 00:38:00,080 TO BE MEMBERS OF OUR TEAM. 854 00:38:00,080 --> 00:38:01,680 THANK YOU FOR OUR ATTENTION. 855 00:38:01,680 --> 00:38:03,760 SORRY FOR MOMENTARY BRAIN 856 00:38:03,760 --> 00:38:04,240 FREEZE. 857 00:38:04,240 --> 00:38:05,320 AND I'M HAPPY TO ANSWER 858 00:38:05,320 --> 00:38:08,120 QUESTIONS. 859 00:38:08,120 --> 00:38:08,760 >>Chair Dr. Perreault: GREAT, 860 00:38:08,760 --> 00:38:09,880 THANK YOU, VERY MUCH. 861 00:38:09,880 --> 00:38:16,400 DOES ANYONE HAVE QUESTIONS? 862 00:38:16,400 --> 00:38:18,360 YOU MENTIONED SOME OF THE 863 00:38:18,360 --> 00:38:19,640 CONGRESSIONAL PREVIOUSINGS, 864 00:38:19,640 --> 00:38:20,840 WHICH ARE INTERESTING AND SOUNDS 865 00:38:20,840 --> 00:38:22,560 POSITIVE, WHICH WAS TERRIFIC. 866 00:38:22,560 --> 00:38:23,880 CAN YOU TELL US ABOUT THE 867 00:38:23,880 --> 00:38:25,400 BRIEFING WITH SENATOR MORAN AND 868 00:38:25,400 --> 00:38:26,800 GIVE US SOME IN SIGHT TO THE 869 00:38:26,800 --> 00:38:30,440 NEXT STEPS THERE? 870 00:38:30,440 --> 00:38:34,040 >>Dr. Bianchi: YES, SO, THE 871 00:38:34,040 --> 00:38:37,680 INCLUDE INITIATIVE, SO IT'S 872 00:38:37,680 --> 00:38:39,200 INTERESTING, BECAUSE I PRIOR TO 873 00:38:39,200 --> 00:38:43,320 COMING TO NIH, I, PART OF MY 874 00:38:43,320 --> 00:38:44,920 LABORATORY WAS DOING RESEARCH 875 00:38:44,920 --> 00:38:50,040 AND IT STILL IS AT NIH BUT IT 876 00:38:50,040 --> 00:38:51,600 WAS CHALLENGING FOR ALL PEOPLE 877 00:38:51,600 --> 00:38:53,360 DOING RESEARCH IN DOWN SYNDROME, 878 00:38:53,360 --> 00:38:56,200 BECAUSE IT WAS VERY LITTLE MONEY 879 00:38:56,200 --> 00:38:57,120 TARGETED TOWARDS RESEARCH AND 880 00:38:57,120 --> 00:38:58,440 DOWN SYNDROME. 881 00:38:58,440 --> 00:39:00,520 AND IT WAS Mr. STEVENS WHO 882 00:39:00,520 --> 00:39:04,120 TESTIFIED IN CONGRESS IN 2017 883 00:39:04,120 --> 00:39:07,480 AND SO IMPRESSED THAT THE 884 00:39:07,480 --> 00:39:09,600 CO-CHAIRS OF THE HELP 885 00:39:09,600 --> 00:39:11,440 SUBCOMMITTEE, THE HOUSE 886 00:39:11,440 --> 00:39:13,960 APPROPRIATIONS COMMITTEE THAT 887 00:39:13,960 --> 00:39:18,160 THE FUNDING DOUBLED AND HAS 888 00:39:18,160 --> 00:39:20,560 INCREASED EVERY YEAR WITH THE 889 00:39:20,560 --> 00:39:23,960 MEASURABLE EFFECTS ON THE 890 00:39:23,960 --> 00:39:24,240 RESEARCH. 891 00:39:24,240 --> 00:39:27,160 IT WAS AN OPPORTUNITY TO UPDATE 892 00:39:27,160 --> 00:39:29,120 SENATOR MORAN ABOUT WHAT WAS THE 893 00:39:29,120 --> 00:39:31,400 IMPACT OF THAT FUNDING FROM THE 894 00:39:31,400 --> 00:39:36,840 SENATE PERSPECTIVE. 895 00:39:36,840 --> 00:39:38,280 AND WE'RE HOPING THE HOUSE AND 896 00:39:38,280 --> 00:39:39,680 SENATE WILL CONTINUE TO INCLUDE 897 00:39:39,680 --> 00:39:43,680 THAT FUNDING SO, REALLY THE GOAL 898 00:39:43,680 --> 00:39:46,080 WAS TO SAY DON'T CUT BACK ON THE 899 00:39:46,080 --> 00:39:47,680 FUNDING BECAUSE YOU MADE THIS 900 00:39:47,680 --> 00:39:48,640 INITIAL INVESTMENT, THERE'S BEEN 901 00:39:48,640 --> 00:39:53,000 A TREMENDOUS IMPACT AND INCLUDE 902 00:39:53,000 --> 00:39:54,800 IS NOT ONLY FOCUSED ON PEOPLE 903 00:39:54,800 --> 00:39:57,080 WITH DOWN SYNDROME IT'S LOOKING 904 00:39:57,080 --> 00:39:58,560 AT PEOPLE WHO HAVE DOWN SYNDROME 905 00:39:58,560 --> 00:40:01,800 AND WHY ARE THEY PREDISPOSED TO 906 00:40:01,800 --> 00:40:05,080 CERTAIN CONDITIONS LIKE 907 00:40:05,080 --> 00:40:06,040 ALZHEIMER'S DISEASE BUT THEY'RE 908 00:40:06,040 --> 00:40:07,280 SIMULTANEOUSLY PROTECTED FROM 909 00:40:07,280 --> 00:40:10,920 OTHER CONDITIONS LIKE MIO 910 00:40:10,920 --> 00:40:12,040 CARDIAL UNFACTION AND LIKE 911 00:40:12,040 --> 00:40:16,040 BREAST CANCER OR OTHER SOLID 912 00:40:16,040 --> 00:40:16,440 TUMORS. 913 00:40:16,440 --> 00:40:18,600 IT'S A BENEFIT FOR EVERYONE, AND 914 00:40:18,600 --> 00:40:20,240 IT'S ALSO AIMED AT INCLUDING 915 00:40:20,240 --> 00:40:21,920 PEOPLE WITH DOWN SYNDROME IN ALL 916 00:40:21,920 --> 00:40:26,440 SORTS OF CLINICAL TRIALS SO THAT 917 00:40:26,440 --> 00:40:27,760 IS SOMETHING THAT WE CAN A REPLY 918 00:40:27,760 --> 00:40:29,800 TO PEOPLE WITH ALL KINDS OF 919 00:40:29,800 --> 00:40:30,400 DISABILITIES. 920 00:40:30,400 --> 00:40:31,960 WHY ARE WE EX CLOUDING PEOPLE 921 00:40:31,960 --> 00:40:34,640 WITH DISABILITIES IN CLINICAL 922 00:40:34,640 --> 00:40:35,120 TRIALS? 923 00:40:35,120 --> 00:40:37,160 WE SHOULD BE INCLUDING THEM SO 924 00:40:37,160 --> 00:40:39,760 THE NAME INCLUDE IS ACTUALLY HAS 925 00:40:39,760 --> 00:40:41,480 DOUBLE MEANING. 926 00:40:41,480 --> 00:40:48,360 BUT THE EXPECTATION IS OR WAS 927 00:40:48,360 --> 00:40:50,080 THAT WE WOULD CHARGE SENATOR 928 00:40:50,080 --> 00:40:53,080 MORAN WITH BEING AN ADVOCATE TO 929 00:40:53,080 --> 00:40:54,600 KEEP UP THE FUNDING. 930 00:40:54,600 --> 00:40:58,520 I MEAN, WE CAN'T COME OUT DIRECT 931 00:40:58,520 --> 00:41:00,760 LOW AND SAY WE WANT YOU TO FUND 932 00:41:00,760 --> 00:41:02,520 BUT BUT WE CAN SHOW WHAT WOVE 933 00:41:02,520 --> 00:41:03,560 DONE WITH THE MONEY AND 934 00:41:03,560 --> 00:41:05,120 HOPEFULLY INSPIRE HIM. 935 00:41:05,120 --> 00:41:06,760 HE GOT THE MESSAGE AND THAT WAS 936 00:41:06,760 --> 00:41:07,000 GREAT. 937 00:41:07,000 --> 00:41:09,800 >>JUST ONE MORE POLL UP. 938 00:41:09,800 --> 00:41:11,000 HOW FREQUENT LOW ARE YOU ABLE TO 939 00:41:11,000 --> 00:41:11,600 HAVE THESE? 940 00:41:11,600 --> 00:41:13,600 THIS WAS A LONG SESSION AND 941 00:41:13,600 --> 00:41:13,920 RARE. 942 00:41:13,920 --> 00:41:15,240 HOW FREQUENTLY ARE YOU ABLE TO 943 00:41:15,240 --> 00:41:16,440 GET THEM WITH SENATORS? 944 00:41:16,440 --> 00:41:19,840 >>WELL, ANOTHER THING IS WE 945 00:41:19,840 --> 00:41:20,640 CAN'T REACH OUT. 946 00:41:20,640 --> 00:41:21,880 THIS IS SOMETHING THAT YOUR 947 00:41:21,880 --> 00:41:25,440 COMMUNITY CAN DO. 948 00:41:25,440 --> 00:41:30,200 SO, WE ARE HAPPY TO RESPOND WHEN 949 00:41:30,200 --> 00:41:36,160 THERE'S A REQUEST IT'S UP TO THE 950 00:41:36,160 --> 00:41:38,480 MEMBERS' SCHEDULE SO WE'RE 951 00:41:38,480 --> 00:41:39,960 MEETING WITH REPRESENTATIVE 952 00:41:39,960 --> 00:41:42,960 UNDER WOOD TOMORROW AND I THINK 953 00:41:42,960 --> 00:41:44,480 SCHEDULED FOR HALF AN HOUR AND 954 00:41:44,480 --> 00:41:50,360 IT'S SOMETHING IN HER OFFICE AND 955 00:41:50,360 --> 00:41:54,920 OFTEN TIMES, IT WILL GO LONGER 956 00:41:54,920 --> 00:41:55,560 BECAUSE THEY'RE INTERESTED AND 957 00:41:55,560 --> 00:41:59,160 THEY WANT TO KNOW MORE BUT IT'S 958 00:41:59,160 --> 00:42:01,000 REALLY THE COMMUNITY, THE 959 00:42:01,000 --> 00:42:03,440 ADVOCATES OR THAT THE EXPERTS 960 00:42:03,440 --> 00:42:04,920 WHO REACH OUT TO EITHER THEIR 961 00:42:04,920 --> 00:42:06,960 OWN REPRESENTATIVES OR 962 00:42:06,960 --> 00:42:08,920 REPRESENTATIVES WHO ARE THE 963 00:42:08,920 --> 00:42:13,560 CHAMPIONS OF A PARTICULAR TOPIC, 964 00:42:13,560 --> 00:42:15,880 YOU KNOW, FOR EXAMPLE, TAMMY 965 00:42:15,880 --> 00:42:17,080 DUCKWORTH WOULD BE A GREAT 966 00:42:17,080 --> 00:42:18,600 PERSON FOR US TO GET TO KNOW. 967 00:42:18,600 --> 00:42:22,440 WE HAVE NOT HAD ANY CONTACT WITH 968 00:42:22,440 --> 00:42:25,160 HER DIRECTLY. 969 00:42:25,160 --> 00:42:28,640 BUT SHE IS SOMEONE WHO EMBODIES 970 00:42:28,640 --> 00:42:30,680 A LOT OF THE THEMES OF OUR 971 00:42:30,680 --> 00:42:31,360 INSTITUTES. 972 00:42:31,360 --> 00:42:33,960 SO, IT'S REALLY UP TO ALL OF 973 00:42:33,960 --> 00:42:34,400 YOU. 974 00:42:34,400 --> 00:42:37,080 >>IT'S HELPFUL. 975 00:42:37,080 --> 00:42:38,360 RALPH, YOU HAD A QUESTION. 976 00:42:38,360 --> 00:42:40,520 >>I WANTED TO EXTEND THE 977 00:42:40,520 --> 00:42:41,080 BACKGROUND FURTHER. 978 00:42:41,080 --> 00:42:42,160 COULD YOU TALK A LITTLE BIT 979 00:42:42,160 --> 00:42:44,240 ABOUT THE TYPES OF CONGRESSIONAL 980 00:42:44,240 --> 00:42:45,560 INTEREST THAT THE STRANDS, THE 981 00:42:45,560 --> 00:42:47,160 BACKGROUNDS, THE TYPES OF 982 00:42:47,160 --> 00:42:49,200 QUESTIONS THAT COME IN THE AREA 983 00:42:49,200 --> 00:42:50,160 OF ROW HABITATION OR 984 00:42:50,160 --> 00:42:51,680 DISABILITIES OR SUPPORTING OUR 985 00:42:51,680 --> 00:42:56,280 PATIENT POPULATIONS AND SOME OF 986 00:42:56,280 --> 00:42:58,040 THE STRANDS THAT HAVE APPROACHED 987 00:42:58,040 --> 00:42:58,920 YOU? 988 00:42:58,920 --> 00:43:00,680 >>Dr. Bianchi: SO, QUITE 989 00:43:00,680 --> 00:43:01,680 HONESTLY, THERE'S PROBABLY 990 00:43:01,680 --> 00:43:06,280 BEEN -- SO, FIRST OF ALL, ONLY A 991 00:43:06,280 --> 00:43:08,720 LIMITED NUMBER OF DISTRICTORS 992 00:43:08,720 --> 00:43:15,400 ACDIRECTORSTESTIFY EACH YEAR. 993 00:43:15,400 --> 00:43:16,280 THERE'S USUALLY SIX. 994 00:43:16,280 --> 00:43:17,880 IT COMES AT THE REQUEST OF THE 995 00:43:17,880 --> 00:43:21,160 MEMBERS WHETHER IT'S SENATE, OR 996 00:43:21,160 --> 00:43:22,000 THE HOUSE. 997 00:43:22,000 --> 00:43:23,600 THE HOUSE TENDS TO BE MORE 998 00:43:23,600 --> 00:43:25,440 INTERESTED IN CHILDREN AND 999 00:43:25,440 --> 00:43:29,720 PREGNANT PEOPLE, ALTHOUGH TWO OF 1000 00:43:29,720 --> 00:43:31,440 THE MEMBERS, WHO HAVE BEEN THE 1001 00:43:31,440 --> 00:43:35,120 BIGGEST CHAMPIONS, 1002 00:43:35,120 --> 00:43:35,680 REPRESENTATIVE ALLARD FROM 1003 00:43:35,680 --> 00:43:39,480 CALIFORNIA IS RETIRING AND 1004 00:43:39,480 --> 00:43:44,560 REPRESENTATIVE HERERA-BUTLER WAS 1005 00:43:44,560 --> 00:43:45,920 NOT RE-ELECTED. 1006 00:43:45,920 --> 00:43:47,520 QUITE HONESTLY, THERE HAVEN'T 1007 00:43:47,520 --> 00:43:50,480 BEEN A LOT OF QUESTIONS ON 1008 00:43:50,480 --> 00:43:55,160 REHABILITATION, AT LEAST IN THE 1009 00:43:55,160 --> 00:43:55,640 LIVE HEARINGS. 1010 00:43:55,640 --> 00:43:56,920 THERE'S BEEN MORE IN TERMS OF 1011 00:43:56,920 --> 00:43:57,880 QUESTIONS FOR THE RECORD. 1012 00:43:57,880 --> 00:44:00,600 I DON'T KNOW, MAYBE THERESA CAN 1013 00:44:00,600 --> 00:44:02,200 COMMENT ON QUESTIONS FOR THE 1014 00:44:02,200 --> 00:44:05,520 RECORD WHICH GIVE THE MEMBERS AN 1015 00:44:05,520 --> 00:44:09,040 OPPORTUNITY AFTER THE MEETING TO 1016 00:44:09,040 --> 00:44:11,000 IS QUESTIONS AND TYPICALLY THE 1017 00:44:11,000 --> 00:44:13,440 SENATE IS MORE INTERESTED IN 1018 00:44:13,440 --> 00:44:17,120 ADULT ISSUES OR MENTAL HEALTH 1019 00:44:17,120 --> 00:44:20,760 ISSUES AND THEY'RE BOTH HOUSES 1020 00:44:20,760 --> 00:44:22,800 ARE INTERESTED IN DRUG ABUSE, 1021 00:44:22,800 --> 00:44:23,440 FOR EXAMPLE. 1022 00:44:23,440 --> 00:44:25,520 BUT THERESA, QUESTIONS FOR THE 1023 00:44:25,520 --> 00:44:26,800 RECORD, BECAUSE I HAVE NOT BEEN 1024 00:44:26,800 --> 00:44:29,760 ASKED A LOT OF QUESTIONS 1025 00:44:29,760 --> 00:44:37,680 ABOUT - IF ANY, ABOUT REHABTATI. 1026 00:44:37,680 --> 00:44:39,560 >>WE'VE GOTTEN REQUESTS FOR 1027 00:44:39,560 --> 00:44:40,120 CONGRESS. 1028 00:44:40,120 --> 00:44:43,680 WE'VE GOTTEN ON SPINE A 1029 00:44:43,680 --> 00:44:49,520 SPINE A BIFF TA, SPINA BIFIDA D 1030 00:44:49,520 --> 00:44:50,120 CEREBRAL PALSY. 1031 00:44:50,120 --> 00:44:52,240 THIS SUMMER, UNITED SPINAL 1032 00:44:52,240 --> 00:44:55,440 HOSTED A ROLE ON CAPITOL HILL 1033 00:44:55,440 --> 00:44:59,560 WHERE MANY ADVOCATES WENT TO SEE 1034 00:44:59,560 --> 00:45:02,920 REPRESENTATIVE LONGVIN WHO IS 1035 00:45:02,920 --> 00:45:07,200 RETIRING BUT IS A SPINAL CORD 1036 00:45:07,200 --> 00:45:10,480 INJURY PERSON FROM THE STATE OF 1037 00:45:10,480 --> 00:45:12,240 CONNECTICUT, I BELIEVE, AND HE 1038 00:45:12,240 --> 00:45:15,040 IS BEEN A REPRESENTATIVE FOR 20 1039 00:45:15,040 --> 00:45:17,960 YEARS I THINK AND I WAS THERE 1040 00:45:17,960 --> 00:45:20,400 AND I WAS ABLE TO MOTEL WITH 1041 00:45:20,400 --> 00:45:24,080 MANY OF OUR CONSTITUENTS. 1042 00:45:24,080 --> 00:45:26,400 SO, WE WOULD BE HAPPY TO HAVE 1043 00:45:26,400 --> 00:45:27,920 MORE CONVERSATIONS, I THINK, IS 1044 00:45:27,920 --> 00:45:30,400 THE MESSAGE. 1045 00:45:30,400 --> 00:45:30,880 THANK YOU. 1046 00:45:30,880 --> 00:45:32,560 >>Dr. Bianchi: SO YOU CAN CAN 1047 00:45:32,560 --> 00:45:35,200 PLAY A ROLE, IF YOU'D LIKE TO. 1048 00:45:35,200 --> 00:45:36,000 >>Chair Dr. Perreault: THANK 1049 00:45:36,000 --> 00:45:37,400 YOU, THAT'S REALLY HELPFUL. 1050 00:45:37,400 --> 00:45:43,640 WE HAVE A QUESTION FROM 1051 00:45:43,640 --> 00:45:44,000 CONTRERAS-VIDAL. 1052 00:45:44,000 --> 00:45:51,640 >>I'D LIKE TO FOLLOW-UP ON YOUR 1053 00:45:51,640 --> 00:45:52,640 PARTICIPATION IN CONGRESS. 1054 00:45:52,640 --> 00:45:54,560 I HAD THE OPPORTUNITY TO 1055 00:45:54,560 --> 00:45:55,800 PARTICIPATE IN CONGRESSIONAL 1056 00:45:55,800 --> 00:45:59,720 OPEN HOUSE ON THE NATIONAL 1057 00:45:59,720 --> 00:46:01,320 INITIATIVE AND SO IT'S OPEN TO 1058 00:46:01,320 --> 00:46:04,400 THE PUBLIC AND WE WERE ABLE TO 1059 00:46:04,400 --> 00:46:07,840 BRING OUR RESEARCH TO D.C. AND 1060 00:46:07,840 --> 00:46:11,000 SHARE THAT WITH SOME MEMBERS OF 1061 00:46:11,000 --> 00:46:12,600 CONGRESS AND I THOUGHT IT WAS 1062 00:46:12,600 --> 00:46:15,680 REALLY A GREAT OPPORTUNITY FOR 1063 00:46:15,680 --> 00:46:21,520 THOSE OF US AS P.I.s TO TALK 1064 00:46:21,520 --> 00:46:24,880 TO WASHINGTON D.C. AND ALSO GET 1065 00:46:24,880 --> 00:46:26,320 SOME QUESTIONS DIRECTLY FROM 1066 00:46:26,320 --> 00:46:26,720 THEM. 1067 00:46:26,720 --> 00:46:29,360 AS I WONDERED WHETHER THAT'S 1068 00:46:29,360 --> 00:46:32,880 SOMETHING THAT CAN CAN BE DONE 1069 00:46:32,880 --> 00:46:35,400 HERE, OR MAYBE IT'S BEING DONE, 1070 00:46:35,400 --> 00:46:40,040 I JUST DON'T KNOW. 1071 00:46:40,040 --> 00:46:42,200 >>ANY COMMENTS FOR THAT. 1072 00:46:42,200 --> 00:46:45,840 AGAIN, WE CAN'T INITIATE IT BUT 1073 00:46:45,840 --> 00:46:48,200 YOU CAN AND YOUR ADVOCACY GROUPS 1074 00:46:48,200 --> 00:46:49,840 CAN CAN AND WE WOULD BE MORE 1075 00:46:49,840 --> 00:46:54,240 THAN HAPPY TO HARP AND SUPPORT 1076 00:46:54,240 --> 00:46:55,560 ANY GROUPS THAT ARE COMING IN 1077 00:46:55,560 --> 00:46:57,320 FRONT OF CONGRESS, MEMBERS OF 1078 00:46:57,320 --> 00:46:59,920 CONGRESS OR THEIR STAFF. 1079 00:46:59,920 --> 00:47:00,920 REMEMBER, THAT THEY AGAIN, THE 1080 00:47:00,920 --> 00:47:02,640 REASON WHY I WANT TO MENTION THE 1081 00:47:02,640 --> 00:47:06,000 STORY WITH SENATOR MORAN, IS HE 1082 00:47:06,000 --> 00:47:08,960 SEEMED VERY GENUINE IN HIS 1083 00:47:08,960 --> 00:47:12,760 COMMENTS THAT HERE IS A 1084 00:47:12,760 --> 00:47:16,400 BIPARTISAN AREA THAT THEY 1085 00:47:16,400 --> 00:47:17,800 EVERYONE VESTED MONEY WE TOLD 1086 00:47:17,800 --> 00:47:19,000 THEM STORIES WHAT WE DID WITH 1087 00:47:19,000 --> 00:47:20,840 THAT AND WE'LL TELL THEM 1088 00:47:20,840 --> 00:47:22,640 TOMORROW WITH REPRESENTATIVE 1089 00:47:22,640 --> 00:47:24,840 UNDERSTAND AND IF YOU THINK 1090 00:47:24,840 --> 00:47:26,120 ABOUT IT, THEY'RE GOING THROUGH 1091 00:47:26,120 --> 00:47:28,960 THE BUDGET AND IT'S A VERY 1092 00:47:28,960 --> 00:47:30,160 ABSTRACT EXERCISE AND WHEN YOU 1093 00:47:30,160 --> 00:47:31,320 BRING IN PEOPLE WHO ARE DIRECT 1094 00:47:31,320 --> 00:47:35,640 LOW EFFECTED, OR YOU TALK ABOUT 1095 00:47:35,640 --> 00:47:37,120 WHAT WE ACTUALLY DID IT'S A 1096 00:47:37,120 --> 00:47:42,400 REALLY FEEL-GOOD MOMENT FOR THEM 1097 00:47:42,400 --> 00:47:44,080 AND SO ANYTHING THAT CAN YOU DO 1098 00:47:44,080 --> 00:47:45,400 TO BRING RIGHT SEARCH IN FRONT 1099 00:47:45,400 --> 00:47:47,240 OF THE MEMBERS OR THEIR STAFF 1100 00:47:47,240 --> 00:47:48,600 AND THEIR STAFF CONTROL A LOT OF 1101 00:47:48,600 --> 00:47:50,160 WHAT IS GOING ON AND THEY'RE 1102 00:47:50,160 --> 00:47:54,080 FEEDING INFORMATION TO THEIR 1103 00:47:54,080 --> 00:47:56,320 MEMBERS AND I WANT PEOPLE TO 1104 00:47:56,320 --> 00:47:59,400 FEEL EMPOWERED AND HAVE THE 1105 00:47:59,400 --> 00:48:02,360 POSSIBILITY TO MAKE CHANGE THE 1106 00:48:02,360 --> 00:48:05,200 THING IS WE CANNOT LOBBY. 1107 00:48:05,200 --> 00:48:07,080 THAT IS NOT PART OF OUR JOB. 1108 00:48:07,080 --> 00:48:09,280 WE CAN SUPPORT YOU WHEN THERE'S 1109 00:48:09,280 --> 00:48:10,640 AN INVITATION OR SOMEONE IS 1110 00:48:10,640 --> 00:48:13,080 REACHING OUT TO US FOR 1111 00:48:13,080 --> 00:48:13,360 INFORMATION. 1112 00:48:13,360 --> 00:48:17,880 >>IF I MAY, FOLLOW-UP 1113 00:48:17,880 --> 00:48:19,560 INFORMATION, WHAT IS THE 1114 00:48:19,560 --> 00:48:20,760 RELATIONSHIP BETWEEN THE 1115 00:48:20,760 --> 00:48:26,760 INSTITUTE OR OP WHERE THEY'RE 1116 00:48:26,760 --> 00:48:29,200 TAKING BRAND NEW INITIATIVES? 1117 00:48:29,200 --> 00:48:30,920 >>SO, AGAIN, THEY'LL REACH OUT 1118 00:48:30,920 --> 00:48:31,760 TO US. 1119 00:48:31,760 --> 00:48:33,400 FIRST OF ALL, THE BEGINNING OF 1120 00:48:33,400 --> 00:48:34,080 THE JOE BIDEN ADMINISTRATION 1121 00:48:34,080 --> 00:48:36,040 THERE WAS A LOT OF 1122 00:48:36,040 --> 00:48:37,040 CROSS-FERTILIZATION WHERE STAFF 1123 00:48:37,040 --> 00:48:39,880 FROM NIH WENT DOWN TO STAFF THE 1124 00:48:39,880 --> 00:48:42,040 OSTP BECAUSE REMEMBER, THE OSTP 1125 00:48:42,040 --> 00:48:44,080 HAD A LOT OF VACANCIES AT THE 1126 00:48:44,080 --> 00:48:45,160 END OF THE PREVIOUS 1127 00:48:45,160 --> 00:48:47,240 ADMINISTRATION SO NIH WENT -- 1128 00:48:47,240 --> 00:48:49,200 THEY WERE CALLING IT NIH SOUTH 1129 00:48:49,200 --> 00:48:52,160 AT SOME POINT. 1130 00:48:52,160 --> 00:48:53,760 SO, THEY WILL REACH OUT TO US. 1131 00:48:53,760 --> 00:48:57,400 I KNOW THAT FOR EXAMPLE, THEY IT 1132 00:48:57,400 --> 00:49:00,840 A WORKSHOP ON NEWBORN SEQUENCING 1133 00:49:00,840 --> 00:49:02,400 AND I SPOKE AT THAT. 1134 00:49:02,400 --> 00:49:04,600 BUT THAT WAS INITIATED BY THEM 1135 00:49:04,600 --> 00:49:08,240 AND SIMILARLY, IF THEY WANT TO 1136 00:49:08,240 --> 00:49:09,720 KNOW MORE ABOUT REHABILITATION 1137 00:49:09,720 --> 00:49:16,640 WE WOULD HARP IN THAT AND IT 1138 00:49:16,640 --> 00:49:18,720 WOULD BE THERESA AS THE EXPERT 1139 00:49:18,720 --> 00:49:21,440 OR SOMEONE FROM NCMRR. 1140 00:49:21,440 --> 00:49:28,600 >>THANK YOU, VERY MUCH. 1141 00:49:28,600 --> 00:49:29,280 >>Chair Dr. Perreault: PROFESS. 1142 00:49:29,280 --> 00:49:35,720 >>Dr. BIANCHI, THANK YOU FOR 1143 00:49:35,720 --> 00:49:37,400 THAT PRESENTATION AND A GOOD 1144 00:49:37,400 --> 00:49:42,200 PARTNER WE HAVE IN THE SENATOR 1145 00:49:42,200 --> 00:49:42,400 MORAN. 1146 00:49:42,400 --> 00:49:46,960 HE IS FROM THE STATE OF KANSAS 1147 00:49:46,960 --> 00:49:48,640 AND I HAVE MET AND DISCUSSED 1148 00:49:48,640 --> 00:49:50,920 WITH HIM, A GOOD NUMBER OF 1149 00:49:50,920 --> 00:49:53,640 TIMES, YOU ARE CORRECT, HE IS 1150 00:49:53,640 --> 00:49:55,080 GENUINELY INTERESTED IN RESEARCH 1151 00:49:55,080 --> 00:50:02,200 AND SCIENTIFIC RESEARCH, AND WAS 1152 00:50:02,200 --> 00:50:06,840 VERY IN THE COUNTRY RECENTLY AND 1153 00:50:06,840 --> 00:50:09,840 I THINK THAT HE IS SOMEONE THAT 1154 00:50:09,840 --> 00:50:12,120 WE CAN LEVERAGE ON THESE 1155 00:50:12,120 --> 00:50:13,360 INTERESTS OF THE GENUINE 1156 00:50:13,360 --> 00:50:14,840 INTEREST IN THIS AREA TO ADVANCE 1157 00:50:14,840 --> 00:50:25,360 A LOT OF THINGS WE WANT TO DO IF 1158 00:50:26,280 --> 00:50:30,440 YOU ARE GOING TO DO SOME SORT OF 1159 00:50:30,440 --> 00:50:34,040 PRESENTATION AND IF YOU THINK 1160 00:50:34,040 --> 00:50:36,080 IT'S HELPFUL FOR OUR STAFF TO 1161 00:50:36,080 --> 00:50:37,520 COME AND SUPPORT YOU, IT'S 1162 00:50:37,520 --> 00:50:39,760 SOMETHING WE CAN DO TO CONTINUE 1163 00:50:39,760 --> 00:50:40,600 TO ESTABLISH OUR RELATIONSHIP 1164 00:50:40,600 --> 00:50:41,840 WITH SENATOR MORAN. 1165 00:50:41,840 --> 00:50:50,600 SO MUCH OF THIS IS BUILDING AND 1166 00:50:50,600 --> 00:50:52,680 SOME SOD Dr. COLLINS WAS THE 1167 00:50:52,680 --> 00:50:55,720 BEST POLITICIAN IN WASHINGTON 1168 00:50:55,720 --> 00:50:58,880 BECAUSE HE HAD AND 1169 00:50:58,880 --> 00:51:08,160 I WAS ONE WHO INTERRUPTED YOU. 1170 00:51:08,160 --> 00:51:09,760 IT'S ALL ABOUT RELATIONSHIP 1171 00:51:09,760 --> 00:51:12,560 BUILDING AND LIKE YOU SAID 1172 00:51:12,560 --> 00:51:14,080 CORRECTLY, GET NO THE SEN OT 1173 00:51:14,080 --> 00:51:17,160 AS EFFECTIVE OF HOW WELL WE 1174 00:51:17,160 --> 00:51:18,240 DEVELOP THE RELATIONSHIP WITH 1175 00:51:18,240 --> 00:51:19,840 HIS STAFF BECAUSE THEY ARE THE 1176 00:51:19,840 --> 00:51:21,680 GATEWAY TO HIM AND THEY 1177 00:51:21,680 --> 00:51:24,600 BASICALLY ARE TERMING W TERM DEG 1178 00:51:24,600 --> 00:51:27,880 WHERE HE GOES, WHERE HE PRESENTS 1179 00:51:27,880 --> 00:51:29,680 AND THAT NETWORK IS IMPORTANT 1180 00:51:29,680 --> 00:51:31,480 AND ONE WE'RE CRUCIAL AND YOUR 1181 00:51:31,480 --> 00:51:33,400 SUGGESTION OF THE RESEARCH DAY 1182 00:51:33,400 --> 00:51:38,160 IS SOMETHING WE SHOULD WHY HAVE 1183 00:51:38,160 --> 00:51:44,800 AN INVITATION EXTENDED OUT TO 1184 00:51:44,800 --> 00:51:45,480 YOU. 1185 00:51:45,480 --> 00:51:46,080 >>Dr. Bianchi: GREAT, THANK 1186 00:51:46,080 --> 00:51:46,320 YOU. 1187 00:51:46,320 --> 00:51:46,960 >>Chair Dr. Perreault: SINCE 1188 00:51:46,960 --> 00:51:48,240 THIS IS A PUBLIC MEETING, AS YOU 1189 00:51:48,240 --> 00:51:52,640 FAVORGAVE UPDATES ABOUT INSTITU, 1190 00:51:52,640 --> 00:51:54,280 WE SHOULD REITERATE ABOUT THE 1191 00:51:54,280 --> 00:51:54,680 RETIREMENT. 1192 00:51:54,680 --> 00:51:59,640 THE WELL-DESERVED RETIREMENT OF 1193 00:51:59,640 --> 00:52:04,040 INTEREST TONY FAUCI. 1194 00:52:04,040 --> 00:52:06,440 FOR THE RECORD, I WANTED TO PUT 1195 00:52:06,440 --> 00:52:07,160 THAT OUT THERE. 1196 00:52:07,160 --> 00:52:07,960 >>Dr. Bianchi: SOME OF US ARE 1197 00:52:07,960 --> 00:52:11,160 IN DENIAL AND IT HASN'T HAPPENED 1198 00:52:11,160 --> 00:52:11,320 YET. 1199 00:52:11,320 --> 00:52:12,120 [LAUGHTER] 1200 00:52:12,120 --> 00:52:13,240 SO, PEOPLE AS I UNDERSTAND IT 1201 00:52:13,240 --> 00:52:18,360 ARE NOT RETIRED UNTIL THEY WALK 1202 00:52:18,360 --> 00:52:19,600 OUT THE TORR BUT THAT'S HIS PLAN 1203 00:52:19,600 --> 00:52:24,040 AND THOSE WILL BE BIG SHOES TO 1204 00:52:24,040 --> 00:52:24,240 FILL. 1205 00:52:24,240 --> 00:52:27,440 THERE'S A SUCCESSION PLAN WITH 1206 00:52:27,440 --> 00:52:30,880 Dr. HUGH WHO IS THE DEPUTY 1207 00:52:30,880 --> 00:52:34,920 DIRECTOR AND IS GOING TO BE THE 1208 00:52:34,920 --> 00:52:36,720 ACTING DIRECTOR AND I BELIEVE 1209 00:52:36,720 --> 00:52:40,920 THE SEARCH COMMITTEE IS FORMING 1210 00:52:40,920 --> 00:52:44,160 NOW TO FINDS A NEW DIRECTOR. 1211 00:52:44,160 --> 00:52:46,160 HE HAS BEEN THE DIRECTOR FOR 34 1212 00:52:46,160 --> 00:52:47,240 YEARS OR SOMETHING LIKE THAT AND 1213 00:52:47,240 --> 00:52:49,160 IT WILL BE A NEW ERA, LET'S PUT 1214 00:52:49,160 --> 00:52:55,440 IT THAT WAY. 1215 00:52:55,440 --> 00:52:58,040 IT'S ON THE BOOKS. 1216 00:52:58,040 --> 00:52:59,840 >>TO WE HAVE ANY QUESTIONS FOR 1217 00:52:59,840 --> 00:53:06,000 Dr. BIANCHI WELL THEN I'D 1218 00:53:06,000 --> 00:53:07,520 WOULD LIKE TO THANK YOU FOR THE 1219 00:53:07,520 --> 00:53:09,360 WONDERFUL OVERVIEW AND WE LOOK 1220 00:53:09,360 --> 00:53:10,440 FORWARD TO YOU PARTICIPATING IN 1221 00:53:10,440 --> 00:53:11,640 THE MEETING AS YOU CAN. 1222 00:53:11,640 --> 00:53:12,880 >>Dr. Bianchi: THANK YOU FOR 1223 00:53:12,880 --> 00:53:19,240 YOUR QUESTIONS. 1224 00:53:19,240 --> 00:53:19,920 >>Chair Dr. Perreault: OUT NEXT 1225 00:53:19,920 --> 00:53:21,760 PRESENTATION IS AN UPDATE FROM 1226 00:53:21,760 --> 00:53:22,680 Dr. THERESA CRUZ WHO WILL GIVE 1227 00:53:22,680 --> 00:53:24,400 HER REPORT AND RESEARCH PLANS 1228 00:53:24,400 --> 00:53:29,640 FOR NCMRR. 1229 00:53:29,640 --> 00:53:32,080 >>Dr. Cruz: THANK YOU, ERIC. 1230 00:53:32,080 --> 00:53:34,440 THANK YOU ALL FOR BEING HERE. 1231 00:53:34,440 --> 00:53:35,880 I KNOW THIS IS A REALLY BUSY 1232 00:53:35,880 --> 00:53:37,560 TIME OF YEAR AND I KNOW YOU ALL 1233 00:53:37,560 --> 00:53:39,840 FILLED OUT A LOT OF PAPERWORK TO 1234 00:53:39,840 --> 00:53:44,920 BE HERE AND WE ARE INCREDIBLY 1235 00:53:44,920 --> 00:53:46,120 APPRECIATIVE OF YOUR TIME AND 1236 00:53:46,120 --> 00:53:48,320 YOUR QUESTIONS AND YOUR INPUT 1237 00:53:48,320 --> 00:53:52,360 AND I HOPE THAT THE PRESENTATION 1238 00:53:52,360 --> 00:53:53,720 TODAY SHOWS WE DO TAKE THE 1239 00:53:53,720 --> 00:53:55,560 COMMENTS THAT YOU HAVE FOR US TO 1240 00:53:55,560 --> 00:54:00,160 HEART AND THAT WE DO I AM NOT 1241 00:54:00,160 --> 00:54:06,920 MANY THEM TH. 1242 00:54:06,920 --> 00:54:15,120 REHABILITATION RESEARCH AT NIH 1243 00:54:15,120 --> 00:54:16,200 IS THRIVING AND THEY'RE INVOLVED 1244 00:54:16,200 --> 00:54:20,600 IN COLLABORATIONS ACROSS THE 1245 00:54:20,600 --> 00:54:23,640 ACROSS THE FEDERAL GOVERNMENT TO 1246 00:54:23,640 --> 00:54:26,160 SUPPORT NCMRR'S MISSION. 1247 00:54:26,160 --> 00:54:30,160 I HOPE TO DO THAT THROUGH THREE 1248 00:54:30,160 --> 00:54:32,520 DIFFERENT AVENUES TO TALK ABOUT 1249 00:54:32,520 --> 00:54:33,480 ACTIVITIES THAT OUR STAFF HAVE 1250 00:54:33,480 --> 00:54:36,120 BEEN LEADING AND COORDINATING 1251 00:54:36,120 --> 00:54:38,440 AND COLLABORATING ON. 1252 00:54:38,440 --> 00:54:40,280 TO TALK ABOUT SOME RESEARCH 1253 00:54:40,280 --> 00:54:42,680 FINDINGS IN THE LAST MAYBE SIX 1254 00:54:42,680 --> 00:54:45,440 MONTHS OR SO. 1255 00:54:45,440 --> 00:54:48,600 LARGELY DRIVEN BY OUR JUNIOR 1256 00:54:48,600 --> 00:54:49,720 INVESTIGATORS SHOWING THAT THE 1257 00:54:49,720 --> 00:54:55,600 HEALTH OF OUR RESEARCH FIELD IS 1258 00:54:55,600 --> 00:54:58,160 STRONG AND TO A PORTFOLIO 1259 00:54:58,160 --> 00:55:03,720 ANALYSIS OF THE REHAB PORTFOLIO 1260 00:55:03,720 --> 00:55:05,560 ACROSS NIH AND IN MAY WE'LL DO 1261 00:55:05,560 --> 00:55:09,680 MORE OF A DEEPER DIVE INTO NCMRR 1262 00:55:09,680 --> 00:55:14,680 WITH THAT AND LET'S BEGIN. 1263 00:55:14,680 --> 00:55:18,640 IF YOU COULD POP FORWARD TO 1264 00:55:18,640 --> 00:55:20,880 SLIDE FOUR. 1265 00:55:20,880 --> 00:55:22,400 THANK YOU. 1266 00:55:22,400 --> 00:55:26,160 SO, NOTHING THAT WE DO AT NCMRR 1267 00:55:26,160 --> 00:55:28,160 WOULD BE POSSIBLE WITHOUT THE 1268 00:55:28,160 --> 00:55:30,760 INCREDIBLE STAFF THAT WE HAVE 1269 00:55:30,760 --> 00:55:32,040 AND THE LAST FEW MONTHS HAVE 1270 00:55:32,040 --> 00:55:35,400 BEEN A LITTLE BIT HARD FOR US 1271 00:55:35,400 --> 00:55:37,360 AND, ME IN PARTICULAR, I REALLY 1272 00:55:37,360 --> 00:55:39,280 WANTED TO ACKNOWLEDGE THEN 1273 00:55:39,280 --> 00:55:40,400 CREDIBLE WORK THAT THE STAFF HAS 1274 00:55:40,400 --> 00:55:42,320 DONE TO SUPPORT ME AND TO 1275 00:55:42,320 --> 00:55:44,680 SUPPORT OUR MISSION. 1276 00:55:44,680 --> 00:55:51,880 A FEW HI LIGHTS OF THAT, SUE 1277 00:55:51,880 --> 00:55:53,400 MARTIN, OUR EXPERT IN CLINICAL 1278 00:55:53,400 --> 00:55:56,680 TRIALS AND IN POLICY, WAS 1279 00:55:56,680 --> 00:55:59,040 DETAILED TO THE NATIONAL 1280 00:55:59,040 --> 00:56:00,920 INSTITUTE ON NURSING RESEARCH AS 1281 00:56:00,920 --> 00:56:03,560 THEIR ACTING DEPUTY DIRECTOR OF 1282 00:56:03,560 --> 00:56:05,760 DIVISION OF EXTRAMURAL 1283 00:56:05,760 --> 00:56:07,840 ACTIVITIES OR SOMETHING ALONG 1284 00:56:07,840 --> 00:56:09,200 THOSE LINES. 1285 00:56:09,200 --> 00:56:13,840 AND IT'S REALLY IMPORTANT THAT 1286 00:56:13,840 --> 00:56:15,880 WE SPREAD REHAB WHERE WE CAN AND 1287 00:56:15,880 --> 00:56:18,960 THE WAYS THAT WE CAN AT NIH SO 1288 00:56:18,960 --> 00:56:22,960 IT'S REALLY A TESTAMENT TO SUE 1289 00:56:22,960 --> 00:56:25,280 HER EXPERIENCE FILLING IN OVER 1290 00:56:25,280 --> 00:56:29,320 AT NINR HELPING THEM ON BOARD 1291 00:56:29,320 --> 00:56:31,760 SOME NEW LEADERSHIP THERE. 1292 00:56:31,760 --> 00:56:35,880 AND I WOULD ALSO LIKE TO 1293 00:56:35,880 --> 00:56:39,880 ACKNOWLEDGE JOE BONNER, WHO IS 1294 00:56:39,880 --> 00:56:43,960 CURRENTLY DETAILING PART-TIME TO 1295 00:56:43,960 --> 00:56:46,640 NINDS AND TO HELP RUN A BRAIN 1296 00:56:46,640 --> 00:56:49,440 INITIATIVE RFA, AND THAT IS A 1297 00:56:49,440 --> 00:56:51,640 PERSONAL FAVORITE TO ME AS WELL 1298 00:56:51,640 --> 00:56:56,520 AS TO NINDS AND THE IMPACT OF 1299 00:56:56,520 --> 00:56:59,360 THAT WORK IS RELATED IT 1300 00:56:59,360 --> 00:57:01,200 REHABILITATIONING AND AGAIN I'M 1301 00:57:01,200 --> 00:57:02,920 VERY GRATEFUL THAT WE ARE 1302 00:57:02,920 --> 00:57:05,200 SPREADING OUR EXPERTISE ONLY ONE 1303 00:57:05,200 --> 00:57:07,440 PERSON CAN DETAIL AT A TIME 1304 00:57:07,440 --> 00:57:07,680 THOUGH. 1305 00:57:07,680 --> 00:57:08,080 [LAUGHTER] 1306 00:57:08,080 --> 00:57:10,520 THAT WOULD BE TOO MUCH. 1307 00:57:10,520 --> 00:57:12,200 AND I ALSO WANTED TO 1308 00:57:12,200 --> 00:57:12,520 ACKNOWLEDGE. 1309 00:57:12,520 --> 00:57:14,560 I MAY HAVE MENTIONED THIS AT OUR 1310 00:57:14,560 --> 00:57:20,600 MEETING IN MAY THAT TOYIN 1311 00:57:20,600 --> 00:57:24,480 AJISAFE IS THE NICHD CONTACT FOR 1312 00:57:24,480 --> 00:57:25,360 SMALL BUSINESS PROGRAM. 1313 00:57:25,360 --> 00:57:28,880 WE SPEND 10%, MAYBE MORE, OF OUR 1314 00:57:28,880 --> 00:57:30,840 NCMRR BUDGET ON SMALL BUSINESS 1315 00:57:30,840 --> 00:57:35,920 AND IT'S A HUGE RESOURCE FOR OUR 1316 00:57:35,920 --> 00:57:37,520 TECHNOLOGY REHABILITATION AND A 1317 00:57:37,520 --> 00:57:40,440 SIS TIVE TECHNOLOGY PROGRAMS AND 1318 00:57:40,440 --> 00:57:42,280 SO IT'S INCRED PLOW IMPORTANT 1319 00:57:42,280 --> 00:57:44,960 THAT WE HAVE A PERSON AT THE 1320 00:57:44,960 --> 00:57:46,760 TABLE WHEN WE'RE DISCUSSING KIND 1321 00:57:46,760 --> 00:57:53,400 OF BROADER NIH AND SMALL 1322 00:57:53,400 --> 00:57:54,440 BUSINESS ADMINISTRATIVE ISSUES 1323 00:57:54,440 --> 00:57:55,640 SO THANK YOU FOR THAT. 1324 00:57:55,640 --> 00:57:57,480 APOLOGIES FOR THE THIRD PERSON, 1325 00:57:57,480 --> 00:57:59,520 WE WEREN'T QUITE SURE WHO WOULD 1326 00:57:59,520 --> 00:58:03,680 THEREFORE DELIVER THIS TALK TODM 1327 00:58:03,680 --> 00:58:06,960 PARTICIPATE IN AN NIH-EXECUTIVE 1328 00:58:06,960 --> 00:58:08,360 LEADERSHIP PROGRAM AND I WANT TO 1329 00:58:08,360 --> 00:58:10,120 THANK Dr. BIANCHI FOR 1330 00:58:10,120 --> 00:58:11,440 SUPPORTING ME IN THAT AND 1331 00:58:11,440 --> 00:58:12,920 PROVIDING THE TIME AND SPACE FOR 1332 00:58:12,920 --> 00:58:14,320 ME TO GO DOWN TO THE PARTNERSHIP 1333 00:58:14,320 --> 00:58:20,440 FOR A PUBLIC SERVICE AND GET 1334 00:58:20,440 --> 00:58:20,760 THAT TRAINING. 1335 00:58:20,760 --> 00:58:23,400 IT'S A WONDERFUL COHORT AND I'M 1336 00:58:23,400 --> 00:58:24,600 CONNECTING WITH I.C. DIRECTORS 1337 00:58:24,600 --> 00:58:29,960 AND DEPUTIES AND OTHER LEADERS 1338 00:58:29,960 --> 00:58:34,040 AT NIH AND PREACHING THE GOOD 1339 00:58:34,040 --> 00:58:39,720 NEWS OF ROW HABITATION IS WE'LL 1340 00:58:39,720 --> 00:58:43,960 SEE PAYOFF FROM THIS FOR QUITE 1341 00:58:43,960 --> 00:58:54,160 SOME TIME. 1342 00:58:58,480 --> 00:58:59,720 IF YOU ARE INTERESTED IN A 1343 00:58:59,720 --> 00:59:02,880 CAREER IN PUBLIC SERVICE, OR YOU 1344 00:59:02,880 --> 00:59:10,680 HAVE PEOPLE, WHO MIGHT BE, IT'S 1345 00:59:10,680 --> 00:59:14,280 GOOD TO KNOW WHO MIGHT BE 1346 00:59:14,280 --> 00:59:15,200 INTERESTED IN THE FUTURES. 1347 00:59:15,200 --> 00:59:19,560 NEXT SLIDE, AGAIN, ONE MORE. 1348 00:59:19,560 --> 00:59:23,360 SO ONE OF THE MAIN THINGS THAT 1349 00:59:23,360 --> 00:59:30,200 WE DO IS PRODUCE FUNDING 1350 00:59:30,200 --> 00:59:31,440 ANNOUNCEMENTS AFTER HAVING IT 1351 00:59:31,440 --> 00:59:38,440 INFORMED BY YOU AND ONE THAT HAS 1352 00:59:38,440 --> 00:59:40,440 BEEN IS THE EARLY CAREER 1353 00:59:40,440 --> 00:59:44,400 RESEARCH RO3 AND I WANT TO THANK 1354 00:59:44,400 --> 00:59:47,280 MARIA AND WHO ACCEPT ARTED THE 1355 00:59:47,280 --> 00:59:53,120 REISSUE OF THAT THAT WAS HER 1356 00:59:53,120 --> 00:59:54,480 FIRST FUNDING ANNOUNCEMENT AND I 1357 00:59:54,480 --> 01:00:02,400 WAS PLEASED WITH THAT AND WE 1358 01:00:02,400 --> 01:00:08,040 HAVE INSTITUTED THIS AS A WAY TO 1359 01:00:08,040 --> 01:00:11,640 BRIDGE THE GAP IF THE ABSENCE OF 1360 01:00:11,640 --> 01:00:13,880 THE K12 PROGRAM SO I ENCOURAGE 1361 01:00:13,880 --> 01:00:15,640 JUNIOR FACULTY TO LOOK AT THIS 1362 01:00:15,640 --> 01:00:19,640 LARGEST BUDGET RO3 AND WHAT I AM 1363 01:00:19,640 --> 01:00:26,160 MOST PROUD IS WE HAVE INCLUDED A 1364 01:00:26,160 --> 01:00:29,600 REQUIREMENT FOR PERPS WITH LIVED 1365 01:00:29,600 --> 01:00:30,520 EXPERIENCE IN THE APPLICATION 1366 01:00:30,520 --> 01:00:32,000 AND THAT WAS SOMETHING WE TRIED 1367 01:00:32,000 --> 01:00:34,280 OUT FOR THE FIRST TIME IN THE 1368 01:00:34,280 --> 01:00:37,920 RFA AND JOE RAN ON THE RIGHT 1369 01:00:37,920 --> 01:00:43,800 SIDE OF THAT SLIDE MOST COME IN 1370 01:00:43,800 --> 01:00:45,440 THROUGH THE PARENT ANNOUNCEMENTS 1371 01:00:45,440 --> 01:00:46,840 SO WE DON'T HAVE A LOT OF 1372 01:00:46,840 --> 01:00:48,160 CONTROL OF WHAT IS REQUIRED IN 1373 01:00:48,160 --> 01:00:50,960 THAT APPLICATION BUT WE WE CAN, 1374 01:00:50,960 --> 01:00:55,120 I THINK WE ARE MOVING TOWARDS 1375 01:00:55,120 --> 01:00:59,520 END USERS AND MORE STAKEHOLDER 1376 01:00:59,520 --> 01:01:05,520 AND PRESENCE IN RESEARCH GIVING 1377 01:01:05,520 --> 01:01:07,240 US MUCH BETTER QUALITY AND MUCH 1378 01:01:07,240 --> 01:01:11,720 MORE RELEVANT RESEARCH I WANT TO 1379 01:01:11,720 --> 01:01:13,440 THANK OUR SISTER AGENCIES, WHO 1380 01:01:13,440 --> 01:01:16,240 ARE FRANKLY MORE ADVANCED AT 1381 01:01:16,240 --> 01:01:18,560 THAT THEN WE HAVE BEEN FOR THEIR 1382 01:01:18,560 --> 01:01:25,200 HEALTH AND MOVING THAT ALONG. 1383 01:01:25,200 --> 01:01:27,120 WE HAD AN RFA WE BROUGHT OUR 1384 01:01:27,120 --> 01:01:29,320 FUNDING PLAN TO COUNCIL A MONTHS 1385 01:01:29,320 --> 01:01:30,960 AGO ON PHYSICAL ACTIVITY 1386 01:01:30,960 --> 01:01:33,960 INTERVENTIONS FOR WHEELCHAIR 1387 01:01:33,960 --> 01:01:36,800 USEEUSEEUSEERS AND THEY'VE NOT E 1388 01:01:36,800 --> 01:01:39,120 BUT IT WAS THE WORK WE DID WITH 1389 01:01:39,120 --> 01:01:40,560 THE OFFICE OF THE DISEASE 1390 01:01:40,560 --> 01:01:41,640 PREVENTION SO WE HOPE TO HAVE 1391 01:01:41,640 --> 01:01:45,080 MORE INFORMATION ABOUT THAT. 1392 01:01:45,080 --> 01:01:49,880 AND THAT ALSO INCLUDED THE 1393 01:01:49,880 --> 01:01:51,040 REQUIREMENT FOR PERSONS WITH 1394 01:01:51,040 --> 01:01:56,320 LIVED EXPERIENCE IN THE RESEARCH 1395 01:01:56,320 --> 01:01:57,200 PLAN. 1396 01:01:57,200 --> 01:01:58,640 ANOTHER COLLABORATION THAT WE 1397 01:01:58,640 --> 01:02:01,960 HAVE AT NCMRR IS WITH NIBIB AND 1398 01:02:01,960 --> 01:02:03,520 YOU WILL SEE A COUPLE OF 1399 01:02:03,520 --> 01:02:08,200 EXAMPLES OF THAT IN THE TALK 1400 01:02:08,200 --> 01:02:10,480 TODAY. 1401 01:02:10,480 --> 01:02:11,600 AND WE HAD FEEDBACK ABOUT THE 1402 01:02:11,600 --> 01:02:15,200 PRICE COMPETITION WE WANTED TO 1403 01:02:15,200 --> 01:02:17,600 SUPPORT WITH NIBIB ON THE A SIS 1404 01:02:17,600 --> 01:02:19,160 TIVE AND REHABILITATION 1405 01:02:19,160 --> 01:02:20,960 TECHNOLOGIES WE AWARDED OUR 1406 01:02:20,960 --> 01:02:22,520 FIRST ONE AT END OF THE FISCAL 1407 01:02:22,520 --> 01:02:27,480 YEAR AND IT WENT TO A GROUP OF 1408 01:02:27,480 --> 01:02:28,360 STUDENTS AT CORNELL UNIVERSITY 1409 01:02:28,360 --> 01:02:30,600 AND THEY DEVELOPED AN AI-DRIVEN 1410 01:02:30,600 --> 01:02:35,000 PHYSICAL THERAPY PLATFORM USING 1411 01:02:35,000 --> 01:02:36,800 COMPUTER VISION THAT PROVIDES 1412 01:02:36,800 --> 01:02:38,600 PATIENTS WITH REAL-TIME FEEDBACK 1413 01:02:38,600 --> 01:02:40,280 ON THEIR EXERCISES AND MOST 1414 01:02:40,280 --> 01:02:41,720 IMPORTANTLY INTERACTS WITH THE 1415 01:02:41,720 --> 01:02:48,240 HEALTHCARE PROFESSIONAL AND THE 1416 01:02:48,240 --> 01:02:48,520 EHR. 1417 01:02:48,520 --> 01:02:49,600 I'M GETTING FEEDBACK. 1418 01:02:49,600 --> 01:02:51,200 IF YOU CAN MAKE SURE YOU ARE 1419 01:02:51,200 --> 01:02:52,800 MUTED, I WOULD APPRECIATE THAT. 1420 01:02:52,800 --> 01:02:53,280 THANK YOU. 1421 01:02:53,280 --> 01:02:57,840 SO WE HOPE TO CONTINUE THIS 1422 01:02:57,840 --> 01:02:59,240 PROGRAM AND AND ONE OF MY 1423 01:02:59,240 --> 01:03:01,760 FAVORITE THINGS IS OUR FORMER 1424 01:03:01,760 --> 01:03:07,000 TRIPLE A FELLOW IS NOW AT NIBIB 1425 01:03:07,000 --> 01:03:07,960 CONTRIBUTING SIGNIFICANTLY TO 1426 01:03:07,960 --> 01:03:12,600 THIS PROGRAM SO AGAIN, IT'S GOOD 1427 01:03:12,600 --> 01:03:14,440 THAT WE ARE MAKING THOSE 1428 01:03:14,440 --> 01:03:16,640 OUTREACHES. 1429 01:03:16,640 --> 01:03:18,560 NEXT SLIDE, THERE ARE OTHER 1430 01:03:18,560 --> 01:03:19,320 PRIZE COMPETITIONS AND I BRING 1431 01:03:19,320 --> 01:03:20,720 IT UP BECAUSE IT'S SOMETHING WE 1432 01:03:20,720 --> 01:03:22,400 MIGHT WANT TO CONSIDER DOING 1433 01:03:22,400 --> 01:03:24,280 MORE OF AND YOU ARE GOING TO BE 1434 01:03:24,280 --> 01:03:31,520 HEARING FROM Dr. SYRNICH LATER 1435 01:03:31,520 --> 01:03:33,120 ABOUT STRIVE AND THE WORK WE'RE 1436 01:03:33,120 --> 01:03:36,280 DOING IN DEIA BUT WE DID HAVE A 1437 01:03:36,280 --> 01:03:41,600 YOUTH ART CHALLENGE TO TALK 1438 01:03:41,600 --> 01:03:51,680 ABOUT OUR AROUND HEALTH QI AND 1439 01:03:51,680 --> 01:03:59,000 THE PRIZE ON THE RIGHT, THE 1440 01:03:59,000 --> 01:04:01,880 PRIZE WAS SUPPORTED THROUGH THE 1441 01:04:01,880 --> 01:04:02,600 SPARK PROGRAM AND THEY WERE PART 1442 01:04:02,600 --> 01:04:09,000 OF THAT CHALLENGE AND THE PURE 1443 01:04:09,000 --> 01:04:14,040 OF THAT PROGRAM IS TO ADVERSE 1444 01:04:14,040 --> 01:04:16,440 PERIPHERAL NERVE STIMULATION AND 1445 01:04:16,440 --> 01:04:19,120 AUTONOMIC SYSTEM, UNDERSTANDING 1446 01:04:19,120 --> 01:04:20,160 AND TREATMENT. 1447 01:04:20,160 --> 01:04:21,680 I THOUGHT IT WAS INCREDIBLE OF 1448 01:04:21,680 --> 01:04:24,240 THE EIGHT PRIZES THEY AWARDED 1449 01:04:24,240 --> 01:04:28,040 FOUR OF THEM WERE RELATED TO 1450 01:04:28,040 --> 01:04:30,720 SPINAL CORD TECHNOLOGIES THAT 1451 01:04:30,720 --> 01:04:33,800 COULD OR WERE PLANNING TO 1452 01:04:33,800 --> 01:04:35,040 INFLUENCE BOWEL AND BLADDER 1453 01:04:35,040 --> 01:04:37,480 CONTROL, WHICH IS A HUGE ISSUE 1454 01:04:37,480 --> 01:04:41,400 FOR OUR POPULATIONS. 1455 01:04:41,400 --> 01:04:45,400 THOSE JUST TO NAME A FEW, IT WAS 1456 01:04:45,400 --> 01:04:47,840 LAUREN GRILL, AT DUKE, ANTHONY 1457 01:04:47,840 --> 01:04:53,240 DiMARCO AT CLEVELAND, THE 1458 01:04:53,240 --> 01:04:54,440 SPINAL CORD INJURY GROUP AT THE 1459 01:04:54,440 --> 01:04:56,160 UNIVERSITY OF LOUIEVILLE AND THE 1460 01:04:56,160 --> 01:04:58,040 DEPARTMENT OF NEUROLOGY AT THE 1461 01:04:58,040 --> 01:04:59,280 UNIVERSITY OF PITTSBURG SO 1462 01:04:59,280 --> 01:05:02,160 PEOPLE ARE VERY FAMILIAR TO US 1463 01:05:02,160 --> 01:05:03,640 IN REHABILITATION BUT THEN AGAIN 1464 01:05:03,640 --> 01:05:08,240 ACKNOWLEDGED BY THIS MUCH LARGER 1465 01:05:08,240 --> 01:05:11,160 NIH PROGRAM. 1466 01:05:11,160 --> 01:05:21,680 WE HAVE ALSO BEEN ACTIVE IN OUR 1467 01:05:23,880 --> 01:05:27,320 COLLEAGUES AT NINDS FOR THE WORK 1468 01:05:27,320 --> 01:05:32,040 WE DID ON CEREBRAL PALSY. 1469 01:05:32,040 --> 01:05:37,600 THIS WAS A MID-YEAR, MID-LIFE 1470 01:05:37,600 --> 01:05:42,240 CHECK IN ON THE CEREBRAL PAUL 1471 01:05:42,240 --> 01:05:46,280 SEEPALSYSTRATEGIC PLAN. 1472 01:05:46,280 --> 01:05:51,640 WE HAD THIS FIVE-YEAR CHECK IN 1473 01:05:51,640 --> 01:05:53,320 AND WE ARE DOING INCREDIBLE 1474 01:05:53,320 --> 01:05:56,320 AMOUNTS OF WORK IN THE AREA OF 1475 01:05:56,320 --> 01:05:59,000 CEREBRAL PALSY AND IT WAS REALLY 1476 01:05:59,000 --> 01:06:01,960 EVENLY DISTRIBUTED BETWEEN NICHD 1477 01:06:01,960 --> 01:06:03,240 AND NINDS. 1478 01:06:03,240 --> 01:06:04,680 IF YOU WEREN'T ABLE TO BE A PART 1479 01:06:04,680 --> 01:06:06,360 OF THAT WORKSHOP, THE RECORDINGS 1480 01:06:06,360 --> 01:06:07,800 ARE AVAILABLE AND I WOULD 1481 01:06:07,800 --> 01:06:13,600 ENCOURAGE YOU TO TAKE A LOOK AT 1482 01:06:13,600 --> 01:06:13,800 THEM. 1483 01:06:13,800 --> 01:06:16,960 WE DID HAVE A PATIENT WHO SPOKE 1484 01:06:16,960 --> 01:06:17,920 ELOQUENTLY ABOUT HER EXPERIENCES 1485 01:06:17,920 --> 01:06:22,720 AS A RESEARCH SUBJECT AND ONE OF 1486 01:06:22,720 --> 01:06:24,840 OUR SUPPORTIVE TRIALS. 1487 01:06:24,840 --> 01:06:27,040 I WANT TO ACKNOWLEDGE THE WORK 1488 01:06:27,040 --> 01:06:29,480 THAT NIDDK IS DOING. 1489 01:06:29,480 --> 01:06:31,400 WE'VE INTERACTED WITH THEM A BIT 1490 01:06:31,400 --> 01:06:33,720 LAST YEAR AND THEY'RE UROLOGY 1491 01:06:33,720 --> 01:06:35,280 COORDINATING COMMITTEE, MUCH 1492 01:06:35,280 --> 01:06:39,560 LIKE YOU ALL ADVISE US, AND THE 1493 01:06:39,560 --> 01:06:41,360 ADVANCEMENT OF THEIR INTERESTS 1494 01:06:41,360 --> 01:06:44,200 IN NEURO UROLOGY AND THEY HAD A 1495 01:06:44,200 --> 01:06:46,560 WORKSHOP I WOULDEN ENCOURAGE YOU 1496 01:06:46,560 --> 01:06:49,840 TO TAKE A LOOK THERE AND I HAVE 1497 01:06:49,840 --> 01:06:51,040 THE ABSOLUTE PLEASURE IN 1498 01:06:51,040 --> 01:06:54,880 SEPTEMBER OF WORKING WITH ROGER 1499 01:06:54,880 --> 01:06:55,080 GLASS. 1500 01:06:55,080 --> 01:06:57,960 HE IS THE DIRECTOR OF FOGERTY 1501 01:06:57,960 --> 01:06:59,280 INTERNATIONAL CENTER AND 1502 01:06:59,280 --> 01:07:00,880 PICTURED THERE ON THE RIGHT. 1503 01:07:00,880 --> 01:07:06,720 IN MEETING WITH CLAUDINE HUMARE 1504 01:07:06,720 --> 01:07:10,600 SHE'S A LOWER-LIMB AMPUTEE FROM 1505 01:07:10,600 --> 01:07:12,200 RWANDA AND SHE'S FINISHING UP 1506 01:07:12,200 --> 01:07:22,560 HER PROSTHETIC ORTHOTICS DEGREE 1507 01:07:22,560 --> 01:07:24,000 IN THE UNITED STATES. 1508 01:07:24,000 --> 01:07:26,880 SHE SPOKE US ABOUT THE NEED OF 1509 01:07:26,880 --> 01:07:29,320 AMPUTEE IN LOW AND MIDDLE INCOME 1510 01:07:29,320 --> 01:07:31,280 COUNTRIES AND HER PLANS TO TAGEL 1511 01:07:31,280 --> 01:07:31,600 THAT. 1512 01:07:31,600 --> 01:07:33,200 SHE'S AN INCREDIBLE WOMAN AND IF 1513 01:07:33,200 --> 01:07:35,000 YOU DON'T KNOW HER, I WOULD 1514 01:07:35,000 --> 01:07:43,280 ENCOURAGE YOU TO LOOK AT -- 1515 01:07:43,280 --> 01:07:44,760 SHE'S GOT GREAT YouTube 1516 01:07:44,760 --> 01:07:44,960 VIDEOS. 1517 01:07:44,960 --> 01:07:49,400 SHE WAS TREATED BY PA PAUL FARM, 1518 01:07:49,400 --> 01:07:53,080 HE WAS THE FOUNDER OF PARTNERS 1519 01:07:53,080 --> 01:07:55,000 IN HEALTH, HE SADLY PASSED AWAY. 1520 01:07:55,000 --> 01:07:56,680 THAT WAS A GREAT EXPERIENCE 1521 01:07:56,680 --> 01:08:00,040 MEETING AND HEARING HER 1522 01:08:00,040 --> 01:08:00,360 PERSPECTIVE. 1523 01:08:00,360 --> 01:08:01,720 THE LAST GROUP I WANT TO 1524 01:08:01,720 --> 01:08:05,360 ACKNOWLEDGE IS SOME COLLEAGUES 1525 01:08:05,360 --> 01:08:09,560 AT THE NATIONAL GENOME INSTITUTE 1526 01:08:09,560 --> 01:08:11,240 AND THEY LOOKED AT THE 1527 01:08:11,240 --> 01:08:16,000 INTERSECTION OF DISABILITIES AND 1528 01:08:16,000 --> 01:08:18,960 GENOMICS AND TAKING ON A 1529 01:08:18,960 --> 01:08:23,600 HISTORIC VIEW AND LOOKING AT THE 1530 01:08:23,600 --> 01:08:25,800 WAY SOCIETY HAS TREATED PEOPLE 1531 01:08:25,800 --> 01:08:34,280 WITH DISABILITIES AND POORLY 1532 01:08:34,280 --> 01:08:35,880 PROVIDING A BACKGROUND FOR HOW 1533 01:08:35,880 --> 01:08:38,480 WE MIGHT DO BETTER IN THE FUTURE 1534 01:08:38,480 --> 01:08:40,280 AND SO WE'VE TALKED ABOUT THE 1535 01:08:40,280 --> 01:08:44,800 WORK WE PLAN ON DOING ON 1536 01:08:44,800 --> 01:08:47,600 ABLEISM, AND I THINK THIS WAS A 1537 01:08:47,600 --> 01:08:51,440 A GOOD LEAD INTO WHAT WE MIGHT 1538 01:08:51,440 --> 01:08:56,000 BE DOING MORE IN TODAY'S MEDICAL 1539 01:08:56,000 --> 01:09:00,080 SYSTEM TO HELP PEOPLE WITH 1540 01:09:00,080 --> 01:09:10,600 DISABILITIES, WE TALKED ABOUT 1541 01:09:14,080 --> 01:09:16,200 MEETINGS WITH CAPITOL HILL AND I 1542 01:09:16,200 --> 01:09:18,000 SHOULD HAVE INCLUDED IN THE LIST 1543 01:09:18,000 --> 01:09:18,200 HERE. 1544 01:09:18,200 --> 01:09:28,720 I DO MEET WITH ADVOCACY GROUPS 1545 01:09:30,800 --> 01:09:33,280 SO WE ARE AVAILABLE WE MET WITH 1546 01:09:33,280 --> 01:09:35,480 THE SPINA BIFIDA ASSOCIATION AND 1547 01:09:35,480 --> 01:09:38,760 MY COLLEAGUES, NICK LANGUAGE AND 1548 01:09:38,760 --> 01:09:43,080 I FROM NIDS MET WITH THE 1549 01:09:43,080 --> 01:09:43,960 ULTRASOUND ASSOCIATION. 1550 01:09:43,960 --> 01:09:45,640 IT'S NOT A TECHNOLOGY WE'VE SEEN 1551 01:09:45,640 --> 01:09:48,680 MUCH IN NCMRR'S PORTFOLIO BUT WE 1552 01:09:48,680 --> 01:09:52,160 SEE IT MUCH MORE IF THE BRAIN 1553 01:09:52,160 --> 01:09:53,320 INITIATIVE AND THERE WAS A 1554 01:09:53,320 --> 01:09:58,160 QUESTION ABOUT OSTP AND I HAD A 1555 01:09:58,160 --> 01:10:02,800 WITHWONDERFUL EXPERIENCE IN THE 1556 01:10:02,800 --> 01:10:04,400 MIDDLE OF SEPTEMBER AND A 1557 01:10:04,400 --> 01:10:08,000 MEETING WITH THE VETERAN'S. 1558 01:10:08,000 --> 01:10:09,480 THEIR A.I. INSTITUTE HAD A 1559 01:10:09,480 --> 01:10:12,040 MEETING AND I GOT TO SHARE THE 1560 01:10:12,040 --> 01:10:13,240 PRESENTATIONS WITH JACKIE WARD, 1561 01:10:13,240 --> 01:10:20,000 FROM OSTP AS INTER Dr. BIANCHI 1562 01:10:20,000 --> 01:10:21,480 MENTIONED, THERE'S A LOT OF 1563 01:10:21,480 --> 01:10:23,760 FORMER NIHERS RUNNING AROUND 1564 01:10:23,760 --> 01:10:25,200 OSTP SO IT WAS GOOD TO CONNECT 1565 01:10:25,200 --> 01:10:25,720 WITH HER. 1566 01:10:25,720 --> 01:10:27,400 THE PURPOSE OF THAT PRESENTATION 1567 01:10:27,400 --> 01:10:30,160 WAS NOT REHABILITATION, IT WAS 1568 01:10:30,160 --> 01:10:40,640 MORE ABOUT BRAIN AND THE LAST 1569 01:10:45,800 --> 01:10:47,520 THING I WANTED WITH THE BLUE 1570 01:10:47,520 --> 01:10:51,200 PRINT FOR NEUROSCIENCE MEDICINE 1571 01:10:51,200 --> 01:10:51,800 TECH PROGRAM. 1572 01:10:51,800 --> 01:10:53,400 THERE'S A GROUP OF PROGRAM 1573 01:10:53,400 --> 01:10:56,320 OFFICERS AND ENGINEERS ACROSS 1574 01:10:56,320 --> 01:11:03,680 SEVERAL OF THE NIH NEUROSCIENCE 1575 01:11:03,680 --> 01:11:10,600 INSTITUTES WHO ARE WHO HAVE 1576 01:11:10,600 --> 01:11:15,440 LAUNCH A ECOSYSTEM TO ADVANCE 1577 01:11:15,440 --> 01:11:24,600 AND DEVELOP NEW TECHNOLOGIES AND 1578 01:11:24,600 --> 01:11:25,880 TO DISRUPT THE FIELD. 1579 01:11:25,880 --> 01:11:26,880 WHAT IS ONE OF THE MORE 1580 01:11:26,880 --> 01:11:29,520 INTERESTING THINGS, IS THAT PART 1581 01:11:29,520 --> 01:11:35,560 OF THAT THE HUBS AND THOSE OLE 1582 01:11:35,560 --> 01:11:38,000 CAB RACES INCLUDES A GROUP FROM 1583 01:11:38,000 --> 01:11:39,360 HOWARD UNIVERSITY LOOKING AT HE 1584 01:11:39,360 --> 01:11:46,200 EQUATECH SO IT'S A THREAD FOR AF 1585 01:11:46,200 --> 01:11:51,040 US FOR QUITE SOME TIME AND MORE 1586 01:11:51,040 --> 01:11:53,840 NEEDS TO BE DONE AND SO THIS 1587 01:11:53,840 --> 01:11:58,640 GROUP IS FOCUSING ON HOW WE CAN 1588 01:11:58,640 --> 01:12:03,120 BRING IN MORE TOY VERSE 1589 01:12:03,120 --> 01:12:05,720 PERSPECTIVES IN THE DEVICE, THE 1590 01:12:05,720 --> 01:12:08,200 MEDICAL DEVICE SYSTEM, 1591 01:12:08,200 --> 01:12:08,840 ECOSYSTEM. 1592 01:12:08,840 --> 01:12:13,920 SO, MORE TO COME FROM THAT. 1593 01:12:13,920 --> 01:12:17,040 NEXT SLIDE. 1594 01:12:17,040 --> 01:12:21,520 WE ARE TRAVELING AGAIN, MOST OF 1595 01:12:21,520 --> 01:12:22,920 US, WE'RE TRYING TO BE OUT AND 1596 01:12:22,920 --> 01:12:31,800 SEEING YOU ALL AND CONVERSATION 1597 01:12:31,800 --> 01:12:33,480 THAT'S RALPH AND JOE AND MARIA 1598 01:12:33,480 --> 01:12:37,120 AND TOYIN AND SUE I HAVE TRIED 1599 01:12:37,120 --> 01:12:38,920 TO BE AT IN THE LAST SIX MONTHS. 1600 01:12:38,920 --> 01:12:40,960 IF THERE ARE MEETINGS THAT YOU 1601 01:12:40,960 --> 01:12:43,280 THINK WE WITH BENEFIT FROM, THAT 1602 01:12:43,280 --> 01:12:45,720 ARE GRANTEES, PLEASE LET US 1603 01:12:45,720 --> 01:12:45,920 KNOW. 1604 01:12:45,920 --> 01:12:47,640 WE HAVE A PRETTY HEALTHY LIST 1605 01:12:47,640 --> 01:12:49,840 BUT THERE'S ALWAYS SEEMS TO BE 1606 01:12:49,840 --> 01:12:51,400 MORE MORE OPPORTUNITIES FOR US 1607 01:12:51,400 --> 01:12:58,240 TO INTERACT WITH YOU. 1608 01:12:58,240 --> 01:12:59,360 THE LAST THING I WANT TO MENTION 1609 01:12:59,360 --> 01:13:01,640 IS OUR REHABILITATION RESEARCH 1610 01:13:01,640 --> 01:13:02,840 SPEAKER SERIES. 1611 01:13:02,840 --> 01:13:06,400 A FEW WEEKS AFTER WE MET IN MAY, 1612 01:13:06,400 --> 01:13:08,720 WE HELD A SIS TIVE 1613 01:13:08,720 --> 01:13:10,280 REHABILITATION TECHNOLOGIES 1614 01:13:10,280 --> 01:13:12,520 SESSION AND THEN IN NOVEMBER, WE 1615 01:13:12,520 --> 01:13:16,960 HELD OUR AINL REHABILITATION 1616 01:13:16,960 --> 01:13:18,760 RESEARCH AND I WANTED TO THANK 1617 01:13:18,760 --> 01:13:22,400 THE SPEAKERS AND AGAIN TOYIN HAS 1618 01:13:22,400 --> 01:13:24,000 BEEN REALLY INSTRUMENTAL IN 1619 01:13:24,000 --> 01:13:26,040 GETTING THESE LAUNCHED. 1620 01:13:26,040 --> 01:13:27,480 YOU KNOW, THIS IS SOMETHING THAT 1621 01:13:27,480 --> 01:13:30,760 WE STARTED TO PROVIDE AN AVENUE 1622 01:13:30,760 --> 01:13:32,320 TO HIGHLIGHT THE RESEARCH THAT 1623 01:13:32,320 --> 01:13:36,680 WE SUPPORT BOTH IN NCMRR AND A 1624 01:13:36,680 --> 01:13:39,080 SEARCH REHABILITATION GIVEN THAT 1625 01:13:39,080 --> 01:13:42,040 WE WEREN'T TRAVELING AS MUCH, WE 1626 01:13:42,040 --> 01:13:44,360 WEREN'T HAVING THESE EXTENDED 1627 01:13:44,360 --> 01:13:54,880 MEETINGS AND I'M NOT SURE THAT 1628 01:13:55,600 --> 01:13:57,000 BUT I REALIZE THAT THINGS ARE 1629 01:13:57,000 --> 01:13:58,360 CHANGING SO YOU KNOW, IF YOU 1630 01:13:58,360 --> 01:14:00,240 HAVE FEEDBACK ON THAT, I AM 1631 01:14:00,240 --> 01:14:02,120 HAPPY TO TAKE THAT AS WELL. 1632 01:14:02,120 --> 01:14:06,400 BUT, INCREDIBLE TALKS AND THANK 1633 01:14:06,400 --> 01:14:08,680 YOU SO THE SPEAKERS WHO HAVE 1634 01:14:08,680 --> 01:14:14,880 GIVEN GENEROUSLY OF THEIR TIME. 1635 01:14:14,880 --> 01:14:18,280 NEXT SLIDE. 1636 01:14:18,280 --> 01:14:20,560 I WANT TO HIT ON A FEW SCIENCE 1637 01:14:20,560 --> 01:14:20,920 ADVANCES. 1638 01:14:20,920 --> 01:14:23,160 WE OFTEN GET ASKED ABOUT THE 1639 01:14:23,160 --> 01:14:26,960 INTERSECTION OF COVID-19 AND 1640 01:14:26,960 --> 01:14:30,880 REHABILITATION. 1641 01:14:30,880 --> 01:14:32,920 THE FIRST PAPER IS A PILOT AWARD 1642 01:14:32,920 --> 01:14:39,680 MADE AT THE MEDICAL UNIVERSITY 1643 01:14:39,680 --> 01:14:41,520 OF SOUTH CAROLINA AND THEY WERE 1644 01:14:41,520 --> 01:14:47,760 ABLE TO SHOW THAT YOU CAN SAFETY 1645 01:14:47,760 --> 01:14:51,720 DO A ADD-HOME 1646 01:14:51,720 --> 01:14:53,680 SELF-ADMINISTRATIVE 1647 01:14:53,680 --> 01:14:55,120 TRANSCUTANEOUS STIMULATION AND 1648 01:14:55,120 --> 01:15:01,320 WE'VE HEARD FROM YOU OFTEN THAT 1649 01:15:01,320 --> 01:15:05,840 TELE REHAB IS THE WAVE OF FUTURE 1650 01:15:05,840 --> 01:15:07,080 AND IT'S IMPORTANT WE HAVE 1651 01:15:07,080 --> 01:15:08,920 SAFETY AND FEASIBILITY STUDIES 1652 01:15:08,920 --> 01:15:11,040 SO SEE WHETHER SOMETHING AS 1653 01:15:11,040 --> 01:15:12,440 SIGNIFICANT AS NEURO MODULATION 1654 01:15:12,440 --> 01:15:15,880 CAN BE DONE AT THE HOME. 1655 01:15:15,880 --> 01:15:22,680 THIS WAS NOT POWERED TO LOOK AT 1656 01:15:22,680 --> 01:15:24,120 EFFICACY BUT TO MANAGE LONG 1657 01:15:24,120 --> 01:15:24,920 COVID SYMPTOMS. 1658 01:15:24,920 --> 01:15:27,720 SO WE LOOK AT MORE RESEARCH 1659 01:15:27,720 --> 01:15:29,240 ALONG THESE LINES. 1660 01:15:29,240 --> 01:15:34,280 AND THEN THE SECOND ONE IS FROM 1661 01:15:34,280 --> 01:15:43,640 A K99 GRANTEE USING THE NIDLER 1662 01:15:43,640 --> 01:15:46,560 FUNDED DATA AND TO LOOK AT 1663 01:15:46,560 --> 01:15:48,840 CHANGES IN COLOR USE AND MOOD 1664 01:15:48,840 --> 01:15:53,480 DURING THE COVID-19 PANDEMIC IN 1665 01:15:53,480 --> 01:15:55,160 PEOPLE WITH TRAUMATIC BRAIN 1666 01:15:55,160 --> 01:15:56,640 INJURIES AND THEY FOUND THERE 1667 01:15:56,640 --> 01:15:59,720 WERE INCREASES IN ALCOHOL 1668 01:15:59,720 --> 01:16:01,880 CONSUMPTION DURING THE PANDEMIC 1669 01:16:01,880 --> 01:16:05,880 AND THERE WERE ALSO, IN A 1670 01:16:05,880 --> 01:16:09,320 SUBGROUP OF HISPANICS, THAT 1671 01:16:09,320 --> 01:16:13,000 PANDEMIC EXPOSED HISPANICS WITH 1672 01:16:13,000 --> 01:16:16,240 TBI HAD LARGE ELEVATIONS IN 1673 01:16:16,240 --> 01:16:18,520 ANXIETY SYMPTOMS COMPARED TO 1674 01:16:18,520 --> 01:16:20,920 UNEXPOSED HISPANICS WITH TBI AND 1675 01:16:20,920 --> 01:16:23,840 YOU KNOW, COULD THAT HAVE BEEN A 1676 01:16:23,840 --> 01:16:26,880 RESULT OF THE HEALTH INEQUITIES 1677 01:16:26,880 --> 01:16:28,080 THAT WERE SEEN DURING THE 1678 01:16:28,080 --> 01:16:29,760 PANDEMIC SO I WANT TO HIGHLIGHT 1679 01:16:29,760 --> 01:16:32,600 THESE TWO EXAMPLES OF RESEARCH 1680 01:16:32,600 --> 01:16:35,040 THAT WE HAVE SUPPORTED AND 1681 01:16:35,040 --> 01:16:36,360 CONJUNCTION WITH OUR 1682 01:16:36,360 --> 01:16:41,080 COLLABORATORS NEXT SLIDE. 1683 01:16:41,080 --> 01:16:42,600 ANOTHER AREA THAT I THINK IS 1684 01:16:42,600 --> 01:16:44,560 IMPORTANT FOR US TO LOOK AT IS 1685 01:16:44,560 --> 01:16:48,480 THE INTERSECTION OF DISABILITY 1686 01:16:48,480 --> 01:16:49,200 AND HEALTH. 1687 01:16:49,200 --> 01:16:54,520 Dr. BIANCHI TALKED ABOUT NICHD 1688 01:16:54,520 --> 01:16:56,160 LONG HISTORY IN REPRODUCTIVE 1689 01:16:56,160 --> 01:16:59,440 HEALTH PEOPLE WITH DISABILITIES 1690 01:16:59,440 --> 01:16:59,880 SEPARATELY. 1691 01:16:59,880 --> 01:17:01,280 THE FIRST STUDY HERE IS AN 1692 01:17:01,280 --> 01:17:04,560 INTERSECTION OF THOSE TWO. 1693 01:17:04,560 --> 01:17:11,560 SO, THIS WAS FROM A K-12 AWARDEE 1694 01:17:11,560 --> 01:17:14,200 SCHOLAR AND THEY FOUND THAT 1695 01:17:14,200 --> 01:17:17,400 ADOLESCENCE WITH CEREBRAL PALSY 1696 01:17:17,400 --> 01:17:19,960 WERE THROW TIMES LESS LIKELY TO 1697 01:17:19,960 --> 01:17:21,840 START AND TWO TIMES LESS LIKELY 1698 01:17:21,840 --> 01:17:26,760 TO BE UP-TO-DATE ON THEIR HPV 1699 01:17:26,760 --> 01:17:31,040 IMMUNIZATION SERIES COMPARED TO 1700 01:17:31,040 --> 01:17:36,200 THEIR AGE-MATCHED PEERS. 1701 01:17:36,200 --> 01:17:38,800 IT AT ANY TIME MATTER THE GENDER 1702 01:17:38,800 --> 01:17:43,280 OR THE AMBULATORY STATUS OR THE 1703 01:17:43,280 --> 01:17:46,040 GMSCS LEVEL WITH THE ADOLESCENT, 1704 01:17:46,040 --> 01:17:49,320 THERE WERE STILL SEEING THIS 1705 01:17:49,320 --> 01:17:53,400 DIFFERENCE IN IMMUNIZATION 1706 01:17:53,400 --> 01:17:53,960 RATES. 1707 01:17:53,960 --> 01:17:56,760 SO, CLEARLY, THIS SPEAKS TO OR 1708 01:17:56,760 --> 01:17:59,160 INTEREST IN HOW PEOPLE WITH 1709 01:17:59,160 --> 01:18:00,360 DISABILITIES INTERACT WITH THE 1710 01:18:00,360 --> 01:18:02,600 BROADER HEALTH SYSTEM. 1711 01:18:02,600 --> 01:18:05,880 AND THEN FINALLY, THE PAPER 1712 01:18:05,880 --> 01:18:07,720 ACTUALLY CAME OUT A LITTLE BIT 1713 01:18:07,720 --> 01:18:10,920 LONGER AGO, IT WAS THE END OF 1714 01:18:10,920 --> 01:18:14,120 LAST YEAR AND LOOKING AT THE 1715 01:18:14,120 --> 01:18:18,760 EFFECTS OF BOTH AGE AND CRON IS 1716 01:18:18,760 --> 01:18:22,280 TEE ON DISABILITY FUNCTIONAL 1717 01:18:22,280 --> 01:18:23,400 PENDANCE AND COMMUNITY 1718 01:18:23,400 --> 01:18:24,800 PARTICIPATION, THESE 1719 01:18:24,800 --> 01:18:27,800 INVESTIGATORS, IT WAS A K99 1720 01:18:27,800 --> 01:18:32,840 INVESTIGATOR USING THE TBI MODEL 1721 01:18:32,840 --> 01:18:38,160 SYSTEMS DATA AND SHOWING THAT 1722 01:18:38,160 --> 01:18:39,720 THERE'S INCREASED RATES OF 1723 01:18:39,720 --> 01:18:41,280 DISABILITY FUNCTIONAL 1724 01:18:41,280 --> 01:18:42,760 INDEPENDENT ANT REDUCED 1725 01:18:42,760 --> 01:18:45,320 FUNCTIONAL INDEPENDENCE AND LESS 1726 01:18:45,320 --> 01:18:47,280 COMMUNITY PARTICIPATION WITH 1727 01:18:47,280 --> 01:18:49,960 OLDER AGE AND THERE WAS ALSO 1728 01:18:49,960 --> 01:18:50,680 THIS INTERSECTION CONTINUE THOSE 1729 01:18:50,680 --> 01:19:00,560 THIS INTERACTION WITH THE 1730 01:19:00,560 --> 01:19:00,800 VARIABLES. 1731 01:19:00,800 --> 01:19:08,240 I AM EXCITED WITH THE LARGER NIH 1732 01:19:08,240 --> 01:19:09,960 OT LEVEL PICKS UP IN 1733 01:19:09,960 --> 01:19:11,040 REHABILITATION AND SO A COUPLE 1734 01:19:11,040 --> 01:19:13,000 MONTHS AGO, THEY HAD IN THEIR 1735 01:19:13,000 --> 01:19:15,800 LAY PUBLICATION, NIH RESEARCH 1736 01:19:15,800 --> 01:19:19,080 MATTERS, A FEATURE ON SOME WORK 1737 01:19:19,080 --> 01:19:22,000 BY STEVE COLLINS AT STANFORD AND 1738 01:19:22,000 --> 01:19:26,800 WHO IS JOINTLY FUNDED BY NIBI 1739 01:19:26,800 --> 01:19:32,200 AND NCMRR CO FUNDS THIS CENTER 1740 01:19:32,200 --> 01:19:35,800 ON HIS ROBOTIC EXOSKELETON WORK 1741 01:19:35,800 --> 01:19:37,880 AND THIS PARTICULAR PAPER IN 1742 01:19:37,880 --> 01:19:41,080 NATURE FOCUSED ON HEALTHY 1743 01:19:41,080 --> 01:19:44,760 INDIVIDUALS WEARING THE DEVICE 1744 01:19:44,760 --> 01:19:46,720 AND OF COURSE THERE'S 1745 01:19:46,720 --> 01:19:48,280 IMPLICATIONS FOR PEOPLE WITH 1746 01:19:48,280 --> 01:19:52,320 MOBILITY IMPAIRMENTS. 1747 01:19:52,320 --> 01:19:57,000 AND I'M GOING TO PAUSE. 1748 01:19:57,000 --> 01:20:00,400 IF YOU CAN GO TO THE NEXT SLIDE. 1749 01:20:00,400 --> 01:20:04,000 WE'RE GOING TO TRANSITION A 1750 01:20:04,000 --> 01:20:04,720 LITTLE BIT. 1751 01:20:04,720 --> 01:20:07,240 ONE THING I DIDN'T HAVE A SLIDE 1752 01:20:07,240 --> 01:20:09,880 FOR, BUT I DID WANT TO PUT IN 1753 01:20:09,880 --> 01:20:12,840 YOUR EAR, IS THAT THE ADVISORY 1754 01:20:12,840 --> 01:20:14,760 EXIT' TO THE NIH DIRECTOR IS 1755 01:20:14,760 --> 01:20:21,000 MEETING AT THE END OF THE WEEK. 1756 01:20:21,000 --> 01:20:22,480 AND IF YOU HAVE TIME OR YOU 1757 01:20:22,480 --> 01:20:24,600 WOULD LIKE TO LOOK LATER, AT 1 1758 01:20:24,600 --> 01:20:33,360 11:00A.M. ON FRIDAY, THE WORKFOE 1759 01:20:33,360 --> 01:20:34,680 DIVERSITY WILL BE REPORTING OUT 1760 01:20:34,680 --> 01:20:37,000 AT THE WORK OF THE SUBCOMMITTEE 1761 01:20:37,000 --> 01:20:39,960 ON PEOPLE WITH DISABILITIES. 1762 01:20:39,960 --> 01:20:47,160 THAT SUBCOMMITTEE INCLUDED THREE 1763 01:20:47,160 --> 01:20:48,360 FORMER ADVISORY BOARD MEMBERS. 1764 01:20:48,360 --> 01:20:50,600 I CAN'T TALK ABOUT WHAT THE 1765 01:20:50,600 --> 01:20:52,080 REPORT WILL SAY, BECAUSE IT HAS 1766 01:20:52,080 --> 01:20:55,680 NOT BEEN PRESENTED PUBLICLY. 1767 01:20:55,680 --> 01:20:58,760 I THINK THAT IT WOULD BE 1768 01:20:58,760 --> 01:20:59,520 SOMETHING THAT WE WILL TALK 1769 01:20:59,520 --> 01:21:01,040 ABOUT AT THE MAY MEETING AND IF 1770 01:21:01,040 --> 01:21:04,960 YOU WOULD LIKE TO SEE HOW THAT 1771 01:21:04,960 --> 01:21:07,560 GROUP REPORTS OUT ON THINGS THAT 1772 01:21:07,560 --> 01:21:10,600 NIH CAN DO TO IMPROVE THE 1773 01:21:10,600 --> 01:21:13,200 INCLUSION OF RESEARCHERS WITH 1774 01:21:13,200 --> 01:21:15,240 DISABILITIES IN THE NIH 1775 01:21:15,240 --> 01:21:17,000 COMMUNITY, I WOULD ENCOURAGE YOU 1776 01:21:17,000 --> 01:21:21,120 TO TACK TAKE A LOOK AT THAT. 1777 01:21:21,120 --> 01:21:24,040 SO WITH THE LAST COUPLE MINUTES 1778 01:21:24,040 --> 01:21:28,240 I HAVE, NEXT SLIDE, I DID WANT 1779 01:21:28,240 --> 01:21:32,800 TO TALK ABOUT HOW NIH IS 1780 01:21:32,800 --> 01:21:36,000 REHABILITATION PORTFOLIO BROAD Y 1781 01:21:36,000 --> 01:21:36,760 IS DOING. 1782 01:21:36,760 --> 01:21:39,960 IN MAY, WE'LL DO A DEEPER DIVE 1783 01:21:39,960 --> 01:21:42,800 INTO THE NCMRR PORTION OF THAT 1784 01:21:42,800 --> 01:21:43,000 HAVE. 1785 01:21:43,000 --> 01:21:47,200 SO HERE WE HAVE THE EXTRAMURAL 1786 01:21:47,200 --> 01:21:48,000 RESEARCH PORTFOLIO. 1787 01:21:48,000 --> 01:21:50,520 IF YOU TAKE A LOOK AT R CDC, 1788 01:21:50,520 --> 01:21:53,960 WHICH IS OUR OFFICIAL REPORTING 1789 01:21:53,960 --> 01:21:58,560 OF DOLLARS IN DESIGNATED 1790 01:21:58,560 --> 01:21:59,560 CATEGORIES THE NUMBERS ARE 1791 01:21:59,560 --> 01:22:01,480 HIGHER BUZZ WE HAVE TAKEN OUT 1792 01:22:01,480 --> 01:22:03,760 THE INTRAMURAL PORTION OF THAT 1793 01:22:03,760 --> 01:22:08,160 AND SINCE THIS IS AN EXTRAMURAL 1794 01:22:08,160 --> 01:22:09,240 ADVISORY BOARD. 1795 01:22:09,240 --> 01:22:12,040 YOU CAN SEE THAT WE'VE HAD 1796 01:22:12,040 --> 01:22:15,880 SIGNIFICANT GROWTH SINCE THE 1797 01:22:15,880 --> 01:22:17,760 PUBLISHING OF OUR FIRST RESEARCH 1798 01:22:17,760 --> 01:22:21,400 PLAN IN 2016. 1799 01:22:21,400 --> 01:22:26,320 IT'S ABOUT A 40% GROWTH IN THAT 1800 01:22:26,320 --> 01:22:26,600 TIME. 1801 01:22:26,600 --> 01:22:29,640 THIS WAS NOT ACHIEVED THROUGH A 1802 01:22:29,640 --> 01:22:34,040 SET ASIDE FROM CONGRESS FOR AN 1803 01:22:34,040 --> 01:22:35,000 EXTRA $100 MILLION THIS YEAR. 1804 01:22:35,000 --> 01:22:40,440 IT WAS ACHIEVED BY 1805 01:22:40,440 --> 01:22:41,760 REHABILITATION PRINCIPLE 1806 01:22:41,760 --> 01:22:44,760 INVESTIGATORS PUTTING IN 1807 01:22:44,760 --> 01:22:47,440 SUCCESSFUL APPLICATIONS INTO THE 1808 01:22:47,440 --> 01:22:48,720 NIH SYSTEM. 1809 01:22:48,720 --> 01:22:50,880 SO I THINK THIS REALLY SPEAK TO 1810 01:22:50,880 --> 01:22:53,240 THE WORK THAT THE CENTER HAD 1811 01:22:53,240 --> 01:22:55,400 DONE PREVIOUSLY THAT YOU ALL 1812 01:22:55,400 --> 01:22:58,200 HAVE DONE PREVIOUSLY TO CREATE A 1813 01:22:58,200 --> 01:23:00,320 CAD RAY OF REHABILITATION 1814 01:23:00,320 --> 01:23:02,000 RESEARCHERS WHO SUCCESSFULLY 1815 01:23:02,000 --> 01:23:06,320 COMPETE FOR NIH FUNDING. 1816 01:23:06,320 --> 01:23:09,520 LOOKING AT THAT FUNDING FROM FY 1817 01:23:09,520 --> 01:23:11,960 FISCAL YEAR '21, I REALLY WANT 1818 01:23:11,960 --> 01:23:13,800 TO ACKNOWLEDGE THAT THERE ARE 1819 01:23:13,800 --> 01:23:19,560 OTHER PARTS OF NIH BESIDES NCMRR 1820 01:23:19,560 --> 01:23:21,240 THAT FUNDS SIGNIFICANT AMOUNTS 1821 01:23:21,240 --> 01:23:23,960 OF REHABILITATION RESEARCH 1822 01:23:23,960 --> 01:23:26,880 PARTICULARLY NINDS, THE NATIONAL 1823 01:23:26,880 --> 01:23:32,200 INSTITUTE ON AGING, NATIONAL 1824 01:23:32,200 --> 01:23:33,040 INSTITUTE DEAFNESS AND OTHER 1825 01:23:33,040 --> 01:23:34,040 DISORDERSMENT IT'S IMPORTANT 1826 01:23:34,040 --> 01:23:35,680 THAT WE HAVE THESE PARTNERS AT 1827 01:23:35,680 --> 01:23:36,480 THE TABLE. 1828 01:23:36,480 --> 01:23:39,400 THEY ARE HERE TODAY AT THIS 1829 01:23:39,400 --> 01:23:41,600 MEETING THAT WE WORK WITH THEM, 1830 01:23:41,600 --> 01:23:43,320 BECAUSE THEY ARE DOING 1831 01:23:43,320 --> 01:23:45,520 INCREDIBLE WORK AND I WANTED TO 1832 01:23:45,520 --> 01:23:49,920 ACKNOWLEDGE THEM HERE. 1833 01:23:49,920 --> 01:23:53,120 THE OTHER THING I WANTED TO SAY 1834 01:23:53,120 --> 01:23:57,720 WITH THIS BEFO GRAPH IS THE LARE 1835 01:23:57,720 --> 01:23:59,200 PORTION OF SMALL BUSINESS 1836 01:23:59,200 --> 01:24:02,960 FUNDING THAT GOES TO 1837 01:24:02,960 --> 01:24:06,240 REHABILITATION AS WELL AS THE 1838 01:24:06,240 --> 01:24:07,920 SIGNIFICANCE IN THE R SERIES 1839 01:24:07,920 --> 01:24:15,320 GRANTS, THE RESEARCH PROJECTS 1840 01:24:15,320 --> 01:24:18,320 GRANTS. 1841 01:24:18,320 --> 01:24:19,400 REHABILITATION RESEARCH INVOLVES 1842 01:24:19,400 --> 01:24:24,320 A LOT OF CLINICAL TRIALS. 1843 01:24:24,320 --> 01:24:28,960 ABOUT A THIRD OF THE PORTFOLIO 1844 01:24:28,960 --> 01:24:32,800 INVOLVES AN NIH-DEFINED CLINICAL 1845 01:24:32,800 --> 01:24:35,400 TRIAL YOU CAN SEE THAT HERE. 1846 01:24:35,400 --> 01:24:44,680 AND IF WE GO TO THE NEXT SLIDE, 1847 01:24:44,680 --> 01:24:46,480 CLINICAL TRIALS ARE ALSO VERY 1848 01:24:46,480 --> 01:24:46,760 EXPENSIVE. 1849 01:24:46,760 --> 01:24:52,040 YOU WILL SEE THAT THE COLUMNS 1850 01:24:52,040 --> 01:24:53,720 GOT CLOSER IN HEIGHT. 1851 01:24:53,720 --> 01:24:57,280 SO ABOUT 45% OF THE 1852 01:24:57,280 --> 01:24:59,080 REHABILITATION PORTFOLIO GOES TO 1853 01:24:59,080 --> 01:25:02,280 CLINICAL TRIALS SPENDING AND I 1854 01:25:02,280 --> 01:25:08,040 BRING THIS UP BECAUSE IT HAS AN 1855 01:25:08,040 --> 01:25:08,600 IMPLICATION. 1856 01:25:08,600 --> 01:25:13,000 BOTH TO HOW WE ARE STEWARDS OF 1857 01:25:13,000 --> 01:25:18,280 THE SCIENCE THE SAFETY OF OUR 1858 01:25:18,280 --> 01:25:19,600 RESEARCH PARTICIPANTS. 1859 01:25:19,600 --> 01:25:22,920 TOMORROW YOU WILL HAVE SOME 1860 01:25:22,920 --> 01:25:26,240 PRESENTATIONS FROM INTEREST 1861 01:25:26,240 --> 01:25:30,360 REBECA ROUZIL THE ASSOCIATE 1862 01:25:30,360 --> 01:25:33,960 DIRECTOR OF DIVISION OF 1863 01:25:33,960 --> 01:25:35,800 EXTRAMURAL ACTIVITIES AT NICHD 1864 01:25:35,800 --> 01:25:37,040 AND PART OF THAT CONVERSATION IS 1865 01:25:37,040 --> 01:25:45,400 GOING TO BE ABOUT HOW DO WE HAVE 1866 01:25:45,400 --> 01:25:46,960 THE STANDARD OPERATING 1867 01:25:46,960 --> 01:25:49,640 PROCEDURES HOW WE MANAGE OUR 1868 01:25:49,640 --> 01:25:52,680 CLINICAL TRIALS BOTH FOR THE 1869 01:25:52,680 --> 01:25:57,640 SCIENCE AS WELL AS FOR THE 1870 01:25:57,640 --> 01:26:00,720 FUNDING. 1871 01:26:00,720 --> 01:26:03,120 SO, WE HAVE NEW POLICIES AS AN 1872 01:26:03,120 --> 01:26:05,040 INSTITUTE IN THE COMING YEAR AND 1873 01:26:05,040 --> 01:26:07,960 SO THIS IS PART OF THE REASON 1874 01:26:07,960 --> 01:26:09,400 WHY WHEN PROGRAMS STAFF HAVE 1875 01:26:09,400 --> 01:26:10,680 QUESTIONS ABOUT HOW WE'RE DOING 1876 01:26:10,680 --> 01:26:13,000 WITH RECRUITMENT, WHO ARE WE 1877 01:26:13,000 --> 01:26:15,400 RECRUITING, PART OF IT IS DRIVEN 1878 01:26:15,400 --> 01:26:18,240 BY THE SCIENCE AND PART OF IT IS 1879 01:26:18,240 --> 01:26:19,640 DRIVEN BY THE FINANCIAL 1880 01:26:19,640 --> 01:26:25,080 REALITIES OF IT. 1881 01:26:25,080 --> 01:26:25,960 NEXT SLIDE. 1882 01:26:25,960 --> 01:26:29,960 WE'D LIKE TO LOOK AT HOW WE ARE 1883 01:26:29,960 --> 01:26:32,920 MAPPING OR NEW GRANTS ISSUED IN 1884 01:26:32,920 --> 01:26:37,480 '21 TO THE RESEARCH THEMES. 1885 01:26:37,480 --> 01:26:41,360 I THINK I CAN SAY THAT WE'RE 1886 01:26:41,360 --> 01:26:48,520 DISAPPOINTED IN THE NUMBER IN 1887 01:26:48,520 --> 01:26:50,080 THE COMMUNITY AND FAMILY 1888 01:26:50,080 --> 01:26:51,560 CATEGORY AND IT WILL TAKE 1889 01:26:51,560 --> 01:26:52,960 SOMETHING DISRUPTIVE TO CHANGE 1890 01:26:52,960 --> 01:26:53,160 THAT. 1891 01:26:53,160 --> 01:26:56,280 WE'RE NOT GOING TO BE ABLE TO 1892 01:26:56,280 --> 01:27:00,480 MOVE THAT NEEDLE WITH A FEW 1893 01:27:00,480 --> 01:27:02,920 TARGETED SMALL RFAs, SOMETHING 1894 01:27:02,920 --> 01:27:04,520 DISRUPTIVE WILL HAVE TO HAPPEN 1895 01:27:04,520 --> 01:27:06,440 TO MAKE THAT CHANGE. 1896 01:27:06,440 --> 01:27:11,960 NOT SURPRISING, MOST OF THE 1897 01:27:11,960 --> 01:27:13,200 CATEGORIZATION FALLS IN OUR 1898 01:27:13,200 --> 01:27:16,840 CLINICAL TRIALS WHICH END UP IN 1899 01:27:16,840 --> 01:27:20,000 CATEGORY D AND E IS OUR MORE 1900 01:27:20,000 --> 01:27:23,960 BASIC SCIENCE AND C IS A SIS 1901 01:27:23,960 --> 01:27:32,200 TIVE TECHNOLOGY TELEHEALTH, TELE 1902 01:27:32,200 --> 01:27:32,400 REHAB. 1903 01:27:32,400 --> 01:27:38,960 IN THE NEXT SLIDE, WE'LL SHOW 1904 01:27:38,960 --> 01:27:39,200 TRENDS. 1905 01:27:39,200 --> 01:27:41,760 I DON'T KNOW WHAT THAT IS. 1906 01:27:41,760 --> 01:27:47,400 IT'S SURPRISING TO SEE THAT 1907 01:27:47,400 --> 01:27:48,280 THERE MIGHT HAVE BEEN A LITTLE 1908 01:27:48,280 --> 01:27:52,960 BIT OF A SHIFT DURING THE 1909 01:27:52,960 --> 01:27:54,640 PANDEMIC AWAY FROM STUDIES THAT 1910 01:27:54,640 --> 01:27:57,600 LOOKED MORE AT CLINICAL 1911 01:27:57,600 --> 01:27:59,240 POPULATIONS VERSUS ONCE THAT 1912 01:27:59,240 --> 01:28:03,440 WERE MORE BASIC SCIENCE. 1913 01:28:03,440 --> 01:28:05,720 THAT IS A QUESTION THAT I HAVE. 1914 01:28:05,720 --> 01:28:07,480 IF THE CHANGES THAT WE'RE SEEING 1915 01:28:07,480 --> 01:28:10,240 HERE ARE A RESULT OF THAT THAT 1916 01:28:10,240 --> 01:28:13,680 IS A HYPOTHESIS I DON'T WANT TO 1917 01:28:13,680 --> 01:28:14,320 LOOK INTO. 1918 01:28:14,320 --> 01:28:17,360 BUT OTHERWISE, WE HAD SEEN A 1919 01:28:17,360 --> 01:28:19,280 LITTLE BUMP IN COMMUNITY AND 1920 01:28:19,280 --> 01:28:21,880 FAMILY IN 2020 BUT THAT 1921 01:28:21,880 --> 01:28:25,320 REBOUNDED SIGNIFICANTLY IN 1922 01:28:25,320 --> 01:28:30,000 '21 AND SO I TO RECOGNIZE THAT 1923 01:28:30,000 --> 01:28:31,960 SHIFT IN HAVE QUESTIONS ABOUT 1924 01:28:31,960 --> 01:28:40,920 WHAT WE CAN DO GOING FORWARD TO 1925 01:28:40,920 --> 01:28:43,240 BOOST THAT. 1926 01:28:43,240 --> 01:28:46,560 WE ALSO LOCK AT THE TYPE OF 1927 01:28:46,560 --> 01:28:50,120 SCIENCE ON THE TRANSLATIONAL 1928 01:28:50,120 --> 01:28:50,560 SPECTRUM. 1929 01:28:50,560 --> 01:28:51,920 I DON'T THINK IT'S SURPRISING 1930 01:28:51,920 --> 01:28:54,640 THAT WE FIND MOST OF OUR GRANTS 1931 01:28:54,640 --> 01:28:59,160 FALLING INTO THE APPLIED 1932 01:28:59,160 --> 01:29:01,560 CLINICAL DESIGNATION AND THEN 1933 01:29:01,560 --> 01:29:02,280 JUST ONE POWER WAY TO LOOK AT 1934 01:29:02,280 --> 01:29:06,320 THE DATA ON THE NEXT SLIDE, 1935 01:29:06,320 --> 01:29:08,280 HAVING THIS INTERSECTION BETWEEN 1936 01:29:08,280 --> 01:29:12,120 THE TWO TYPES -- I'M SORRY, 1937 01:29:12,120 --> 01:29:14,640 BETWEEN A PRIMARY THEME AND A 1938 01:29:14,640 --> 01:29:23,520 SECONDARY THEME AND SO AGAIN, 1939 01:29:23,520 --> 01:29:24,680 WE'RE SEEING LOTS IN THE 1940 01:29:24,680 --> 01:29:27,680 CLINICAL TRIALS AS A PRIMARY 1941 01:29:27,680 --> 01:29:28,600 THEME AND STRONG INTERSECTIONS 1942 01:29:28,600 --> 01:29:32,080 WITH TECHNOLOGY. 1943 01:29:32,080 --> 01:29:33,840 THE LAST KIND OF OVERVIEW OF 1944 01:29:33,840 --> 01:29:34,320 THE. 1945 01:29:34,320 --> 01:29:37,160 >>Tara: I WANTED TO SHOW YOU IS 1946 01:29:37,160 --> 01:29:39,440 GEOGRAPHICAL LOCATIONS SO WHERE 1947 01:29:39,440 --> 01:29:49,960 ARE WE SENDING THIS MONEY THE 1948 01:29:52,200 --> 01:29:53,320 PORTFOLIO WAS GLOBAL BUT IT WAS 1949 01:29:53,320 --> 01:29:56,200 DIFFICULT TO SEE ALL OF THAT ON 1950 01:29:56,200 --> 01:29:58,760 A GLOBAL MAP. 1951 01:29:58,760 --> 01:30:02,000 AND AS PART OF OUR DISCUSSIONS 1952 01:30:02,000 --> 01:30:07,600 ON DIVERSITY AND INCLUSION, PART 1953 01:30:07,600 --> 01:30:10,840 OF THAT IS RURAL VERSUS URBAN 1954 01:30:10,840 --> 01:30:12,400 AND THE COASTS VERSUS THE 1955 01:30:12,400 --> 01:30:14,600 CENTRAL PART OF THE COUNTRY AND 1956 01:30:14,600 --> 01:30:20,320 SO THIS IS JUST A SNAPSHOT AND 1957 01:30:20,320 --> 01:30:22,880 SOMETHING I WANT TO DIG IN MORE 1958 01:30:22,880 --> 01:30:24,880 BUT AT FIRST GLANCE, I AM 1959 01:30:24,880 --> 01:30:29,760 ACTUALLY QUITE HAPPY AT THE FILL 1960 01:30:29,760 --> 01:30:30,880 IN THIS MAP. 1961 01:30:30,880 --> 01:30:33,560 I'VE SEEN OTHER PORTFOLIOS THAT 1962 01:30:33,560 --> 01:30:35,720 WERE NOT AS DISTRIBUTED ACROSS 1963 01:30:35,720 --> 01:30:38,320 THE COUNTRY AND THAT THERE ARE 1964 01:30:38,320 --> 01:30:41,200 CERTAINLY AREAS ON THIS MAP THAT 1965 01:30:41,200 --> 01:30:44,360 ARE LACKING IN NIH SUPPORT AND 1966 01:30:44,360 --> 01:30:48,920 SO THAT IS A CALL AT LEAST TO MY 1967 01:30:48,920 --> 01:30:50,400 MIND, ARE THERE WAYS THAT WE CAN 1968 01:30:50,400 --> 01:31:00,840 BE DOING BETTER OUTREACH. 1969 01:31:09,080 --> 01:31:14,680 I'VE BEEN TALKING FOR A LONG 1970 01:31:14,680 --> 01:31:17,560 TIME. 1971 01:31:17,560 --> 01:31:20,040 AGAIN, I HOPE THIS PRESENTATION 1972 01:31:20,040 --> 01:31:21,440 HAS CONVEYED WE ARE ACTIVE, OUT 1973 01:31:21,440 --> 01:31:24,480 THERE AND THE STAFF OF NCMRR IS 1974 01:31:24,480 --> 01:31:25,680 INCREDIBLE AND I NEED TO THANK 1975 01:31:25,680 --> 01:31:27,960 THEM AND OUR COLLEAGUES ACROSS 1976 01:31:27,960 --> 01:31:30,400 NIH FOR THEIR SUPPORT OF 1977 01:31:30,400 --> 01:31:31,720 REHABILITATION RESEARCH AND OF 1978 01:31:31,720 --> 01:31:34,720 COURSE, THE WORK THAT YOU ALL 1979 01:31:34,720 --> 01:31:38,920 ARE DOING AND WITH THAT, I WILL 1980 01:31:38,920 --> 01:31:43,800 OPEN IT TO COMMENTS OR 1981 01:31:43,800 --> 01:31:44,040 QUESTIONS. 1982 01:31:44,040 --> 01:31:44,680 >>Chair Dr. Perreault: THANK 1983 01:31:44,680 --> 01:31:44,840 YOU. 1984 01:31:44,840 --> 01:31:45,600 DO WE HAVE ANY QUESTIONS OR 1985 01:31:45,600 --> 01:31:56,000 COMMENTS FOR THERESA? 1986 01:31:57,920 --> 01:32:00,480 >>THANK YOU FOR A VERY 1987 01:32:00,480 --> 01:32:04,520 COMPREHENSIVE PRESENTATION. 1988 01:32:04,520 --> 01:32:07,320 I WAS EXCITED ABOUT THE 1989 01:32:07,320 --> 01:32:08,960 COMPETITION FOR UNDERGRADUATES. 1990 01:32:08,960 --> 01:32:11,160 I THINK IT'S GREAT. 1991 01:32:11,160 --> 01:32:14,640 I'M NOT SURE INSTRUCTOR FOR THIS 1992 01:32:14,640 --> 01:32:17,240 CAPSTONE PROJECTS, NORMALLY TWO 1993 01:32:17,240 --> 01:32:18,720 SEMESTER SEQUENCE SO THIS IS 1994 01:32:18,720 --> 01:32:22,480 GREAT AND I WONDER IF THERE ARE 1995 01:32:22,480 --> 01:32:25,640 ANY PLANS TO ACTUALLY SUPPORT 1996 01:32:25,640 --> 01:32:26,480 THE STEPS. 1997 01:32:26,480 --> 01:32:30,640 NOT THE PRICE BUT THE PROJECTS 1998 01:32:30,640 --> 01:32:35,080 AND THAT IS CHALLENGING 1999 01:32:35,080 --> 01:32:36,720 PARTICULARLY FOR MINORITY 2000 01:32:36,720 --> 01:32:39,280 INSTITUTIONS BECAUSE YOU NEED 2001 01:32:39,280 --> 01:32:41,160 SOME BASELINE FUNDING TO SUPPORT 2002 01:32:41,160 --> 01:32:43,960 THESE PROJECTS FROM THE STUDENTS 2003 01:32:43,960 --> 01:32:47,720 THAT THEY MIGHT NOT HAVE. 2004 01:32:47,720 --> 01:32:49,360 >>SO, I WOULD SAY WE HAVE A 2005 01:32:49,360 --> 01:32:53,960 COUPLE THINGS WE CAN DO THERE 2006 01:32:53,960 --> 01:33:00,240 AND NIBIB HAS AN R25 THAT WE'VE 2007 01:33:00,240 --> 01:33:10,760 SUPPORTED AND AND THAT DOES IT 2008 01:33:12,280 --> 01:33:15,920 PROVIDES PLUS OR MINUS TO 2009 01:33:15,920 --> 01:33:16,560 SUPPORT THOSE CAPSTONE PROGRAMS 2010 01:33:16,560 --> 01:33:20,320 AND THEY HAVE AN R25 THAT THE 2011 01:33:20,320 --> 01:33:24,200 NIBIB ONE THEY HAVE ONE THAT 2012 01:33:24,200 --> 01:33:27,520 TARGETED UNDERSERVED 2013 01:33:27,520 --> 01:33:29,240 INSTITUTIONS AND I DON'T WANT TO 2014 01:33:29,240 --> 01:33:30,520 MISSTATEMENT HOW IT'S WORDED BUT 2015 01:33:30,520 --> 01:33:33,840 IT MIGHT BE MSIs OR SOMETHING 2016 01:33:33,840 --> 01:33:34,840 OF THE LIKE. 2017 01:33:34,840 --> 01:33:36,880 THAT IS MORE SPECIFIC TO THIS 2018 01:33:36,880 --> 01:33:39,000 TYPE OF PRIZE. 2019 01:33:39,000 --> 01:33:42,200 THE OTHER THING IS PRIZES CAN 2020 01:33:42,200 --> 01:33:52,720 CAN BE FLEXIBILITY AND SO LOW 2021 01:33:58,200 --> 01:33:59,040 FURRED FOR POEM TO ENGAGE IN AND 2022 01:33:59,040 --> 01:34:00,280 YOU COULD GIVE LOTS. 2023 01:34:00,280 --> 01:34:03,480 YOU COULD GIVE 50, $10,000 2024 01:34:03,480 --> 01:34:04,960 PRIZES, RIGHT, SO GET PEOPLE 2025 01:34:04,960 --> 01:34:07,480 GOING AND HAVE THEM COME AND 2026 01:34:07,480 --> 01:34:10,040 COMPETE AT A SECOND LEVEL AND SO 2027 01:34:10,040 --> 01:34:11,840 THAT NEURO MAUD PRIZE THAT WAS 2028 01:34:11,840 --> 01:34:15,480 LEVEL ONE AND THEN THEY CONTINUE 2029 01:34:15,480 --> 01:34:17,760 AND THAT IS ONE WAY TO DO IT SO 2030 01:34:17,760 --> 01:34:22,560 YOU KNOW RIGHT NOW WE ARE RIDING 2031 01:34:22,560 --> 01:34:23,400 NIBIB'S COATTAILS BUT YOU KNOW 2032 01:34:23,400 --> 01:34:24,960 THAT IS SOMETHING THAT WE CAN 2033 01:34:24,960 --> 01:34:26,880 SAY, ALL RIGHT, IF WE WANTED TO 2034 01:34:26,880 --> 01:34:29,720 DO THIS OURSELVES, HOW CAN WE BE 2035 01:34:29,720 --> 01:34:31,840 THE MOST IMPACTFUL FOR OUR 2036 01:34:31,840 --> 01:34:35,760 COMMUNITIES SO THOSE ARE GREAT 2037 01:34:35,760 --> 01:34:36,160 SUGGESTIONS. 2038 01:34:36,160 --> 01:34:39,440 >>I THINK BEYOND THE 2039 01:34:39,440 --> 01:34:40,680 OPPORTUNITY FOR COMMUNICATIONS 2040 01:34:40,680 --> 01:34:44,840 AND FOR GETTING FEEDBACK AND YOU 2041 01:34:44,840 --> 01:34:45,960 KNOW, MAYBE THEY FEEL PROUD OF 2042 01:34:45,960 --> 01:34:46,480 THE WORK. 2043 01:34:46,480 --> 01:34:49,280 I MEAN, IT'S REALLY A WIN-WIN 2044 01:34:49,280 --> 01:34:53,400 HERE IN TERMS OF THESE PROJECTS 2045 01:34:53,400 --> 01:34:58,920 AND I HAVE -- YOU KNOW, I KNOW 2046 01:34:58,920 --> 01:35:00,640 SOMETHING HAS BEEN DONE BUT IN 2047 01:35:00,640 --> 01:35:05,000 TERMS OF SOME MORE ADDITIONAL 2048 01:35:05,000 --> 01:35:12,440 COMPETITIONS FOR JUNIOR OR 2049 01:35:12,440 --> 01:35:14,120 ESTABLISHED PEOPLE OR FROM 2050 01:35:14,120 --> 01:35:18,160 INDUSTRY TO ADDRESS PROBLEMS IN 2051 01:35:18,160 --> 01:35:18,760 REHAB, RIGHT. 2052 01:35:18,760 --> 01:35:20,240 DEPLOYING A.I. OR MACHINE 2053 01:35:20,240 --> 01:35:23,200 LEARNING ON DATASETS, YOU KNOW. 2054 01:35:23,200 --> 01:35:25,280 IT COULD BE A COMPETITIONS THAT 2055 01:35:25,280 --> 01:35:27,320 WOULD RESULT ON PAPERS THAT WE 2056 01:35:27,320 --> 01:35:29,160 PEER REVIEW AND EVERYBODY WINS, 2057 01:35:29,160 --> 01:35:29,560 RIGHT. 2058 01:35:29,560 --> 01:35:31,480 SO I WONDER IF THERE ARE MORE 2059 01:35:31,480 --> 01:35:34,400 NEURO MODULATION PRIZE OR SOME 2060 01:35:34,400 --> 01:35:35,880 OTHER -- I THINK THAT WOULD BE A 2061 01:35:35,880 --> 01:35:38,320 WAY TO ENGAGE THE LARGEST 2062 01:35:38,320 --> 01:35:40,560 AUDIENCE AND MAYBE ATTRACT EVEN 2063 01:35:40,560 --> 01:35:44,840 PEOPLE FROM OTHER AREAS THAT GET 2064 01:35:44,840 --> 01:35:48,240 ON OUR BUT THEY COULD TRANSLATE 2065 01:35:48,240 --> 01:35:56,840 TOOLS AND SYSTEMS TO OUR MISSION 2066 01:35:56,840 --> 01:35:57,720 HERE. 2067 01:35:57,720 --> 01:35:58,920 >>Dr. Cruz: I'M GETTING YOUR 2068 01:35:58,920 --> 01:36:00,000 EXCITEMENT ON THE PRIZES. 2069 01:36:00,000 --> 01:36:01,520 I DON'T HAVE ANYTHING IN THE 2070 01:36:01,520 --> 01:36:03,000 WORKS PER SE. 2071 01:36:03,000 --> 01:36:06,840 I AM TAKING YOUR FEEDBACK. 2072 01:36:06,840 --> 01:36:10,600 >>THANK YOU. 2073 01:36:10,600 --> 01:36:11,000 >>DAN: FRANCISCO. 2074 01:36:11,000 --> 01:36:14,160 >>THANK YOU, Dr. CRUZ, FOR 2075 01:36:14,160 --> 01:36:16,520 SUCH A COMPREHENSIVE OVERVIEW. 2076 01:36:16,520 --> 01:36:18,440 I WAS JUST WANTED TO FOLLOW-UP 2077 01:36:18,440 --> 01:36:21,760 ON ONE OF YOUR SLIDES ABOUT THE 2078 01:36:21,760 --> 01:36:23,440 EXTRAMURAL RESEARCH PRIMARY 2079 01:36:23,440 --> 01:36:24,520 THEMES, WHERE YOU DESCRIBE THEM 2080 01:36:24,520 --> 01:36:35,080 IN DETAIL AND THEN YOU SAID THAT 2081 01:36:36,680 --> 01:36:38,640 YOU THOUGHT IT WOULD TAKE DIS 2082 01:36:38,640 --> 01:36:42,000 RECOMMEND TOUGH CHANGES IN THE 2083 01:36:42,000 --> 01:36:50,880 POSITIVE AND HOW CAN WE BE OF 2084 01:36:50,880 --> 01:37:00,400 MOST AID IN PERHAPS PER 2085 01:37:00,400 --> 01:37:00,960 INVESTMENTING THIS CHANGE? 2086 01:37:00,960 --> 01:37:01,880 >>Dr. Cruz: THANK YOU FOR THE 2087 01:37:01,880 --> 01:37:02,280 QUESTION. 2088 01:37:02,280 --> 01:37:05,400 WHEN I SEE ONLY 1% OF OUR BUDGET 2089 01:37:05,400 --> 01:37:13,280 IS GOING SOMEWHERE, YOU KNOW, 2090 01:37:13,280 --> 01:37:16,160 AND HOW MUCH MONEY NCMRR HAS TO 2091 01:37:16,160 --> 01:37:18,440 REINVEST IN A NEW AREA IN A 2092 01:37:18,440 --> 01:37:23,520 GIVEN YEAR, MOST OF OUR RFAs 2093 01:37:23,520 --> 01:37:24,680 ARE $1 MILLION AND $2 MILLION 2094 01:37:24,680 --> 01:37:25,960 AND EVEN IF WE SAID WE'LL START 2095 01:37:25,960 --> 01:37:29,400 A PROGRAM AND SOMETHING, ANY 2096 01:37:29,400 --> 01:37:31,480 AREA, THAT ALONE I DON'T THINK 2097 01:37:31,480 --> 01:37:34,120 IIS GOING TO DRASTICALLY CHANGE 2098 01:37:34,120 --> 01:37:40,720 THAT DIVISION OF SCIENTIFIC 2099 01:37:40,720 --> 01:37:41,640 PROGRESS, I GUESS. 2100 01:37:41,640 --> 01:37:44,200 AND SO WHEN I THINK DISRUPTIVE, 2101 01:37:44,200 --> 01:37:46,000 I'M THINKING THE WORK THAT WE'RE 2102 01:37:46,000 --> 01:37:48,480 DOING IN ABLEISM. 2103 01:37:48,480 --> 01:37:50,640 TO ME, THAT WOULD BE A 2104 01:37:50,640 --> 01:37:55,400 DISRUPTIVE TOPIC AT NIH AND I'M 2105 01:37:55,400 --> 01:37:59,680 HAVING LOTS OF CONVERSATIONS 2106 01:37:59,680 --> 01:38:00,280 WITH PEOPLE AT NIH, I'M 2107 01:38:00,280 --> 01:38:01,520 PRESENTING THIS IDEA AND I'M 2108 01:38:01,520 --> 01:38:06,640 TRYING TO GET BUY IN AND I THINK 2109 01:38:06,640 --> 01:38:08,560 THERE ARE OPPORTUNITIES THERE. 2110 01:38:08,560 --> 01:38:10,760 I DON'T HAVE A DATE FOR OUR 2111 01:38:10,760 --> 01:38:14,040 WORKSHOP BUT IT WILL BE HOPING 2112 01:38:14,040 --> 01:38:14,920 APRIL-MAY TIMEFRAME. 2113 01:38:14,920 --> 01:38:16,000 I'M BRINGING PEOPLE TOGETHER 2114 01:38:16,000 --> 01:38:17,200 FROM DIFFERENT INSTITUTES AND 2115 01:38:17,200 --> 01:38:19,040 THERE'S A LOT OF ENERGY THERE 2116 01:38:19,040 --> 01:38:22,240 AND SO WHEN I TALK ABOUT 2117 01:38:22,240 --> 01:38:26,760 DISRUPTION, I'M HOPING HA THE 2118 01:38:26,760 --> 01:38:32,440 IDEA IS THAT PEOPLE WITH LIVED 2119 01:38:32,440 --> 01:38:33,880 EXPERIENCE WHEN WE'RE NOT 2120 01:38:33,880 --> 01:38:38,880 REQUIRING IT AND THAT THEY WILL 2121 01:38:38,880 --> 01:38:42,280 BRING KIND OF THE PRINCIPLES 2122 01:38:42,280 --> 01:38:45,600 THAT NCMRR IS ADVANCING INTO 2123 01:38:45,600 --> 01:38:48,480 RESEARCH THAT GOES TO A REGULAR 2124 01:38:48,480 --> 01:38:49,680 PARENT 101 SO THOSE ARE THE 2125 01:38:49,680 --> 01:38:51,120 TYPES OF THINGS THAT I'M 2126 01:38:51,120 --> 01:38:52,560 THINKING OF AND SO YOU KNOW, 2127 01:38:52,560 --> 01:38:54,600 WHEN YOU ALL ARE PUTTING IN YOUR 2128 01:38:54,600 --> 01:38:58,680 GRANT APPLICATIONS, AND IT'S NOT 2129 01:38:58,680 --> 01:39:00,720 REQUIRED TO HAVE REPRESENTATIVE 2130 01:39:00,720 --> 01:39:02,320 FROM END USERS IS THAT SOMETHING 2131 01:39:02,320 --> 01:39:04,760 YOU BRING ANYWAY TO MAKE YOUR 2132 01:39:04,760 --> 01:39:06,640 RESEARCH BETTER? 2133 01:39:06,640 --> 01:39:09,000 THINGS LIKE THAT THAT IS A BIG 2134 01:39:09,000 --> 01:39:10,920 CULTURE SHIFT FOR SOME AND IT'S 2135 01:39:10,920 --> 01:39:13,600 NOT MAYBE PART OF MORE OF OUR 2136 01:39:13,600 --> 01:39:16,040 BASIC SCIENCES, FOR EXAMPLE. 2137 01:39:16,040 --> 01:39:17,640 AND SO, THAT IS WHAT I'M 2138 01:39:17,640 --> 01:39:22,600 THINKING WHEN I SAY DIS DISRUPTE 2139 01:39:22,600 --> 01:39:26,800 BUT I'M OPEN TO OTHER INPUT. 2140 01:39:26,800 --> 01:39:29,960 >>I SHOULD ADD THAT THE TRAIL 2141 01:39:29,960 --> 01:39:32,240 OF REHAB FAMILY AND COMMUNITY 2142 01:39:32,240 --> 01:39:37,600 SUBPOENASUPPORT ISIMPORTANT BECE 2143 01:39:37,600 --> 01:39:40,800 THE HEALTHY BEHAVIOR AND A 2144 01:39:40,800 --> 01:39:42,400 LONGER TIME SCALE AND IT'S JUST 2145 01:39:42,400 --> 01:39:44,240 A FEW HOURS PEOPLE ARE IN A 2146 01:39:44,240 --> 01:39:46,200 CLINIC IN THE STUDY BUT IT HAS 2147 01:39:46,200 --> 01:39:48,280 TO BE SUPPORTED BY THE REAL-LIFE 2148 01:39:48,280 --> 01:39:50,000 NEEDS SO IT CONNECTS BACK TO 2149 01:39:50,000 --> 01:39:50,840 THESE ISSUES. 2150 01:39:50,840 --> 01:39:52,640 AND WE HAVE TO GET RESEARCHERS 2151 01:39:52,640 --> 01:39:56,560 TO JUMP THERE AND TO REALLY SELL 2152 01:39:56,560 --> 01:40:00,160 THE IDEA AND TO SHOW THAT HOE 2153 01:40:00,160 --> 01:40:01,200 IMPORTANT THESE THINGS ARE. 2154 01:40:01,200 --> 01:40:03,160 IT'S INTUITIVE TO OUR CULTURE TO 2155 01:40:03,160 --> 01:40:03,600 DO THAT. 2156 01:40:03,600 --> 01:40:06,360 WE HAVE TO TRANSLATE INTO 2157 01:40:06,360 --> 01:40:07,160 RESEARCH RIG OR BECAUSE IT'S 2158 01:40:07,160 --> 01:40:08,800 SUCH A MISSING AREA OF 2159 01:40:08,800 --> 01:40:11,160 REINFORCING IT, ESPECIALLY IN 2160 01:40:11,160 --> 01:40:12,960 THE AREA OF PANDEMIC AND PEOPLE 2161 01:40:12,960 --> 01:40:14,040 HAVE TO MAKE COMMUNITIES AND WE 2162 01:40:14,040 --> 01:40:15,840 HAVE TO SUPPORT PEOPLE MORE 2163 01:40:15,840 --> 01:40:18,520 REMOTELY AND IT'S SO INTUITIVE 2164 01:40:18,520 --> 01:40:20,600 AND YET WE HAVEN'T TRANSLATED 2165 01:40:20,600 --> 01:40:22,680 THAT INTO THE STUDY SO THAT'S 2166 01:40:22,680 --> 01:40:24,360 WHAT WE'RE LOOKING AHEAD TO. 2167 01:40:24,360 --> 01:40:25,280 >>THANK YOU. 2168 01:40:25,280 --> 01:40:27,720 THANK YOU FOR THAT 2169 01:40:27,720 --> 01:40:28,080 CLARIFICATION. 2170 01:40:28,080 --> 01:40:31,080 I APPRECIATE IT. 2171 01:40:31,080 --> 01:40:32,160 >>Chair Dr. Perreault: IN 2172 01:40:32,160 --> 01:40:34,560 ADDITION TO THE LACK OF RESEARCH 2173 01:40:34,560 --> 01:40:35,280 IN THE COMMUNITY AND FAMILY 2174 01:40:35,280 --> 01:40:40,520 AREA, I ALSO NOTICED A BIG 2175 01:40:40,520 --> 01:40:42,280 DECREASE IN RESEARCH OVER THE 2176 01:40:42,280 --> 01:40:42,560 LIFESPAN. 2177 01:40:42,560 --> 01:40:43,760 DO YOU HAVE ANY IN SIGHT WHY 2178 01:40:43,760 --> 01:40:44,560 THAT MIGHT BE IF. 2179 01:40:44,560 --> 01:40:52,640 >>YEAH, I WAS UNHAPPY ABOUT 2180 01:40:52,640 --> 01:40:55,840 THAT TOO. 2181 01:40:55,840 --> 01:41:02,280 SO, WE HAD MADE SOME INROADS IN 2182 01:41:02,280 --> 01:41:05,720 PEDIATRICS AND AND SOME TARGETED 2183 01:41:05,720 --> 01:41:12,480 RFAs THAT MAY HAVE FALLEN OFF 2184 01:41:12,480 --> 01:41:16,680 AND THAT CATEGORY HOLDS 2185 01:41:16,680 --> 01:41:19,640 THINGS LIKE DOSING AND 2186 01:41:19,640 --> 01:41:22,560 REFINEMENTS TO CLINICAL TRIAL 2187 01:41:22,560 --> 01:41:23,240 INTERVENTIONS. 2188 01:41:23,240 --> 01:41:28,240 SO, THERE MIGHT BE A DROP OFF IN 2189 01:41:28,240 --> 01:41:30,160 OTHER NOT NECESSARILY LIFESPAN 2190 01:41:30,160 --> 01:41:35,080 BUT THINGS THAT ARE INCLUDED IN 2191 01:41:35,080 --> 01:41:40,440 THAT LARGER UMBRELLA. 2192 01:41:40,440 --> 01:41:43,560 BUT I AGREE THAT WAS SOMETHING 2193 01:41:43,560 --> 01:41:46,600 THAT NICHD IS THE HOME FOR 2194 01:41:46,600 --> 01:41:47,920 PEDIATRICS SO WE HAVE TO MAKE 2195 01:41:47,920 --> 01:41:50,680 SURE THAT WE'RE BEING A GOOD 2196 01:41:50,680 --> 01:41:53,280 VOICE FOR THAT AND ALSO 2197 01:41:53,280 --> 01:41:54,520 ACKNOWLEDGING WE NEED TO WORK 2198 01:41:54,520 --> 01:41:59,600 WITH NIA BECAUSE 50% OF 2199 01:41:59,600 --> 01:42:00,760 DISABILITY DEVELOPS LATER IN 2200 01:42:00,760 --> 01:42:01,040 LIFE. 2201 01:42:01,040 --> 01:42:03,480 WE SAW THOSE DATA FROM THE TBI 2202 01:42:03,480 --> 01:42:06,880 STUDIES SO I THINK THAT WE HAVE 2203 01:42:06,880 --> 01:42:08,320 GO AHEAD TARGETS AT BOTH ENDS. 2204 01:42:08,320 --> 01:42:14,160 >>I HAVE A SMALL CLARIFICATION 2205 01:42:14,160 --> 01:42:14,440 QUESTION. 2206 01:42:14,440 --> 01:42:15,920 I KNOW NOTICE THE RO3 PROGRAM 2207 01:42:15,920 --> 01:42:17,600 WAS EXTENDED AND THAT'S A 2208 01:42:17,600 --> 01:42:18,280 TERRIFIC PROGRAM. 2209 01:42:18,280 --> 01:42:21,640 YOU NOTED IN YOUR SLIDE THAT 2210 01:42:21,640 --> 01:42:24,040 THIS NEW RFA HAS A LARGER 2211 01:42:24,040 --> 01:42:25,400 BUDGET, IS THAT WITH RESPECT TO 2212 01:42:25,400 --> 01:42:29,720 THE TRADITION A LOT RO3 OR THE 2213 01:42:29,720 --> 01:42:32,040 PREVIOUS EARL' CAREER. 2214 01:42:32,040 --> 01:42:33,240 >>Dr. Cruz: THANK YOU, YES, 2215 01:42:33,240 --> 01:42:35,080 IT'S LARGELY COMPARED TO A 2216 01:42:35,080 --> 01:42:37,000 REGULAR RO3 SO I DON'T WANT 2217 01:42:37,000 --> 01:42:39,160 PEOPLE TO BE TURNED OFF BY O. 2218 01:42:39,160 --> 01:42:40,400 IT'S NOT GOING TO BE ENOUGH 2219 01:42:40,400 --> 01:42:43,920 MONEY FOR ME TO DO WHAT I NEED 2220 01:42:43,920 --> 01:42:45,600 SO -- BUT WE'VE HAD THAT LARGER 2221 01:42:45,600 --> 01:42:48,960 BUDGET SINCE THE BEGINNING. 2222 01:42:48,960 --> 01:42:49,960 >>Chair Dr. Perreault: OK, 2223 01:42:49,960 --> 01:42:50,160 GREAT. 2224 01:42:50,160 --> 01:42:53,600 WE HAVE ANOTHER QUESTION. 2225 01:42:53,600 --> 01:42:55,400 >>THANK YOU, ERIC. 2226 01:42:55,400 --> 01:43:00,600 JUST WANTED TO OFFER SUPPORT, 2227 01:43:00,600 --> 01:43:00,840 THERESA. 2228 01:43:00,840 --> 01:43:02,720 THE CONCEPT THINKING ABOUT 2229 01:43:02,720 --> 01:43:04,640 SOMETHING DISRUPTIVE RELATED TO 2230 01:43:04,640 --> 01:43:07,080 THE CONCEPT OF ABLEISM AND 2231 01:43:07,080 --> 01:43:11,200 RAISING AWARENESS ABOUT ABLEISM 2232 01:43:11,200 --> 01:43:13,040 ACROSS NIH WOULD BE REALLY 2233 01:43:13,040 --> 01:43:14,160 DISRUPTIVE AND ALSO IN THE BEST 2234 01:43:14,160 --> 01:43:16,080 OF WAYS SO I WANT TO SUPPORT 2235 01:43:16,080 --> 01:43:18,560 THAT AND TO SAY I THINK WE ON 2236 01:43:18,560 --> 01:43:20,320 THIS ADVISORY BOARD YOU BEHIND 2237 01:43:20,320 --> 01:43:22,560 YOU, WHATEVER WE CAN DO TO OFFER 2238 01:43:22,560 --> 01:43:24,120 ASSISTANCE ON THAT AND IN TERMS 2239 01:43:24,120 --> 01:43:26,480 OF THINKING ABOUT SPEAKERS, BOTH 2240 01:43:26,480 --> 01:43:28,760 FROM WITHIN THE MEDICAL AND 2241 01:43:28,760 --> 01:43:29,360 SCIENTIFIC COMMUNITY BUT ALSO 2242 01:43:29,360 --> 01:43:34,040 THE BROADER DISABILITY COMMUNITY 2243 01:43:34,040 --> 01:43:40,640 AND SO MUCH OF IT STARTS WITH 2244 01:43:40,640 --> 01:43:44,280 MODERN DEF NIXES OF DISABILITY 2245 01:43:44,280 --> 01:43:46,720 WE SILO OURSELVES WITH OUTDATED 2246 01:43:46,720 --> 01:43:48,280 DEFINITION AND WHEN WE THINK 2247 01:43:48,280 --> 01:43:49,960 ABOUT OUR THINKING TO UNDERSTAND 2248 01:43:49,960 --> 01:43:53,160 THE DISABILITY IMPACTS 25% OF 2249 01:43:53,160 --> 01:43:54,840 POPULATION IT STARTS TO REFRAME 2250 01:43:54,840 --> 01:43:56,800 THINGS IN A TOTALLY DIFFERENT 2251 01:43:56,800 --> 01:43:58,520 WAYS AND MAKE THE DISCUSSION 2252 01:43:58,520 --> 01:44:01,080 AROUND ABLEISM SOMETHING THAT 2253 01:44:01,080 --> 01:44:03,680 REALLY RAISES ALL BOATS OR ALL 2254 01:44:03,680 --> 01:44:05,400 SHIPS IN UNDERSTANDING THAT WHEN 2255 01:44:05,400 --> 01:44:07,360 WE THINK ABOUT DISABILITY 2256 01:44:07,360 --> 01:44:09,040 INCLUSION, IN RESEARCH 2257 01:44:09,040 --> 01:44:10,960 RECRUITMENT AND HOW WE PLAN OUR 2258 01:44:10,960 --> 01:44:12,080 STUDIES, YOU KNOW, ACROSS THE 2259 01:44:12,080 --> 01:44:15,400 BOARD AND IT HELPS US TO DO OUR 2260 01:44:15,400 --> 01:44:16,200 WORK BETTER. 2261 01:44:16,200 --> 01:44:18,240 I WANT TO BE RECORD SUPPORTING 2262 01:44:18,240 --> 01:44:20,160 THAT CONCEPT AND IT'S IMPORTANT 2263 01:44:20,160 --> 01:44:23,720 NOW IS THE RIGHT TIME BECAUSE OF 2264 01:44:23,720 --> 01:44:28,360 INCREASED CULTURAL AWARENESS 2265 01:44:28,360 --> 01:44:31,640 AROUND ABLEISM IN THE DEFI 2266 01:44:31,640 --> 01:44:33,440 CONVERSATION TO THANK YOU FOR 2267 01:44:33,440 --> 01:44:36,600 YOUR ADVOCACY AND I SUPPORTS 2268 01:44:36,600 --> 01:44:37,440 THOSE EFFORTS. 2269 01:44:37,440 --> 01:44:42,160 >>Dr. Cruz: THANK YOU. 2270 01:44:42,160 --> 01:44:42,400 CHERI. 2271 01:44:42,400 --> 01:44:45,520 I'M EXCITED ABOUT THE ADVISORY 2272 01:44:45,520 --> 01:44:47,280 COMMITTEE TO THE DIRECTOR WILL 2273 01:44:47,280 --> 01:44:48,960 BE HEARING ABOUT IT AND I'M 2274 01:44:48,960 --> 01:44:52,600 EXCITED IT'S INCORPORATED IN 2275 01:44:52,600 --> 01:44:54,520 DEIA STRATEGIC PLANS AND THAT'S 2276 01:44:54,520 --> 01:44:58,720 ANOTHER PLACE WHERE WE'VE GOT IT 2277 01:44:58,720 --> 01:45:01,360 AND NCMRR IS A SMALL PART BUT 2278 01:45:01,360 --> 01:45:02,080 WE'RE LOUD. 2279 01:45:02,080 --> 01:45:05,040 I WILL SAY. 2280 01:45:05,040 --> 01:45:08,600 SO, GREAT, GREAT COLLEAGUES AND 2281 01:45:08,600 --> 01:45:12,640 ACROSS NIH AND YOU CAN'T LOOK AT 2282 01:45:12,640 --> 01:45:15,560 THE WORK THAT PUT OUT RECENTLY 2283 01:45:15,560 --> 01:45:21,400 AND NOT WANT TO REACT TO THAT. 2284 01:45:21,400 --> 01:45:22,200 SO, THANK YOU. 2285 01:45:22,200 --> 01:45:22,640 >>GREAT. 2286 01:45:22,640 --> 01:45:23,480 THANK YOU. 2287 01:45:23,480 --> 01:45:28,760 DO WE HAVE ANY OTHER QUESTIONS? 2288 01:45:28,760 --> 01:45:31,560 I'D LIKE TO THANK YOU FOR A 2289 01:45:31,560 --> 01:45:33,160 NOISE OVER VOW. 2290 01:45:33,160 --> 01:45:34,760 I'D LIKE TO HAND THE THERE WERE 2291 01:45:34,760 --> 01:45:35,920 OVER TO RALPH, WHO WILL 2292 01:45:35,920 --> 01:45:37,160 INTRODUCE OUR NEXT SESSION. 2293 01:45:37,160 --> 01:45:43,640 >>OK, SO AS WE HEAD INTO THE 2294 01:45:43,640 --> 01:45:44,840 FINAL SESSION BEFORE OUR 2295 01:45:44,840 --> 01:45:45,800 MID-AFTERNOON BREAK. 2296 01:45:45,800 --> 01:45:49,880 I WANTED TO CONNECT THE DOTS. 2297 01:45:49,880 --> 01:45:51,840 IT'S A TIME WHERE WE CAN ALSO 2298 01:45:51,840 --> 01:45:53,680 APPRECIATE, WE VERY MUCH 2299 01:45:53,680 --> 01:45:55,120 APPRECIATE THERESA'S LEADERSHIP 2300 01:45:55,120 --> 01:45:57,040 AND GETTING OUT THERE IN SO MANY 2301 01:45:57,040 --> 01:45:58,240 DIFFERENT DOMAINS. 2302 01:45:58,240 --> 01:45:59,920 THE ENERGY AND INTELLIGENCE IS 2303 01:45:59,920 --> 01:46:01,720 REALLY HELPED OUR CENTER SO IT'S 2304 01:46:01,720 --> 01:46:06,840 OUR CHANCE TO PUBLIC PUBLICLY R 2305 01:46:06,840 --> 01:46:08,600 AND LET HER KNOW HOW MUCH WE 2306 01:46:08,600 --> 01:46:09,720 APPRECIATE HER. 2307 01:46:09,720 --> 01:46:10,800 IT TURNS OUT WITHIN THE COURSE 2308 01:46:10,800 --> 01:46:13,280 OF THIS MEETING, WE'RE GOING 2309 01:46:13,280 --> 01:46:15,200 CONNECT SOME MORE OF THOSE DOTS 2310 01:46:15,200 --> 01:46:16,600 SO WE'LL TALK ABOUT THE STRIVE 2311 01:46:16,600 --> 01:46:18,600 ACTION PLAN RIGHT AFTER LUNCH 2312 01:46:18,600 --> 01:46:20,880 WHICH IS TO PROMOTE DIVERSITY 2313 01:46:20,880 --> 01:46:23,320 AND WE'LL HAVE A VERY ROBUST 2314 01:46:23,320 --> 01:46:24,680 DISCUSSION ON INFRASTRUCTURE AND 2315 01:46:24,680 --> 01:46:26,480 THAT IS A VERY LONGSTANDING 2316 01:46:26,480 --> 01:46:28,120 PROGRAM IN OUR CENTER AND WE 2317 01:46:28,120 --> 01:46:29,680 WANT TO SEE WORDS GOING FROM 2318 01:46:29,680 --> 01:46:31,120 HERE AND IT WILL REPORT BACK 2319 01:46:31,120 --> 01:46:32,840 FROM THE WORKING GROUP AND WE 2320 01:46:32,840 --> 01:46:37,560 APPRECIATE THEIR EFFORTS AND 2321 01:46:37,560 --> 01:46:40,040 WE'LL HAVE A TALK ON STAKEHOLDER 2322 01:46:40,040 --> 01:46:40,640 ENGAGEMENT. 2323 01:46:40,640 --> 01:46:43,480 WHOA RECRUITED JENNIFER FRENCH 2324 01:46:43,480 --> 01:46:45,280 TO TALK ABOUT STAKEHOLDER 2325 01:46:45,280 --> 01:46:47,800 ENGAGEMENT AND LIVED EXPERIENCE 2326 01:46:47,800 --> 01:46:49,080 AND WE'RE GOING TO HAVE FINISH 2327 01:46:49,080 --> 01:46:50,800 THE AFTERNOON WITH A RESEARCH 2328 01:46:50,800 --> 01:46:53,840 TALK AND COGNITIVE REHAB AND 2329 01:46:53,840 --> 01:47:01,360 EVEN TOMORROW, WE'LL AND HOW 2330 01:47:01,360 --> 01:47:04,840 THEY SUPPORT SOME OF THE 2331 01:47:04,840 --> 01:47:11,400 RESEARCH AND AND DISCUSSION ON 2332 01:47:11,400 --> 01:47:12,760 GLOBAL HEALTH AND THE WORLD 2333 01:47:12,760 --> 01:47:13,560 DISABILITY DAY. 2334 01:47:13,560 --> 01:47:15,160 WALTER WILL GIVE US AN UPDATE 2335 01:47:15,160 --> 01:47:17,520 FROM THAT AND SO WE'LL PAN WAY 2336 01:47:17,520 --> 01:47:22,800 BACK AT THAT LEVEL AFTER THE 2337 01:47:22,800 --> 01:47:23,840 TUESDAY BREAK, WE'RE GOING TO 2338 01:47:23,840 --> 01:47:26,920 HAVE A SESSION ON TELE REHAB. 2339 01:47:26,920 --> 01:47:28,880 THERESA ALLUDED TO THE FACT THAT 2340 01:47:28,880 --> 01:47:30,360 WE'RE CHANGING, ESPECIALLY WITH 2341 01:47:30,360 --> 01:47:35,600 THE PANDEMIC, TO SUPPORT PEOPLE 2342 01:47:35,600 --> 01:47:37,280 MORE DIVERSE ENVIRONMENT AND 2343 01:47:37,280 --> 01:47:38,640 JEREMY WILLROY WILL TALK ABOUT 2344 01:47:38,640 --> 01:47:40,160 HOW YOU PROMOTE EXERCISE AND 2345 01:47:40,160 --> 01:47:41,640 SUPPORT PEOPLE OUT IN THEIR 2346 01:47:41,640 --> 01:47:43,120 COMMUNITY THROUGH TELE REHAB 2347 01:47:43,120 --> 01:47:46,160 APPROACHES SO WE'LL COME BACK TO 2348 01:47:46,160 --> 01:47:48,680 SOME OF THOSE SAME TOPICS. 2349 01:47:48,680 --> 01:47:56,280 SO, THE NEXT SESSION YOUR 2350 01:47:56,280 --> 01:47:59,040 COLLEAGUE, JOSE CONTRERAS-VIDAL, 2351 01:47:59,040 --> 01:48:05,760 PEPE, HAS DONE US A REAL FAVOR. 2352 01:48:05,760 --> 01:48:06,920 THE NICHD COUNCIL MEETS THREE 2353 01:48:06,920 --> 01:48:08,040 SEEMS A YEAR AND THEY HAVE TO 2354 01:48:08,040 --> 01:48:10,480 CARRY A LOT OF HEAVY LIFTING IN 2355 01:48:10,480 --> 01:48:11,680 TERMS OF ACTUAL FUNDING 2356 01:48:11,680 --> 01:48:13,520 DECISIONS AND SOME OF THE MORE 2357 01:48:13,520 --> 01:48:16,080 PROCESSES THAT ARE VERY MUCH A 2358 01:48:16,080 --> 01:48:18,760 PART OF OUR GRANT FUNDING. 2359 01:48:18,760 --> 01:48:20,680 WE ALWAYS ARE ABLE TO PLUCK ONE 2360 01:48:20,680 --> 01:48:24,200 PERSON FROM THE ADVISORY BOARD 2361 01:48:24,200 --> 01:48:28,440 TO SEARCH AS A LIAISON TO THE 2362 01:48:28,440 --> 01:48:31,000 COUNCIL WHICH MEETS THREE TIMES 2363 01:48:31,000 --> 01:48:33,080 A YEAR AND IT'S A MIXED BAG 2364 01:48:33,080 --> 01:48:35,280 BECAUSE WHOEVER DOES THAT, GETS 2365 01:48:35,280 --> 01:48:36,840 TO HEAR SOME BROADER 2366 01:48:36,840 --> 01:48:38,160 CONVERSATIONS, VERY MUCH 2367 01:48:38,160 --> 01:48:39,240 REMINISCENT OF WHAT YOU HEARD 2368 01:48:39,240 --> 01:48:42,280 FROM Dr. BIANCHI, THE BROADER 2369 01:48:42,280 --> 01:48:44,240 PERSPECTIVE OF NICHD, WHICH IS A 2370 01:48:44,240 --> 01:48:46,400 DIVERSE INSTITUTE AS YOU HEARD 2371 01:48:46,400 --> 01:48:48,200 AND HAS TO CARRY WATER FOR US 2372 01:48:48,200 --> 01:48:49,880 AND DO A LOT OF WORK IN TERMS OF 2373 01:48:49,880 --> 01:48:52,520 OUR OWN FUNDING INITIATIVES AND 2374 01:48:52,520 --> 01:48:55,560 SO WE VERY MUCH APPRECIATE THAT 2375 01:48:55,560 --> 01:48:57,080 PEPE HAS DONE THIS FOR US. 2376 01:48:57,080 --> 01:48:59,000 HE IS WORKED WITH US AND PUT THE 2377 01:48:59,000 --> 01:49:00,880 EXTRA TIME IN AND I WANTED TO 2378 01:49:00,880 --> 01:49:02,840 GIVE HIM A CHANCE TO TALK ABOUT 2379 01:49:02,840 --> 01:49:05,520 HIS PERSPECTIVES OF BEING THE 2380 01:49:05,520 --> 01:49:07,720 LIAISON TO THE COUNCIL, WHAT HE 2381 01:49:07,720 --> 01:49:09,760 HEARD, HIS REFLECTIONS ON IF AND 2382 01:49:09,760 --> 01:49:13,680 PUBLICLY THANK HIM FOR DOING 2383 01:49:13,680 --> 01:49:23,920 THOSE EFFORTS. 2384 01:49:28,200 --> 01:49:30,880 THE THERE WERE IS YOURS. 2385 01:49:30,880 --> 01:49:35,600 >>THANK YOU, IT'S BEEN AN 2386 01:49:35,600 --> 01:49:36,080 ANYWHERE. 2387 01:49:36,080 --> 01:49:38,360 WITH OUR COLLEAGUE AND FRIENDS 2388 01:49:38,360 --> 01:49:44,880 LAST YEAR WE HAD THE OPPORTUNITY 2389 01:49:44,880 --> 01:49:50,800 TO SERVE IN THIS POSITION. 2390 01:49:50,800 --> 01:49:55,600 AS YOU KNOW, THIS IS BEEN TWO 2391 01:49:55,600 --> 01:49:58,280 DAYS SESSIONS AND WE HAVE ONE IN 2392 01:49:58,280 --> 01:50:00,080 MAY AND ANOTHER IN SEPTEMBER FOR 2393 01:50:00,080 --> 01:50:06,360 THE JUNE AND OCTOBER COUNCIL 2394 01:50:06,360 --> 01:50:08,400 MEETINGS AND IT'S BEEN A GREAT 2395 01:50:08,400 --> 01:50:09,040 LEARNING EXPERIENCE FOR ME AND A 2396 01:50:09,040 --> 01:50:10,360 SOURCE OF INFORMATION THAT HAS 2397 01:50:10,360 --> 01:50:13,640 ALREADY EXPANDED MY VIEW OF THE 2398 01:50:13,640 --> 01:50:17,120 INSTITUTE AND WHAT WE DO HERE. 2399 01:50:17,120 --> 01:50:23,160 BEFORE I GIVE YOU MY TAKE ON 2400 01:50:23,160 --> 01:50:24,920 THIS, I WOULD LIKE TO 2401 01:50:24,920 --> 01:50:27,080 ACKNOWLEDGE Dr. RALPH SERVING 2402 01:50:27,080 --> 01:50:30,800 AS A MENTOR AND COACH FOR ME. 2403 01:50:30,800 --> 01:50:31,960 GUIDING ME ON THE ACTIVITIES 2404 01:50:31,960 --> 01:50:33,520 THAT I DO IN THE COUNCIL. 2405 01:50:33,520 --> 01:50:35,800 SO THANK YOU, RALPH, FOR THAT. 2406 01:50:35,800 --> 01:50:38,200 AND I KNOW THAT I CAN REACH YOU 2407 01:50:38,200 --> 01:50:43,160 ANY TIME SO I REALLY APPRECIATE 2408 01:50:43,160 --> 01:50:43,600 THAT. 2409 01:50:43,600 --> 01:50:45,360 SO, THE FIRST THING I WANT TO 2410 01:50:45,360 --> 01:50:47,560 SAY IS THAT IT'S INCREDIBLE THE 2411 01:50:47,560 --> 01:50:50,720 AMOUNT OF WORK THE NIH, THE 2412 01:50:50,720 --> 01:50:52,440 STAFF PUTS INTO THESE MEETING, 2413 01:50:52,440 --> 01:50:54,240 SOMETHING THAT I CAME TO REALIZE 2414 01:50:54,240 --> 01:50:56,680 VERY SOON ON THIS PARTICULAR 2415 01:50:56,680 --> 01:50:58,760 MEETING, AND FOR THOSE AT THE 2416 01:50:58,760 --> 01:50:59,640 COUNCIL LEVEL. 2417 01:50:59,640 --> 01:51:02,320 THERE'S A LOT THAT NEEDS TO BE 2418 01:51:02,320 --> 01:51:05,080 DONE FOR ANY OF THESE MEETINGS 2419 01:51:05,080 --> 01:51:06,960 AND THAT FACILITATES MY WORK TOO 2420 01:51:06,960 --> 01:51:10,840 SO I REALLY APPRECIATE THAT. 2421 01:51:10,840 --> 01:51:13,000 KUDOS TO EVERYONE, STAFF, ALL 2422 01:51:13,000 --> 01:51:15,840 THE WAY TO THE DIRECTOR. 2423 01:51:15,840 --> 01:51:20,000 SO, IN ADDITION TO THE ESTATE OF 2424 01:51:20,000 --> 01:51:25,480 THE INSTITUTE, IN WE GET EACH OF 2425 01:51:25,480 --> 01:51:30,760 THESE MEETINGS, WE LEARN ABOUT 2426 01:51:30,760 --> 01:51:34,640 INITIATIVES, RIGHT, SOME OF THE 2427 01:51:34,640 --> 01:51:36,560 INITIATIVES THAT HAVE BEEN 2428 01:51:36,560 --> 01:51:41,560 PARTICUPARTICULARLY, THE INITIAS 2429 01:51:41,560 --> 01:51:43,760 THAT I WILL HEAR MORE THIS 2430 01:51:43,760 --> 01:51:49,960 AFTERNOON OR TOMORROW AND FROM 2431 01:51:49,960 --> 01:51:53,920 Dr. CERNICH. 2432 01:51:53,920 --> 01:51:56,240 IT GIVES ME ANOTHER PERSPECTIVE. 2433 01:51:56,240 --> 01:51:58,560 BEING A MINORITY FROM A MINORITY 2434 01:51:58,560 --> 01:52:01,080 GROUP, I'M HAPPY TO SEE THERE 2435 01:52:01,080 --> 01:52:02,400 ARE EFFORTS BEING PUT TOGETHER 2436 01:52:02,400 --> 01:52:07,120 ON THESE AND I KNOW THAT WITH 2437 01:52:07,120 --> 01:52:10,520 THE PANDEMIC, IT HAS AFFECTED 2438 01:52:10,520 --> 01:52:13,360 EVERYONE BUT WITHIN THE 2439 01:52:13,360 --> 01:52:17,360 INSTITUTE BUT ALSO FOR 2440 01:52:17,360 --> 01:52:19,400 RESEARCHERS LIKE MYSELF THAT ARE 2441 01:52:19,400 --> 01:52:22,520 BEING SUPPORTED BY NIH. 2442 01:52:22,520 --> 01:52:24,480 IT'S VERY IMPORTANT TO 2443 01:52:24,480 --> 01:52:29,400 UNDERSTAND ALSO WHERE THE 2444 01:52:29,400 --> 01:52:31,480 PROPORTIONAL EFFECTS OF COVID ON 2445 01:52:31,480 --> 01:52:38,120 WOMEN AND MINORITIES POSTA MOSTN 2446 01:52:38,120 --> 01:52:38,360 RESEARCH. 2447 01:52:38,360 --> 01:52:39,840 ANOTHER THING THAT WAS VERY 2448 01:52:39,840 --> 01:52:41,760 INTERESTING TO ME IS LEARNING 2449 01:52:41,760 --> 01:52:43,720 ABOUT THE CONCEPT REVIEWS, 2450 01:52:43,720 --> 01:52:46,760 RIGHT. 2451 01:52:46,760 --> 01:52:51,120 SO THESE ARE REQUESTS FOR 2452 01:52:51,120 --> 01:52:53,920 APPLICATIONS WITH SOME SPECIFIC 2453 01:52:53,920 --> 01:53:00,640 FUNDS AND A REVIEW BY US AND 2454 01:53:00,640 --> 01:53:03,080 THEY ARE REALLY MADE TO ADDRESS 2455 01:53:03,080 --> 01:53:04,560 A SPECIFIC KNOWLEDGE GAP SO 2456 01:53:04,560 --> 01:53:05,880 WE'VE BEEN INVOLVED IN SEVERAL 2457 01:53:05,880 --> 01:53:09,520 OF THESE CONCEPT REVIEWS AND TO 2458 01:53:09,520 --> 01:53:11,320 MENTION ONE THAT ALL OF THEM ARE 2459 01:53:11,320 --> 01:53:16,920 REPORT NUMBER ONE THAT WAS 2460 01:53:16,920 --> 01:53:19,200 HIGHLIGHTED IS A CONCEPT REVIEW 2461 01:53:19,200 --> 01:53:21,360 AND OPPORTUNITIES FOR ADVANCING 2462 01:53:21,360 --> 01:53:23,560 REINTEGRATION OF RESEARCH BY 2463 01:53:23,560 --> 01:53:26,800 USING EMERGING TECHNOLOGIES THAT 2464 01:53:26,800 --> 01:53:31,240 WE TAPPED ON OUR OWN BODY, YOU 2465 01:53:31,240 --> 01:53:33,440 KNOW, GROWTH PATHWAYS AND 2466 01:53:33,440 --> 01:53:34,440 MECHANISMS AND IT JUST 2467 01:53:34,440 --> 01:53:38,600 HIGHLIGHTS THE INNOVATION AND 2468 01:53:38,600 --> 01:53:40,280 THE THINKING AHEAD, RIGHT, IN 2469 01:53:40,280 --> 01:53:43,680 TERMS OF HOW WE CAN USE THESE 2470 01:53:43,680 --> 01:53:47,200 CONCEPT REVIEWS TO PROMOTE 2471 01:53:47,200 --> 01:53:47,960 RESEARCH. 2472 01:53:47,960 --> 01:53:52,440 I AM ALSO INVOLVED IN 2473 01:53:52,440 --> 01:53:59,800 RECOGNIZING P.I.s IN ALWAYS 2474 01:53:59,800 --> 01:54:06,360 AND NIH AND SERVICE AND THAT I 2475 01:54:06,360 --> 01:54:16,880 HAVE OR STRONG PRODUCTIVITY AND 2476 01:54:46,240 --> 01:54:52,480 PREPARED THOSE AND PUT TOGETHER 2477 01:54:52,480 --> 01:54:57,120 THIS PROPOSAL TO RECOGNIZE 2478 01:54:57,120 --> 01:54:57,400 P.I.s. 2479 01:54:57,400 --> 01:55:03,400 AND I THINK THAT MANY BENEFITS, 2480 01:55:03,400 --> 01:55:07,720 THIS COMMUNITY AND SOMEWHERE 2481 01:55:07,720 --> 01:55:18,240 AROUND MENTIONED I ENJOYED THE 2482 01:55:25,040 --> 01:55:29,040 VOICE OF PARTICIPANT WHERE THEY 2483 01:55:29,040 --> 01:55:31,920 BRING A STAKEHOLDER COMMUNITY 2484 01:55:31,920 --> 01:55:33,160 MEMBER AND THEY SPEAK ABOUT 2485 01:55:33,160 --> 01:55:35,240 THEIR CHALLENGE AND ABOUT THEIR 2486 01:55:35,240 --> 01:55:39,280 NEEDS AND ABOUT PRIORITIES IN 2487 01:55:39,280 --> 01:55:40,800 PEOPLE WITH INTELLECTUAL OR 2488 01:55:40,800 --> 01:55:42,720 PHYSICAL DISABILITIES SO I THINK 2489 01:55:42,720 --> 01:55:45,920 IT'S VERY INFORMATIVE AND I WILL 2490 01:55:45,920 --> 01:55:52,920 HOPE THAT THIS INTERVIEWS WILL 2491 01:55:52,920 --> 01:55:55,120 BE AVAILABLE TO A WIDER 2492 01:55:55,120 --> 01:55:56,360 AUDIENCE, RIGHT, PERHAPS 2493 01:55:56,360 --> 01:55:59,440 BRINGING THEM ON THE WEBSITE IN 2494 01:55:59,440 --> 01:56:08,760 A WAY THAT IS EASY TO SEE OR IN 2495 01:56:08,760 --> 01:56:12,200 OTHER WAYS AND IMPORTANT TO 2496 01:56:12,200 --> 01:56:14,760 BRING THE POINT TO THE PUBLIC 2497 01:56:14,760 --> 01:56:24,920 AND TO US. 2498 01:56:32,920 --> 01:56:41,280 COULD I ESSENTIALINTEGRATE TO MD 2499 01:56:41,280 --> 01:56:43,120 THIS IS A REALLY GREAT 2500 01:56:43,120 --> 01:56:47,600 OPPORTUNITY FOR ALL OF US AND TO 2501 01:56:47,600 --> 01:56:49,480 HARNESS THIS INFORMATION AND TO 2502 01:56:49,480 --> 01:56:52,840 HELP, YOU KNOW, THE NEXT 2503 01:56:52,840 --> 01:56:54,720 GENERATION OF RESEARCHERS COMING 2504 01:56:54,720 --> 01:57:01,280 FROM OUR LABS. 2505 01:57:01,280 --> 01:57:03,240 SO, BEING ON TWO COUNCIL 2506 01:57:03,240 --> 01:57:06,560 MEETINGS AND AGAIN IN MAY AND IN 2507 01:57:06,560 --> 01:57:09,160 SEPTEMBER, AND SO I'M LOOKING 2508 01:57:09,160 --> 01:57:11,720 FORWARD TO FUTURE MEETINGS AND 2509 01:57:11,720 --> 01:57:13,440 PERHAPS IN-PERSON, I THINK IT'S 2510 01:57:13,440 --> 01:57:18,840 ALSO IMPORTANT THAT WE GET TO 2511 01:57:18,840 --> 01:57:21,040 HAVE THE PERSONAL INTERACTION 2512 01:57:21,040 --> 01:57:24,600 AND EXCHANGE IDEAS AND 2513 01:57:24,600 --> 01:57:32,200 CHALLENGES AND MORE TIMEFRAME. 2514 01:57:32,200 --> 01:57:34,080 I JUST WANT TO CONCLUDE BY 2515 01:57:34,080 --> 01:57:38,560 SAYING BEFORE WE GO TO BREAK, 2516 01:57:38,560 --> 01:57:40,960 BECAUSE I KNOW I'M (INAUDIBLE) 2517 01:57:40,960 --> 01:57:42,680 IS THAT I'VE BEEN REALLY 2518 01:57:42,680 --> 01:57:45,680 IMPRESSED BY THE CAREFUL AND 2519 01:57:45,680 --> 01:57:47,280 EXPENSIVE WORD THAT EVERYBODY 2520 01:57:47,280 --> 01:57:53,400 PUTS ON THESE COMMITTEES AND ON 2521 01:57:53,400 --> 01:57:57,840 THE COUNCIL AND NAMRR AND IT 2522 01:57:57,840 --> 01:58:01,000 JUST SPEAKS TO THE DEDICATION 2523 01:58:01,000 --> 01:58:02,480 AND EFFORTS OF EVERYONE. 2524 01:58:02,480 --> 01:58:05,480 SO I WANT TO SAY THANK YOU TO 2525 01:58:05,480 --> 01:58:07,280 ALL THE STAFF FOR MAKING OUR 2526 01:58:07,280 --> 01:58:08,800 LIVES A LOT EASIER. 2527 01:58:08,800 --> 01:58:12,320 AND WITH THAT, WE'RE GOING TO 2528 01:58:12,320 --> 01:58:14,400 STOP HERE AND IF THERE ARE ANY 2529 01:58:14,400 --> 01:58:17,840 QUESTIONS, I'M HAPPY TO ANSWER 2530 01:58:17,840 --> 01:58:18,040 THEM. 2531 01:58:18,040 --> 01:58:20,760 >>THANK YOU FOR THAT 2532 01:58:20,760 --> 01:58:23,720 INTRODUCTION AND JUST SO PEOPLE 2533 01:58:23,720 --> 01:58:27,480 KNOW, THE COUNCIL, THE NICHD 2534 01:58:27,480 --> 01:58:28,440 ADVISORY COUNCIL IS THE SECOND 2535 01:58:28,440 --> 01:58:33,560 LEVEL OF REVIEW SO IT GETS 2536 01:58:33,560 --> 01:58:35,520 PEER-REVIEWED AND THE FINAL 2537 01:58:35,520 --> 01:58:36,840 LEVEL OF DISCUSSION FOR FUNDING 2538 01:58:36,840 --> 01:58:44,680 IS THE LARGER COUNCIL AND SO, I 2539 01:58:44,680 --> 01:58:46,400 SHOULD ALSO MENTION THAT OUR 2540 01:58:46,400 --> 01:58:48,480 CENTER IS ALSO REPRESENTATIVE, 2541 01:58:48,480 --> 01:58:50,520 NOT ONLY PEPE IS THERE CARRYING 2542 01:58:50,520 --> 01:58:56,960 THE WATER FOR US BUT WE HAVE 2543 01:58:56,960 --> 01:58:57,960 KATHERINE LANG AND SHE'S A 2544 01:58:57,960 --> 01:58:59,400 STRONG ADVOCATE FOR 2545 01:58:59,400 --> 01:59:00,480 REHABILITATION RESEARCH AND 2546 01:59:00,480 --> 01:59:01,920 WE'RE ALSO FORTUNATE THAT TWO OF 2547 01:59:01,920 --> 01:59:06,080 THE EX-OFFICIO MEMBERS, PATRICIA 2548 01:59:06,080 --> 01:59:08,040 DORN FROM THE V.A. AND MELISSA 2549 01:59:08,040 --> 01:59:10,880 MILLER FROM DOD HELPED REPRESENT 2550 01:59:10,880 --> 01:59:12,760 OUR INTERESTS. 2551 01:59:12,760 --> 01:59:15,360 ALTHOUGH NICHD IS A VERY BROAD 2552 01:59:15,360 --> 01:59:17,760 INSTITUTE, A LOT OF DIVERSE 2553 01:59:17,760 --> 01:59:20,160 INTERESTS AND WE ARE WELL 2554 01:59:20,160 --> 01:59:23,440 REPRESENTED ON THE COUNCIL. 2555 01:59:23,440 --> 01:59:26,120 SO WE WELCOME ANY QUESTIONS THAT 2556 01:59:26,120 --> 01:59:30,520 YOU HAVE FOR PEPE OR ANY 2557 01:59:30,520 --> 01:59:31,920 COMMENTS? 2558 01:59:31,920 --> 01:59:34,360 >>IF I COULD JUST ADD MY 2559 01:59:34,360 --> 01:59:37,040 GRATITUDE TO PEPE FOR HIS 2560 01:59:37,040 --> 01:59:40,840 SERVICE AND MAKE SURE WE DID 2561 01:59:40,840 --> 01:59:46,120 ACKNOWLEDGE TRISHA DORN AS HER 2562 01:59:46,120 --> 01:59:46,440 JOB. 2563 01:59:46,440 --> 01:59:48,720 SHE GETS TO COME TO MANY, MANY 2564 01:59:48,720 --> 01:59:50,480 MEETINGS WITH THE NIH AND HAS 2565 01:59:50,480 --> 01:59:52,520 FOR A LONG TIME AND HAS BEEN A 2566 01:59:52,520 --> 01:59:56,560 HUGE SUPPORT FOR US BOTH AT THE 2567 01:59:56,560 --> 01:59:58,480 ADVISORY BOARD MEETING HERE AND 2568 01:59:58,480 --> 02:00:01,680 ALSO AT COUNCIL AND WE COULDN'T 2569 02:00:01,680 --> 02:00:03,120 DO ANY OF THE THINGS WE DO 2570 02:00:03,120 --> 02:00:09,400 WITHOUT THEIR SUPPORT AND SO THK 2571 02:00:09,400 --> 02:00:12,800 YOU SO MUCH. 2572 02:00:12,800 --> 02:00:15,440 PEPE MENTIONED THE LIMB 2573 02:00:15,440 --> 02:00:19,080 REFORMATION AND IT WAS LAST WEEK 2574 02:00:19,080 --> 02:00:20,960 AND WE WORKED WITH THEM A COUPLE 2575 02:00:20,960 --> 02:00:22,960 YEARS AGO ON THE WORKSHOP THAT 2576 02:00:22,960 --> 02:00:24,560 INFORMED THAT RFA. 2577 02:00:24,560 --> 02:00:27,880 SO, DUE DATE IN JULY AND YOU GOT 2578 02:00:27,880 --> 02:00:29,720 PLENTY OF TIME TO WORK ON YOUR 2579 02:00:29,720 --> 02:00:34,000 APPLICATION AND I'LL BE QUIET 2580 02:00:34,000 --> 02:00:36,640 NOW. 2581 02:00:36,640 --> 02:00:44,800 THANK YOU. 2582 02:00:44,800 --> 02:00:46,360 IF THERE ARE NO FURTHER COMMENTS 2583 02:00:46,360 --> 02:00:49,440 TO PEPE WE WANTED YOU TO 2584 02:00:49,440 --> 02:00:52,080 UNDERSTAND THE MORE ABOUT THE 2585 02:00:52,080 --> 02:00:53,920 INNER WORKINGS OF NICHD AND 2586 02:00:53,920 --> 02:00:55,800 APPRECIATE HIM AND PEPE IS A 2587 02:00:55,800 --> 02:00:56,840 GOOD PERSON TO SERVE ON THIS 2588 02:00:56,840 --> 02:01:01,320 BECAUSE HE HAS A BROAD EX EXPERE 2589 02:01:01,320 --> 02:01:03,120 AND HE IS WILLING TO DO HIS 2590 02:01:03,120 --> 02:01:04,320 HOMEWORK FOR THIS. 2591 02:01:04,320 --> 02:01:05,760 ERIC, I'LL TURN IT OVER TO YOU 2592 02:01:05,760 --> 02:01:11,040 TO SEND US OFF FOR OUR BREAK? 2593 02:01:11,040 --> 02:01:11,240 GREAT. 2594 02:01:11,240 --> 02:01:11,760 THANK YOU. 2595 02:01:11,760 --> 02:01:13,600 SO, WE HAVE A BREAK FOR JUST 2596 02:01:13,600 --> 02:01:15,400 UNDER AN HOUR AND WE'LL RETURN 2597 02:01:15,400 --> 02:01:18,840 AT 1:00 EASTERN TIME AND PLEASE 2598 02:01:18,840 --> 02:01:20,240 LEAVE YOURSELVES SIGNED NO ZOOM. 2599 02:01:20,240 --> 02:01:22,200 YOU CAN TURN OFF YOUR CAMERA BUT 2600 02:01:22,200 --> 02:01:24,160 MAKE SURE THERE ARE NO CONNECT 2601 02:01:24,160 --> 02:01:25,440 PROBLEMS COMING BACK SO WE LOOK 2602 02:01:25,440 --> 02:01:28,160 FORWARD TO SEEING YOU SOON. 2603 02:01:28,160 --> 02:01:29,040 WELCOME BACK, EVERYONE. 2604 02:01:29,040 --> 02:01:31,120 I HOPE YOU HAD A NICE LUNCH OR 2605 02:01:31,120 --> 02:01:32,560 LATE COFFEE BREAK ON THE WEST 2606 02:01:32,560 --> 02:01:32,760 COAST. 2607 02:01:32,760 --> 02:01:35,080 IT IS MY PLEASURE TO INTRODUCE 2608 02:01:35,080 --> 02:01:36,840 DR. ALISON CERNICH, WHO'S THE 2609 02:01:36,840 --> 02:01:39,880 DEPUTY DIRECTOR OF NICHD. 2610 02:01:39,880 --> 02:01:41,840 ALISON IS GOING TO GIVE US AN 2611 02:01:41,840 --> 02:01:43,480 UPDATE ON THE STRIVE ACTION PLAN 2612 02:01:43,480 --> 02:01:45,680 AND NICHD DIVERSITY ACTIVITIES. 2613 02:01:45,680 --> 02:01:46,080 GO AHEAD, ALISON. 2614 02:01:46,080 --> 02:01:48,200 >>I SHOULD ADD THAT ALISON WAS 2615 02:01:48,200 --> 02:01:49,280 THE FORMER DIRECTOR OF THE 2616 02:01:49,280 --> 02:01:51,160 CENTER, SO WE HAVE THAT 2617 02:01:51,160 --> 02:01:52,240 CONNECTION AS WELL AND IT GREAT 2618 02:01:52,240 --> 02:01:53,560 TO SEE HER BACK. 2619 02:01:53,560 --> 02:01:55,520 >>WELL, AND I'M SUPER GRATEFUL 2620 02:01:55,520 --> 02:01:56,160 TO BE BACK. 2621 02:01:56,160 --> 02:01:59,920 THANK YOU ALL FOR GIVING ME THIS 2622 02:01:59,920 --> 02:02:00,360 OPPORTUNITY. 2623 02:02:00,360 --> 02:02:01,760 AND IT'S GREAT TO SEE SO MANY 2624 02:02:01,760 --> 02:02:03,520 FAMILIAR FACES, SOME OF WHOM 2625 02:02:03,520 --> 02:02:04,920 I'VE KNOWN FOR A REALLY LONG 2626 02:02:04,920 --> 02:02:06,440 TIME. 2627 02:02:06,440 --> 02:02:07,880 AND SO JUST REALLY THRILLED TO 2628 02:02:07,880 --> 02:02:09,840 BE HERE. 2629 02:02:09,840 --> 02:02:14,120 I WILL BRING UP MY SLIDES AND 2630 02:02:14,120 --> 02:02:24,640 TRY TO GO THROUGH -- SO I WANT 2631 02:02:29,520 --> 02:02:30,720 TO TALK THROUGH OUR STRATEGIES 2632 02:02:30,720 --> 02:02:33,360 TO ENRICH INCLUSION AND ACHIEVE 2633 02:02:33,360 --> 02:02:35,760 EQUITY ACTION PLAN AND SOME OF 2634 02:02:35,760 --> 02:02:37,400 THE OTHER ACTIVITIES WE HAVE 2635 02:02:37,400 --> 02:02:39,320 ONGOING IN DIVERSITY, EQUITY AND 2636 02:02:39,320 --> 02:02:40,400 INCLUSION AND ACCESSIBILITY HERE 2637 02:02:40,400 --> 02:02:41,920 AT NIH JUST TO GIVE YOU THE 2638 02:02:41,920 --> 02:02:42,800 BACKDROP OF WHAT WE'VE BEEN 2639 02:02:42,800 --> 02:02:43,880 WORKING ON. 2640 02:02:43,880 --> 02:02:45,320 I'M CURRENTLY THE ACTING 2641 02:02:45,320 --> 02:02:47,160 DIRECTOR OF OUR OFFICE OF HEALTH 2642 02:02:47,160 --> 02:02:50,840 EQUITY WITH THE DEPARTURE OF DRE 2643 02:02:50,840 --> 02:02:52,080 THE DEPUTY DIRECTOR OF THE 2644 02:02:52,080 --> 02:02:53,360 DIVISION OF EXTRAMURAL 2645 02:02:53,360 --> 02:02:54,320 ACTIVITIES OVER AT THE NATIONAL 2646 02:02:54,320 --> 02:02:55,440 INSTITUTE OF MENTAL HEALTH AND 2647 02:02:55,440 --> 02:02:56,960 WE'RE VERY EXCITED TO HAVE HER 2648 02:02:56,960 --> 02:02:59,160 BACK IN THE EXTRAMURAL COMMUNITY 2649 02:02:59,160 --> 02:03:00,160 BUT HAVE DEFINITELY MISSED HER 2650 02:03:00,160 --> 02:03:03,000 THIS YEAR. 2651 02:03:03,000 --> 02:03:07,160 SO WITH THAT, SO I'LL GIVE YOU 2652 02:03:07,160 --> 02:03:08,920 AN OVERVIEW FIRST OF THE NIH 2653 02:03:08,920 --> 02:03:11,400 DIVERSITY, EQUITY, INCLUSION AND 2654 02:03:11,400 --> 02:03:12,400 ACCESSIBILITY ACTIVITIES. 2655 02:03:12,400 --> 02:03:15,880 AND SO JUST TO LET YOU KNOW THAT 2656 02:03:15,880 --> 02:03:18,760 WE ARE VERY AWARE OF AND ENGAGED 2657 02:03:18,760 --> 02:03:20,600 IN THE ACTIVITIES ACROSS THE 2658 02:03:20,600 --> 02:03:22,600 NIH, SO WE LAUNCHED STRIVE IN 2659 02:03:22,600 --> 02:03:25,560 NOVEMBER OF 2020, AND THIS 2660 02:03:25,560 --> 02:03:28,480 INITIATIVE WAS AN INTERNAL NICHD 2661 02:03:28,480 --> 02:03:29,480 EFFORT, AND WE STARTED 2662 02:03:29,480 --> 02:03:31,640 DEVELOPING THAT IN MAY OF 2020, 2663 02:03:31,640 --> 02:03:35,040 AFTER THE MURDER OF GEORGE 2664 02:03:35,040 --> 02:03:36,120 FLOYD, AS WELL AS A NUMBER OF 2665 02:03:36,120 --> 02:03:38,880 THE OTHER SHOOTINGS THAT 2666 02:03:38,880 --> 02:03:40,160 INVOLVED ASIAN AMERICAN PACIFIC 2667 02:03:40,160 --> 02:03:41,600 ISLANDER POPULATIONS, AND A 2668 02:03:41,600 --> 02:03:42,800 NUMBER OF THINGS THAT WENT ON 2669 02:03:42,800 --> 02:03:45,000 DUE TO BLACK LIVES MATTER 2670 02:03:45,000 --> 02:03:47,400 MOVEMENT IN SUMMER OF 2020, AND 2671 02:03:47,400 --> 02:03:50,600 WITH THE BACKDROP OF THE 2672 02:03:50,600 --> 02:03:54,400 PANDEMIC AND OUR WORK, NIH THEN 2673 02:03:54,400 --> 02:03:57,360 LAUNCHED, AFTER JANUARY 2021, 2674 02:03:57,360 --> 02:03:58,560 THE UNITE INITIATIVE. 2675 02:03:58,560 --> 02:03:59,680 AND UNITE DOES NOT STAND FOR 2676 02:03:59,680 --> 02:03:59,920 ANYTHING. 2677 02:03:59,920 --> 02:04:02,400 IT IS THE RARE GOVERNMENT 2678 02:04:02,400 --> 02:04:03,720 ACRONYM IN THAT IT JUST DOESN'T 2679 02:04:03,720 --> 02:04:04,480 STAND FOR ANYTHING, BUT THERE 2680 02:04:04,480 --> 02:04:07,520 ARE A NUMBER OF TEAMS UNDER 2681 02:04:07,520 --> 02:04:08,640 UNITE FIVE TEAMS THAT CORRESPOND 2682 02:04:08,640 --> 02:04:09,840 TO EACH OF THE LETTERS THAT ARE 2683 02:04:09,840 --> 02:04:12,000 WORKING ON VARIOUS ASPECTS OF 2684 02:04:12,000 --> 02:04:14,200 RACIAL EQUITY ACROSS THE NIH. 2685 02:04:14,200 --> 02:04:16,160 UNDER UNITE, AND ALSO FOLLOWING 2686 02:04:16,160 --> 02:04:19,680 THE EXECUTIVE ORDER ON RACIAL 2687 02:04:19,680 --> 02:04:20,600 EQUITY, WHICH REQUIRED ALL OF 2688 02:04:20,600 --> 02:04:24,600 THE FEDERAL AGENCIES TO BEGIN TO 2689 02:04:24,600 --> 02:04:26,440 ADDRESS RACIAL EQUITY BUT ALSO 2690 02:04:26,440 --> 02:04:29,440 DIVERSITY, EQUITY, INCLUSION AND 2691 02:04:29,440 --> 02:04:30,680 ACCESSIBILITY, WE WERE ASKED BY 2692 02:04:30,680 --> 02:04:32,400 THE NIH TO PUT TOGETHER RACIAL 2693 02:04:32,400 --> 02:04:34,120 AND ETHNIC EQUITY PLANS. 2694 02:04:34,120 --> 02:04:35,280 SO YOU'LL SEE THAT IN NOVEMBER 2695 02:04:35,280 --> 02:04:39,240 OF 2021, THAT INITIATIVE WAS 2696 02:04:39,240 --> 02:04:40,080 LAUNCHED. 2697 02:04:40,080 --> 02:04:43,320 AND WE WERE ASKED TO PROVIDE 2698 02:04:43,320 --> 02:04:47,240 PLANS TO THE NIH FOR INTERNAL 2699 02:04:47,240 --> 02:04:48,360 ACTIVITIES THAT WE WOULD 2700 02:04:48,360 --> 02:04:49,840 UNDERTAKE TO ENSURE THAT WE HAD 2701 02:04:49,840 --> 02:04:52,240 RACIAL AND ETHNIC EQUITY IN OUR 2702 02:04:52,240 --> 02:04:52,600 WORKFORCE. 2703 02:04:52,600 --> 02:04:54,800 I WILL SAY THIS ADDS ON TO 2704 02:04:54,800 --> 02:04:57,840 SOMETHING THAT'S REQUIRED UNDER 2705 02:04:57,840 --> 02:05:01,800 THE EEOC, WHICH IS WHAT WE CALL 2706 02:05:01,800 --> 02:05:04,200 THE MANDATORY DIRECTIVE 715, 2707 02:05:04,200 --> 02:05:05,480 UNDER WHICH WE DO HAVE TO DO 2708 02:05:05,480 --> 02:05:08,480 THESE TYPES OF PLANS EVERY YEAR. 2709 02:05:08,480 --> 02:05:09,520 THE ROOT PLANS ARE IN ADDITION 2710 02:05:09,520 --> 02:05:12,520 TO THAT AND REALLY LOOK AT A 2711 02:05:12,520 --> 02:05:14,480 FRAMEWORK THAT LOOKS AT 2712 02:05:14,480 --> 02:05:15,680 SYSTEMICALLY WHAT OUR WORKFORCE 2713 02:05:15,680 --> 02:05:17,840 STRUCTURES AND SYSTEMS ARE TO 2714 02:05:17,840 --> 02:05:20,280 DISMANTLE ANY RACIAL AND ETHNIC 2715 02:05:20,280 --> 02:05:22,560 DISPARITIES AND ENHANCE THE 2716 02:05:22,560 --> 02:05:23,400 DIVERSITY OF THE WORKFORCE. 2717 02:05:23,400 --> 02:05:25,400 NOW GIVEN THAT NICHD HAD ALREADY 2718 02:05:25,400 --> 02:05:28,240 STARTED WITH STRIVE, STRIVE WAS 2719 02:05:28,240 --> 02:05:30,120 NOT JUST AROUND EQUITY FOR 2720 02:05:30,120 --> 02:05:31,240 RACIAL AND ETHNIC GROUPS. 2721 02:05:31,240 --> 02:05:33,720 WE REALLY DID TRY TO TAKE REALLY 2722 02:05:33,720 --> 02:05:34,680 BASED ON OUR MISSION AND THE 2723 02:05:34,680 --> 02:05:36,880 WORK THAT WE DO AN 2724 02:05:36,880 --> 02:05:37,880 INTERSECTIONAL APPROACH TO THIS. 2725 02:05:37,880 --> 02:05:39,960 SO WE REALLY DID TRY TO CONSIDER 2726 02:05:39,960 --> 02:05:42,360 NOT ONLY RACIAL AND ETHNIC 2727 02:05:42,360 --> 02:05:44,960 IDENTITY, WE ALSO TRIED TO TAKE 2728 02:05:44,960 --> 02:05:47,520 INTO ACCOUNT GENDER IDENTITY, AS 2729 02:05:47,520 --> 02:05:48,560 WELL AS DISABILITY. 2730 02:05:48,560 --> 02:05:50,560 SO WE WERE THINKING VERY BROADLY 2731 02:05:50,560 --> 02:05:53,120 TO BEGIN WITH, SIMPLY BECAUSE WE 2732 02:05:53,120 --> 02:05:55,160 KNEW THAT PEOPLE WERE NOT 2733 02:05:55,160 --> 02:05:56,160 SILOED, RIGHT, JUST BY THEIR 2734 02:05:56,160 --> 02:05:58,000 RACIAL AND ETHNIC STATUS, BUT WE 2735 02:05:58,000 --> 02:05:59,080 REALLY HAD TO THINK ABOUT THIS 2736 02:05:59,080 --> 02:06:00,280 FROM THE PERSPECTIVE OF THE 2737 02:06:00,280 --> 02:06:04,800 WHOLE PERSON. 2738 02:06:04,800 --> 02:06:06,280 SO WE WROTE OUR RACIAL AND 2739 02:06:06,280 --> 02:06:08,200 ETHNIC EQUITY PLAN REALLY 2740 02:06:08,200 --> 02:06:09,600 SOMEWHAT FROM THAT LENS AS WELL, 2741 02:06:09,600 --> 02:06:11,480 AND SO WHILE WE ARE LOOKING AT 2742 02:06:11,480 --> 02:06:12,880 STRUCTURES AND SYSTEMS, WE ARE 2743 02:06:12,880 --> 02:06:14,120 LOOKING AT THEM A LITTLE BIT 2744 02:06:14,120 --> 02:06:18,880 MORE HOLISTICALLY. 2745 02:06:18,880 --> 02:06:22,040 SO WE HAVE CREATED THAT, WE 2746 02:06:22,040 --> 02:06:23,920 FINISHED THAT IN MARCH OF 2022, 2747 02:06:23,920 --> 02:06:24,920 IT WENT THROUGH A NUMBER OF 2748 02:06:24,920 --> 02:06:26,560 PIECES OF REVIEW AND WAS 2749 02:06:26,560 --> 02:06:28,840 PUBLISHED ON THE INTRANET AT NIH 2750 02:06:28,840 --> 02:06:30,160 BECAUSE IT'S AN INTERNAL 2751 02:06:30,160 --> 02:06:31,440 WORKFORCE INITIATIVE THAT WAS 2752 02:06:31,440 --> 02:06:32,880 PUBLISHED FOR OTHER ICs TO 2753 02:06:32,880 --> 02:06:35,600 TALK A LOOK AT IN JULY OF 2022, 2754 02:06:35,600 --> 02:06:38,800 AND THEN WE HAD TO PROVIDE AN 2755 02:06:38,800 --> 02:06:41,560 UPDATE IN SEPTEMBER OF 2022 ON 2756 02:06:41,560 --> 02:06:42,720 PROGRESS ON OUR ACTIVITIES. 2757 02:06:42,720 --> 02:06:44,200 WE'LL HAVE TO DO THAT ANNUALLY, 2758 02:06:44,200 --> 02:06:47,000 IN ADDITION TO THE WORK THAT WE 2759 02:06:47,000 --> 02:06:50,080 DO ON THE DIRECTIVE 715. 2760 02:06:50,080 --> 02:06:51,920 THE OTHER THING THAT UNITE HAS 2761 02:06:51,920 --> 02:06:54,320 BEEN DOING, AND I'VE PUT SOME 2762 02:06:54,320 --> 02:06:55,960 LINKS IN SO YOU CAN SEE THIS, 2763 02:06:55,960 --> 02:06:58,160 THEY HAVE DONE A PROGRESS 2764 02:06:58,160 --> 02:07:00,120 REPORT, UNITE DOES NOT ONLY 2765 02:07:00,120 --> 02:07:01,160 INVOLVE THE INTERNAL WORKFORCE, 2766 02:07:01,160 --> 02:07:03,760 IT ALSO INVOLVES FUNDING 2767 02:07:03,760 --> 02:07:06,600 OPPORTUNITIES AND THE TRAINING 2768 02:07:06,600 --> 02:07:07,360 ECOSYSTEM. 2769 02:07:07,360 --> 02:07:10,200 AND SO THEY HIGHLIGHTED IN THEIR 2770 02:07:10,200 --> 02:07:11,480 PROGRESS REPORT, AND I HAVE IN 2771 02:07:11,480 --> 02:07:13,600 THE APPENDIX OF THESE SLIDES, A 2772 02:07:13,600 --> 02:07:15,240 SUMMARY THAT'S ALSO IN THEIR 2773 02:07:15,240 --> 02:07:16,840 EXECUTIVE SUMMARY, ABOUT THEIR 2774 02:07:16,840 --> 02:07:19,040 FUNDING OF HEALTH DISPARITIES 2775 02:07:19,040 --> 02:07:22,000 AND MINORITY HEALTH RESEARCH. 2776 02:07:22,000 --> 02:07:23,480 THEIR EFFORTS TO PROMOTE EQUITY 2777 02:07:23,480 --> 02:07:25,520 IN THE BIOMEDICAL RESEARCH 2778 02:07:25,520 --> 02:07:26,600 ECOSYSTEM, AND THAT INCLUDES NEW 2779 02:07:26,600 --> 02:07:28,760 TRAINING PROGRAMS AND 2780 02:07:28,760 --> 02:07:29,960 MENTORSHIPS, PROMOTING EQUITY IN 2781 02:07:29,960 --> 02:07:30,960 THE INTERNAL WORKFORCE AND 2782 02:07:30,960 --> 02:07:32,040 THAT'S WHERE YOU SEE THE RACIAL 2783 02:07:32,040 --> 02:07:35,240 AND ETHNIC EQUITY PLANS COME IN. 2784 02:07:35,240 --> 02:07:37,120 AND ALSO TO IMPROVE THE ACCURACY 2785 02:07:37,120 --> 02:07:38,600 AND TRANSPARENCY OF RACIAL AND 2786 02:07:38,600 --> 02:07:41,600 ETHNIC EQUITY DATA, AND THAT 2787 02:07:41,600 --> 02:07:42,880 INCLUDES NOT ONLY OUR EMPLOYEE 2788 02:07:42,880 --> 02:07:45,040 DATA, BUT DATA ON OUR GRANTEES, 2789 02:07:45,040 --> 02:07:48,920 AS WELL AS INCLAWT INCLUSION OFE 2790 02:07:48,920 --> 02:07:51,320 PARTICIPANTS IN OUR RESEARCH. 2791 02:07:51,320 --> 02:07:55,120 WE ALSO WERE ASKED TO, BY THE 2792 02:07:55,120 --> 02:07:56,880 ADMINISTRATION, CREATE A 2793 02:07:56,880 --> 02:07:59,400 DIVERSITY, EQUITY, INCLUSION AND 2794 02:07:59,400 --> 02:08:01,160 ACCESSIBILITY STRATEGIC PLAN. 2795 02:08:01,160 --> 02:08:05,200 THIS IS BEING COORDINATED WITH 2796 02:08:05,200 --> 02:08:05,760 THE DEPARTMENT OF HEALTH AND 2797 02:08:05,760 --> 02:08:07,080 HUMAN SERVICES, AND THIS IS A 2798 02:08:07,080 --> 02:08:09,480 LARGER STRATEGIC PLAN THAT IS 2799 02:08:09,480 --> 02:08:13,680 CURRENTLY RECEIVING PUBLIC 2800 02:08:13,680 --> 02:08:16,120 INPUT, SO THERE IS AN RFI OUT 2801 02:08:16,120 --> 02:08:17,560 NOW, AND THE FINAL PLAN, WE 2802 02:08:17,560 --> 02:08:18,880 THINK SHOULD BE PUBLISHED IN 2803 02:08:18,880 --> 02:08:23,320 SPRING OF 2023 FROM NICHD WITH 2804 02:08:23,320 --> 02:08:25,560 AN ACTIVE CONTRIBUTOR TO THE 2805 02:08:25,560 --> 02:08:27,720 STRATEGIC PLAN, AND I DO WANT TO 2806 02:08:27,720 --> 02:08:30,240 HIGHLIGHT THAT THERESA CRUZ AND 2807 02:08:30,240 --> 02:08:31,320 OTHERS HAVE BEEN REALLY ACTIVE 2808 02:08:31,320 --> 02:08:35,160 IN ENSURING THAT ACCESSIBILITY 2809 02:08:35,160 --> 02:08:37,480 AND DISABILITY IS VERY MUCH IN 2810 02:08:37,480 --> 02:08:39,560 CONSIDERATION AS WE THINK ABOUT 2811 02:08:39,560 --> 02:08:41,080 BEING EQUITABLE AND INCLUSIVE IN 2812 02:08:41,080 --> 02:08:45,560 ALL OF OUR WORK. 2813 02:08:45,560 --> 02:08:47,000 SO I WANT TO THANK HER AND HER 2814 02:08:47,000 --> 02:08:48,200 TEAM FOR ALL THAT THEY'VE DONE. 2815 02:08:48,200 --> 02:08:53,880 I THINK IT HAS BEEN A LOT OF 2816 02:08:53,880 --> 02:08:55,720 WORK ACROSS, AND TERESA AND A 2817 02:08:55,720 --> 02:08:56,920 NUMBER OF THE STAFF ON THE TEAM 2818 02:08:56,920 --> 02:08:58,680 HAVE BEEN VERY ACTIVE, NOT ONLY 2819 02:08:58,680 --> 02:09:03,280 IN THE DEIA STRATEGIC PLAN, BUT 2820 02:09:03,280 --> 02:09:06,240 ALSO IN DEIA WORKING GROUPS FOR 2821 02:09:06,240 --> 02:09:07,920 THE INTERNAL WORKFORCE, AS WELL 2822 02:09:07,920 --> 02:09:08,720 AS IN STRIVE. 2823 02:09:08,720 --> 02:09:13,240 SO I WANT TO THANK THERESA AND 2824 02:09:13,240 --> 02:09:14,920 HER TEAM FOR THEIR LEADERSHIP IN 2825 02:09:14,920 --> 02:09:15,320 THIS AREA. 2826 02:09:15,320 --> 02:09:16,760 I WANT TO JUST GO BACK ONE 2827 02:09:16,760 --> 02:09:18,400 BEFORE I GO TO NICHD STRIVE. 2828 02:09:18,400 --> 02:09:20,880 I THINK A NUMBER OF YOU ARE 2829 02:09:20,880 --> 02:09:23,280 AWARE THAT THIS MEETS ADVISORY 2830 02:09:23,280 --> 02:09:26,240 COUNCIL TO THE DIRECTOR OF NIH 2831 02:09:26,240 --> 02:09:29,320 WILL INCLUDE A REPORT FROM THE 2832 02:09:29,320 --> 02:09:33,120 WORKING GROUP ON DISABILITY, AND 2833 02:09:33,120 --> 02:09:36,640 THIS IS A TEAM THAT HAS PUT 2834 02:09:36,640 --> 02:09:38,840 TOGETHER AND IT'S REALLY AN 2835 02:09:38,840 --> 02:09:40,040 ILLUSTRIOUS GROUP OF YOUR 2836 02:09:40,040 --> 02:09:41,240 COLLEAGUES, HAVE PUT TOGETHER 2837 02:09:41,240 --> 02:09:45,240 RECOMMENDATIONS FOR THE NIH ON 2838 02:09:45,240 --> 02:09:46,560 HOW TO REALLY BETTER INCLUDE 2839 02:09:46,560 --> 02:09:47,640 PEOPLE WITH DISABILITY, NOT ONLY 2840 02:09:47,640 --> 02:09:49,040 IN OUR INTERNAL WORKFORCE, BUT 2841 02:09:49,040 --> 02:09:52,920 ALSO IN OUR RESEARCH, AS WELL AS 2842 02:09:52,920 --> 02:09:55,480 IN OUR EXTRAMURAL WORKFORCE. 2843 02:09:55,480 --> 02:09:56,800 YOU KNOW, THE DATE TA ON 2844 02:09:56,800 --> 02:10:00,520 DISABILITY AND SCIENTISTS -- 2845 02:10:00,520 --> 02:10:01,840 WE'VE TALKED ABOUT IN THIS BOARD 2846 02:10:01,840 --> 02:10:03,120 MEETING IN FACT WHEN I WAS STILL 2847 02:10:03,120 --> 02:10:04,120 DIRECTOR ABOUT HOW TO BETTER 2848 02:10:04,120 --> 02:10:04,960 INCLUDE PEOPLE WITH DISABILITY 2849 02:10:04,960 --> 02:10:07,840 IN OUR WORKFORCE, ESPECIALLY IN 2850 02:10:07,840 --> 02:10:09,280 OUR FUNDED INVESTIGATOR 2851 02:10:09,280 --> 02:10:12,640 WORKFORCE, AND I THINK -- I 2852 02:10:12,640 --> 02:10:14,120 REALLY DO, I GOT A PREVIEW OF 2853 02:10:14,120 --> 02:10:15,120 THE REPORT AND RECOMMENDATIONS 2854 02:10:15,120 --> 02:10:15,440 THIS MORNING. 2855 02:10:15,440 --> 02:10:16,800 SO I WOULD REALLY URGE YOU ALL 2856 02:10:16,800 --> 02:10:21,160 TO BE PART OF THAT MEETING ON 2857 02:10:21,160 --> 02:10:23,800 FRIDAY, BECAUSE I THINK THEIR 2858 02:10:23,800 --> 02:10:24,680 RECOMMENDATIONS REALLY WILL BE A 2859 02:10:24,680 --> 02:10:30,440 WAY TO CATALYZE BOTH RESEARCH ON 2860 02:10:30,440 --> 02:10:32,000 DISABILITY IN THE SOCIAL MODEL, 2861 02:10:32,000 --> 02:10:38,480 NOT IN THE MEDICAL MODEL, BUT 2862 02:10:38,480 --> 02:10:40,440 THEY ALSO MADE SOME POWERFUL 2863 02:10:40,440 --> 02:10:41,200 RECOMMENDATIONS ABOUT HOW MUCH 2864 02:10:41,200 --> 02:10:42,920 WE REALLY LACK IN INFORMATION, 2865 02:10:42,920 --> 02:10:44,040 BOTH ABOUT OUR PARTICIPANTS WITH 2866 02:10:44,040 --> 02:10:44,920 DISABILITY AS WELL AS IN OUR 2867 02:10:44,920 --> 02:10:46,760 WORKFORCE WITH DISABILITY, BOTH 2868 02:10:46,760 --> 02:10:49,920 INTERNALLY AND EXTERNALLY AND 2869 02:10:49,920 --> 02:10:50,920 SOME OF THE REASONS FOR THAT. 2870 02:10:50,920 --> 02:10:52,120 SO I REALLY DO APPRECIATE THE 2871 02:10:52,120 --> 02:10:53,360 COLLEAGUES THAT WE HAVE WHO HAVE 2872 02:10:53,360 --> 02:10:55,080 BEEN PARTICIPATING IN THAT WORK 2873 02:10:55,080 --> 02:10:56,600 GROUP, AS WELL AS, AGAIN, THE 2874 02:10:56,600 --> 02:11:01,080 LEADERSHIP OF THERESA AND ONE OF 2875 02:11:01,080 --> 02:11:04,400 OUR OTHER COLLEAGUES IN NICHD, 2876 02:11:04,400 --> 02:11:07,640 DR. COUP THEMANNKOEPKE. 2877 02:11:07,640 --> 02:11:08,840 SO I'LL MOVE TO STRIVE. 2878 02:11:08,840 --> 02:11:10,040 THE MISSION OF STRIVE, WE PUT 2879 02:11:10,040 --> 02:11:11,360 TOGETHER A CHARTER FOR THAT AND 2880 02:11:11,360 --> 02:11:13,080 WHAT WE WERE ASKING OUR TEAM DO 2881 02:11:13,080 --> 02:11:15,200 HERE AT NICHD, WE WANTED OUR 2882 02:11:15,200 --> 02:11:16,960 COLLEAGUES TO HELP US DEVELOP 2883 02:11:16,960 --> 02:11:21,440 THREE ACTION PLA PLANS AND THESE 2884 02:11:21,440 --> 02:11:22,960 REALLY WELL WITH WHAT CAME UP 2885 02:11:22,960 --> 02:11:23,520 WITH SOME OF THE OTHER 2886 02:11:23,520 --> 02:11:23,960 REQUIREMENTS. 2887 02:11:23,960 --> 02:11:25,360 SO WE ACTUALLY HAD GOTTEN KIND 2888 02:11:25,360 --> 02:11:29,320 OF A HEAD START. 2889 02:11:29,320 --> 02:11:31,520 THIS WAS TO HIRE, TRAIN, RETAIN 2890 02:11:31,520 --> 02:11:33,360 AND PROMOTE DIVERSE TALENT 2891 02:11:33,360 --> 02:11:34,440 WITHIN NICHD, HOW COULD WE DO 2892 02:11:34,440 --> 02:11:43,440 THAT BETTER, HOW TO TRAIN AND 2893 02:11:43,440 --> 02:11:45,160 SUPPORT THE CAREERS OF DIVERSE 2894 02:11:45,160 --> 02:11:46,160 SCIENTIFIC TALENT IN THE 2895 02:11:46,160 --> 02:11:49,240 EXTRAMURAL COMMUNITY AND HOW TO 2896 02:11:49,240 --> 02:11:50,320 PROPOSE HEALTH DISPARITIES 2897 02:11:50,320 --> 02:11:52,320 RESEARCH PRIORITIES AND 2898 02:11:52,320 --> 02:11:53,760 DIFFERENT APPROACHES TO MITIGATE 2899 02:11:53,760 --> 02:11:54,680 KEY DRIVERS OF HEALTH 2900 02:11:54,680 --> 02:11:55,000 DISPARITIES. 2901 02:11:55,000 --> 02:11:59,080 SO THESE ARE NOT FINAL BUT WE'VE 2902 02:11:59,080 --> 02:12:00,160 ALSO TRIED TO MAKE THIS COMPORT 2903 02:12:00,160 --> 02:12:02,880 TO THE NICHD STRATEGIC PLAN AND 2904 02:12:02,880 --> 02:12:05,520 TO THE LARGER NIH EFFORT SO THAT 2905 02:12:05,520 --> 02:12:06,720 WHEN WE'RE NOT DUPLICATING, 2906 02:12:06,720 --> 02:12:07,920 WE'RE SORT OF BRINGING THINGS 2907 02:12:07,920 --> 02:12:08,800 TOGETHER, BUT TOO, THAT THERE 2908 02:12:08,800 --> 02:12:11,240 WILL BE AN ACCOUNTABILITY AND 2909 02:12:11,240 --> 02:12:16,880 IMPLEMENTATION STRUCTURE FOR THE 2910 02:12:16,880 --> 02:12:18,040 RECOMMENDATION. 2911 02:12:18,040 --> 02:12:25,320 SO THESE ARE THE THREE CAN 2912 02:12:25,320 --> 02:12:28,840 SUBCOMMITTEES. 2913 02:12:28,840 --> 02:12:37,160 IS SO OUR BROAD ACTION PLAN, WE 2914 02:12:37,160 --> 02:12:38,680 REALLY INCORPORATED A NUMBER OF 2915 02:12:38,680 --> 02:12:39,000 GOALS HERE. 2916 02:12:39,000 --> 02:12:41,200 SO WHAT WE WANTED TO DO FOR 2917 02:12:41,200 --> 02:12:43,520 DEIA, WE HAVE A NUMBER OF 2918 02:12:43,520 --> 02:12:45,000 STRATEGIC OBJECTIVES UNDER THIS. 2919 02:12:45,000 --> 02:12:47,320 NUMBER ONE IS WE REALLY DO NEED 2920 02:12:47,320 --> 02:12:49,200 TO INCREASE THE COLLECTION AND 2921 02:12:49,200 --> 02:12:56,640 USE OF DATA PERTAINING TO DEIA, 2922 02:12:56,640 --> 02:12:58,000 IF WE NEED TO MONITOR PROGRESS, 2923 02:12:58,000 --> 02:13:02,000 WE NEED TO BE ABLE TO LOOK AT 2924 02:13:02,000 --> 02:13:03,520 WHO WE HAVE IN OUR WORKFORCE AND 2925 02:13:03,520 --> 02:13:07,920 HOW WHAT WE DO CHANGES OUR 2926 02:13:07,920 --> 02:13:08,880 DIVERSITY, BOTH IN TERMS OF WHO 2927 02:13:08,880 --> 02:13:11,880 WE HAVE IN THE ORGANIZATION AS 2928 02:13:11,880 --> 02:13:14,000 WELL AS WHO WE ARE DEVELOPING, 2929 02:13:14,000 --> 02:13:17,840 RETAINING, PROMOTING AND MAKING 2930 02:13:17,840 --> 02:13:20,480 SURE WE'RE ADDRESSING BIASES AND 2931 02:13:20,480 --> 02:13:21,800 ANY SYSTEMATIC OR STRUCTURAL 2932 02:13:21,800 --> 02:13:22,560 BARRIERS TO THAT. 2933 02:13:22,560 --> 02:13:23,760 WE'RE ALSO THINKING ABOUT WHAT 2934 02:13:23,760 --> 02:13:26,600 IS GOING TO BE IN OUR TRAINING 2935 02:13:26,600 --> 02:13:30,080 CURRICULUM SO THAT WE CAN HAVE 2936 02:13:30,080 --> 02:13:31,840 STAFF THAT ARE EQUIPPED TO 2937 02:13:31,840 --> 02:13:33,720 CONTRIBUTE TO AN ACCESSIBLE AND 2938 02:13:33,720 --> 02:13:34,360 INCLUSIVE WORK ENVIRONMENT. 2939 02:13:34,360 --> 02:13:35,480 WE'RE LOOKING AT DIFFERENTIAL 2940 02:13:35,480 --> 02:13:40,040 TRAININGS FOR OUR STAFF AND OUR 2941 02:13:40,040 --> 02:13:41,040 SUPERVISORS, THINKING ABOUT HOW 2942 02:13:41,040 --> 02:13:42,000 TO MAKE PEOPLE AWARE OF THE 2943 02:13:42,000 --> 02:13:44,080 SCIENCE THAT WE DO THAT ENHANCES 2944 02:13:44,080 --> 02:13:46,400 DEIA IN THE COMMUNITY, BUT WE'RE 2945 02:13:46,400 --> 02:13:49,360 ALSO THINKING ABOUT HOW TO 2946 02:13:49,360 --> 02:13:50,680 REALLY CREATE A RESPECTFUL, 2947 02:13:50,680 --> 02:13:52,640 CIVIL AND INCLUSIVE WORKFORCE. 2948 02:13:52,640 --> 02:13:54,400 WE'VE BEEN LOOKING AT RESEARCH 2949 02:13:54,400 --> 02:13:55,640 AND EVIDENCE ON WHAT TRAININGS 2950 02:13:55,640 --> 02:13:57,320 WORK AND WHAT TRAININGS DON'T. 2951 02:13:57,320 --> 02:13:58,880 WE'VE BEEN PILOTING SOME NEW 2952 02:13:58,880 --> 02:13:59,880 TRAININGS IN THE INSTITUTE TO 2953 02:13:59,880 --> 02:14:02,160 SEE HOW PEOPLE ARE RECEIVING 2954 02:14:02,160 --> 02:14:03,560 THEM, AND THEN WE'LL START 2955 02:14:03,560 --> 02:14:04,680 THINKING ABOUT THIS TRAINING 2956 02:14:04,680 --> 02:14:07,920 CURRICULUM MOVING FORWARD. 2957 02:14:07,920 --> 02:14:10,240 WITH RESPECT TO SCIENTIFIC 2958 02:14:10,240 --> 02:14:11,000 WORKFORCE DIVERSITY, AGAIN, WE 2959 02:14:11,000 --> 02:14:12,880 HAVE REALLY TRIED TO UNDERTAKE A 2960 02:14:12,880 --> 02:14:14,160 FAIRLY SUBSTANTIVE EFFORT IN 2961 02:14:14,160 --> 02:14:15,760 TERMS OF OUR TRAINING EFFORTS 2962 02:14:15,760 --> 02:14:19,000 AND OUR WORKFORCE DIVERSITY. 2963 02:14:19,000 --> 02:14:20,400 AND WHAT WE'RE LEARNING IS, BOTH 2964 02:14:20,400 --> 02:14:24,000 HERE AND IN OUR FUNDED 2965 02:14:24,000 --> 02:14:25,320 INVESTIGATORS, THERE'S A REAL 2966 02:14:25,320 --> 02:14:26,440 PAUCITY OF REPORTING OF 2967 02:14:26,440 --> 02:14:28,040 DISABILITY, AND WE UNDERSTAND 2968 02:14:28,040 --> 02:14:29,480 THAT THERE ARE SOME REASONS FOR 2969 02:14:29,480 --> 02:14:29,920 THAT. 2970 02:14:29,920 --> 02:14:32,440 WE ONLY HAVE ABOUT 2% OF PEOPLE 2971 02:14:32,440 --> 02:14:36,480 WHO RECEIVE TRAINING GRANTS OR 2972 02:14:36,480 --> 02:14:38,000 WHO RECEIVE RESEARCH PROJECT 2973 02:14:38,000 --> 02:14:39,560 GRANT FUNDING IN THE NIH 2974 02:14:39,560 --> 02:14:40,440 REPORTING A DISABILITY. 2975 02:14:40,440 --> 02:14:43,800 BUT THERE'S A LOT OF MISSING 2976 02:14:43,800 --> 02:14:44,560 DATA. 2977 02:14:44,560 --> 02:14:46,560 AND SO A MAJORITY OF PEOPLE 2978 02:14:46,560 --> 02:14:49,840 EITHER DECIDE NOT TO REPORT OR 2979 02:14:49,840 --> 02:14:50,760 JUST DON'T ANSWER THE QUESTION 2980 02:14:50,760 --> 02:14:51,280 AT ALL. 2981 02:14:51,280 --> 02:14:54,320 AND WHILE WE UNDERSTAND THAT 2982 02:14:54,320 --> 02:14:55,600 DEMOGRAPHIC INFORMATION IS 2983 02:14:55,600 --> 02:14:56,840 OPTIONAL, IT DOES HELP US 2984 02:14:56,840 --> 02:15:00,640 UNDERSTAND THE MAKEUP OF OUR 2985 02:15:00,640 --> 02:15:01,000 WORKFORCE. 2986 02:15:01,000 --> 02:15:02,600 SO WE REALLY NEED TO BETTER 2987 02:15:02,600 --> 02:15:03,840 UNDERSTAND THIS SO THAT WE CAN 2988 02:15:03,840 --> 02:15:05,040 POTENTIALLY THINK ABOUT OUR 2989 02:15:05,040 --> 02:15:07,760 OUTREACH AND TRAINING EFFORT AND 2990 02:15:07,760 --> 02:15:10,600 GETTING MORE PEOPLE INTO OUR 2991 02:15:10,600 --> 02:15:11,280 WORKFORCE PIPELINE. 2992 02:15:11,280 --> 02:15:12,360 I THINK THE OTHER IS THAT THERE 2993 02:15:12,360 --> 02:15:13,680 ARE POLICIES AND PRACTICES THAT 2994 02:15:13,680 --> 02:15:16,800 WE HAVE IN OUR TRAINING PROGRAM, 2995 02:15:16,800 --> 02:15:22,640 EITHER THAT WE'RE NOT REQUIRING 2996 02:15:22,640 --> 02:15:24,120 CERTAIN TYPES OF DIVERSITY PLANS 2997 02:15:24,120 --> 02:15:26,240 OR WE'RE NOT ASKING PEOPLE FOR 2998 02:15:26,240 --> 02:15:27,480 DEMOGRAPHIC INFORMATION ON WHO 2999 02:15:27,480 --> 02:15:28,880 THEY'RE TRAINING AND HOW THEIR 3000 02:15:28,880 --> 02:15:29,880 OUTREACH IS PROGRESSING, SO 3001 02:15:29,880 --> 02:15:31,520 WE'RE LOOKING AT MODEL POLICIES 3002 02:15:31,520 --> 02:15:36,240 OR MODEL PRACTICES ACROSS THE 3003 02:15:36,240 --> 02:15:37,640 NIH AND EVALUATING THOSE FOR 3004 02:15:37,640 --> 02:15:41,040 INCLUSION IN OUR TRAINING. 3005 02:15:41,040 --> 02:15:41,760 SOLICITATION. 3006 02:15:41,760 --> 02:15:42,680 THE OTHER THING THAT WE 3007 02:15:42,680 --> 02:15:43,760 RECOGNIZED AS WE WENT THROUGH 3008 02:15:43,760 --> 02:15:46,920 THIS IS THAT WE ORIGINALLY 3009 02:15:46,920 --> 02:15:48,480 TARGETED OUR EXTRAMURAL 3010 02:15:48,480 --> 02:15:49,200 WORKFORCE, BUT THERE ARE A 3011 02:15:49,200 --> 02:15:51,120 NUMBER OF THINGS GOING ON IN OUR 3012 02:15:51,120 --> 02:15:52,320 INTRAMURAL WORKFORCE. 3013 02:15:52,320 --> 02:15:54,360 SO WE ARE NOW WORKING WITH THE 3014 02:15:54,360 --> 02:15:57,400 INTRAMURAL PROGRAM TO BETTER 3015 02:15:57,400 --> 02:15:58,400 INCORPORATE SOME OF THEIR 3016 02:15:58,400 --> 02:16:00,200 POLICIES AND PRACTICES AND WE'VE 3017 02:16:00,200 --> 02:16:01,640 ACTUALLY DONE QUITE A BIT AND SO 3018 02:16:01,640 --> 02:16:03,000 HAS THE OFFICE OF INTRAMURAL 3019 02:16:03,000 --> 02:16:06,720 TRAINING AND EDUCATION ON 3020 02:16:06,720 --> 02:16:08,240 MENTORSHIP AND INCLUSIVE 3021 02:16:08,240 --> 02:16:13,160 PRACTICES AND ALSO OUTREACH WITH 3022 02:16:13,160 --> 02:16:14,480 DIFFERENT COMMUNITIES WHERE WE 3023 02:16:14,480 --> 02:16:17,560 CAN BRING IN MORE DIVERSE 3024 02:16:17,560 --> 02:16:18,960 SCIENTISTS NOT JUST TO WORK, YOU 3025 02:16:18,960 --> 02:16:20,400 KNOW, AND I WANTED TO MAKE IT 3026 02:16:20,400 --> 02:16:21,360 CLEAR, WE'RE NOT JUST TALKING 3027 02:16:21,360 --> 02:16:24,760 ABOUT PEOPLE COMING IN THAT ARE 3028 02:16:24,760 --> 02:16:26,080 WORKING ON, SAY, HEALTH 3029 02:16:26,080 --> 02:16:27,720 DISPARITIES RESEARCH, WE REALLY 3030 02:16:27,720 --> 02:16:29,920 WANT TO WELCOME THE DIVERSITY OF 3031 02:16:29,920 --> 02:16:31,200 VOICES EITHER FROM RACIAL AND 3032 02:16:31,200 --> 02:16:33,200 ETHNIC BACKGROUNDS, GENDER 3033 02:16:33,200 --> 02:16:35,280 IDENTITY BACKGROUNDS, DISABILITY 3034 02:16:35,280 --> 02:16:36,400 BACKGROUNDS, BECAUSE THEY BRING 3035 02:16:36,400 --> 02:16:37,800 FRESH PERSPECTIVES AND NEW WAYS 3036 02:16:37,800 --> 02:16:40,960 TO LOOK AT THE SCIENCE. 3037 02:16:40,960 --> 02:16:42,480 AND THE OTHER THING WE ARE NOW 3038 02:16:42,480 --> 02:16:43,920 DOING THROUGH OUR SCIENTIFIC 3039 02:16:43,920 --> 02:16:44,880 WORKFORCE DIVERSITY EFFORTS, AND 3040 02:16:44,880 --> 02:16:46,320 THIS WAS IN CONSULTATION WITH 3041 02:16:46,320 --> 02:16:48,480 THE EQUITY TECHNICAL ASSISTANCE 3042 02:16:48,480 --> 02:16:52,320 CENTER IN HHS, WE ARE ALSO 3043 02:16:52,320 --> 02:16:54,720 THINKING ABOUT HOW TO ENGAGE 3044 02:16:54,720 --> 02:16:57,160 INTERNAL AND EXTERNAL 3045 02:16:57,160 --> 02:17:01,320 STAKEHOLDERS TO SEE HOW WE CAN 3046 02:17:01,320 --> 02:17:03,280 BETTER INCLUDE PEOPLE AND 3047 02:17:03,280 --> 02:17:04,480 WELCOME PEOPLE INTO THE 3048 02:17:04,480 --> 02:17:07,280 SCIENTIFIC WORKFORCE, AND THAT 3049 02:17:07,280 --> 02:17:10,120 INCLUDES STAKE H STAKEHOLDER OUO 3050 02:17:10,120 --> 02:17:11,120 ONE OF THE THINGS WE HAVE DONE 3051 02:17:11,120 --> 02:17:12,240 AS A RESULT IS TO THICK THING 3052 02:17:12,240 --> 02:17:15,080 ABOUT HOW WE'RE DOING THAT, WHO 3053 02:17:15,080 --> 02:17:17,920 WE'RE ENGAGING WITH. 3054 02:17:17,920 --> 02:17:19,360 WE WERE ENGAGING WITH THE USUAL 3055 02:17:19,360 --> 02:17:20,360 SUSPECTS AND ONE OF THE THINGS 3056 02:17:20,360 --> 02:17:21,960 WE ALL KNOW, RIGHT, IS IF WE 3057 02:17:21,960 --> 02:17:23,080 CONTINUE TO TRY TO DO THE SAME 3058 02:17:23,080 --> 02:17:24,600 THING OVER AND OVER AND EXPECT A 3059 02:17:24,600 --> 02:17:27,440 DIFFERENT RESULT, WE ARE NOT 3060 02:17:27,440 --> 02:17:28,880 GOING TO SUCCEED. 3061 02:17:28,880 --> 02:17:31,720 SO WE'RE THINKING ABOUT HOW WE 3062 02:17:31,720 --> 02:17:33,400 BETTER ENGAGE IN OUTREACH WITH 3063 02:17:33,400 --> 02:17:36,440 THE COMMUNITY, ESPECIALLY 3064 02:17:36,440 --> 02:17:37,600 COMMUNITIES WHERE HISTORICALLY 3065 02:17:37,600 --> 02:17:40,000 NICHD HAS NOT DONE AS MUCH TO 3066 02:17:40,000 --> 02:17:42,200 SEE HOW WE BETTER ENGAGE AND 3067 02:17:42,200 --> 02:17:44,040 TRAIN THIS NEXT GENERATION OF 3068 02:17:44,040 --> 02:17:46,040 SCIENTISTS. 3069 02:17:46,040 --> 02:17:47,880 AND THEN FINALLY IN HEALTH 3070 02:17:47,880 --> 02:17:49,000 DISPARITIES RESEARCH, WE HAVE 3071 02:17:49,000 --> 02:17:50,320 TAKEN, AGAIN, A VERY 3072 02:17:50,320 --> 02:17:53,680 INTERSECTIONAL VIEW OF THIS. 3073 02:17:53,680 --> 02:17:55,000 AND I THINK THE DISABILITY 3074 02:17:55,000 --> 02:17:57,880 COMMUNITY AS USUAL WAS VERY FAR 3075 02:17:57,880 --> 02:17:59,720 AHEAD AND I THINK OTHERS HAVE 3076 02:17:59,720 --> 02:18:01,560 ADOPTED THE SLOGAN OF NOTHING 3077 02:18:01,560 --> 02:18:03,800 ABOUT US WITHOUT US. 3078 02:18:03,800 --> 02:18:05,160 AND I THINK WE HAVE REALLY 3079 02:18:05,160 --> 02:18:06,600 LOOKED AT PROMOTING COMMUNITY 3080 02:18:06,600 --> 02:18:07,480 PARTNERED RESEARCH AND THAT 3081 02:18:07,480 --> 02:18:12,520 DOESN'T HAVE TO BE ONLY 3082 02:18:12,520 --> 02:18:13,600 COMMUNITY-BASED ENGAGED 3083 02:18:13,600 --> 02:18:15,160 RESEARCH, DOES NOT HAVE TO BE 3084 02:18:15,160 --> 02:18:16,000 COMMUNITY LED RESEARCH BUT 3085 02:18:16,000 --> 02:18:17,760 LOOKING AT DIFFERENT MODELS OF 3086 02:18:17,760 --> 02:18:19,520 COMMUNITY PARTNER RESEARCH TO 3087 02:18:19,520 --> 02:18:21,040 UNDERSTAND HEALTH DISPARITIES, 3088 02:18:21,040 --> 02:18:22,680 INCLUDING THE PERSPECTIVE OF THE 3089 02:18:22,680 --> 02:18:24,560 COMMUNITY INVOLVED. 3090 02:18:24,560 --> 02:18:26,400 WE NEED TO PROMOTE THE INCLUSION 3091 02:18:26,400 --> 02:18:29,120 OF POPULATIONS EXPERIENCING 3092 02:18:29,120 --> 02:18:33,520 HEALTH DISPARITIES IN ALL NICHD 3093 02:18:33,520 --> 02:18:34,280 HUMAN SUBJECTS RESEARCH. 3094 02:18:34,280 --> 02:18:36,320 WE'VE TAKEN A LOOK IN OUR 3095 02:18:36,320 --> 02:18:37,400 INCLUSION DATA AND SOME OF IT 3096 02:18:37,400 --> 02:18:38,880 HAS BEEN SURPRISING TO US, 3097 02:18:38,880 --> 02:18:40,400 BECAUSE EVEN IN CONDITIONS WHERE 3098 02:18:40,400 --> 02:18:44,360 WE WOULD EXPECT THAT THERE'S A 3099 02:18:44,360 --> 02:18:48,720 DIFFERENT MAKEUP OF PARTICIPANTS 3100 02:18:48,720 --> 02:18:50,160 BECAUSE OF THE PREPONDERANCE OF 3101 02:18:50,160 --> 02:18:53,000 A CONDITION IN THOSE 3102 02:18:53,000 --> 02:18:55,840 PARTICIPANTS, FOR EXAMPLE, SOME 3103 02:18:55,840 --> 02:18:56,600 NEUROLOGIC HEALTH CONDITION, 3104 02:18:56,600 --> 02:18:58,040 WE'RE NOT SEEING THAT 3105 02:18:58,040 --> 02:18:58,480 REPRESENTATION. 3106 02:18:58,480 --> 02:19:01,880 SO WE HAVE TO THINK ABOUT HOW 3107 02:19:01,880 --> 02:19:03,680 WE'RE INCLUDING THOSE 3108 02:19:03,680 --> 02:19:05,000 PARTICIPANTS AND HOW WE'RE 3109 02:19:05,000 --> 02:19:06,000 CHALLENGING OUR INVESTIGATORS TO 3110 02:19:06,000 --> 02:19:07,520 MAKE SURE THAT THEY'RE INCLUDING 3111 02:19:07,520 --> 02:19:09,720 THOSE PARTICIPANTS. 3112 02:19:09,720 --> 02:19:12,080 AND ALSO AS I'VE SAID MULTIPLE 3113 02:19:12,080 --> 02:19:13,320 TIMES, TO INCORPORATE THE 3114 02:19:13,320 --> 02:19:14,400 INTERSECTIONALITY OF IDENTITIES 3115 02:19:14,400 --> 02:19:17,040 INTO OUR HEALTH DISPARITIES 3116 02:19:17,040 --> 02:19:18,680 RESEARCH, WE ARE EXAMINING SOME 3117 02:19:18,680 --> 02:19:21,840 TOOLS WITH THAT THE DEPARTMENT 3118 02:19:21,840 --> 02:19:23,520 HAS PUT OUT IN TERMS OF HOW TO 3119 02:19:23,520 --> 02:19:25,240 ASSESS INTERSECTIONALITY AND HOW 3120 02:19:25,240 --> 02:19:27,200 TO ENGAGE WITH INTERSECTIONALITY 3121 02:19:27,200 --> 02:19:29,400 IN MIND SO THEY'VE DEVELOPED A 3122 02:19:29,400 --> 02:19:30,840 FULL TOOLKIT ON THIS THAT OUR 3123 02:19:30,840 --> 02:19:31,960 HEALTH DISPARITIES RESEARCH TEAM 3124 02:19:31,960 --> 02:19:35,280 IS TAKING A LOOK AT, BUT WE ALSO 3125 02:19:35,280 --> 02:19:36,680 KNOW THAT FOR RESEARCH PURPOSES, 3126 02:19:36,680 --> 02:19:38,360 WE NEED TO DO A BETTER JOB OF 3127 02:19:38,360 --> 02:19:41,320 REALLY MEASURING NOT JUST PEOPLE 3128 02:19:41,320 --> 02:19:43,640 IN SILOED DIMENSIONS BUT AS 3129 02:19:43,640 --> 02:19:44,200 WHOLE. 3130 02:19:44,200 --> 02:19:44,960 SO THESE ARE THE THINGS THAT 3131 02:19:44,960 --> 02:19:51,280 WE'RE WORKING ON NOW AS AN 3132 02:19:51,280 --> 02:19:52,160 ORGANIZATION. 3133 02:19:52,160 --> 02:19:53,480 I DON'T JUST WANT TO POINT OUT 3134 02:19:53,480 --> 02:19:55,000 THAT THIS IS NOT WORK I'VE LED 3135 02:19:55,000 --> 02:19:56,840 ALONE, TEAM WORK REALLY DID MAKE 3136 02:19:56,840 --> 02:19:58,280 THIS DREAM WORK. 3137 02:19:58,280 --> 02:20:00,200 WE HAVE AN AMAZING GROUP ACROSS 3138 02:20:00,200 --> 02:20:02,160 OUR COMMITTEES OF ABOUT 60 3139 02:20:02,160 --> 02:20:03,440 PEOPLE WHO HAVE BEEN ENGAGED 3140 02:20:03,440 --> 02:20:07,760 WITH US OVER THE COURSE OF THESE 3141 02:20:07,760 --> 02:20:09,440 TWO YEARS TO REALLY DRIVE US AND 3142 02:20:09,440 --> 02:20:10,440 CHALLENGE US, AND I HAVE 3143 02:20:10,440 --> 02:20:12,080 ENCOURAGED THEM MULTIPLE TIMES, 3144 02:20:12,080 --> 02:20:13,480 IF I'M NOT SAYING SOMETHING 3145 02:20:13,480 --> 02:20:15,000 RIGHT, DISAGREE WITH ME, TELL ME 3146 02:20:15,000 --> 02:20:15,960 WHERE I'M MISSING SOMETHING. 3147 02:20:15,960 --> 02:20:22,880 AND I THINK THESE FOLKS HAVE HAD 3148 02:20:22,880 --> 02:20:24,400 THE COURAGE AND THEY'VE ALSO HAD 3149 02:20:24,400 --> 02:20:27,400 THE CON VI CONVICTION TO KEEP UN 3150 02:20:27,400 --> 02:20:28,680 TRACK AND HEARING FROM A REALLY 3151 02:20:28,680 --> 02:20:30,320 BIG COMMUNITY, SO I WANT TO 3152 02:20:30,320 --> 02:20:31,320 THANK THIS HUGE TEAM BECAUSE 3153 02:20:31,320 --> 02:20:32,720 THEY REALLY HAVE BEEN ENGAGED 3154 02:20:32,720 --> 02:20:33,840 FOR A VERY LONG TIME IN ADDITION 3155 02:20:33,840 --> 02:20:37,240 TO THEIR OTHER WORK. 3156 02:20:37,240 --> 02:20:39,400 I DO WANT TO JUST MENTION EACH 3157 02:20:39,400 --> 02:20:41,600 OF THE COMMITTEES, WHAT THEY'VE 3158 02:20:41,600 --> 02:20:43,320 DONE JUST BRIEFLY. 3159 02:20:43,320 --> 02:20:46,200 SO OUR DEIA COMMITTEE HAS DONE 3160 02:20:46,200 --> 02:20:55,800 NOT ONLY THE ND715 BUT ALSO THE 3161 02:20:55,800 --> 02:20:57,440 REEP, THEY'VE CONDUCTED A PULSE 3162 02:20:57,440 --> 02:20:59,080 SURVEY, THEY'VE LOOKED AT OUR 3163 02:20:59,080 --> 02:21:00,520 FEDERAL EMPLOYEE VIEWPOINT 3164 02:21:00,520 --> 02:21:03,800 SURVEY AND THEY'VE REVIEWED OUR 3165 02:21:03,800 --> 02:21:04,280 TRAINING. 3166 02:21:04,280 --> 02:21:05,320 I'LL GO THROUGH THESE IN MORE 3167 02:21:05,320 --> 02:21:06,520 DETAIL. 3168 02:21:06,520 --> 02:21:07,800 THE SCIENTIFIC WORKFORCE 3169 02:21:07,800 --> 02:21:08,680 DIVERSITY COMMITTEE OBJECTIVES, 3170 02:21:08,680 --> 02:21:11,000 THEY LOOKED AT DATA FOR 3171 02:21:11,000 --> 02:21:12,320 WORKFORCE DIVERSITY ACROSS NICHD 3172 02:21:12,320 --> 02:21:16,080 INCLUDING ESSENTIALLY A 30-YEAR 3173 02:21:16,080 --> 02:21:17,480 RETROSPECTIVE THAT WE HOPE TO AT 3174 02:21:17,480 --> 02:21:19,960 SOME POINT REALLY GET TO 3175 02:21:19,960 --> 02:21:20,320 PUBLICATION. 3176 02:21:20,320 --> 02:21:23,280 THEY'VE LOOKED AT GAPS WITHIN 3177 02:21:23,280 --> 02:21:24,560 OUR ONGOING PROGRAMS AND 3178 02:21:24,560 --> 02:21:25,160 INITIATIVES. 3179 02:21:25,160 --> 02:21:27,120 THEY'VE DONE SOME STAKEHOLDER 3180 02:21:27,120 --> 02:21:28,760 ENGAGEMENT, BOTH INTERNAL AND 3181 02:21:28,760 --> 02:21:29,840 EXTERNAL, TO THINK ABOUT HOW TO 3182 02:21:29,840 --> 02:21:31,240 IMPROVE OUR ECOSYSTEM. 3183 02:21:31,240 --> 02:21:32,560 AND AGAIN, THEY'VE DEVELOPED 3184 02:21:32,560 --> 02:21:36,200 THEIR ACTION PLAN. 3185 02:21:36,200 --> 02:21:38,360 SO AGAIN, THIS IS THE DATA 3186 02:21:38,360 --> 02:21:40,560 ANALYSIS THEY DID FOR 43,000 3187 02:21:40,560 --> 02:21:44,520 APPLICATIONS BETWEEN 1989 AND 3188 02:21:44,520 --> 02:21:44,840 2022. 3189 02:21:44,840 --> 02:21:46,880 IT WAS A HUGE EFFORT, A 3190 02:21:46,880 --> 02:21:47,800 LITERATURE AND ENVIRONMENTAL 3191 02:21:47,800 --> 02:21:49,200 SCAN, A CONSULTATION WITH THE 3192 02:21:49,200 --> 02:21:52,920 EQUITY TECHNICAL ASSISTANCE 3193 02:21:52,920 --> 02:21:54,440 SEMINAR AND WORKSHOP AND 3194 02:21:54,440 --> 02:21:55,040 LISTENING SESSIONS WITH THE 3195 02:21:55,040 --> 02:22:00,680 COMMUNITY. 3196 02:22:00,680 --> 02:22:02,320 THESE ARE VERY DETAILED, I'M NOT 3197 02:22:02,320 --> 02:22:03,840 GOING TO GO INTO DETAIL, THEY 3198 02:22:03,840 --> 02:22:04,600 ARE THERE FOR YOUR 3199 02:22:04,600 --> 02:22:05,040 CONSIDERATION. 3200 02:22:05,040 --> 02:22:11,840 AND FINALLY, OUR COMMITTEE -- I 3201 02:22:11,840 --> 02:22:13,880 DON'T KNOW IF THIS ONE HAS THEIR 3202 02:22:13,880 --> 02:22:15,560 ACTIVITIES IN IT SO I'LL HAVE TO 3203 02:22:15,560 --> 02:22:16,840 GO BACK AND DO THAT, I 3204 02:22:16,840 --> 02:22:18,200 APOLOGIZE, BUT THEY HAD A SERIES 3205 02:22:18,200 --> 02:22:20,040 OF FIVE WORKSHOPS, THEY ALSO DID 3206 02:22:20,040 --> 02:22:21,480 A FULL PORTFOLIO ANALYSIS, 3207 02:22:21,480 --> 02:22:24,200 REALLY LOOKING AT THE 3208 02:22:24,200 --> 02:22:25,920 COMPLEXITY, THE LONGEVITY OF OUR 3209 02:22:25,920 --> 02:22:27,280 ENGAGEMENT WITH FOLKS, AND ALSO 3210 02:22:27,280 --> 02:22:28,960 I THINK THIS IS VERY IMPORTANT, 3211 02:22:28,960 --> 02:22:30,440 IT BEEN SORT OF A GUIDANCE 3212 02:22:30,440 --> 02:22:31,440 PRINCIPLE FOR ME OVER THE COURSE 3213 02:22:31,440 --> 02:22:34,320 OF THIS, IS HUMILITY. 3214 02:22:34,320 --> 02:22:37,840 REALLY THINKING ABOUT RESPECT 3215 02:22:37,840 --> 02:22:38,520 REGARDING THE COMMUNITY'S 3216 02:22:38,520 --> 02:22:42,880 KNOWLEDGE OF THEIR HEALTH 3217 02:22:42,880 --> 02:22:44,920 PRIORITIES AND ALSO TO GENERATE 3218 02:22:44,920 --> 02:22:46,280 SOLUTIONS, SOMETIMES THEY KNOW 3219 02:22:46,280 --> 02:22:48,920 BETTER THAN SCIENTIFIC EXPERTS, 3220 02:22:48,920 --> 02:22:51,000 SOME OF THE THINGS WE MAY NOT BE 3221 02:22:51,000 --> 02:22:51,840 CONSIDERING IN THE SOLUTION SET 3222 02:22:51,840 --> 02:22:52,880 AND APPROACHING THAT WITH 3223 02:22:52,880 --> 02:22:56,240 HUMILITY IS REALLY IMPORTANT. 3224 02:22:56,240 --> 02:22:57,880 I ALREADY TALKED ABOUT THEIR 3225 02:22:57,880 --> 02:23:00,080 GOALS, AND THEN THIS IS THE MORE 3226 02:23:00,080 --> 02:23:01,280 DETAILED VERSION. 3227 02:23:01,280 --> 02:23:04,320 SO OUR NEXT STEPS, WE'VE 3228 02:23:04,320 --> 02:23:05,560 PRESENTED OUR ACTION PLAN AND 3229 02:23:05,560 --> 02:23:11,560 RECOMMENDATION FOR INSTITUTE 3230 02:23:11,560 --> 02:23:12,640 AWARENESS, WE'RE GOING TO BE 3231 02:23:12,640 --> 02:23:14,160 MEETING WITH DIVISION LEADERSHIP 3232 02:23:14,160 --> 02:23:16,680 IN TARGET AREAS LOOKING AT COST, 3233 02:23:16,680 --> 02:23:20,400 RESOURCE R, FEASIBILITY AND THEN 3234 02:23:20,400 --> 02:23:21,480 WE'LL PROVIDE A TIMELINE AS PART 3235 02:23:21,480 --> 02:23:22,680 OF THE STRATEGIC PLAN. 3236 02:23:22,680 --> 02:23:24,360 THE OTHER THING WE NOTED WAS WE 3237 02:23:24,360 --> 02:23:27,800 REALLY NEED TO INCLUDE 3238 02:23:27,800 --> 02:23:32,320 INTRAMURAL AS KROI AS ACROSS ALE 3239 02:23:32,320 --> 02:23:34,080 INTRAMURALS TO MAKE SURE WE'RE 3240 02:23:34,080 --> 02:23:34,720 BETTER INTEGRATING. 3241 02:23:34,720 --> 02:23:36,040 SO WITH THAT, WE'D LOVE YOUR 3242 02:23:36,040 --> 02:23:38,360 FEEDBACK ON THIS, SO WE HAVE AN 3243 02:23:38,360 --> 02:23:39,000 INBOX FOR STRIVE. 3244 02:23:39,000 --> 02:23:40,560 WE'D LOVE TO HEAR FROM YOU. 3245 02:23:40,560 --> 02:23:43,160 AND I PUT IN THE APPENDIX SOME 3246 02:23:43,160 --> 02:23:45,080 OF THE UNITE PROGRESS REPORT AS 3247 02:23:45,080 --> 02:23:46,000 WELL, SO I WELCOME ANY 3248 02:23:46,000 --> 02:23:49,400 QUESTIONS. 3249 02:23:49,400 --> 02:23:50,480 >>THANK YOU, ALISON. 3250 02:23:50,480 --> 02:23:59,360 DO WE HAVE ANY QUESTIONS FOR DR? 3251 02:23:59,360 --> 02:24:06,560 STEPHANIE? 3252 02:24:06,560 --> 02:24:07,760 >>UNMUTE? 3253 02:24:07,760 --> 02:24:10,280 I'M SORRY, YOU'D THINK I WOULD 3254 02:24:10,280 --> 02:24:11,120 REALIZE I'M STILL ON MUTE 3255 02:24:11,120 --> 02:24:11,400 SOMETIMES. 3256 02:24:11,400 --> 02:24:12,440 THANK YOU SO MUCH FOR THAT. 3257 02:24:12,440 --> 02:24:14,760 AND I'M SO EXCITED THAT NIH IS 3258 02:24:14,760 --> 02:24:15,640 LOOKING AT ALL OF THIS. 3259 02:24:15,640 --> 02:24:18,600 AND YOU MENTIONED A LOT, BUT ONE 3260 02:24:18,600 --> 02:24:21,400 OF THE THINGS I WANT TO -- I 3261 02:24:21,400 --> 02:24:22,840 ASSUME IS BEING DONE, AND I 3262 02:24:22,840 --> 02:24:24,160 WONDER IF YOU COULD COMMENT, IS 3263 02:24:24,160 --> 02:24:27,560 WE DO TALK A LOT ABOUT 3264 02:24:27,560 --> 02:24:30,640 CHALLENGES AND ENGAGEMENT OF 3265 02:24:30,640 --> 02:24:31,640 COMMUNITIES, BUT ONE OF THE 3266 02:24:31,640 --> 02:24:33,240 THINGS WE DON'T OFTEN TALK ABOUT 3267 02:24:33,240 --> 02:24:37,400 IS HOW WE EMPOWER PEOPLE TO 3268 02:24:37,400 --> 02:24:40,480 CHANGE IN THIS CAPACITY. 3269 02:24:40,480 --> 02:24:43,080 AND I THINK THAT'S TRUE IN THE 3270 02:24:43,080 --> 02:24:43,720 WORKFORCE. 3271 02:24:43,720 --> 02:24:45,360 I ALSO THINK IT'S TRUE IN 3272 02:24:45,360 --> 02:24:47,160 RECRUITING PARTICIPANTS FOR 3273 02:24:47,160 --> 02:24:47,440 STUDIES. 3274 02:24:47,440 --> 02:24:50,080 I HAVE A LITTLE MORE EXPERIENCE 3275 02:24:50,080 --> 02:24:51,960 IN THE PARTICIPANT RECRUITING 3276 02:24:51,960 --> 02:24:55,800 PARTICIPANTS FOR STUDY A ANGLE O 3277 02:24:55,800 --> 02:24:56,840 I'M JUST GOING TO SPEAK TO THAT 3278 02:24:56,840 --> 02:24:58,560 BUT I THINK IT'S APPLICABLE IN 3279 02:24:58,560 --> 02:24:58,960 BOTH. 3280 02:24:58,960 --> 02:25:00,480 WE DON'T THINK ENOUGH ABOUT THAT 3281 02:25:00,480 --> 02:25:01,800 THERE ARE REAL BARRIERS FOR 3282 02:25:01,800 --> 02:25:04,880 PEOPLE TO PARTICIPATE AND IN 3283 02:25:04,880 --> 02:25:05,480 RESEARCH. 3284 02:25:05,480 --> 02:25:07,360 SO IN ORDER TO DRIVE IT UP, IT'S 3285 02:25:07,360 --> 02:25:09,240 NOT JUST ABOUT ENGAGEMENT. 3286 02:25:09,240 --> 02:25:11,400 IT'S ABOUT TAKING STEPS TO 3287 02:25:11,400 --> 02:25:14,120 EMPOWER THOSE COMMUNITIES TO 3288 02:25:14,120 --> 02:25:14,440 PARTICIPATE. 3289 02:25:14,440 --> 02:25:17,520 AND I JUST WANTED TO SEE IF YOU 3290 02:25:17,520 --> 02:25:21,040 HAD ANY COMMENTS ABOUT HOW WE 3291 02:25:21,040 --> 02:25:22,760 MIGHT DO THAT OR ARE THE 3292 02:25:22,760 --> 02:25:24,200 DISCUSSIONS THAT ARE BEING HAD 3293 02:25:24,200 --> 02:25:25,520 ACROSS THE BOARD ABOUT NOT JUST 3294 02:25:25,520 --> 02:25:27,240 LOOKING AT CHALLENGES AND 3295 02:25:27,240 --> 02:25:28,680 ENGAGEMENT, BUT TO THINK ABOUT 3296 02:25:28,680 --> 02:25:32,200 THE EMPOWERMENT ASPECT OF ALL OF 3297 02:25:32,200 --> 02:25:32,400 THIS. 3298 02:25:32,400 --> 02:25:33,960 >>AND I THINK IT'S A GREAT 3299 02:25:33,960 --> 02:25:35,160 POINT, STEPHANIE, AND I 3300 02:25:35,160 --> 02:25:36,240 APPRECIATE YOU RAISING IT. 3301 02:25:36,240 --> 02:25:38,520 I THINK, YOU KNOW, ONE OF THE 3302 02:25:38,520 --> 02:25:41,080 THINGS THAT BOTH UNITE AND 3303 02:25:41,080 --> 02:25:44,240 STRIVE HAVE HEARD FROM THE 3304 02:25:44,240 --> 02:25:45,760 COMMUNITY IS THAT FOR SOME OF 3305 02:25:45,760 --> 02:25:48,720 THESE COMMUNITIES THERE'S A HUGE 3306 02:25:48,720 --> 02:25:50,000 TRUST ISSUE, THAT'S NUMBER ONE, 3307 02:25:50,000 --> 02:25:52,640 SO BEING PART OF RESEARCH 3308 02:25:52,640 --> 02:25:54,520 REQUIRES THAT WE BUILD 3309 02:25:54,520 --> 02:25:55,800 RELATIONSHIPS SO WE'RE NOT JUST 3310 02:25:55,800 --> 02:25:57,360 HOISTING RESEARCH ON PEOPLE AND 3311 02:25:57,360 --> 02:25:58,320 EXPECTING THEM TO PARTICIPATE 3312 02:25:58,320 --> 02:25:59,880 BECAUSE WE SAY IT'S GOOD, RIGHT, 3313 02:25:59,880 --> 02:26:01,280 BUT PART OF THIS IS BUILDING 3314 02:26:01,280 --> 02:26:03,160 THAT RELATIONSHIP AND GOING IN 3315 02:26:03,160 --> 02:26:03,800 WITH HUMILITY. 3316 02:26:03,800 --> 02:26:06,000 AND I TAKE YOUR SECOND POINT, I 3317 02:26:06,000 --> 02:26:07,320 THINK WE KNOW JUST LIKE 3318 02:26:07,320 --> 02:26:08,840 HEALTHCARE, THERE ARE REAL 3319 02:26:08,840 --> 02:26:10,240 BARRIERS TO ACCESS TO RESEARCH, 3320 02:26:10,240 --> 02:26:11,120 AND WHETHER THAT'S BECAUSE THEY 3321 02:26:11,120 --> 02:26:13,440 DON'T HAVE THE ABILITY TO 3322 02:26:13,440 --> 02:26:14,280 PARTICIPATE BECAUSE IT'S TOO 3323 02:26:14,280 --> 02:26:16,080 MANY VISITS AND THEY'RE WORKING, 3324 02:26:16,080 --> 02:26:19,120 OR THEY CAN'T GET TO THE CLINIC, 3325 02:26:19,120 --> 02:26:21,400 OR, YOU KNOW, THIS IS NOT THE 3326 02:26:21,400 --> 02:26:22,160 PRIORITY WITH SOME OF THE OTHER 3327 02:26:22,160 --> 02:26:23,400 THINGS THEY HAVE ON THEIR 3328 02:26:23,400 --> 02:26:24,680 PLATES, RIGHT, I THINK WE HAVE 3329 02:26:24,680 --> 02:26:26,240 TO THINK ABOUT OUR RESEARCH IN 3330 02:26:26,240 --> 02:26:28,080 DIFFERENT WAYS. 3331 02:26:28,080 --> 02:26:30,280 AND I DO THINK AS WE'VE LISTEN 3332 02:26:30,280 --> 02:26:31,800 TODAY THE COMMUNITY AND OUR 3333 02:26:31,800 --> 02:26:32,560 RESEARCH SESSIONS THAT, IS 3334 02:26:32,560 --> 02:26:33,640 SOMETHING THAT A LOT OF THE 3335 02:26:33,640 --> 02:26:34,840 INVESTIGATORS AT LEAST AT NICHD 3336 02:26:34,840 --> 02:26:36,600 ARE VERY AWARE OF, AND IT MAY BE 3337 02:26:36,600 --> 02:26:37,920 BECAUSE OF THE POPULATIONS WITH 3338 02:26:37,920 --> 02:26:39,800 WHOM WE WORK. 3339 02:26:39,800 --> 02:26:41,840 BECAUSE WE'RE OFTEN WORKING WITH 3340 02:26:41,840 --> 02:26:42,960 FAMILIES WITH CHILDREN, WE'RE 3341 02:26:42,960 --> 02:26:45,160 WORKING WITH PEOPLE WITH 3342 02:26:45,160 --> 02:26:46,680 DISABILITIES, AND SO OFTEN THESE 3343 02:26:46,680 --> 02:26:48,200 INVESTIGATORS ARE PRETTY 3344 02:26:48,200 --> 02:26:52,280 SENSITIVE TO THAT. 3345 02:26:52,280 --> 02:26:54,120 BUT I WOULD SAY IT'S PROBABLY 3346 02:26:54,120 --> 02:26:55,440 NOT AS WIDESPREAD AS WE WOULD 3347 02:26:55,440 --> 02:26:57,080 LIKE TO BE, AND THERE ARE 3348 02:26:57,080 --> 02:26:57,680 REALITIES WITHIN THAT THAT I 3349 02:26:57,680 --> 02:26:59,480 THINK WE DO HAVE TO START TO 3350 02:26:59,480 --> 02:26:59,920 ADDRESS. 3351 02:26:59,920 --> 02:27:01,400 SO I VERY MUCH APPRECIATE YOUR 3352 02:27:01,400 --> 02:27:03,760 POINT AND I WILL BRING THAT BACK 3353 02:27:03,760 --> 02:27:05,720 TO OUR HEALTH DISPARITIES 3354 02:27:05,720 --> 02:27:07,400 RESEARCH COMMITTEE. 3355 02:27:07,400 --> 02:27:14,560 >>GREAT, THANK YOU. 3356 02:27:14,560 --> 02:27:14,760 LEWIS? 3357 02:27:14,760 --> 02:27:17,080 >>HELLO, GOOD TO SEE YOU. 3358 02:27:17,080 --> 02:27:17,960 THANK YOU FOR A GREAT 3359 02:27:17,960 --> 02:27:18,400 PRESENTATION. 3360 02:27:18,400 --> 02:27:20,280 REALLY ENJOYED THAT A LOT. 3361 02:27:20,280 --> 02:27:21,880 I JUST HAD TWO QUESTIONS 3362 02:27:21,880 --> 02:27:22,680 QUICKLY. 3363 02:27:22,680 --> 02:27:25,320 ONE RELATED TO A CONFERENCE I 3364 02:27:25,320 --> 02:27:26,720 RECENTLY ATTENDED, THE PUBLIC 3365 02:27:26,720 --> 02:27:29,760 HEALTH ASSOCIATION MEETING, AND 3366 02:27:29,760 --> 02:27:30,520 TALKING WITH SOME COLLEAGUES AND 3367 02:27:30,520 --> 02:27:31,640 FRIENDS THERE, REALLY INTERESTED 3368 02:27:31,640 --> 02:27:34,280 IN UNDERSTANDING MORE ABOUT HOW 3369 02:27:34,280 --> 02:27:36,000 PEOPLE FROM MORE PUBLIC HEALTH 3370 02:27:36,000 --> 02:27:39,520 DISCIPLINES CAN ENGAGE MORE WITH 3371 02:27:39,520 --> 02:27:42,000 BIOMEDICAL RESEARCHERS, RIGHT, 3372 02:27:42,000 --> 02:27:43,560 ARE THERE MECHANISMS KIND OF 3373 02:27:43,560 --> 02:27:45,320 EMERGING TO HELP SUPPORT SOME OF 3374 02:27:45,320 --> 02:27:47,600 THIS, AGAIN GETTING BACK TO SOME 3375 02:27:47,600 --> 02:27:48,880 OF THAT COMMUNITY ENGAGEMENT, 3376 02:27:48,880 --> 02:27:51,400 THAT KIND OF ACTIVE ENGAGEMENT 3377 02:27:51,400 --> 02:27:52,720 AND ALSO HELPED TO MAYBE 3378 02:27:52,720 --> 02:27:55,480 FACILITATE RESEARCH LOOKING AT 3379 02:27:55,480 --> 02:27:57,680 VARIOUS INTERSECTIONALITIES AND 3380 02:27:57,680 --> 02:27:59,200 SOCIAL CONSTRAINTS AND THAT. 3381 02:27:59,200 --> 02:28:00,920 AND THE OTHER ONE, JUST A 3382 02:28:00,920 --> 02:28:03,240 GENERAL COMMENT MAYBE BUT YOU 3383 02:28:03,240 --> 02:28:04,560 KNOW, JUST TO ECHO A BIT WHAT 3384 02:28:04,560 --> 02:28:07,600 WAS SAID BEFORE, I'M DIRECTING A 3385 02:28:07,600 --> 02:28:09,040 NEW CENTER HERE AT GEORGIA TECH 3386 02:28:09,040 --> 02:28:13,200 THAT'S FOCUSED ON QUESTIONS 3387 02:28:13,200 --> 02:28:16,000 RELATED TO EQUITY AND INEQUITIES 3388 02:28:16,000 --> 02:28:17,480 WITHIN THE SCIENCES AND ONE OF 3389 02:28:17,480 --> 02:28:20,240 THE CONCERNS IS REALLY TRYING TO 3390 02:28:20,240 --> 02:28:22,040 UNDERSTAND HOW TO BROADEN 3391 02:28:22,040 --> 02:28:24,840 ENGAGEMENT IN CLINICAL TRIALS. 3392 02:28:24,840 --> 02:28:28,440 REALLY EXACTLY HOW CAN PEAM DO 3393 02:28:28,440 --> 02:28:30,920 THAT, PARTICULARLY FROM PEOPLE 3394 02:28:30,920 --> 02:28:32,240 THAT MAY NOT BE FAMILIAR WITH 3395 02:28:32,240 --> 02:28:35,880 THE DISAIRTS WTHE DISPARITIES WN 3396 02:28:35,880 --> 02:28:37,120 COMMUNITIES, HOW CAN WE NOT ONLY 3397 02:28:37,120 --> 02:28:38,560 EDUCATE GENERALLY HOW SCIENTISTS 3398 02:28:38,560 --> 02:28:42,400 APPROACH THIS QUESTION, BUT THAT 3399 02:28:42,400 --> 02:28:44,040 COULD ALSO PEOPLE FROM 3400 02:28:44,040 --> 02:28:44,800 BACKGROUNDS THAT ARE LESS 3401 02:28:44,800 --> 02:28:46,160 FAMILIAR WITH THE DISPARITIES 3402 02:28:46,160 --> 02:28:48,560 THAT ARE GOING ON IN 3403 02:28:48,560 --> 02:28:51,000 COMMUNITIES, HOW CAN WE HELP 3404 02:28:51,000 --> 02:28:52,480 FACILITATE BETTER PRACTICES WITH 3405 02:28:52,480 --> 02:28:55,360 THOSE INDIVIDUALS AS WELL. 3406 02:28:55,360 --> 02:28:57,200 >>GREAT QUESTIONS, GREAT TO SEE 3407 02:28:57,200 --> 02:28:58,160 YOU, LEWIS. 3408 02:28:58,160 --> 02:28:59,680 I THINK, YOU KNOW, FOR YOUR 3409 02:28:59,680 --> 02:29:00,680 FIRST QUESTION, I THINK THERE 3410 02:29:00,680 --> 02:29:02,520 ARE A NUMBER OF FUNDING 3411 02:29:02,520 --> 02:29:07,040 OPPORTUNITIES AND IN FACT I 3412 02:29:07,040 --> 02:29:08,760 THINK ONE THING NIH IS GOOD AT 3413 02:29:08,760 --> 02:29:10,080 IS IF THERE'S A PROBLEM, THERE'S 3414 02:29:10,080 --> 02:29:10,960 A FUNDING OPPORTUNITY. 3415 02:29:10,960 --> 02:29:15,240 SO WE ARE TRYING VERY HARD, BOTH 3416 02:29:15,240 --> 02:29:17,760 THROUGH THE COMMENTS AS WELL AS 3417 02:29:17,760 --> 02:29:18,760 THE SPECIFIC INITIATIVES FROM 3418 02:29:18,760 --> 02:29:19,960 SOME OF THE INSTITUTES AND 3419 02:29:19,960 --> 02:29:23,320 CENTERS TO GET TO HOW DO WE 3420 02:29:23,320 --> 02:29:25,080 BUILD THOSE PARTNERSHIPS. 3421 02:29:25,080 --> 02:29:28,440 INTINCLUDING OUR PUBLIC HEALTH 3422 02:29:28,440 --> 02:29:30,240 RESEARCHER, OUR BIOMEDICAL 3423 02:29:30,240 --> 02:29:31,080 RESEARCHERS AND THE COMMUNITY. 3424 02:29:31,080 --> 02:29:33,080 SO ONE OF THE PROGRAMS THAT'S 3425 02:29:33,080 --> 02:29:35,240 GOING ON RIGHT NOW IS THE 3426 02:29:35,240 --> 02:29:37,080 COMPASS PROGRAM, AND YOU KNOW, 3427 02:29:37,080 --> 02:29:39,520 REALLY THINKING ABOUT 3428 02:29:39,520 --> 02:29:41,480 COMMUNITY-LED MULTIDIMENSIONAL 3429 02:29:41,480 --> 02:29:42,120 RESEARCH. 3430 02:29:42,120 --> 02:29:45,000 AND SO THAT WENT OUT THROUGH THE 3431 02:29:45,000 --> 02:29:48,600 COMMON FUND, BUT THERE ARE 3432 02:29:48,600 --> 02:29:49,680 HONESTLY TOO MANY FUNDING 3433 02:29:49,680 --> 02:29:53,000 OPPORTUNITIES RIGHT NOW TO NAME. 3434 02:29:53,000 --> 02:29:53,760 SO I THINK THERE ARE 3435 02:29:53,760 --> 02:29:55,400 OPPORTUNITIES TO BRING THOSE 3436 02:29:55,400 --> 02:29:59,880 MULTIDISCIPLINARY TEAMS TO BEAR 3437 02:29:59,880 --> 02:30:01,200 TO TACKLE THIS ISSUE. 3438 02:30:01,200 --> 02:30:04,240 TO YOUR SECOND QUESTION, I THINK 3439 02:30:04,240 --> 02:30:09,080 THIS IS THE HARDER PROBLEMS TO 3440 02:30:09,080 --> 02:30:10,600 SOLVE, RIGHT? 3441 02:30:10,600 --> 02:30:12,320 BRINGING PEOPLE UP TO SPEED WITH 3442 02:30:12,320 --> 02:30:13,640 WHAT THOSE CHALLENGES ARE AND 3443 02:30:13,640 --> 02:30:15,720 HOW WE DO BETTER TO ENGAGE 3444 02:30:15,720 --> 02:30:17,120 PEOPLE, AND AGAIN, YOU KNOW, THE 3445 02:30:17,120 --> 02:30:18,240 THING THAT I'VE HEARD OVER AND 3446 02:30:18,240 --> 02:30:21,200 OVER AGAIN IS IT'S ABOUT 3447 02:30:21,200 --> 02:30:22,200 BUILDING THAT RELATIONSHIP. 3448 02:30:22,200 --> 02:30:23,960 AND WE CANNOT EXPECT PEOPLE TO 3449 02:30:23,960 --> 02:30:26,000 JUST JUMP IN BECAUSE WE'D LIKE 3450 02:30:26,000 --> 02:30:28,200 THEM TO. 3451 02:30:28,200 --> 02:30:29,720 AND WE HAVE TO RECOGNIZE REAL 3452 02:30:29,720 --> 02:30:30,200 BARRIERS. 3453 02:30:30,200 --> 02:30:32,880 JUST LIKE I THINK MANY OF YOU 3454 02:30:32,880 --> 02:30:34,760 WHO HAVE ENGAGED WITH THE 3455 02:30:34,760 --> 02:30:35,640 DISABILITY COMMUNITY RECOGNIZE, 3456 02:30:35,640 --> 02:30:37,400 IF YOUR PARTICIPANTS DON'T HAVE 3457 02:30:37,400 --> 02:30:40,240 ACCESS TO ACCESSIBLE 3458 02:30:40,240 --> 02:30:41,760 TRANSPORTATION, THEY CAN'T GET 3459 02:30:41,760 --> 02:30:42,280 TO YOUR SITE. 3460 02:30:42,280 --> 02:30:43,440 IF THEY DON'T HAVE THE SUPPORTS 3461 02:30:43,440 --> 02:30:45,040 THEY NEED TO PARTICIPATE, WE 3462 02:30:45,040 --> 02:30:46,360 CAN'T COORDINATE WITH THEIR 3463 02:30:46,360 --> 02:30:48,000 CAREGIVER SCHEDULE, IF THEY HAVE 3464 02:30:48,000 --> 02:30:49,880 A CARE PARTNER, YOU KNOW, WE 3465 02:30:49,880 --> 02:30:53,680 HAVE A PROBLEM WITH GETTING THEM 3466 02:30:53,680 --> 02:30:53,920 IN. 3467 02:30:53,920 --> 02:30:57,600 SO I THINK GETTING THAT 3468 02:30:57,600 --> 02:30:59,000 EDUCATION OUT MORE BROADLY AND 3469 02:30:59,000 --> 02:31:00,320 GETTING THAT ENGAGEMENT STRATEGY 3470 02:31:00,320 --> 02:31:02,120 OUT MORE BROADLY IS GOING TO 3471 02:31:02,120 --> 02:31:02,760 TAKE LONGER. 3472 02:31:02,760 --> 02:31:04,600 AND MY HOPE IS WITH MORE OF OUR 3473 02:31:04,600 --> 02:31:05,440 ENGAGEMENT WITH THE COMMUNITY 3474 02:31:05,440 --> 02:31:07,800 AND ALSO BUILDING A WORKFORCE 3475 02:31:07,800 --> 02:31:09,120 THAT MAYBE UNDERSTANDS THEM A 3476 02:31:09,120 --> 02:31:11,080 LITTLE BIT BETTER, WE MAY BE 3477 02:31:11,080 --> 02:31:14,240 ABLE TO TURN THE CURVE ON THAT. 3478 02:31:14,240 --> 02:31:18,160 I THINK I SAW CATHY NEXT, ERIC. 3479 02:31:18,160 --> 02:31:18,560 >>THAT'S RIGHT. 3480 02:31:18,560 --> 02:31:19,400 >>HI, ALISON. 3481 02:31:19,400 --> 02:31:20,720 THANK YOU. 3482 02:31:20,720 --> 02:31:22,360 THIS WAS A REALLY GOOD PAREN TAI 3483 02:31:22,360 --> 02:31:23,680 VERY INTERESTING. 3484 02:31:23,680 --> 02:31:24,960 I APPRECIATED THAT THERE WAS A 3485 02:31:24,960 --> 02:31:27,280 PIECE IN THERE THAT ADDRESSES 3486 02:31:27,280 --> 02:31:28,280 TRAINING, AND THIS MAY ALREADY 3487 02:31:28,280 --> 02:31:32,000 BE CONSIDERED, BUT WE FOUND THAT 3488 02:31:32,000 --> 02:31:33,520 THE -- AT THE NATIONAL MS 3489 02:31:33,520 --> 02:31:34,480 SOCIETY THAT THERE'S KIND OF A 3490 02:31:34,480 --> 02:31:35,600 SIGNIFICANT GAP IN HOW 3491 02:31:35,600 --> 02:31:36,880 SCIENTISTS EVEN TALK ABOUT THEIR 3492 02:31:36,880 --> 02:31:41,160 OWN WORK, SO I'M CURIOUS, HAS 3493 02:31:41,160 --> 02:31:42,600 YOUR GROUP CONSIDERED THE 3494 02:31:42,600 --> 02:31:43,440 IMPORTANCE OF TRAINING 3495 02:31:43,440 --> 02:31:44,320 SCIENTISTS ABOUT HOW TO EVEN 3496 02:31:44,320 --> 02:31:46,440 SPEAK ABOUT THEIR WORK AND KIND 3497 02:31:46,440 --> 02:31:48,080 OF AN ACCURATE AND ENGAGING WAY 3498 02:31:48,080 --> 02:31:49,040 SO THAT THE COMMUNITY CAN SEE 3499 02:31:49,040 --> 02:31:53,520 WHERE THEY FIT IN WITH ALL OF 3500 02:31:53,520 --> 02:31:53,720 THAT? 3501 02:31:53,720 --> 02:31:55,440 >>I CAN TELL YOU WE DO THAT 3502 02:31:55,440 --> 02:31:57,000 MORE ON THE INTRAMURAL SIDE THAN 3503 02:31:57,000 --> 02:31:58,520 WE DO IT ON THE EXTRAMURAL SIDE. 3504 02:31:58,520 --> 02:31:59,520 AND I THINK THERE ARE SOME 3505 02:31:59,520 --> 02:32:00,720 THINGS THAT ARE GOING ON NOW IN 3506 02:32:00,720 --> 02:32:05,400 TERMS OF BOTH ON THE MENTORING 3507 02:32:05,400 --> 02:32:06,600 PROGRAMS THAT HAVE BEEN 3508 02:32:06,600 --> 02:32:08,560 DEVELOPED THROUGH THE CHIEF 3509 02:32:08,560 --> 02:32:10,920 OFFICER FOR SCIENTIFIC WORKFORCE 3510 02:32:10,920 --> 02:32:13,200 DIVERSITY THROUGH MARIE 3511 02:32:13,200 --> 02:32:14,400 BERNARD'S OFFICE AND TRAINING 3512 02:32:14,400 --> 02:32:15,720 COHORTS OF SCIENTISTS TO BRING 3513 02:32:15,720 --> 02:32:16,800 THAT RELEVANCE IN. 3514 02:32:16,800 --> 02:32:18,560 I KNOW ON THE INTRAMURAL SIDE 3515 02:32:18,560 --> 02:32:22,080 HERE AT NIH, WE DO A LOT OF THAT 3516 02:32:22,080 --> 02:32:22,400 TRAINING. 3517 02:32:22,400 --> 02:32:24,040 THROUGH THE OFFICE OF INTRAMURAL 3518 02:32:24,040 --> 02:32:26,440 TRAINING AND EDUCATION. 3519 02:32:26,440 --> 02:32:28,080 SO THERE'S LOTS OF THREE-MINUTE 3520 02:32:28,080 --> 02:32:29,600 TALKS, FIVE-MINUTE TALKS, 3521 02:32:29,600 --> 02:32:30,480 ELEVATOR SPEECH TRAINING. 3522 02:32:30,480 --> 02:32:33,200 HOW DO YOU CONVEY THE 3523 02:32:33,200 --> 02:32:34,320 MEANINGFULNESS OF YOUR WORK, ET 3524 02:32:34,320 --> 02:32:34,760 CETERA. 3525 02:32:34,760 --> 02:32:36,960 AND FOR THOSE THAT -- SOMETIMES 3526 02:32:36,960 --> 02:32:40,560 IT'S A LITTLE HARDER WITH 3527 02:32:40,560 --> 02:32:41,440 FOUNDATIONAL SCIENCE VERSUS 3528 02:32:41,440 --> 02:32:43,480 CLINICAL WORK TO SHOW THAT 3529 02:32:43,480 --> 02:32:47,760 ENGAGEMENT WITH THE COMMUNITY,, 3530 02:32:47,760 --> 02:32:49,200 SO IT'S SOMETHING THAT WE'RE 3531 02:32:49,200 --> 02:32:50,240 DOING BUT SOMETIMES NOT WITH 3532 02:32:50,240 --> 02:32:50,840 THAT EQUITY LENS. 3533 02:32:50,840 --> 02:32:52,240 SOMETIMES IT'S A LITTLE BIT 3534 02:32:52,240 --> 02:32:53,120 CHALLENGING WITH SOME OF THE 3535 02:32:53,120 --> 02:32:54,320 RESEARCH WE'RE DOING BUT I THINK 3536 02:32:54,320 --> 02:32:55,640 IT'S ALWAYS GOOD TO HAVE THE 3537 02:32:55,640 --> 02:32:56,640 INVESTIGATORS LOOKING AT IT THAT 3538 02:32:56,640 --> 02:32:56,960 WAY. 3539 02:32:56,960 --> 02:32:58,600 AND I ALSO THINK, YOU KNOW, IT'S 3540 02:32:58,600 --> 02:32:59,920 INTERESTING BECAUSE IN OUR 3541 02:32:59,920 --> 02:33:01,200 TRAINING ANALYSIS, WHAT WE'RE 3542 02:33:01,200 --> 02:33:03,160 SEEING IS THAT PEOPLE -- WE 3543 02:33:03,160 --> 02:33:04,600 DON'T REALLY HAVE THAT SORT OF 3544 02:33:04,600 --> 02:33:09,120 STRAIGHT PIPELINE THAT EVERYBODY 3545 02:33:09,120 --> 02:33:09,360 THINKS. 3546 02:33:09,360 --> 02:33:11,160 A LOT OF PEOPLE WHEN THEY'RE 3547 02:33:11,160 --> 02:33:12,400 FIRST STARTING ARE STARTING AT 3548 02:33:12,400 --> 02:33:13,160 THE R01. 3549 02:33:13,160 --> 02:33:14,440 SO WHAT WE THINK IS PART OF 3550 02:33:14,440 --> 02:33:18,040 THEIR FOUNDATION HAS N IS NOT RY 3551 02:33:18,040 --> 02:33:20,160 GOTTEN THROUGH NIH TRAINING, 3552 02:33:20,160 --> 02:33:23,840 IT'S GOTTEN SOMEWHERE ELSE, SO 3553 02:33:23,840 --> 02:33:27,040 WE RIL REALLY HAVE TO THINK ABOT 3554 02:33:27,040 --> 02:33:28,240 WHERE THEY START, THEY DON'T 3555 02:33:28,240 --> 02:33:29,320 HAVE A NATURAL PROGRESSION 3556 02:33:29,320 --> 02:33:31,960 THROUGH THE NIH MECHANISMS AS 3557 02:33:31,960 --> 02:33:33,360 WE'VE ALWAYS THOUGHT, SO WHEN DO 3558 02:33:33,360 --> 02:33:34,480 WE ENGAGE THEM TO TRAIN THEM. 3559 02:33:34,480 --> 02:33:35,880 >>I THINK THAT'S A REALLY GOOD 3560 02:33:35,880 --> 02:33:36,120 POINT. 3561 02:33:36,120 --> 02:33:38,320 I WAS JUST GOING TO ADD, BECAUSE 3562 02:33:38,320 --> 02:33:39,960 I THINK IN TRAINING AND GETTING 3563 02:33:39,960 --> 02:33:42,920 A PH.D., YOU'RE SORT OF TRAINED 3564 02:33:42,920 --> 02:33:45,760 OUT OF WRITING IN A WAY THAT IS 3565 02:33:45,760 --> 02:33:47,040 KIND OF LAY-FRIENDLY, SO TO 3566 02:33:47,040 --> 02:33:47,280 SPEAK. 3567 02:33:47,280 --> 02:33:48,680 SO I FEEL LIKE IT NEEDS TO BE 3568 02:33:48,680 --> 02:33:49,560 TRAINED BACK IN SOME WAY. 3569 02:33:49,560 --> 02:33:50,840 SO YOU'RE RIGHT, I DON'T KNOW 3570 02:33:50,840 --> 02:33:52,520 WHERE THE BEST PLACE IS FOR THAT 3571 02:33:52,520 --> 02:33:52,840 EITHER. 3572 02:33:52,840 --> 02:33:54,520 THANKS. 3573 02:33:54,520 --> 02:34:00,520 >>BOB? 3574 02:34:00,520 --> 02:34:01,400 >>HI, ALISON. 3575 02:34:01,400 --> 02:34:03,360 THANK YOU FOR THAT. 3576 02:34:03,360 --> 02:34:05,520 AND I JUST WANT TO MAKE A 3577 02:34:05,520 --> 02:34:11,440 COMMENT IN TERMS OF NIH MAYBE IS 3578 02:34:11,440 --> 02:34:12,720 PROVIDING INFRASTRUCTURE TO 3579 02:34:12,720 --> 02:34:17,000 ENHANCE WORKFORCE DIVERSITY IN 3580 02:34:17,000 --> 02:34:18,480 SCIENCE. 3581 02:34:18,480 --> 02:34:22,760 I NOTICED THAT BOTH FROM MY OWN 3582 02:34:22,760 --> 02:34:25,880 EXPERIENCE AND FROM MY TRAINEES' 3583 02:34:25,880 --> 02:34:27,240 EXPERIENCES, THE IMPORTANCE OF 3584 02:34:27,240 --> 02:34:29,680 POSTDOCTORAL TRAINING, OF 3585 02:34:29,680 --> 02:34:30,480 COURSE, AND THE FACT THAT I 3586 02:34:30,480 --> 02:34:33,880 THINK THERE'S A HUGE DISPARITY 3587 02:34:33,880 --> 02:34:36,280 IN POSTDOCTORAL OPPORTUNITIES 3588 02:34:36,280 --> 02:34:38,280 FOR PEOPLE WHO HAVE GENERATIONAL 3589 02:34:38,280 --> 02:34:41,320 WEALTH AND THOSE WHO DON'T. 3590 02:34:41,320 --> 02:34:42,960 AND I THINK THAT COMES FROM THE 3591 02:34:42,960 --> 02:34:45,720 FACT THAT WE PAY POSTDOCS SO 3592 02:34:45,720 --> 02:34:48,760 POORLY, AND WE PAY POSTDOCS SO 3593 02:34:48,760 --> 02:34:50,080 POORLY BECAUSE THE NIH TRAINING 3594 02:34:50,080 --> 02:34:52,040 GRANTS HAVE THESE HORRIBLE 3595 02:34:52,040 --> 02:34:53,480 RANGES THAT DON'T REALLY APPLY 3596 02:34:53,480 --> 02:34:55,880 TO MOST OF THE COUNTRY'S COST OF 3597 02:34:55,880 --> 02:34:57,520 LIVING, AND I KNOW THEY'RE 3598 02:34:57,520 --> 02:34:59,280 SUPPOSED TO BE MINIMUM RANGES OR 3599 02:34:59,280 --> 02:35:01,120 MINIMUM SALARIES FOR TRAINING 3600 02:35:01,120 --> 02:35:02,600 GRANTS, WHICH IS IMPORTANT, BUT 3601 02:35:02,600 --> 02:35:05,040 THEY ARE USED BY INSTITUTIONS 3602 02:35:05,040 --> 02:35:09,240 LIKE MY OWN TO SET THE RANGES 3603 02:35:09,240 --> 02:35:14,400 THAT WE'RE ALLOWED TO PROVIDE 3604 02:35:14,400 --> 02:35:16,480 POSTDOCS AND R01s AND I THINK 3605 02:35:16,480 --> 02:35:18,000 THIS REALLY NEEDS TO BE VISITED 3606 02:35:18,000 --> 02:35:19,480 BECAUSE I THINK THESE SALARIES 3607 02:35:19,480 --> 02:35:21,160 AT A TIME WHEN PEOPLE ARE 3608 02:35:21,160 --> 02:35:22,720 ESTABLISHING FAMILIES AND 3609 02:35:22,720 --> 02:35:27,200 WHATNOT, AND I THINK THAT 3610 02:35:27,200 --> 02:35:28,080 TRADITIONALLY, WE'VE HAD A 3611 02:35:28,080 --> 02:35:31,520 SYSTEM THAT HAS FAVORED PEOPLE 3612 02:35:31,520 --> 02:35:33,680 WITH WEALTH, AND I THINK THAT 3613 02:35:33,680 --> 02:35:34,640 THIS SYSTEM -- I OBVIOUSLY THINK 3614 02:35:34,640 --> 02:35:35,640 THAT THIS SYSTEM DOESN'T. 3615 02:35:35,640 --> 02:35:38,840 THANK YOU. 3616 02:35:38,840 --> 02:35:42,240 >>YEAH, IT'S AN INCREDIBLY 3617 02:35:42,240 --> 02:35:45,520 STRONG POINT, AND HAS BEEN 3618 02:35:45,520 --> 02:35:46,520 CONSIDERED, AND I REALLY 3619 02:35:46,520 --> 02:35:47,280 APPRECIATE YOU RAISING IT. 3620 02:35:47,280 --> 02:35:49,000 THIS IS PART OF THE STRUCTURAL 3621 02:35:49,000 --> 02:35:50,760 ARGUMENT, RIGHT, IS THAT THE WAY 3622 02:35:50,760 --> 02:35:53,960 THESE POLICIES AND PRACTICES ARE 3623 02:35:53,960 --> 02:35:55,600 SET UP, WE'RE ASSUMING A LOT OF 3624 02:35:55,600 --> 02:35:57,160 THINGS ABOUT WHAT PEOPLE CAN AND 3625 02:35:57,160 --> 02:36:01,000 CANNOT DO, AND ALSO 3626 02:36:01,000 --> 02:36:02,200 GEOGRAPHICALLY THERE ARE HUGE 3627 02:36:02,200 --> 02:36:02,720 DISPARITIES. 3628 02:36:02,720 --> 02:36:04,920 SO THE INCOME LEVEL IS PRETTY 3629 02:36:04,920 --> 02:36:08,320 MUCH SET NATIONALLY, BUT IF 3630 02:36:08,320 --> 02:36:08,520 YOU -- 3631 02:36:08,520 --> 02:36:10,720 >>ACTUALLY, I JUST WANTED TO 3632 02:36:10,720 --> 02:36:11,840 JUMP IN THERE A SECOND. 3633 02:36:11,840 --> 02:36:16,000 IF YOU LOOK AT THE HIGHEST 3634 02:36:16,000 --> 02:36:17,960 RANKED UNIVERSITIES IN THE 3635 02:36:17,960 --> 02:36:19,520 COUNTRY, THEY TEND TO BE IN THE 3636 02:36:19,520 --> 02:36:23,240 MOST EXPENSIVE LOCATION. 3637 02:36:23,240 --> 02:36:25,200 >>YEAH, AND I MEAN, YOU KNOW, 3638 02:36:25,200 --> 02:36:26,680 EVEN SMALL THINGS U KNOW, ONE OF 3639 02:36:26,680 --> 02:36:28,480 THE THINGS, AND IT TOOK A LOT OF 3640 02:36:28,480 --> 02:36:30,360 EFFORT AND I WOULD SAY DIANA WAS 3641 02:36:30,360 --> 02:36:31,880 VERY, VERY ACTIVE IN THIS, EVEN 3642 02:36:31,880 --> 02:36:33,880 GETTING THE CHILD CARE STIPEND 3643 02:36:33,880 --> 02:36:37,560 AS PART OF THE POSTDOC 3644 02:36:37,560 --> 02:36:38,760 COMPENSATION PACKAGE, RIGHT? 3645 02:36:38,760 --> 02:36:40,760 I MEAN, THAT TOOK A LOT OF 3646 02:36:40,760 --> 02:36:42,280 EFFORT AND A LOT OF WILL BY A 3647 02:36:42,280 --> 02:36:45,440 LOT OF PEOPLE TO MAKE THAT 3648 02:36:45,440 --> 02:36:45,880 HAPPEN. 3649 02:36:45,880 --> 02:36:47,440 BUT HAVING HAD CHILDREN MYSELF 3650 02:36:47,440 --> 02:36:49,200 WHEN I WAS A POSTDOC, I 3651 02:36:49,200 --> 02:36:50,280 ESSENTIALLY LEFT MY POSTDOC 3652 02:36:50,280 --> 02:36:51,600 BECAUSE MY SALARY WAS GOING TO 3653 02:36:51,600 --> 02:36:53,240 BE PAYING CHILD CARE, AND THAT 3654 02:36:53,240 --> 02:36:54,520 WAS ESSENTIALLY THE ONLY THING 3655 02:36:54,520 --> 02:36:58,040 IT WAS GOING TO BE PAYING FOR. 3656 02:36:58,040 --> 02:36:59,520 YOU KNOW, IN D.C. , IT'S 3657 02:36:59,520 --> 02:37:00,160 ESSENTIALLY THE PRICE OF A 3658 02:37:00,160 --> 02:37:01,920 HOUSE. 3659 02:37:01,920 --> 02:37:04,840 YOU KNOW, A MORTGAGE FOR A YEAR. 3660 02:37:04,840 --> 02:37:08,680 SO YOU KNOW, I THINK THAT IS 3661 02:37:08,680 --> 02:37:09,640 SOMETHING THAT WE DO HAVE TO 3662 02:37:09,640 --> 02:37:10,840 LOOK AT AS AN ORGANIZATION. 3663 02:37:10,840 --> 02:37:12,640 NOW THE FLIPSIDE IS, THE HIGHER 3664 02:37:12,640 --> 02:37:15,040 THE SALARIES FOR THE POSTDOC, 3665 02:37:15,040 --> 02:37:16,760 POSSIBLY THE FEWER POSTDOCS WE 3666 02:37:16,760 --> 02:37:18,960 CAN OFFER. 3667 02:37:18,960 --> 02:37:20,040 AND SO I THINK THAT'S GOING TO 3668 02:37:20,040 --> 02:37:23,880 BE THE QUESTION. 3669 02:37:23,880 --> 02:37:25,640 AS WE ALL KNOW, OUR 3670 02:37:25,640 --> 02:37:26,840 APPROPRIATIONS LIMIT WHAT WE CAN 3671 02:37:26,840 --> 02:37:28,040 FUND, AND SO WE HAVE TO THINK 3672 02:37:28,040 --> 02:37:29,280 ABOUT THE PROPORTIONALITY ABOUT 3673 02:37:29,280 --> 02:37:31,920 THAT FUNDING AND HOW WE ASSIGN 3674 02:37:31,920 --> 02:37:32,160 IT. 3675 02:37:32,160 --> 02:37:33,880 BUT I THINK IT IS SOMETHING THAT 3676 02:37:33,880 --> 02:37:35,760 WE ARE CONSIDERING. 3677 02:37:35,760 --> 02:37:37,160 WE'RE ALSO LOOKING, YOU KNOW, AT 3678 02:37:37,160 --> 02:37:38,920 OUR RATES OF FUNDING FOR EARLY 3679 02:37:38,920 --> 02:37:40,000 STAGE INVESTIGATORS WHERE 3680 02:37:40,000 --> 02:37:44,280 THEY'RE ON THEIR R01 OR AT-RISK 3681 02:37:44,280 --> 02:37:44,600 INVESTIGATORS. 3682 02:37:44,600 --> 02:37:47,440 WE'RE ALSO LOOKING AT 3683 02:37:47,440 --> 02:37:49,440 DEVELOPING -- THERE'S ANOTHER 3684 02:37:49,440 --> 02:37:50,840 PROGRAM JUST FOR EVERYBODY'S 3685 02:37:50,840 --> 02:37:54,800 AWARENESS THAT'S TARGETED AT 3686 02:37:54,800 --> 02:37:56,560 BRINGING IN EARLY CAREER 3687 02:37:56,560 --> 02:37:58,120 FACULTY. 3688 02:37:58,120 --> 02:37:58,560 THE FIRST PROGRAM. 3689 02:37:58,560 --> 02:37:59,960 AND THAT ONE IS NOT FOR A 3690 02:37:59,960 --> 02:38:00,280 POSTDOC. 3691 02:38:00,280 --> 02:38:02,240 THAT IS FOR FACULTY-LEVEL 3692 02:38:02,240 --> 02:38:03,880 POSITIONS AND HOW DO WE BUILD 3693 02:38:03,880 --> 02:38:09,240 THESE INCLUSIVE CULTURES AT 3694 02:38:09,240 --> 02:38:09,560 INSTITUTIONS. 3695 02:38:09,560 --> 02:38:10,680 SO I THINK WE'RE TRYING TO GET 3696 02:38:10,680 --> 02:38:12,000 AT IT A NUMBER OF DIFFERENT 3697 02:38:12,000 --> 02:38:13,840 WAYS, BUT I TOTALLY TAKE YOUR 3698 02:38:13,840 --> 02:38:14,880 POINT, PART OF THIS IS 3699 02:38:14,880 --> 02:38:15,720 STRUCTURAL AND IT'S VERY HARD 3700 02:38:15,720 --> 02:38:16,800 FOR PEOPLE TO CONTINUE THEIR 3701 02:38:16,800 --> 02:38:18,240 CAREERS WHEN THEY DON'T HAVE 3702 02:38:18,240 --> 02:38:20,040 SALARIES THAT ARE EQUITABLE AND 3703 02:38:20,040 --> 02:38:21,520 ALLOW THEM TO HAVE A LIVING 3704 02:38:21,520 --> 02:38:27,360 WAGE. 3705 02:38:27,360 --> 02:38:27,800 >>GREAT. 3706 02:38:27,800 --> 02:38:28,520 THANK YOU, ALISON. 3707 02:38:28,520 --> 02:38:30,200 THAT WAS A GREAT PRESENTATION 3708 02:38:30,200 --> 02:38:31,200 AND A REALLY NICE DISCUSSION. 3709 02:38:31,200 --> 02:38:32,280 IT WAS GOOD TO SEE YOU AGAIN. 3710 02:38:32,280 --> 02:38:38,200 >>GOOD TO SEE ALL OF YOU. 3711 02:38:38,200 --> 02:38:39,160 >>OKAY. 3712 02:38:39,160 --> 02:38:42,160 OUR NEXT TOPIC IS GOING TO BE 3713 02:38:42,160 --> 02:38:47,160 RESEARCH INFRASTRUCTURE, AT OUR 3714 02:38:47,160 --> 02:38:49,160 LAST MEETING SIX MONTHS AGO THIS 3715 02:38:49,160 --> 02:38:50,160 BOARD CAME UP WITH A WORKING 3716 02:38:50,160 --> 02:38:52,000 GROUP TO ASSESS THE 3717 02:38:52,000 --> 02:38:52,800 INFRASTRUCTURE. 3718 02:38:52,800 --> 02:38:54,240 THIS WAS A TOPIC WHERE WE'RE 3719 02:38:54,240 --> 02:38:55,280 REALLY LOOKING FOR THE BOARD'S 3720 02:38:55,280 --> 02:38:55,480 INPUT. 3721 02:38:55,480 --> 02:38:57,480 AS YOU KNOW, A SIGNIFICANT 3722 02:38:57,480 --> 02:38:58,880 PORTION OF THE BUDGET GOES 3723 02:38:58,880 --> 02:38:59,480 TOWARDS INFRASTRUCTURE. 3724 02:38:59,480 --> 02:39:01,320 SO BEFORE WE MOVE ON TO OUR NEXT 3725 02:39:01,320 --> 02:39:04,480 PRESENTATIONS, I WOULD LIKE TO 3726 02:39:04,480 --> 02:39:08,120 INVITE RALPH NITKIN TO PROVIDE A 3727 02:39:08,120 --> 02:39:11,080 HISTORICAL OVERVIEW OF THE TYPE 3728 02:39:11,080 --> 02:39:12,080 OF STRUCTURE THEY'VE BEEN 3729 02:39:12,080 --> 02:39:12,360 PROVIDING. 3730 02:39:12,360 --> 02:39:13,760 >>I'D JUST LIKE TO REMIND 3731 02:39:13,760 --> 02:39:14,640 PEOPLE THAT FROM THE POINT THE 3732 02:39:14,640 --> 02:39:16,440 CENTER WAS FIRST FORMED IN THE 3733 02:39:16,440 --> 02:39:22,160 EARLY 19 ' 1990s, RESEARCH 3734 02:39:22,160 --> 02:39:23,240 INFRASTRUCTURE HAS BEEN BE A 3735 02:39:23,240 --> 02:39:24,360 COMMITMENT. 3736 02:39:24,360 --> 02:39:25,200 REHABILITATION HAD A LONG 3737 02:39:25,200 --> 02:39:26,240 TRADITION OF HOW IT TREATED 3738 02:39:26,240 --> 02:39:30,480 PEOPLE BUT I THINK THAT A LOT OF 3739 02:39:30,480 --> 02:39:32,040 OUR FOUNDERS REALIZED IT WAS AN 3740 02:39:32,040 --> 02:39:33,040 AREA THAT WE NEEDED MORE 3741 02:39:33,040 --> 02:39:34,880 TRAINING FOR PEOPLE TO BE 3742 02:39:34,880 --> 02:39:36,200 RESEARCHERS TO REALLY HAVE 3743 02:39:36,200 --> 02:39:39,720 ROBUST RESEARCH QUESTIONS AND TO 3744 02:39:39,720 --> 02:39:41,120 BRING PEOPLE IN FROM ALLIED 3745 02:39:41,120 --> 02:39:41,360 FIELDS. 3746 02:39:41,360 --> 02:39:44,720 SO THE SUPPORT OF RESEARCH 3747 02:39:44,720 --> 02:39:46,520 INFRASTRUCTURE HAS ALWAYS BEEN A 3748 02:39:46,520 --> 02:39:47,280 STRONG COMPONENT OF THIS CENTER 3749 02:39:47,280 --> 02:39:49,040 AND WE'VE HAD SOME SUCCESSFUL 3750 02:39:49,040 --> 02:39:51,000 PROGRAMS OVER THE YEARS, BUT IT 3751 02:39:51,000 --> 02:39:52,440 TIME TO KIND OF THINK ABOUT 3752 02:39:52,440 --> 02:39:53,640 THOSE TRAINING WHEELS AND WHERE 3753 02:39:53,640 --> 02:39:54,960 WE GO FROM HERE. 3754 02:39:54,960 --> 02:39:56,880 AND IT'S A VERY TIMELY POINT 3755 02:39:56,880 --> 02:39:59,000 WHERE WE'RE DOING SOME SOUL 3756 02:39:59,000 --> 02:39:59,800 SEARCHING, AND IT'S THE 3757 02:39:59,800 --> 02:40:04,040 BEGINNING OF A DISCUSSION ABOUT 3758 02:40:04,040 --> 02:40:07,760 WHERE WE GO FROM HERE, AND WE 3759 02:40:07,760 --> 02:40:10,400 REALLY WANT TO HAVE YOU FOLKS 3760 02:40:10,400 --> 02:40:12,360 HAVE A VERY ROBUST DISCUSSION. 3761 02:40:12,360 --> 02:40:15,320 WE HAD A SUBCOMMITTEE YOU'LL 3762 02:40:15,320 --> 02:40:16,640 HEAR ABOUT WHO STARTED MEETING 3763 02:40:16,640 --> 02:40:19,160 ON THIS MONTHLY, AND THEY HAVE 3764 02:40:19,160 --> 02:40:21,560 SOME INITIAL BACKGROUND REPORT, 3765 02:40:21,560 --> 02:40:23,120 BUT I REALLY WANT YOU TO PAY 3766 02:40:23,120 --> 02:40:24,200 ATTENTION TO THIS AND I REALLY 3767 02:40:24,200 --> 02:40:27,600 WANT YOU TO JOIN IN AND TO HAVE 3768 02:40:27,600 --> 02:40:30,680 A VERY STRONG, ROBUST DISCUSSION 3769 02:40:30,680 --> 02:40:31,640 ABOUT THIS AFTER THIS. 3770 02:40:31,640 --> 02:40:32,880 WE'VE BLOCKED AN HOUR AND A HALF 3771 02:40:32,880 --> 02:40:35,840 FOR THIS DISCUSSION AND WE 3772 02:40:35,840 --> 02:40:36,840 REALLY WANT YOUR RECOMMENDATIONS 3773 02:40:36,840 --> 02:40:38,640 ON THIS. 3774 02:40:38,640 --> 02:40:42,640 SO I'LL PASS THAT BACK TO ERIC. 3775 02:40:42,640 --> 02:40:43,480 >>GREAT. 3776 02:40:43,480 --> 02:40:47,960 I'D LIKE TO WELCOME STEPHANIE 3777 02:40:47,960 --> 02:40:50,520 DELUCA AND DON EHDE WHO LED THE 3778 02:40:50,520 --> 02:40:51,840 WORKING GROUP AND GIVE A SUMMARY 3779 02:40:51,840 --> 02:40:54,360 OF THEIR FINDINGS. 3780 02:40:54,360 --> 02:40:54,960 >>GREAT. 3781 02:40:54,960 --> 02:40:56,240 I'M DELIGHTED TO BE HERE. 3782 02:40:56,240 --> 02:40:58,320 LET ME JUST SHARE MY SCREEN. 3783 02:40:58,320 --> 02:41:00,040 I'LL BE SHARING SOME SLIDES WITH 3784 02:41:00,040 --> 02:41:10,120 YOU. 3785 02:41:10,120 --> 02:41:10,640 ALL RIGHT. 3786 02:41:10,640 --> 02:41:13,760 WELL AGAIN, I'M DAWN EHDE, AND 3787 02:41:13,760 --> 02:41:15,920 ALONG WITH DR. STEPHANIE DELUCA, 3788 02:41:15,920 --> 02:41:18,560 WE CO-CHAIRED THE WORK GROUP FOR 3789 02:41:18,560 --> 02:41:20,120 THIS, AND YOU'LL LEARN WHO THE 3790 02:41:20,120 --> 02:41:22,080 MEMBERS WERE AT THE END OF MY 3791 02:41:22,080 --> 02:41:23,600 PRESENTATION. 3792 02:41:23,600 --> 02:41:26,160 I AM GOING TO FIRST JUST GIVE 3793 02:41:26,160 --> 02:41:28,200 YOU A LITTLE HISTORY OF WHAT WE 3794 02:41:28,200 --> 02:41:29,760 DID, SOME BACKGROUND OF THE WORK 3795 02:41:29,760 --> 02:41:32,680 GROUP, OUR APPROACH, AND THEN 3796 02:41:32,680 --> 02:41:36,120 DESCRIBE THE PROPOSED SOLUTION 3797 02:41:36,120 --> 02:41:36,760 AND CONCLUSION. 3798 02:41:36,760 --> 02:41:38,320 AFTER THE ACKNOWLEDGMENTS, I'M 3799 02:41:38,320 --> 02:41:41,600 GOING TO OPEN IT UP FOR 3800 02:41:41,600 --> 02:41:42,800 DISCUSSION, AND I WILL BE ABLE 3801 02:41:42,800 --> 02:41:44,440 TO GO BACK IN THE SLIDES IF YOU 3802 02:41:44,440 --> 02:41:47,920 WANT TO LOOK BACK AT SOME OF THE 3803 02:41:47,920 --> 02:41:48,560 SLIDES, PARTICULARLY THE SLIDES 3804 02:41:48,560 --> 02:41:50,520 WHERE WE TALK ABOUT THE SOLUTION 3805 02:41:50,520 --> 02:41:53,000 AND CONSIDERATIONS. 3806 02:41:53,000 --> 02:41:55,960 BUT I REALLY WANT TO SAVE TIME 3807 02:41:55,960 --> 02:41:57,360 FOR DISCUSSION AND YOUR INPUT 3808 02:41:57,360 --> 02:42:00,560 BECAUSE THAT'S CRITICAL. 3809 02:42:00,560 --> 02:42:02,640 ALL RIGHT. 3810 02:42:02,640 --> 02:42:03,960 SO HOW DID WE GET TO WHERE WE 3811 02:42:03,960 --> 02:42:05,600 ARE TODAY? 3812 02:42:05,600 --> 02:42:08,880 WELL, AS RALPH DESCRIBED, THE 3813 02:42:08,880 --> 02:42:09,640 RESEARCH INFRASTRUCTURE HAS BEEN 3814 02:42:09,640 --> 02:42:11,800 AROUND FOR MANY YEARS AND HAS 3815 02:42:11,800 --> 02:42:15,040 BEEN AN IMPORTANT PART OF NCMRR. 3816 02:42:15,040 --> 02:42:17,640 AND THE CURRENT MEDICAL REHAB 3817 02:42:17,640 --> 02:42:19,280 RESEARCH RESOURCE NETWORK, ALSO 3818 02:42:19,280 --> 02:42:25,080 KNOWN AS MR3N, HAS THESE FIVE 3819 02:42:25,080 --> 02:42:27,120 DIFFERENT AREAS OR GOALS, I 3820 02:42:27,120 --> 02:42:29,480 SHOULD SAY, WITH SIX REHAB 3821 02:42:29,480 --> 02:42:31,560 RESEARCH CENTERS WITH THE GOAL 3822 02:42:31,560 --> 02:42:33,560 TO PROVIDE EXPERTISE, 3823 02:42:33,560 --> 02:42:36,720 TECHNOLOGIES, AND RESOURCES TO 3824 02:42:36,720 --> 02:42:38,480 THE MEDICAL REHABILITATION 3825 02:42:38,480 --> 02:42:40,120 RESEARCH COMMUNITY. 3826 02:42:40,120 --> 02:42:43,960 AND RIGHT NOW, THE EXISTING MR3N 3827 02:42:43,960 --> 02:42:46,040 IS ABOUT HALFWAY THROUGH THEIR 3828 02:42:46,040 --> 02:42:47,440 FIVE-YEAR PERIOD OF ITS RESEARCH 3829 02:42:47,440 --> 02:42:48,440 INFRASTRUCTURE. 3830 02:42:48,440 --> 02:42:49,920 AND I WOULD ENCOURAGE YOU TO 3831 02:42:49,920 --> 02:42:52,640 LOOK AT THE MR3 AND WEBSITE AT 3832 02:42:52,640 --> 02:42:55,160 SOME POINT AFTER OUR MEETINGS 3833 02:42:55,160 --> 02:42:57,360 TODAY, BECAUSE IT'S A VERY 3834 02:42:57,360 --> 02:42:59,760 WEALTHY RESOURCE FOR RESEARCHERS 3835 02:42:59,760 --> 02:43:01,080 OF ANY STAGE, AND IT WILL ALSO 3836 02:43:01,080 --> 02:43:02,720 GIVE YOU A GOOD IDEA OF WHAT 3837 02:43:02,720 --> 02:43:05,480 THEY'VE BEEN UP TO. 3838 02:43:05,480 --> 02:43:08,400 SO IN TERMS OF OUR WORK GROUP, 3839 02:43:08,400 --> 02:43:10,080 OUR GOALS WERE TO BROADLY REVIEW 3840 02:43:10,080 --> 02:43:13,480 THE CURRENT REHAB INFRASTRUCTURE 3841 02:43:13,480 --> 02:43:15,800 SUPPORT STRUCTURE TO ASSESS THE 3842 02:43:15,800 --> 02:43:17,320 CURRENT INFRASTRUCTURE NEEDS FOR 3843 02:43:17,320 --> 02:43:19,640 REHABILITATION RESEARCH IN THE 3844 02:43:19,640 --> 02:43:20,640 REHABILITATION COMMUNITY, AND 3845 02:43:20,640 --> 02:43:24,560 THEN TO DEVELOP A HIGH LEVEL 3846 02:43:24,560 --> 02:43:25,120 STRATEGIC OPPORTUNITIES AND 3847 02:43:25,120 --> 02:43:27,200 CONSIDERATIONS ON HOW TO ADDRESS 3848 02:43:27,200 --> 02:43:28,440 INFRASTRUCTURE GAPS IN MEETING 3849 02:43:28,440 --> 02:43:30,840 THOSE NEEDS THAT WERE 3850 02:43:30,840 --> 02:43:31,160 IDENTIFIED. 3851 02:43:31,160 --> 02:43:35,760 OUR DUTIES, WHIC WE YOU A TENDED 3852 02:43:35,760 --> 02:43:38,400 CONTRIBUTED TO MONTHLY MEETINGS, 3853 02:43:38,400 --> 02:43:39,640 WE ENGAGED IN A LOT OF 3854 02:43:39,640 --> 02:43:40,760 BRAINSTORMING AND FEEDBACK, AND 3855 02:43:40,760 --> 02:43:42,480 THEN DEVELOPED A FINAL SET OF 3856 02:43:42,480 --> 02:43:45,560 CONSIDERATIONS AN OPPORTUNITIES 3857 02:43:45,560 --> 02:43:46,560 WHICH I'LL BE SHARING WITH YOU 3858 02:43:46,560 --> 02:43:49,200 TODAY, AND THEN ALSO OUR OTHER 3859 02:43:49,200 --> 02:43:53,800 TASK TO REPORT BACK TO YOU. 3860 02:43:53,800 --> 02:43:55,240 IN TERMS OF THE TIMELINE, WE HAD 3861 02:43:55,240 --> 02:43:57,160 OUR KICKOFF IN JUNE, REALLY DID 3862 02:43:57,160 --> 02:44:01,040 A LOT OF BRAINSTORMING, AND CAME 3863 02:44:01,040 --> 02:44:02,600 UP WITH A REQUEST FOR 3864 02:44:02,600 --> 02:44:05,480 INFORMATION THAT NIH PUT OUT. 3865 02:44:05,480 --> 02:44:09,080 THAT WAS PUT OUT IN JULY AND WE 3866 02:44:09,080 --> 02:44:11,120 ALSO IN OUR MEETING LOOKED AT 3867 02:44:11,120 --> 02:44:13,080 INTERNAL AND EXTERNAL 3868 02:44:13,080 --> 02:44:15,320 INFRASTRUCTURE EXAMPLES PROVIDED 3869 02:44:15,320 --> 02:44:18,560 TO US AND THE RFI WAS RELEASED. 3870 02:44:18,560 --> 02:44:20,600 WE ALSO DECIDED TO LOOK AT DATA, 3871 02:44:20,600 --> 02:44:22,760 SO A BIG PART OF THIS WAS ALSO 3872 02:44:22,760 --> 02:44:27,680 LOOKING AT TATA T DATA THAT NIHD 3873 02:44:27,680 --> 02:44:28,680 GENERATE TO HELP US UNDERSTAND 3874 02:44:28,680 --> 02:44:31,000 WHAT THE INFRASTRUCTURE PROGRAM 3875 02:44:31,000 --> 02:44:35,160 HAS BEEN -- HAS YIELDED THAT 3876 02:44:35,160 --> 02:44:36,800 COULD BE GAINED BY SUCH DATA. 3877 02:44:36,800 --> 02:44:40,880 WE LOOKED IN AUGUST AT THE RFI 3878 02:44:40,880 --> 02:44:42,960 RESPONSES AND LOOKED AT ALSO THE 3879 02:44:42,960 --> 02:44:44,280 DATA THAT NIH PROVIDED TO US, 3880 02:44:44,280 --> 02:44:46,360 AND THEN REALLY SPENT OUR LAST 3881 02:44:46,360 --> 02:44:49,240 MEETINGS DEVELOPING AND 3882 02:44:49,240 --> 02:44:50,320 DISCUSSING, BASED ON THE 3883 02:44:50,320 --> 02:44:51,400 FEEDBACK, BASED ON EVERYTHING WE 3884 02:44:51,400 --> 02:44:55,040 HAD REVIEWED, REALLY THE 3885 02:44:55,040 --> 02:44:55,800 INFRASTRUCTURE GOALS AND 3886 02:44:55,800 --> 02:44:57,600 CONSIDERATIONS WHICH WE NOW ARE 3887 02:44:57,600 --> 02:45:01,520 PRESENTING TO YOU IN A FINAL 3888 02:45:01,520 --> 02:45:04,680 DRAFT REPORT. 3889 02:45:04,680 --> 02:45:07,640 I WANT TO HIT ON SOME OF THESE 3890 02:45:07,640 --> 02:45:09,480 KEY TYPES OF INFORMATION THAT 3891 02:45:09,480 --> 02:45:12,080 ARE DRIVING OUR CONSIDERATIONS 3892 02:45:12,080 --> 02:45:13,280 AND RECOMMENDATIONS. 3893 02:45:13,280 --> 02:45:17,880 IN TERMS OF THE REQUEST FOR 3894 02:45:17,880 --> 02:45:18,720 INFORMATION, AGAIN IT WENT OUT 3895 02:45:18,720 --> 02:45:19,520 IN JULY OF THIS YEAR. 3896 02:45:19,520 --> 02:45:21,360 IT WENT TO A VERY BROAD AUDIENCE 3897 02:45:21,360 --> 02:45:23,360 AND IT INCLUDED RESPONSES FROM 3898 02:45:23,360 --> 02:45:26,680 PROFESSIONAL ORGANIZATIONS, 3899 02:45:26,680 --> 02:45:28,080 CURRENT AND FORMER ADVISORY 3900 02:45:28,080 --> 02:45:30,480 BOARD MEMBERS, CURRENT AND 3901 02:45:30,480 --> 02:45:34,000 FORMER P2C PIs, SO PIs OF 3902 02:45:34,000 --> 02:45:36,960 THE INFRASTRUCTURE GRANTS, 3903 02:45:36,960 --> 02:45:38,440 REWARDS, AS WELL AS STAKEHOLDERS 3904 02:45:38,440 --> 02:45:40,480 INCLUDING STAKEHOLDER OR PATIENT 3905 02:45:40,480 --> 02:45:41,680 ADVOCACY GROUPS. 3906 02:45:41,680 --> 02:45:45,000 AND YOU'LL SEE ON THIS SLIDE, ON 3907 02:45:45,000 --> 02:45:48,160 THE RIGHT, ARE REALLY THE 3908 02:45:48,160 --> 02:45:50,720 RESPONSE THEMES THAT CAME UP 3909 02:45:50,720 --> 02:45:51,680 FROM THIS RFI. 3910 02:45:51,680 --> 02:45:53,760 AND AS YOU'LL SEE AT THE TOP AND 3911 02:45:53,760 --> 02:45:56,080 RELEVANT TO THE PREVIOUS 3912 02:45:56,080 --> 02:45:57,640 PRESENTATION BY ALISON, 3913 02:45:57,640 --> 02:45:59,720 DIVERSITY, EQUITY, INCLUSION, 3914 02:45:59,720 --> 02:46:02,440 ACCESSIBILITY WAS A THEME OF 3915 02:46:02,440 --> 02:46:04,760 HIGH IMPORTANCE FROM THE INPUT 3916 02:46:04,760 --> 02:46:07,400 WE GOT. 3917 02:46:07,400 --> 02:46:09,120 ALSO STAKEHOLDER ENGAGEMENT, 3918 02:46:09,120 --> 02:46:11,240 AGAIN ANOTHER THEME THAT YOU'RE 3919 02:46:11,240 --> 02:46:12,240 HEARING ABOUT IN OUR MEETING 3920 02:46:12,240 --> 02:46:14,640 TODAY, SOMETHING THAT IS 3921 02:46:14,640 --> 02:46:15,640 INCREASINGLY IMPORTANT IN THE 3922 02:46:15,640 --> 02:46:16,840 REHABILITATION RESEARCH, IT'S 3923 02:46:16,840 --> 02:46:18,600 ALWAYS BEEN IMPORTANT BUT MAYBE 3924 02:46:18,600 --> 02:46:20,480 INCREASINGLY RECOGNIZED AS 3925 02:46:20,480 --> 02:46:21,680 IMPORTANT IN THE REHABILITATION 3926 02:46:21,680 --> 02:46:23,200 RESEARCH FIELD, AND SOMETHING 3927 02:46:23,200 --> 02:46:28,800 THAT'S BROADENING FROM PAST 3928 02:46:28,800 --> 02:46:30,120 INFRASTRUCTURE AWARDS. 3929 02:46:30,120 --> 02:46:33,600 ALSO MENTORSHIP OPPORTUNITIES, 3930 02:46:33,600 --> 02:46:35,520 HANDS-ON TRAINING, AND REALLY A 3931 02:46:35,520 --> 02:46:37,720 DESIRE FOR CROSS-DISCIPLINARY 3932 02:46:37,720 --> 02:46:41,240 SPACES AND CONNECTIONS. 3933 02:46:41,240 --> 02:46:43,200 ALSO WE HEARD THAT AGGREGATING 3934 02:46:43,200 --> 02:46:44,840 REHABILITATION DATA INTO A 3935 02:46:44,840 --> 02:46:46,800 CENTRAL REPOSITORY AND HAVING 3936 02:46:46,800 --> 02:46:48,680 MORE DATA SCIENCE SKILLS 3937 02:46:48,680 --> 02:46:52,000 TRAINING WAS ALSO DESIRED. 3938 02:46:52,000 --> 02:46:54,400 ADDITIONAL THEMES INCLUDED 3939 02:46:54,400 --> 02:46:55,480 EMBEDDING TRANSLATING RESEARCH 3940 02:46:55,480 --> 02:46:58,120 INTO CLINICAL PRACTICE SO THAT 3941 02:46:58,120 --> 02:47:00,200 DISSEMINATION IMPLEMENTATION 3942 02:47:00,200 --> 02:47:01,560 TRANSLATION THEME, AND THERE WAS 3943 02:47:01,560 --> 02:47:04,080 SOME FEEDBACK AROUND HAVING 3944 02:47:04,080 --> 02:47:05,520 IMPAIRMENT-BASED CENTERS, SO FOR 3945 02:47:05,520 --> 02:47:07,040 EXAMPLE, A CENTER BASED ON 3946 02:47:07,040 --> 02:47:08,440 TRAUMATIC BRAIN INJURY. 3947 02:47:08,440 --> 02:47:11,560 OR CANCER REHABILITATION. 3948 02:47:11,560 --> 02:47:13,720 WE DID GET SOME CONFLICTING 3949 02:47:13,720 --> 02:47:14,280 OPINIONS. 3950 02:47:14,280 --> 02:47:16,040 THERE WERE SOME OF OUR 3951 02:47:16,040 --> 02:47:17,720 STAKEHOLDERS WHO PROVIDED INPUT 3952 02:47:17,720 --> 02:47:18,680 THAT THERE WAS TOO MUCH VERSUS 3953 02:47:18,680 --> 02:47:22,960 TOO LITTLE. 3954 02:47:22,960 --> 02:47:25,400 OTHERS SAID ON CLINICAL TRIALS 3955 02:47:25,400 --> 02:47:30,560 AND TECHNOLOGY DEVELOP M. 3956 02:47:30,560 --> 02:47:31,880 THE WORK GROUP THEN SAT DOWN 3957 02:47:31,880 --> 02:47:32,960 WITH THIS INFORMATION AND DID 3958 02:47:32,960 --> 02:47:37,560 REALLY A BRAINSTORM OR WHITE 3959 02:47:37,560 --> 02:47:38,680 BOARDING SESSIONS AND WE ASKED 3960 02:47:38,680 --> 02:47:41,000 OURSELVES IF WE COULD DESIGN THE 3961 02:47:41,000 --> 02:47:42,520 IDEAL REHABILITATION RESEARCH 3962 02:47:42,520 --> 02:47:43,280 INFRASTRUCTURE FROM SCRATCH, 3963 02:47:43,280 --> 02:47:47,240 WHAT ELEMENTS SHOULD IT CONTAIN. 3964 02:47:47,240 --> 02:47:48,680 AND WHAT SHOULD BE THE 3965 02:47:48,680 --> 02:47:49,120 OVERARCHING GOALS. 3966 02:47:49,120 --> 02:47:51,440 AS YOU SEE ON THIS SLIDE, SOME 3967 02:47:51,440 --> 02:47:52,640 OF THESE THINGS THAT WE THOUGHT 3968 02:47:52,640 --> 02:47:54,400 SHOULD BE IN IT ARE THINGS THAT 3969 02:47:54,400 --> 02:48:01,200 ARE IN SOME OF THE EXISTING 3970 02:48:01,200 --> 02:48:01,640 MR3 NETWORK. 3971 02:48:01,640 --> 02:48:04,280 BUT ALSO SOME ARE NEW. 3972 02:48:04,280 --> 02:48:07,200 SO FOR EXAMPLE, WE THOUGHT THAT 3973 02:48:07,200 --> 02:48:08,120 THE INFRASTRUCTURE SHOULD 3974 02:48:08,120 --> 02:48:10,760 INCLUDE INCREASED AN INTENTIONAL 3975 02:48:10,760 --> 02:48:15,360 FOSTERING OF MULTIDISCIPLINARY 3976 02:48:15,360 --> 02:48:16,760 COLLABORATION IN TEAM SCIENCE. 3977 02:48:16,760 --> 02:48:18,560 AGAIN, A REAL EMPHASIS ON 3978 02:48:18,560 --> 02:48:19,840 STAKEHOLDER ENGAGEMENT AND 3979 02:48:19,840 --> 02:48:22,440 PARTICIPATORY ACTION RESEARCH, 3980 02:48:22,440 --> 02:48:23,360 THAT THE RESEARCH WOULD BE 3981 02:48:23,360 --> 02:48:25,120 DRIVEN BY WHAT'S MOST IMPORTANT 3982 02:48:25,120 --> 02:48:26,480 AND THE RESEARCH QUESTIONS MOST 3983 02:48:26,480 --> 02:48:29,080 IMPORTANT TO OUR STAKEHOLDERS 3984 02:48:29,080 --> 02:48:31,120 THAT A WE SERVE IN THE 3985 02:48:31,120 --> 02:48:33,720 REHABILITATION FIELD. 3986 02:48:33,720 --> 02:48:35,000 A THEME OF HAVING MORE EARLY 3987 02:48:35,000 --> 02:48:38,320 CAREER RESEARCH SUPPORT, ANOTHER 3988 02:48:38,320 --> 02:48:39,720 THEME ON TRANSLATION AND 3989 02:48:39,720 --> 02:48:40,960 IMPLEMENTATION SCIENCE, AS WELL 3990 02:48:40,960 --> 02:48:42,920 AS LOOKING AT SABBATICALS OR 3991 02:48:42,920 --> 02:48:44,240 PROTECTED TIME FOR RESEARCHERS 3992 02:48:44,240 --> 02:48:48,080 TO REALLY GAIN SKILLS OR 3993 02:48:48,080 --> 02:48:48,680 DISSEMINATE/DEVELOP RESEARCH 3994 02:48:48,680 --> 02:48:52,800 THAT'S IMPORTANT TO THE FIELD. 3995 02:48:52,800 --> 02:48:54,040 ON-DEMAND ACCESS TO TOOLS AND 3996 02:48:54,040 --> 02:48:56,000 SERVICES, THE MR3 NETWORKS HAVE 3997 02:48:56,000 --> 02:48:59,960 SOME OF THIS ALREADY, OR NETWORK 3998 02:48:59,960 --> 02:49:04,800 CROSS TRAINING, AND THEN AGAIN, 3999 02:49:04,800 --> 02:49:06,640 DIVERSITY, EQUITY, INCLUSION AND 4000 02:49:06,640 --> 02:49:09,960 ACCESSIBILITY, WITH YOU THOUGHTS 4001 02:49:09,960 --> 02:49:12,120 VERY, VERY IMPORTANT TO THE WORK 4002 02:49:12,120 --> 02:49:13,680 STRUCTURE. 4003 02:49:13,680 --> 02:49:16,600 THE OTHER IDEA, 4004 02:49:16,600 --> 02:49:17,400 INFRASTRUCTURE -- AFTER THE 4005 02:49:17,400 --> 02:49:18,960 FUNDING PERIOD WAS OVER, THOSE 4006 02:49:18,960 --> 02:49:20,480 TOOLS, RESOURCES, WHATEVER THEY 4007 02:49:20,480 --> 02:49:22,480 MAY BE, WOULD BE SUSTAINABLE 4008 02:49:22,480 --> 02:49:23,160 BEYOND THE PERIOD OF TIME OF 4009 02:49:23,160 --> 02:49:23,480 FUNDING. 4010 02:49:23,480 --> 02:49:25,440 AND I THINK SOME OF WHAT WE 4011 02:49:25,440 --> 02:49:26,320 TALKED ABOUT THE MOST WAS THAT 4012 02:49:26,320 --> 02:49:28,320 WE REALLY THINK THAT THE 4013 02:49:28,320 --> 02:49:31,480 INFRASTRUCTURE NEEDS TO FOCUS ON 4014 02:49:31,480 --> 02:49:32,600 PRODUCING IMPACTFUL, HIGH 4015 02:49:32,600 --> 02:49:34,680 QUALITY RESEARCH. 4016 02:49:34,680 --> 02:49:36,080 AND THIS IS A QUESTION I'D LIKE 4017 02:49:36,080 --> 02:49:38,520 TO COME BACK TO AT THE END TODAY 4018 02:49:38,520 --> 02:49:42,800 DURING OUR DISCUSSION IS, HOW DO 4019 02:49:42,800 --> 02:49:44,200 WE DEFINE IMPACTFUL, HIGH 4020 02:49:44,200 --> 02:49:45,120 QUALITY RESEARCH? 4021 02:49:45,120 --> 02:49:49,040 WE'LL WANT YOUR PRESID PRESI OPT 4022 02:49:49,040 --> 02:49:50,040 AND IDEAS. 4023 02:49:50,040 --> 02:49:52,160 AS I SAID EARLIER, WE ALSO 4024 02:49:52,160 --> 02:49:54,000 LOOKED AT INFORMATION THAT NIH 4025 02:49:54,000 --> 02:49:56,760 TEAM GAVE TO US IN TERMS OF A 4026 02:49:56,760 --> 02:49:57,200 DATA REVIEW. 4027 02:49:57,200 --> 02:49:59,960 SO WE LOOKED AT EXISTING 4028 02:49:59,960 --> 02:50:02,400 INFRASTRUCTURE WITHIN THE NIH, 4029 02:50:02,400 --> 02:50:04,040 SO FOR EXAMPLE, THE CLINICAL 4030 02:50:04,040 --> 02:50:06,120 RESEARCH NETWORKS, THE RESEARCH 4031 02:50:06,120 --> 02:50:07,800 EVALUATION AND COMMERCIALIZATION 4032 02:50:07,800 --> 02:50:10,920 HUBS, THE CURRENT P2C MECHANISM, 4033 02:50:10,920 --> 02:50:12,280 AND REALLY LOOKING AT WHAT'S 4034 02:50:12,280 --> 02:50:13,920 THERE ALREADY, BECAUSE WE WANT 4035 02:50:13,920 --> 02:50:15,800 TO -- WE WERE THINKING WE WANTED 4036 02:50:15,800 --> 02:50:19,320 TO RECOMMEND NOT REPLICATING 4037 02:50:19,320 --> 02:50:21,400 THINGS THAT -- RESOURCES THAT 4038 02:50:21,400 --> 02:50:22,080 ALREADY EXIST. 4039 02:50:22,080 --> 02:50:25,160 WE ALSO LOOKED TO NON-NIH 4040 02:50:25,160 --> 02:50:28,040 INFRASTRUCTURE RESOURCES, MANY 4041 02:50:28,040 --> 02:50:30,200 OF WHICH ARE REPRESENTED IN OUR 4042 02:50:30,200 --> 02:50:32,400 BOARD MEETING TODAY, BUT LOOKING 4043 02:50:32,400 --> 02:50:36,040 TO V.A., THE IT WE DEPARTMENT OF 4044 02:50:36,040 --> 02:50:36,960 DEFENSE CENTERS OF EXCELLENCE, 4045 02:50:36,960 --> 02:50:38,720 THE NCAA SCIENCE FOUNDATION 4046 02:50:38,720 --> 02:50:40,480 CENTERS AND THE NIDILRR MODEL 4047 02:50:40,480 --> 02:50:42,120 SYSTEMS. 4048 02:50:42,120 --> 02:50:45,080 WE THEN LOOKED AT PROGRAM DATA, 4049 02:50:45,080 --> 02:50:47,320 INCLUDING NIH REHABILITATION 4050 02:50:47,320 --> 02:50:51,120 FUNDING, AS WELL AS NCMRR 4051 02:50:51,120 --> 02:50:53,000 FUNDING TRENDS, EARLY CAREER 4052 02:50:53,000 --> 02:50:54,480 AWARD APPLICATION DATA OR 4053 02:50:54,480 --> 02:50:59,360 CAREER, I SHOULD SAY, PILOT DATA 4054 02:50:59,360 --> 02:51:02,880 FROM THE P2C INFRASTRUCTURE 4055 02:51:02,880 --> 02:51:04,400 PROGRAMS AND THEN FUNDED 4056 02:51:04,400 --> 02:51:05,480 INFRASTRUCTURE PROGRAM TOPICS 4057 02:51:05,480 --> 02:51:08,440 AND NCMRR CENTERS FROM 2000 TO 4058 02:51:08,440 --> 02:51:10,240 2025. 4059 02:51:10,240 --> 02:51:12,520 SO TAKING ALL THIS INFORMATION, 4060 02:51:12,520 --> 02:51:15,120 WE THEN CAME UP WITH I THINK 4061 02:51:15,120 --> 02:51:15,800 SEVEN CONSIDERATIONS THAT I'M 4062 02:51:15,800 --> 02:51:22,600 GOING TO SHARE WITH YOU AND SIX 4063 02:51:22,600 --> 02:51:23,080 RECOMMENDATIONS. 4064 02:51:23,080 --> 02:51:26,120 SO OUR FIRST CONSIDERATION IS, 4065 02:51:26,120 --> 02:51:27,760 WE THOUGHT IT WAS IMPORTANT THAT 4066 02:51:27,760 --> 02:51:29,960 NIH KEEP IN MIND THAT 4067 02:51:29,960 --> 02:51:30,720 INFRASTRUCTURE SUPPORT IS 4068 02:51:30,720 --> 02:51:32,840 IMPORTANT TO THE FUTURE OF 4069 02:51:32,840 --> 02:51:33,840 REHABILITATION RESEARCH. 4070 02:51:33,840 --> 02:51:37,560 AND THAT NCMRR IS THE NATURAL 4071 02:51:37,560 --> 02:51:43,600 LEADER FOR THIS AT THE NIH. 4072 02:51:43,600 --> 02:51:45,680 WE ALSO THOUGHT AN IMPORTANT 4073 02:51:45,680 --> 02:51:48,320 CONSIDERATION IS THAT, AGAIN, 4074 02:51:48,320 --> 02:51:50,320 NCMRR SHOULD BE MINDFUL OF 4075 02:51:50,320 --> 02:51:51,640 EXISTING INFRASTRUCTURE 4076 02:51:51,640 --> 02:51:52,080 RESOURCES. 4077 02:51:52,080 --> 02:51:54,600 SUCH AS THE NIH CLINICAL AND 4078 02:51:54,600 --> 02:51:56,000 TRANSLATIONAL SCIENCE AWARD 4079 02:51:56,000 --> 02:52:00,080 PROGRAMS WHICH PROVIDE NUMEROUS 4080 02:52:00,080 --> 02:52:01,520 RESOURCES TO CLINICAL 4081 02:52:01,520 --> 02:52:03,480 RESEARCHERS AS WELL AS CLINICAL 4082 02:52:03,480 --> 02:52:06,800 RESERESEARCH NETWORKS, NIDILRR'S 4083 02:52:06,800 --> 02:52:08,360 PROGRAMS SUCH AS THE MODEL 4084 02:52:08,360 --> 02:52:09,640 SYSTEMS AND REHABILITATION 4085 02:52:09,640 --> 02:52:11,120 ENGINEERING RESEARCH CENTERS. 4086 02:52:11,120 --> 02:52:14,000 AND THAT REALLY NCMRR'S EFFORTS 4087 02:52:14,000 --> 02:52:16,840 SHOULD BE COMPLEMENTARY AND NOT 4088 02:52:16,840 --> 02:52:22,840 DUPLICATE THESE EFFORTS. 4089 02:52:22,840 --> 02:52:23,880 ONE MOMENT, PLEASE. 4090 02:52:23,880 --> 02:52:24,480 SORRY. 4091 02:52:24,480 --> 02:52:25,400 EXCUSE ME. 4092 02:52:25,400 --> 02:52:33,080 I HAD TO CHEW MY DOG OUT. 4093 02:52:33,080 --> 02:52:33,680 A THIRD CONSIDERATION IS THAT 4094 02:52:33,680 --> 02:52:35,600 THE TRAINING OF REHABILITATION 4095 02:52:35,600 --> 02:52:37,000 RESEARCHERS IS ESSENTIAL FOR THE 4096 02:52:37,000 --> 02:52:38,600 GROWTH OF THE REHABILITATION 4097 02:52:38,600 --> 02:52:39,760 RESEARCH FIELD. 4098 02:52:39,760 --> 02:52:41,800 AND THAT THE CURRENT 4099 02:52:41,800 --> 02:52:43,400 INFRASTRUCTURE PROGRAM, THE P2C 4100 02:52:43,400 --> 02:52:45,080 NETWORK, IS REALLY NOT A 4101 02:52:45,080 --> 02:52:46,960 REPLACEMENT FOR DEDICATED AND 4102 02:52:46,960 --> 02:52:50,440 LONGER-TERM TRAINING PROGRAMS. 4103 02:52:50,440 --> 02:52:55,000 SO CERTAINLY WHILE WE THINK THAT 4104 02:52:55,000 --> 02:52:56,440 P2C NETWORKS SHOULD THINK ABOUT 4105 02:52:56,440 --> 02:52:57,960 TRAINING, REALLY ANY POTENTIAL 4106 02:52:57,960 --> 02:52:58,920 TRAINING ASPECTS OF 4107 02:52:58,920 --> 02:53:00,400 INFRASTRUCTURE SITES SHOULD BE 4108 02:53:00,400 --> 02:53:01,280 CONSIDERED IN CONJUNCTION WITH 4109 02:53:01,280 --> 02:53:04,920 OTHER TRAINING PROGRAMS, AND 4110 02:53:04,920 --> 02:53:06,400 THAT THAT'S A TOPIC BEYOND THE 4111 02:53:06,400 --> 02:53:12,480 SCOPE OF OUR WORK GROUP. 4112 02:53:12,480 --> 02:53:14,600 ANOTHER CONSIDERATION WAS THAT 4113 02:53:14,600 --> 02:53:15,880 GIVEN THE COMPLEXITIES OF THE 4114 02:53:15,880 --> 02:53:17,400 BREADTH OF TOPICS WITHIN THE 4115 02:53:17,400 --> 02:53:18,200 INFRASTRUCTURE, MULTIPLE AND 4116 02:53:18,200 --> 02:53:19,840 TAILORED PROGRAMS MAY BE NEEDED 4117 02:53:19,840 --> 02:53:22,160 RATHER THAN ONLY BROAD CALLS FOR 4118 02:53:22,160 --> 02:53:23,120 INFRASTRUCTURE USED PREVIOUSLY. 4119 02:53:23,120 --> 02:53:24,160 SO THIS CONSIDERATION IS REALLY 4120 02:53:24,160 --> 02:53:28,760 A CHANGE TO SOME DEGREE FROM HOW 4121 02:53:28,760 --> 02:53:29,440 THE INFRASTRUCTURE CALLS HAVE 4122 02:53:29,440 --> 02:53:33,720 COME OUT IN THE PAST, WHICH HAVE 4123 02:53:33,720 --> 02:53:34,600 BEEN MORE FOCUSED. 4124 02:53:34,600 --> 02:53:40,160 OR EXCUSE ME, MORE BROAD. 4125 02:53:40,160 --> 02:53:40,760 ANOTHER INFRASTRUCTURE 4126 02:53:40,760 --> 02:53:41,600 CONSIDERATION IS THAT IT SHOULD 4127 02:53:41,600 --> 02:53:43,960 BE USED TO INCREASE ACCESS TO 4128 02:53:43,960 --> 02:53:47,360 HIGH QUALITY DATA AND INCLUDE 4129 02:53:47,360 --> 02:53:48,840 DIVERSITY IN ALL ASPECTS OF 4130 02:53:48,840 --> 02:53:50,280 RESEARCH AS WE'VE BEEN 4131 02:53:50,280 --> 02:53:52,080 DISCUSSING TODAY, AND 4132 02:53:52,080 --> 02:53:53,640 STAKEHOLDER ENGAGEMENT. 4133 02:53:53,640 --> 02:53:55,800 SO REALLY BROADENING THE FOCUS 4134 02:53:55,800 --> 02:54:00,880 TO REALLY CENTER RESEARCH ON 4135 02:54:00,880 --> 02:54:02,480 STAKEHOLDER ENGAGEMENT DIVERSITY 4136 02:54:02,480 --> 02:54:10,600 AND HIGH QUALITY DATA. 4137 02:54:10,600 --> 02:54:11,880 A SIXTH CONSIDERATION, WHILE 4138 02:54:11,880 --> 02:54:12,840 CHALLENGING OUT COME METRICS FOR 4139 02:54:12,840 --> 02:54:14,040 THE SUCCESS OF THE NEXT PHASE 4140 02:54:14,040 --> 02:54:16,840 SHOULD FOCUS ON RESEARCH AND ITS 4141 02:54:16,840 --> 02:54:17,600 IMPACT IN ADDITION TO 4142 02:54:17,600 --> 02:54:19,080 TRADITIONAL METRICS OF ACADEMIC 4143 02:54:19,080 --> 02:54:20,000 SUCCESS. 4144 02:54:20,000 --> 02:54:24,680 SO IN ADDITION TOLL LOO TO LOOKW 4145 02:54:24,680 --> 02:54:27,040 MANY R01s ARE SUBMITTED IN 4146 02:54:27,040 --> 02:54:28,320 REHAB RESEARCH, YOU KNOW, 4147 02:54:28,320 --> 02:54:32,440 LOOKING AT IMPACT OF THE 4148 02:54:32,440 --> 02:54:33,960 RESEARCH. 4149 02:54:33,960 --> 02:54:36,600 THE SEVENTH CONSIDERATION, THEN, 4150 02:54:36,600 --> 02:54:39,760 WAS THAT WE STRONGLY ENCOURAGE 4151 02:54:39,760 --> 02:54:41,440 COMMUNICATION AND COLLABORATION 4152 02:54:41,440 --> 02:54:42,880 ACROSS INFRASTRUCTURE SITES AND 4153 02:54:42,880 --> 02:54:44,840 THAT THIS ADDS VALUE AND CREATES 4154 02:54:44,840 --> 02:54:48,880 A SENSE OF COMMUNITY. 4155 02:54:48,880 --> 02:54:50,920 SO HERE YOU SEE ALL OF OUR 4156 02:54:50,920 --> 02:54:51,360 CONSIDERATIONS. 4157 02:54:51,360 --> 02:54:53,080 I CAN COME BACK TO THIS SLIDE 4158 02:54:53,080 --> 02:54:58,800 DURING OUR DISCUSSION AS NEEDED. 4159 02:54:58,800 --> 02:55:00,440 WE ALSO SAW OPPORTUNITIES, I 4160 02:55:00,440 --> 02:55:01,680 THINK SIX OF THEM I'M GOING TO 4161 02:55:01,680 --> 02:55:03,080 CALL YOUR ATTENTION TO, AND 4162 02:55:03,080 --> 02:55:04,600 AGAIN, THESE ARE THEMES THAT 4163 02:55:04,600 --> 02:55:05,960 YOU'VE HEARD THAT REALLY BUILD 4164 02:55:05,960 --> 02:55:09,040 ON WHAT THE WORK GROUP USED TO 4165 02:55:09,040 --> 02:55:10,680 INFORM OUR RECOMMENDATIONS. 4166 02:55:10,680 --> 02:55:13,200 AND SO THE FIRST OPPORTUNITY WE 4167 02:55:13,200 --> 02:55:15,640 SEE REALLY IS FOR 4168 02:55:15,640 --> 02:55:16,120 CROSS-DISCIPLINARY 4169 02:55:16,120 --> 02:55:17,920 COLLABORATION, AND THAT ALTHOUGH 4170 02:55:17,920 --> 02:55:20,080 REHABILITATION AS A PRACTICE IS 4171 02:55:20,080 --> 02:55:21,160 OFTEN INTERDISCIPLINARY, OUR 4172 02:55:21,160 --> 02:55:22,680 RESEARCH IS OFTEN SILOED BY 4173 02:55:22,680 --> 02:55:25,960 DISCIPLINE OR BY DISEASE. 4174 02:55:25,960 --> 02:55:27,080 AND THAT INFRASTRUCTURE REALLY 4175 02:55:27,080 --> 02:55:31,200 HAS AN OPPORTUNITY TO PROVIDE 4176 02:55:31,200 --> 02:55:32,600 TEAM SCIENCE TO DO MORE 4177 02:55:32,600 --> 02:55:35,000 COMMUNITY BUILDING, AND MORE 4178 02:55:35,000 --> 02:55:35,760 CROSS-DISCIPLINARY PROJECTS, 4179 02:55:35,760 --> 02:55:38,000 WHICH ARE OFTEN DIFFICULT TO 4180 02:55:38,000 --> 02:55:40,400 ACHIEVE IN THE TYPICAL STANDARD 4181 02:55:40,400 --> 02:55:44,240 NIH GRANT MECHANISMS. 4182 02:55:44,240 --> 02:55:45,920 WE ALSO SEE AN OPPORTUNITY FOR 4183 02:55:45,920 --> 02:55:50,320 MORE HIGH QUALITY AND ACCESSIBLE 4184 02:55:50,320 --> 02:55:51,720 RESEARCH DATA WITH THE 4185 02:55:51,720 --> 02:55:53,240 INFRASTRUCTURE HAVING THE GOAL 4186 02:55:53,240 --> 02:55:55,560 TO PRODUCE HIGH QUALITY 4187 02:55:55,560 --> 02:55:56,920 IMPACTFUL AND BROADLY ACCESSIBLE 4188 02:55:56,920 --> 02:55:57,360 DATA. 4189 02:55:57,360 --> 02:56:01,480 SO LOOKING AT HOW TO SHARE AND 4190 02:56:01,480 --> 02:56:08,440 MAKE DATA AVAILABLE TO OTHERS. 4191 02:56:08,440 --> 02:56:10,520 AGAIN THIS THEME OF IMPACTFUL 4192 02:56:10,520 --> 02:56:11,840 RESEARCH THAT WE REALLY CAN'T 4193 02:56:11,840 --> 02:56:12,360 STRESS ENOUGH. 4194 02:56:12,360 --> 02:56:13,720 WE THINK THERE'S THIS 4195 02:56:13,720 --> 02:56:15,480 OPPORTUNITY ACROSS THE 4196 02:56:15,480 --> 02:56:16,240 TRANSLATIONAL SPECTRUM OF 4197 02:56:16,240 --> 02:56:18,080 SCIENCE TO REALLY HOLD IMPACT OF 4198 02:56:18,080 --> 02:56:23,320 THE RESUCH RESEARCH AS A GOAL AO 4199 02:56:23,320 --> 02:56:26,280 TAKE THE OPPORTUNITY FOR DIRECT 4200 02:56:26,280 --> 02:56:27,760 IMPACT AND THE IMPACT TO REALLY 4201 02:56:27,760 --> 02:56:29,160 START AT BENCH SCIENCE ALL THE 4202 02:56:29,160 --> 02:56:30,680 WAY THROUGH TO TRANSLATIONAL 4203 02:56:30,680 --> 02:56:31,760 SCIENCE, AND THAT THAT BE 4204 02:56:31,760 --> 02:56:36,720 CONSIDERED. 4205 02:56:36,720 --> 02:56:39,000 THINKING ABOUT IMPACT THEN ALSO 4206 02:56:39,000 --> 02:56:40,360 ONE THINKS ABOUT IMPLEMENTATION 4207 02:56:40,360 --> 02:56:41,000 SCIENCE, THAT THERE'S AN 4208 02:56:41,000 --> 02:56:42,880 OPPORTUNITY TO CONDUCT RIGOROUS 4209 02:56:42,880 --> 02:56:46,640 CLINICAL RESEARCH THAT SHOULD 4210 02:56:46,640 --> 02:56:47,840 CONSIDER THE IMPLEMENTATION OF 4211 02:56:47,840 --> 02:56:49,560 FINDINGS TO FULFILL THE GOAL OF 4212 02:56:49,560 --> 02:56:55,640 IMPACTING CLINICAL CARE. 4213 02:56:55,640 --> 02:56:56,640 AND THEN FLEXIBLE FUNDING 4214 02:56:56,640 --> 02:56:57,080 OPPORTUNITIES. 4215 02:56:57,080 --> 02:56:58,400 THAT NIMBLE FUNDING IS IMPORTANT 4216 02:56:58,400 --> 02:57:00,160 TO KEEP INFRASTRUCTURE SUPPORTED 4217 02:57:00,160 --> 02:57:01,800 RESEARCH DYNAMIC AND RESPONSIVE 4218 02:57:01,800 --> 02:57:04,560 TO COMMUNITY NEEDS. 4219 02:57:04,560 --> 02:57:06,160 WE SAW THAT AS A REAL 4220 02:57:06,160 --> 02:57:11,800 OPPORTUNITY AND VALUE. 4221 02:57:11,800 --> 02:57:21,640 OPPORTUNITY SIX THEN, DIVERSITY, 4222 02:57:21,640 --> 02:57:22,840 EQUITY AND INCLUSION AND 4223 02:57:22,840 --> 02:57:23,440 ACCESSIBILITY, INFRASTRUCTURE 4224 02:57:23,440 --> 02:57:24,920 CAN BE USED TO INCREASE 4225 02:57:24,920 --> 02:57:26,000 DIVERSITY AND THE INCLUSION OF 4226 02:57:26,000 --> 02:57:26,960 INDIVIDUALS WITH LIVED 4227 02:57:26,960 --> 02:57:28,000 EXPERIENCE, WHO ARE 4228 02:57:28,000 --> 02:57:28,840 TRADITIONALLY UNDERREPRESENTED 4229 02:57:28,840 --> 02:57:31,440 IN RESEARCH, IN ALL ASPECTS OF 4230 02:57:31,440 --> 02:57:33,520 THE RESEARCH PROCESS, STAFF 4231 02:57:33,520 --> 02:57:35,160 WORKING ON RESEARCH, TO RESEARCH 4232 02:57:35,160 --> 02:57:36,240 PARTICIPANTS, THAT THIS IS A 4233 02:57:36,240 --> 02:57:38,760 REAL OPPORTUNITY THAT THE 4234 02:57:38,760 --> 02:57:40,200 INFRASTRUCTURE PROGRAM SHOULD 4235 02:57:40,200 --> 02:57:47,560 TAKE AND RUN WITH. 4236 02:57:47,560 --> 02:57:49,320 SO HERE YOU SEE AGAIN THE SIX 4237 02:57:49,320 --> 02:57:52,680 OPPORTUNITIES THAT WE CAME UP 4238 02:57:52,680 --> 02:57:54,400 WITH, AND I CAN COME BACK TO 4239 02:57:54,400 --> 02:57:57,240 THIS SLIDE AS NEEDED AS WELL. 4240 02:57:57,240 --> 02:57:58,880 SO IN CONCLUSION, REALLY, YOU 4241 02:57:58,880 --> 02:58:02,760 KNOW, THE WORK GROUP SET OUT TO 4242 02:58:02,760 --> 02:58:03,960 PUT FORTH CONSIDERATIONS AND 4243 02:58:03,960 --> 02:58:05,520 OPPORTUNITIES AS THIS PROGRAM IS 4244 02:58:05,520 --> 02:58:11,840 BEING EVALUATED AT NIH AND AS 4245 02:58:11,840 --> 02:58:14,520 NIH THIX AB THINKS ABOUT THE NET 4246 02:58:14,520 --> 02:58:15,840 ITERATION OF IT. 4247 02:58:15,840 --> 02:58:17,400 WE THINK THAT OUR PROPOSED 4248 02:58:17,400 --> 02:58:19,080 SOLUTION HAS THE POTENTIAL TO 4249 02:58:19,080 --> 02:58:22,160 POSITION NIH AND SPECIFICALLY 4250 02:58:22,160 --> 02:58:23,560 NCMRR TO PROVIDE THE 4251 02:58:23,560 --> 02:58:24,440 REHABILITATION INFRASTRUCTURE 4252 02:58:24,440 --> 02:58:27,120 THAT IS COLLABORATIVE, 4253 02:58:27,120 --> 02:58:28,320 IMPACTFUL, INNOVATIVE AND 4254 02:58:28,320 --> 02:58:31,600 CONDUCIVE TO THE GROWTH OF THE 4255 02:58:31,600 --> 02:58:32,920 FIELD, THAT IT WILL ENSURE THAT 4256 02:58:32,920 --> 02:58:34,400 PROVIDED PRODUCTS AND SERVICES 4257 02:58:34,400 --> 02:58:36,160 MAINTAIN VALUE TO STAKEHOLDERS 4258 02:58:36,160 --> 02:58:38,440 ACROSS THE SPECTRUM OF 4259 02:58:38,440 --> 02:58:39,840 STAKEHOLDERS IN MEDICAL 4260 02:58:39,840 --> 02:58:42,480 REHABILITATION, TO ENSURE THAT 4261 02:58:42,480 --> 02:58:43,360 REHABILITATION RESEARCH 4262 02:58:43,360 --> 02:58:44,760 INFRASTRUCTURE STAYS RESPONSIVE 4263 02:58:44,760 --> 02:58:48,120 TO THE COMMUNITY'S EVOLVING 4264 02:58:48,120 --> 02:58:49,760 NEEDS, AND TO HELP DESIGN FUTURE 4265 02:58:49,760 --> 02:58:51,200 SYSTEMS THAT PROVIDE RESEARCHERS 4266 02:58:51,200 --> 02:58:52,560 WITH THE TOOLS AND RESOURCES 4267 02:58:52,560 --> 02:58:56,040 THEY NEED TO ADVANCE THE FIELD 4268 02:58:56,040 --> 02:58:58,960 AND GENERATE IMPACTFUL OUTCOMES. 4269 02:58:58,960 --> 02:59:00,600 SO BEFORE WE DISCUSS, I'D LIKE 4270 02:59:00,600 --> 02:59:04,200 TO JUST THANK MY CO-CHAIR, 4271 02:59:04,200 --> 02:59:05,560 DR. STEPHANIE DELUCA, WHO WILL 4272 02:59:05,560 --> 02:59:07,760 BE FACILITATING THE DISCUSSION 4273 02:59:07,760 --> 02:59:09,160 WITH ME, AND THANK THE REST OF 4274 02:59:09,160 --> 02:59:11,920 THE MEMBERS OF THE WORK GROUP 4275 02:59:11,920 --> 02:59:14,160 WHO ARE LISTED ON THIS SLIDE, 4276 02:59:14,160 --> 02:59:16,000 BOTH THE BOARD MEMBERS AS WELL 4277 02:59:16,000 --> 02:59:19,400 AS THE EX-OFFICIO MEMBERS. 4278 02:59:19,400 --> 02:59:20,360 ALL RIGHT. 4279 02:59:20,360 --> 02:59:24,080 AND WITH THAT, I THINK I WILL 4280 02:59:24,080 --> 02:59:25,400 LEAVE MY SLIDES UP BECAUSE IT 4281 02:59:25,400 --> 02:59:27,360 MAY BE HELPFUL TO HAVE THEM, AT 4282 02:59:27,360 --> 02:59:29,400 LEAST INITIALLY, ALTHOUGH THEN 4283 02:59:29,400 --> 02:59:30,840 AT SOME POINT, I MAY WANT TO 4284 02:59:30,840 --> 02:59:32,560 TAKE THEM DOWN SO WE CAN SEE ONE 4285 02:59:32,560 --> 02:59:34,080 ANOTHER'S FACES. 4286 02:59:34,080 --> 02:59:39,400 SO ERIC, WOULD YOU LIKE 4287 02:59:39,400 --> 02:59:40,920 STEPHANIE TO FACILITATE THE 4288 02:59:40,920 --> 02:59:42,160 DISCUSSION, I ASSUME? 4289 02:59:42,160 --> 02:59:43,600 >>NE, THANK YOU FOR THAT REALLY 4290 02:59:43,600 --> 02:59:44,720 NICE OVERVIEW OF THE WORKING 4291 02:59:44,720 --> 02:59:45,480 GROUP. 4292 02:59:45,480 --> 02:59:46,920 DOES ANYONE HAVE ANY QUESTIONS 4293 02:59:46,920 --> 02:59:52,600 FOR DAWN OR STEPHANIE? 4294 02:59:52,600 --> 02:59:54,000 >>DAWN, YOU MIGHT WANT TO GO 4295 02:59:54,000 --> 02:59:54,960 BACK TO YOUR OPPORTUNITIES SLIDE 4296 02:59:54,960 --> 02:59:56,080 OR SOMETHING TO MAYBE -- 4297 02:59:56,080 --> 02:59:57,560 >>THAT'S A GOOD IDEA. 4298 02:59:57,560 --> 02:59:59,480 >>YEAH, THE CONSIDERATIONS 4299 02:59:59,480 --> 03:00:00,800 SLIDE, IF WE COULD SEE THAT 4300 03:00:00,800 --> 03:00:03,280 AGAIN, THAT WOULD BE GREAT. 4301 03:00:03,280 --> 03:00:08,960 >>I WILL GO BACK TO THAT. 4302 03:00:08,960 --> 03:00:09,640 ALL RIGHT. 4303 03:00:09,640 --> 03:00:13,720 I THINK THIS ONE? 4304 03:00:13,720 --> 03:00:14,200 >>YES. 4305 03:00:14,200 --> 03:00:19,720 THANK YOU. 4306 03:00:19,720 --> 03:00:20,560 >>ALL RIGHT. 4307 03:00:20,560 --> 03:00:22,600 IS THAT THE SLIDE, STEPHANIE? 4308 03:00:22,600 --> 03:00:23,800 MAYBE I'LL ASK YOU TO LOOK FOR 4309 03:00:23,800 --> 03:00:24,280 HANDS. 4310 03:00:24,280 --> 03:00:25,760 I KNOW PEOPLE MIGHT NEED TO READ 4311 03:00:25,760 --> 03:00:35,960 THESE AGAIN. 4312 03:00:36,520 --> 03:00:41,960 >>KATHY? 4313 03:00:41,960 --> 03:00:42,600 >>HI. 4314 03:00:42,600 --> 03:00:43,320 THANK YOU BOTH. 4315 03:00:43,320 --> 03:00:45,040 I'M REALLY HAPPY TO SEE THIS 4316 03:00:45,040 --> 03:00:46,680 WHOLE REVIEW. 4317 03:00:46,680 --> 03:00:48,880 AND I'M CURIOUS, WHAT IS -- IS 4318 03:00:48,880 --> 03:00:53,800 THERE A TIMELINE IN HOW -- LIKE 4319 03:00:53,800 --> 03:00:55,400 WHERE THIS WILL BE GOING, WHAT 4320 03:00:55,400 --> 03:00:57,480 ARE THE NEXT STEPS? 4321 03:00:57,480 --> 03:00:58,680 I APPRECIATE YOU GOT ALL OF THIS 4322 03:00:58,680 --> 03:01:00,600 DONE FAIRLY QUICKLY, SO IS THERE 4323 03:01:00,600 --> 03:01:02,360 A PLAN FOR HOW ALL OF THIS 4324 03:01:02,360 --> 03:01:05,320 INFORMATION WILL BE USED? 4325 03:01:05,320 --> 03:01:08,760 >>I CAN TAKE THAT ONE. 4326 03:01:08,760 --> 03:01:12,440 THANKS FOR THE QUESTION, KATHY. 4327 03:01:12,440 --> 03:01:14,560 SO IT TAKES NIH A COUPLE YEARS 4328 03:01:14,560 --> 03:01:17,840 TO PUT TOGETHER A FUNDING 4329 03:01:17,840 --> 03:01:19,720 OPPORTUNITY ANNOUNCEMENT, SO WE 4330 03:01:19,720 --> 03:01:23,920 WILL TAKE THESE RECOMMENDATIONS 4331 03:01:23,920 --> 03:01:26,040 BACK, EITHER AS WHOLE CLOTH OR 4332 03:01:26,040 --> 03:01:27,560 IF YOU GUYS HAVE SOME CHANGES TO 4333 03:01:27,560 --> 03:01:30,320 THEM OR IF YOU DECIDE AS A BOARD 4334 03:01:30,320 --> 03:01:31,960 YOU DON'T SUPPORT THEM. 4335 03:01:31,960 --> 03:01:35,120 EITHER WAY, WE WILL TAKE THAT 4336 03:01:35,120 --> 03:01:37,800 INFORMATION BACK AND PROGRAM 4337 03:01:37,800 --> 03:01:40,120 STAFF WILL BRING THAT TO OUR 4338 03:01:40,120 --> 03:01:40,880 COLLEAGUES, BECAUSE I DON'T 4339 03:01:40,880 --> 03:01:43,080 THINK WHAT WE SAID HERE WAS A 4340 03:01:43,080 --> 03:01:45,840 HANDFUL OF OTHER NIH INSTITUTES 4341 03:01:45,840 --> 03:01:46,720 CO-FUND THESE. 4342 03:01:46,720 --> 03:01:50,680 SO WE HAVE A RATHER LARGE GROUP 4343 03:01:50,680 --> 03:01:53,640 THAT MANAGES THESE WITH 4344 03:01:53,640 --> 03:01:54,600 CONTRIBUTIONS SCIENTIFICALLY AND 4345 03:01:54,600 --> 03:01:55,240 FINANCIALLY FROM OTHER 4346 03:01:55,240 --> 03:01:55,680 INSTITUTES. 4347 03:01:55,680 --> 03:01:57,320 SO WE'LL ALL TAKE THIS 4348 03:01:57,320 --> 03:01:59,600 INFORMATION BACK AS WE THINK 4349 03:01:59,600 --> 03:02:01,600 ABOUT WHAT OUR PLAN FOR THE NEXT 4350 03:02:01,600 --> 03:02:05,880 ITERATION WILL BE. 4351 03:02:05,880 --> 03:02:07,400 WE'RE HALFWAY THROUGH A 4352 03:02:07,400 --> 03:02:08,760 FIVE-YEAR CYCLE, SO NO, YOU 4353 03:02:08,760 --> 03:02:10,200 WON'T SEE THE OUTPUT OF THIS FOR 4354 03:02:10,200 --> 03:02:12,080 A FEW YEARS, BUT IT TAKES US 4355 03:02:12,080 --> 03:02:13,840 THAT MUCH TIME TO KIND OF 4356 03:02:13,840 --> 03:02:18,280 PROCESS, IF THAT MAKES SENSE. 4357 03:02:18,280 --> 03:02:19,480 >>OKAY, THANK YOU. 4358 03:02:19,480 --> 03:02:21,080 >>AND AT THE END OF OUR 4359 03:02:21,080 --> 03:02:23,280 DISCUSSION TODAY, WE WILL BE 4360 03:02:23,280 --> 03:02:25,440 VOTING AS A BOARD ON WHETHER TO 4361 03:02:25,440 --> 03:02:28,240 PUT FORTH THESE, ACCEPT THESE AS 4362 03:02:28,240 --> 03:02:30,560 THEY ARE TO MAKE SOME CHANGES 4363 03:02:30,560 --> 03:02:31,920 AND RECOMMEND THEM OR TO GO BACK 4364 03:02:31,920 --> 03:02:33,040 TO THE DRAWING BOARD. 4365 03:02:33,040 --> 03:02:34,720 SO WE'LL MAKE THAT -- TAKE A 4366 03:02:34,720 --> 03:02:37,360 VOTE ON THAT RECOMMENDATION. 4367 03:02:37,360 --> 03:02:38,720 >>ROBERT? 4368 03:02:38,720 --> 03:02:43,800 LOOKS LIKE YOU'RE UP. 4369 03:02:43,800 --> 03:02:46,120 >>YEAH, I GUESS I'M ON CAMERA, 4370 03:02:46,120 --> 03:02:48,320 RIGHT? 4371 03:02:48,320 --> 03:02:49,840 I MEAN, THIS LOOKS GREAT. 4372 03:02:49,840 --> 03:02:53,880 I WANTED TO MAKE A COMMENT, 4373 03:02:53,880 --> 03:02:55,840 BEING SOMEBODY WHO'S SPENT TIME 4374 03:02:55,840 --> 03:02:57,520 KIND OF TRAVERSING THE 4375 03:02:57,520 --> 03:03:00,600 TRANSLATIONAL SPECTRUM AND 4376 03:03:00,600 --> 03:03:03,760 LATELY I'M DOING INTERVENTION 4377 03:03:03,760 --> 03:03:05,320 WORK, YOU KNOW, I'VE THOUGHT A 4378 03:03:05,320 --> 03:03:08,160 LOT ABOUT WHAT HAPPENS AFTER 4379 03:03:08,160 --> 03:03:08,680 INTERVENTIONS. 4380 03:03:08,680 --> 03:03:15,240 AND I THINK THAT THAT -- I'VE 4381 03:03:15,240 --> 03:03:17,840 SEEN SOME ARTICLES ON 4382 03:03:17,840 --> 03:03:19,880 IMPLEMENTATION SCIENCE. 4383 03:03:19,880 --> 03:03:24,280 WHEN I THINK ABOUT OT/PT/SPEECH, 4384 03:03:24,280 --> 03:03:25,800 WHAT REALLY IS IMPORTANT FOR THE 4385 03:03:25,800 --> 03:03:27,080 DISSEMINATION AND INCORPORATION, 4386 03:03:27,080 --> 03:03:30,360 I MEAN, I THINK THE MOST USEFUL 4387 03:03:30,360 --> 03:03:31,480 INTERVENTION WORK IS 4388 03:03:31,480 --> 03:03:34,080 INTERVENTION WORK THAT DEVELOPS, 4389 03:03:34,080 --> 03:03:36,920 YOU KNOW, CONCEPTS OF 4390 03:03:36,920 --> 03:03:39,160 INFORMATION -- AND INFORMATION 4391 03:03:39,160 --> 03:03:40,600 THAT THERAPISTS CAN EMPLOY, 4392 03:03:40,600 --> 03:03:42,960 VERSUS, YOU KNOW, SOME KIND OF 4393 03:03:42,960 --> 03:03:45,160 THERAPEUTIC PACKAGE THAT'S GOT 4394 03:03:45,160 --> 03:03:48,560 TO BE DELIVERED LIKE A BETTY 4395 03:03:48,560 --> 03:03:49,200 CROCKER COOKBOOK. 4396 03:03:49,200 --> 03:03:51,240 SO HOW DO YOU GET THAT? 4397 03:03:51,240 --> 03:03:52,200 I'VE SPENT A LITTLE TIME 4398 03:03:52,200 --> 03:03:53,200 THINKING ABOUT THIS AND JUST 4399 03:03:53,200 --> 03:03:56,040 REMEMBERING WHEN I WAS A 4400 03:03:56,040 --> 03:03:57,880 THERAPIST AND SEEING WHAT GOES 4401 03:03:57,880 --> 03:04:00,200 ON, IT SEEMS TO ME CONTINUING 4402 03:04:00,200 --> 03:04:04,000 MEDICAL EDUCATION AND 4403 03:04:04,000 --> 03:04:04,720 TRADITIONAL EDUCATION ARE THE 4404 03:04:04,720 --> 03:04:06,600 BEST WAYS TO DO THIS, AND SO I 4405 03:04:06,600 --> 03:04:09,960 JUST WONDER WHETHER THE 4406 03:04:09,960 --> 03:04:12,920 INITIATIVES TAKEN IN 4407 03:04:12,920 --> 03:04:15,520 IMPLEMENTATION WORK ARE FOCUSING 4408 03:04:15,520 --> 03:04:18,240 ON THE TRANSLATION OF 4409 03:04:18,240 --> 03:04:21,280 INTERVENTION IDEAS, OUTCOMES AND 4410 03:04:21,280 --> 03:04:22,400 INFORMATION THROUGH KIND OF 4411 03:04:22,400 --> 03:04:28,400 TRADITIONAL SYSTEMS LIKE THAT. 4412 03:04:28,400 --> 03:04:32,240 GLM I THINK 4413 03:04:32,240 --> 03:04:34,840 >>I THINK YOU RAISE A REALLY 4414 03:04:34,840 --> 03:04:35,480 IMPORTANT POINT AND THAT SPEAKS 4415 03:04:35,480 --> 03:04:38,720 TO THE VALUE OF IMPORTANT 4416 03:04:38,720 --> 03:04:40,040 STAKEHOLDERS IN OUR RESEARCH 4417 03:04:40,040 --> 03:04:42,000 PROCESSES NEED TO BE CLINICIANS, 4418 03:04:42,000 --> 03:04:43,840 OR WHOEVER IS USING THESE 4419 03:04:43,840 --> 03:04:47,960 RECOMMENDATIONS IN ADDITION TO 4420 03:04:47,960 --> 03:04:49,560 THE MEDICAL POPULATION AFFECTED 4421 03:04:49,560 --> 03:04:53,160 BY THE CONDITION AND THAT OUR 4422 03:04:53,160 --> 03:04:54,600 INTERVENTIONS WILL HAVE MORE 4423 03:04:54,600 --> 03:04:56,040 IMPACT POTENTIALLY IF WE INCLUDE 4424 03:04:56,040 --> 03:04:58,000 THOSE WHO WILL USE THOSE 4425 03:04:58,000 --> 03:04:59,800 INTERVENTIONS AS PART OF THE 4426 03:04:59,800 --> 03:05:01,480 PROCESS OF DEVELOPING AND 4427 03:05:01,480 --> 03:05:04,640 TESTING INTERVENTIONS. 4428 03:05:04,640 --> 03:05:06,520 SO THAT'S -- I JUST WANT TO 4429 03:05:06,520 --> 03:05:08,080 HIGHLIGHT THAT, I WONDER WHAT 4430 03:05:08,080 --> 03:05:09,240 OTHER THOUGHTS STEPHANIE OR 4431 03:05:09,240 --> 03:05:10,280 OTHERS HAVE IN RESPONSE. 4432 03:05:10,280 --> 03:05:12,720 >>THAT'S TRUE. 4433 03:05:12,720 --> 03:05:15,120 CAN I JUST COMMENT ONE THING, IS 4434 03:05:15,120 --> 03:05:16,800 THERE -- LIKE WHEN ONE -- YOU 4435 03:05:16,800 --> 03:05:18,280 KNOW, I'VE NEVER HAD AN 4436 03:05:18,280 --> 03:05:19,280 IMPLEMENTATION GRANT AND I KNOW 4437 03:05:19,280 --> 03:05:23,320 THEY'RE AVAILABLE NOW, ARE THESE 4438 03:05:23,320 --> 03:05:26,120 COMPONENTS IN IMPLEMENTATION 4439 03:05:26,120 --> 03:05:28,560 GRANTS FOCUSING ON DISSEMINATION 4440 03:05:28,560 --> 03:05:30,160 THROUGH THESE TYPES OF 4441 03:05:30,160 --> 03:05:35,840 CONTINUING EDUCATION, AND 4442 03:05:35,840 --> 03:05:40,640 TRADITIONAL EDUCATION SYSTEMS? 4443 03:05:40,640 --> 03:05:43,040 >>I THINK THAT'S A QUESTION I'M 4444 03:05:43,040 --> 03:05:44,920 NOT SURE THE ANSWER TO. 4445 03:05:44,920 --> 03:05:45,280 OTHERS? 4446 03:05:45,280 --> 03:05:49,120 >>I THINK IT DEPENDS ON THE 4447 03:05:49,120 --> 03:05:50,720 GRANT MECHANISM ITSELF, BUT I'M 4448 03:05:50,720 --> 03:05:54,120 NOT THE PERSON TO ASK. 4449 03:05:54,120 --> 03:05:55,760 BUT I WILL SAY THAT YOUR POINT 4450 03:05:55,760 --> 03:05:57,960 ALSO GOES TO THE CONCEPT OF 4451 03:05:57,960 --> 03:05:58,800 BEING IMPACTFUL. 4452 03:05:58,800 --> 03:06:00,440 I MEAN, I THINK THAT WAS ONE OF 4453 03:06:00,440 --> 03:06:06,840 THE THINGS THAT WE AS A GROUP 4454 03:06:06,840 --> 03:06:12,000 REALLY THOUGHT THAT WE NEEDED TO 4455 03:06:12,000 --> 03:06:14,640 AT LEAST BETTER UNDERSTAND WHAT 4456 03:06:14,640 --> 03:06:16,040 WAS BEING FUNDED AND HOW THESE 4457 03:06:16,040 --> 03:06:17,120 INFRASTRUCTURE PROJECTS COULD 4458 03:06:17,120 --> 03:06:19,040 CREATE MORE IMPACTFUL RESEARCH, 4459 03:06:19,040 --> 03:06:21,800 SO I THINK THAT'S PART OF 4460 03:06:21,800 --> 03:06:25,160 WHAT -- OF YOUR COMMENT AS WELL. 4461 03:06:25,160 --> 03:06:31,640 >>CAN I ADD SOME BACKGROUND TO 4462 03:06:31,640 --> 03:06:31,960 THAT? 4463 03:06:31,960 --> 03:06:33,440 FIRST I WANT TO REMIND PEOPLE 4464 03:06:33,440 --> 03:06:35,440 THAT NIH'S JOB IS NOT CONTINUING 4465 03:06:35,440 --> 03:06:40,200 EDUCATION CLINICAL TRAINING. 4466 03:06:40,200 --> 03:06:41,520 BUT YOU'RE CERTAINLY RIGHT THAT 4467 03:06:41,520 --> 03:06:43,280 FOR RESEARCH TO HAVE AN IMPACT, 4468 03:06:43,280 --> 03:06:44,320 ONE OF THE LEVELS HAS TO IMPACT 4469 03:06:44,320 --> 03:06:44,680 THAT. 4470 03:06:44,680 --> 03:06:48,280 SO THAT IS A FAIR COMMENT. 4471 03:06:48,280 --> 03:06:49,800 I SHOULD MENTION THAT IN THE 4472 03:06:49,800 --> 03:06:51,880 CURRENT ROUND OF SIX CENTERS 4473 03:06:51,880 --> 03:06:52,960 THAT ARE FUNDED, THERE'S ONE OF 4474 03:06:52,960 --> 03:06:54,120 THEM THAT JUST HAPPENED TO COME 4475 03:06:54,120 --> 03:06:59,280 UP WITH THE TOPIC THEMSELVES OF 4476 03:06:59,280 --> 03:07:00,920 RESEARCH DISSEMINATION. 4477 03:07:00,920 --> 03:07:03,120 TRANSLATION AND DISSEMINATION AS 4478 03:07:03,120 --> 03:07:05,040 THEIR GOAL. 4479 03:07:05,040 --> 03:07:06,160 AND THEY CONVINCED THEIR 4480 03:07:06,160 --> 03:07:07,800 COLLEAGUES THAT THAT SHOULD BE A 4481 03:07:07,800 --> 03:07:08,200 CENTER. 4482 03:07:08,200 --> 03:07:09,600 SO ONE OF OUR CURRENT CENTERS IS 4483 03:07:09,600 --> 03:07:11,600 ACTUALLY TAKING THAT ON AS A 4484 03:07:11,600 --> 03:07:14,160 FRONTAL ASSAULT AS THEIR DIRECT 4485 03:07:14,160 --> 03:07:17,040 MISSION. 4486 03:07:17,040 --> 03:07:18,440 SO JUST WANTED TO ADD THAT 4487 03:07:18,440 --> 03:07:18,720 BACKGROUND. 4488 03:07:18,720 --> 03:07:20,400 >>SORRY, FRANCISCO, I'M GOING 4489 03:07:20,400 --> 03:07:21,480 TO JUMP IN ONE SECOND. 4490 03:07:21,480 --> 03:07:23,240 MOST OF THE IMPLEMENTATION WORK 4491 03:07:23,240 --> 03:07:25,880 RELATED TO REHAB AND BROADLY IS 4492 03:07:25,880 --> 03:07:28,360 IN THE NIH COLLABORATORY, WHICH 4493 03:07:28,360 --> 03:07:29,960 WAS A COMMON FUND PROGRAM AND IS 4494 03:07:29,960 --> 03:07:33,040 NOW RUN OUT OF NCCIH, AND MOST 4495 03:07:33,040 --> 03:07:35,120 OF THAT WORK IS ABOUT 4496 03:07:35,120 --> 03:07:36,600 IMPLEMENTING IN HEALTH SYSTEMS. 4497 03:07:36,600 --> 03:07:40,200 SO HOW DO YOU TAKE THE RESEARCH 4498 03:07:40,200 --> 03:07:43,600 INTERVENTION AND PUT IT IN AN 4499 03:07:43,600 --> 03:07:47,760 EHR-DRIVEN PROCESS IN A HEALTH 4500 03:07:47,760 --> 03:07:48,960 SYSTEM THAT EDUCATION HAPPENS 4501 03:07:48,960 --> 03:07:54,520 WITH STAFF AT THAT LEVEL. 4502 03:07:54,520 --> 03:07:55,800 >>FRANCISCO? 4503 03:07:55,800 --> 03:07:57,520 >>YES, THANK YOU. 4504 03:07:57,520 --> 03:08:01,360 THANK YOU FOR THIS GREAT 4505 03:08:01,360 --> 03:08:02,800 WHIRLWIND OF A BRAINSTORMING ON 4506 03:08:02,800 --> 03:08:05,960 THESE VERY CRITICAL ISSUES. 4507 03:08:05,960 --> 03:08:08,880 I JUST WANTED MAYBE SOME 4508 03:08:08,880 --> 03:08:09,560 CLARIFICATION. 4509 03:08:09,560 --> 03:08:13,720 ON SLIDE 5, THERE IS MENTION OF 4510 03:08:13,720 --> 03:08:17,480 IMPAIRMENT-BASED CENTERS, 4511 03:08:17,480 --> 03:08:20,200 WHICH -- AND THEN OPPORTUNITY 4512 03:08:20,200 --> 03:08:23,400 NUMBER ONE TALKS ABOUT REHAB 4513 03:08:23,400 --> 03:08:25,480 RESEARCH BEING SILOED BY 4514 03:08:25,480 --> 03:08:28,200 DISCIPLINE OR DISEASE. 4515 03:08:28,200 --> 03:08:30,680 SO I'M TRYING TO UNDERSTAND IF 4516 03:08:30,680 --> 03:08:36,080 WHAT'S ON SLIDE 5 HAS 4517 03:08:36,080 --> 03:08:36,840 IMPAIRMENT-BASED CENTERS, IS 4518 03:08:36,840 --> 03:08:38,000 THAT SOMETHING THAT IS CURRENTLY 4519 03:08:38,000 --> 03:08:41,960 BEING PROMOTED, AND THAT SEEMS 4520 03:08:41,960 --> 03:08:43,240 LIKE A GOOD IDEA BECAUSE IT WILL 4521 03:08:43,240 --> 03:08:45,360 LEAD TO RESULTS QUICKLY AND SO 4522 03:08:45,360 --> 03:08:49,800 I'M JUST TRYING TO SEE HOW THIS 4523 03:08:49,800 --> 03:08:56,880 INTERACTS WITH THE NEED FOR 4524 03:08:56,880 --> 03:08:57,760 INTERDISCIPLINARY MULTI-DISEASE 4525 03:08:57,760 --> 03:09:01,120 APPROACHES TO REHAB. 4526 03:09:01,120 --> 03:09:02,440 I'M JUST TRYING TO UNDERSTAND 4527 03:09:02,440 --> 03:09:03,360 THAT. 4528 03:09:03,360 --> 03:09:05,720 >>SO THE EARLIER SLIDE, THAT 4529 03:09:05,720 --> 03:09:07,880 CAME FROM FEEDBACK THAT WAS 4530 03:09:07,880 --> 03:09:10,400 GATHERED FROM THE REQUEST FOR 4531 03:09:10,400 --> 03:09:11,280 INFORMATION, AND AS YOU'RE 4532 03:09:11,280 --> 03:09:15,640 POINTING OUT, THERE WAS SOME 4533 03:09:15,640 --> 03:09:18,000 FEEDBACK THAT OBTAINING -- 4534 03:09:18,000 --> 03:09:19,680 LOOKING AT IMPAIRMENT BASED OR 4535 03:09:19,680 --> 03:09:23,280 POPULATION BASED WORK WOULD BE 4536 03:09:23,280 --> 03:09:25,600 IMPORTANT. 4537 03:09:25,600 --> 03:09:30,120 I THINK AS A GROUP, WE THOUGHT 4538 03:09:30,120 --> 03:09:31,640 THAT WE DIDN'T WANT TO PRESCRIBE 4539 03:09:31,640 --> 03:09:33,440 ANY PARTICULAR DISEASE GROUPS, 4540 03:09:33,440 --> 03:09:34,640 POPULATIONS, IMPAIRMENT TYPES, 4541 03:09:34,640 --> 03:09:35,720 BECAUSE WE THOUGHT IT WAS 4542 03:09:35,720 --> 03:09:42,160 IMPORTANT TO REALLY NOT 4543 03:09:42,160 --> 03:09:43,120 ENCOURAGE -- WE WANTED TO KEEP 4544 03:09:43,120 --> 03:09:45,000 IT BROAD AND WE WANTED TO 4545 03:09:45,000 --> 03:09:46,720 ENCOURAGE MORE CROSS 4546 03:09:46,720 --> 03:09:47,760 DISCIPLINARY, INTERDISCIPLINARY 4547 03:09:47,760 --> 03:09:48,040 RESEARCH. 4548 03:09:48,040 --> 03:09:51,200 THAT'S NOT TO SAY THAT THERE 4549 03:09:51,200 --> 03:09:55,480 MIGHT NOT BE SPECIFIC, YOU KNOW, 4550 03:09:55,480 --> 03:09:58,640 DISEASE GROUP WHERE YOU CAN HAVE 4551 03:09:58,640 --> 03:09:59,920 VERY INTERDISCIPLINARY RESEARCH 4552 03:09:59,920 --> 03:10:01,240 GOING ON WITHIN IT. 4553 03:10:01,240 --> 03:10:04,360 SO I THINK WE WANTED TO AVOID 4554 03:10:04,360 --> 03:10:05,360 PRESCRIBING ANY SPECIFIC 4555 03:10:05,360 --> 03:10:05,800 POPULATIONS. 4556 03:10:05,800 --> 03:10:06,880 OTHERS FROM THE COMMITTEE WANT 4557 03:10:06,880 --> 03:10:08,960 TO ADD IN? 4558 03:10:08,960 --> 03:10:19,120 ON THAT? 4559 03:10:24,560 --> 03:10:25,880 THANK YOU FOR THAT COMMENT AND 4560 03:10:25,880 --> 03:10:28,400 QUESTION. 4561 03:10:28,400 --> 03:10:29,480 OTHER QUESTIONS? 4562 03:10:29,480 --> 03:10:30,480 OTHERWISE I HAVE A QUESTION FOR 4563 03:10:30,480 --> 03:10:32,000 THE GROUP CERTAINLY, BUT FIRST 4564 03:10:32,000 --> 03:10:33,000 DOES ANYONE ELSE HAVE ANY 4565 03:10:33,000 --> 03:10:38,240 COMMENTS SO FAR? 4566 03:10:38,240 --> 03:10:39,760 SO I GUESS A QUESTION THAT WE 4567 03:10:39,760 --> 03:10:43,040 WOULD LIKE TO DISCUSS WITH YOU 4568 03:10:43,040 --> 03:10:46,640 IS WHAT DEFINES OR HOW DO YOU 4569 03:10:46,640 --> 03:10:48,160 DEFINE HIGH QUALITY IMPACTFUL 4570 03:10:48,160 --> 03:10:49,680 RESEARCH? 4571 03:10:49,680 --> 03:10:50,880 WHAT ARE PEOPLE'S THOUGHTS ON 4572 03:10:50,880 --> 03:11:00,800 THAT? 4573 03:11:00,800 --> 03:11:02,440 MILLION DOLLAR QUESTION OR 4574 03:11:02,440 --> 03:11:09,080 MULTIMILLION DOLLAR QUESTION? 4575 03:11:09,080 --> 03:11:10,040 ANYONE WILLING TO TAKE A 4576 03:11:10,040 --> 03:11:10,840 VENTURE? 4577 03:11:10,840 --> 03:11:12,240 WE COULDN'T COME UP WITH THE 4578 03:11:12,240 --> 03:11:14,240 ANSWER IN MEETINGS OURSELVES. 4579 03:11:14,240 --> 03:11:17,360 I THINK WE HAD LOTS OF IDEAS BUT 4580 03:11:17,360 --> 03:11:18,560 WE'D LOVE TO HEAR FROM YOU. 4581 03:11:18,560 --> 03:11:20,320 >>I FEEL LIKE IT NEEDS TO BE -- 4582 03:11:20,320 --> 03:11:21,520 THERE'S PROBABLY SEVERAL 4583 03:11:21,520 --> 03:11:24,320 DIFFERENT CRITERIA TO DEFINE 4584 03:11:24,320 --> 03:11:27,760 WHAT HIGH QUALITY RESEARCH WOULD 4585 03:11:27,760 --> 03:11:28,080 BE. 4586 03:11:28,080 --> 03:11:29,600 I FEEL LIKE REHABILITATION 4587 03:11:29,600 --> 03:11:33,080 RESEARCH HAS THIS LIMITATION 4588 03:11:33,080 --> 03:11:34,400 THAT WE HAVEN'T HAD AN FDA THAT 4589 03:11:34,400 --> 03:11:36,600 HAS GIVEN US GUIDELINES OF WHAT 4590 03:11:36,600 --> 03:11:38,040 BAR WE NEED TO REACH TO GET TO 4591 03:11:38,040 --> 03:11:41,640 SOMETHING THAT IS IMPACTFUL FOR 4592 03:11:41,640 --> 03:11:42,760 THE COMMUNITY. 4593 03:11:42,760 --> 03:11:44,640 SO I THINK HIGH QUALITY 4594 03:11:44,640 --> 03:11:47,880 RESEARCH, YOU HAVE TO HAVE, YOU 4595 03:11:47,880 --> 03:11:49,640 KNOW, I GUESS OUTCOMES THAT ARE 4596 03:11:49,640 --> 03:11:50,640 OBJECTIVE AND MEASURABLE IN SOME 4597 03:11:50,640 --> 03:11:50,920 WAY. 4598 03:11:50,920 --> 03:11:52,520 I DON'T KNOW, I THINK MAYBE THAT 4599 03:11:52,520 --> 03:11:54,080 WOULD BE -- I DON'T KNOW, WHAT 4600 03:11:54,080 --> 03:11:55,160 DO OTHERS THINK IN TERMS OF -- 4601 03:11:55,160 --> 03:11:56,520 THAT SEEMS LIKE AN IMPORTANT ONE 4602 03:11:56,520 --> 03:12:02,160 TO START WITH. 4603 03:12:02,160 --> 03:12:10,680 >>OTHERS? 4604 03:12:10,680 --> 03:12:13,080 >>I WANT TO ADD TO THE -- SEE 4605 03:12:13,080 --> 03:12:14,680 IF I CAN PROMPT SOME MORE 4606 03:12:14,680 --> 03:12:16,840 DISCUSSION ON THIS. 4607 03:12:16,840 --> 03:12:21,680 WHOSE PERSPECTIVE SHOULD THE 4608 03:12:21,680 --> 03:12:22,320 IMPACT BE? 4609 03:12:22,320 --> 03:12:23,640 SHOULD IT BE THE RESEARCHERS, 4610 03:12:23,640 --> 03:12:25,680 SHOULD IT BE THE PARTICIPANTS, 4611 03:12:25,680 --> 03:12:28,760 SOME COMBINATION? 4612 03:12:28,760 --> 03:12:30,160 I MEAN, THINK ABOUT IT IN THOSE 4613 03:12:30,160 --> 03:12:33,240 TERMS. 4614 03:12:33,240 --> 03:12:35,440 BOB? 4615 03:12:35,440 --> 03:12:38,280 >>WHEN I THINK OF HOW I JUDGE 4616 03:12:38,280 --> 03:12:40,440 THE IMPACT OF RESEARCH, YOU 4617 03:12:40,440 --> 03:12:42,400 KNOW, IT'S HARD TO DO 4618 03:12:42,400 --> 03:12:43,720 IMMEDIATELY, BUT I THINK IT HAS 4619 03:12:43,720 --> 03:12:46,560 TO DO WITH HOW GENERATIVE YOUR 4620 03:12:46,560 --> 03:12:49,240 RESEARCH IS, AND EITHER 4621 03:12:49,240 --> 03:12:51,640 STIMULATING OTHER SCIENTISTS TO 4622 03:12:51,640 --> 03:12:56,840 TAKE OFF ON IT AND STUDY SIMILAR 4623 03:12:56,840 --> 03:13:02,720 THINGS, OR IMPACT IN TERMS OF 4624 03:13:02,720 --> 03:13:05,760 INCORPORATION INTO, YOU KNOW, OR 4625 03:13:05,760 --> 03:13:09,160 TRANSLATION INTO, YOU KNOW, THE 4626 03:13:09,160 --> 03:13:09,600 CLINIC. 4627 03:13:09,600 --> 03:13:13,080 BUT I DON'T THINK -- I THINK 4628 03:13:13,080 --> 03:13:19,520 IT'S HARD OR IMPOSSIBLE TO JUDGE 4629 03:13:19,520 --> 03:13:20,520 IMPACT BEFORE THERE'S BEEN A 4630 03:13:20,520 --> 03:13:30,240 CHANCE FOR THE IMPACT TO OCCUR. 4631 03:13:30,240 --> 03:13:32,080 >>AND I AGREE WITH THAT, BUT I 4632 03:13:32,080 --> 03:13:33,280 WILL SAY THAT ONE OF THE THINGS 4633 03:13:33,280 --> 03:13:35,520 WE TALKED ABOUT AS A COMMITTEE 4634 03:13:35,520 --> 03:13:36,880 IS THAT, YOU KNOW, WHILE WE WANT 4635 03:13:36,880 --> 03:13:38,720 TO THINK ABOUT MEASURABLES AND 4636 03:13:38,720 --> 03:13:41,760 HOW WE MEASURE THE IMPACT OF THE 4637 03:13:41,760 --> 03:13:45,720 INFRASTRUCTURE, WE ALSO THOUGHT 4638 03:13:45,720 --> 03:13:48,000 THAT MAYBE THE CONCEPT OF IMPACT 4639 03:13:48,000 --> 03:13:51,440 SHOULD BE SOMETHING THAT AN 4640 03:13:51,440 --> 03:13:52,600 APPLICANT FOR AN INFRASTRUCTURE 4641 03:13:52,600 --> 03:13:53,800 GRANT MIGHT NEED TO PROPOSE, 4642 03:13:53,800 --> 03:13:56,560 THAT THEY NEED TO -- THAT IT 4643 03:13:56,560 --> 03:14:00,040 MIGHT NEED TO BE FLEXIBLE IN 4644 03:14:00,040 --> 03:14:01,680 THOSE TERMS AND THAT THEY 4645 03:14:01,680 --> 03:14:06,800 THEMSELVES HAVE TO EXPLAIN AND 4646 03:14:06,800 --> 03:14:07,800 JUSTIFY WHY WHAT THEY'RE 4647 03:14:07,800 --> 03:14:09,520 PROPOSING IS IMPACTFUL. 4648 03:14:09,520 --> 03:14:10,920 SO I DON'T KNOW IF PEOPLE HAVE 4649 03:14:10,920 --> 03:14:21,400 THOUGHTS ABOUT THAT AS WELL. 4650 03:14:26,360 --> 03:14:31,400 >>AND LET ME ADD THE QUO ABOUTN 4651 03:14:31,400 --> 03:14:32,760 ABOUT THE TIME RANGE OF THE 4652 03:14:32,760 --> 03:14:36,600 IMPACT, THAT'S ALSO A VARIABLE. 4653 03:14:36,600 --> 03:14:41,160 >>STEPHANIE, I AGREE WITH THAT 4654 03:14:41,160 --> 03:14:42,080 COMMENT. 4655 03:14:42,080 --> 03:14:43,720 AS CAME UP IN DISCUSSIONS WHERE 4656 03:14:43,720 --> 03:14:48,600 IT'S HARD FOR AN RFA OR A GROUP 4657 03:14:48,600 --> 03:14:50,560 TO ANTICIPATE ALL AREAS OF 4658 03:14:50,560 --> 03:14:51,880 RESEARCH, IT'S REALLY HARD FOR 4659 03:14:51,880 --> 03:14:54,080 US TO ANTICIPATE ALL AREAS OF 4660 03:14:54,080 --> 03:14:54,720 IMPACT. 4661 03:14:54,720 --> 03:14:56,400 I THINK BEING FLEXIBLE AND THEN 4662 03:14:56,400 --> 03:14:58,000 ASSESSING IF THE IMPACT THAT'S 4663 03:14:58,000 --> 03:14:59,480 PROPOSED IS INDEED MEANINGFUL 4664 03:14:59,480 --> 03:15:01,000 ENOUGH WOULD BE A GOOD WAY TO GO 4665 03:15:01,000 --> 03:15:03,240 AS OPPOSED TO CLAIMING YOU HAVE 4666 03:15:03,240 --> 03:15:04,760 TO HAVE IMPACT IN THIS AREA OR 4667 03:15:04,760 --> 03:15:07,280 THAT AREA. 4668 03:15:07,280 --> 03:15:09,240 >>FRANCISCO? 4669 03:15:09,240 --> 03:15:13,160 >>YES, THANK YOU. 4670 03:15:13,160 --> 03:15:14,920 I WANTED TO ASK ABOUT A SLIGHTLY 4671 03:15:14,920 --> 03:15:17,160 DIFFERENT TOPIC, SO MAYBE I CAN 4672 03:15:17,160 --> 03:15:18,520 WAIT AND MAYBE LEWIS HAS A 4673 03:15:18,520 --> 03:15:26,800 COMMENT TO THE CURRENT TOPIC? 4674 03:15:26,800 --> 03:15:27,920 >>LEWIS? 4675 03:15:27,920 --> 03:15:30,280 >>SORRY, I WAS TRYING TO GET 4676 03:15:30,280 --> 03:15:30,480 THERE. 4677 03:15:30,480 --> 03:15:32,000 IT IS A LITTLE MORE DIRECTLY 4678 03:15:32,000 --> 03:15:32,680 RELATED TO THIS. 4679 03:15:32,680 --> 03:15:34,080 I THINK I AGREE WITH THE 4680 03:15:34,080 --> 03:15:35,080 COMMENTS THAT HAVE BEEN SAID 4681 03:15:35,080 --> 03:15:38,920 BEFORE ABOUT, YOU KNOW, THE 4682 03:15:38,920 --> 03:15:40,320 TIMELINE A BIT ABOUT 4683 03:15:40,320 --> 03:15:42,080 UNDERSTANDING IMPACTFUL, BUT I 4684 03:15:42,080 --> 03:15:43,280 THINK IT'S EVEN MORE CHALLENGING 4685 03:15:43,280 --> 03:15:46,200 WHEN YOU'RE TRYING TO DO PROOF 4686 03:15:46,200 --> 03:15:47,840 OF CONCEPT MECHANISTIC STUDIES 4687 03:15:47,840 --> 03:15:49,040 OR FOR A LOT OF THE WORK THAT 4688 03:15:49,040 --> 03:15:51,200 YOU'RE DOING, EVEN IF IT'S IN 4689 03:15:51,200 --> 03:15:51,760 HUMANS, RIGHT? 4690 03:15:51,760 --> 03:15:53,840 YOU KNOW, HUMAN STUDIES THAT ARE 4691 03:15:53,840 --> 03:15:57,440 VERY MECHANISTIC OR ENGINEERING 4692 03:15:57,440 --> 03:15:58,240 STUDIES THAT ARE INITIALLY 4693 03:15:58,240 --> 03:16:00,160 TRYING TO DEVELOP, YOU KNOW, 4694 03:16:00,160 --> 03:16:02,880 EARLY PROTOCOLS AND EARLY 4695 03:16:02,880 --> 03:16:05,480 TECHNOLOGIES TO HELP ADDRESS THE 4696 03:16:05,480 --> 03:16:06,280 LONG TERM NEED. 4697 03:16:06,280 --> 03:16:07,840 I THINK SOMETIMES -- AND THIS IS 4698 03:16:07,840 --> 03:16:10,840 A TERM THAT I HEARD IN A 4699 03:16:10,840 --> 03:16:12,280 SEPARATE CONVERSATION, WAS 4700 03:16:12,280 --> 03:16:14,040 SOMETHING THAT IS -- INSTEAD OF 4701 03:16:14,040 --> 03:16:16,320 THINKING ABOUT IT IN TERMS OF 4702 03:16:16,320 --> 03:16:18,160 HIGH QUALITY OR IMPACTFUL, BUT 4703 03:16:18,160 --> 03:16:20,120 IT'S MORE DIRECTIONAL. 4704 03:16:20,120 --> 03:16:23,640 IT'S CLEAR THAT IT'S GOING IN A 4705 03:16:23,640 --> 03:16:25,040 PARTICULAR SPACE, IT IS CLEAR 4706 03:16:25,040 --> 03:16:27,440 THAT THERE'S AN INTENTION BEHIND 4707 03:16:27,440 --> 03:16:29,560 IT, YIELDING PARTICULAR PROMISE 4708 03:16:29,560 --> 03:16:30,840 FOR A PARTICULAR GROUP OF 4709 03:16:30,840 --> 03:16:35,320 PEOPLE, WHETHER IT'S AN 4710 03:16:35,320 --> 03:16:38,600 UNDERSERVED DISEASE OR 4711 03:16:38,600 --> 03:16:39,920 PATHOLOGY, OR IF IT'S ONE THAT 4712 03:16:39,920 --> 03:16:41,200 IS HIGHLY RESEARCHED BUT IT'S 4713 03:16:41,200 --> 03:16:43,160 LOOKING AT SOMETHING FROM A NEW 4714 03:16:43,160 --> 03:16:44,720 ANGLE, THOSE ITERATIVE 4715 03:16:44,720 --> 03:16:47,080 PROCESSES, I THINK ARE PART OF 4716 03:16:47,080 --> 03:16:52,240 THAT DIRECTIONAL KIND OF 4717 03:16:52,240 --> 03:16:52,880 CONCEPTUALIZATION THAT I THOUGHT 4718 03:16:52,880 --> 03:16:54,080 WAS KIND OF AN INTERESTING WAY 4719 03:16:54,080 --> 03:16:55,400 TO THINK ABOUT IT BEYOND JUST 4720 03:16:55,400 --> 03:16:58,120 KIND OF IMPACTFUL WHICH IN MOST 4721 03:16:58,120 --> 03:17:00,880 PEOPLE'S MINDS GOES TO LIKE AN H 4722 03:17:00,880 --> 03:17:03,240 INDEX OR CITATION COUNTS OR THE 4723 03:17:03,240 --> 03:17:05,640 FACT THAT YOU WERE ABLE TO PULL 4724 03:17:05,640 --> 03:17:11,680 OFF AN R01 FROM IT. 4725 03:17:11,680 --> 03:17:13,800 >>ALSO MAKES ME THINK OF TWO 4726 03:17:13,800 --> 03:17:18,560 THINGS WE'VE TALKED ABOUT YOUR 4727 03:17:18,560 --> 03:17:19,880 COMMENT, ONE IN TERMS OF IMPACT, 4728 03:17:19,880 --> 03:17:21,840 YOU KNOW, HOW DO WE COMMUNICATE, 4729 03:17:21,840 --> 03:17:23,480 IF IT EARLY IN THE SCIENTIFIC 4730 03:17:23,480 --> 03:17:25,080 PROCESS, IF IT'S BENCH SCIENCE, 4731 03:17:25,080 --> 03:17:28,160 HOW DO WE COMMUNICATE TO 4732 03:17:28,160 --> 03:17:29,720 STAKEHOLDERS AND, YOU KNOW, 4733 03:17:29,720 --> 03:17:36,920 REVIEW GROUPS HOW HEADED IN THIS 4734 03:17:36,920 --> 03:17:38,040 DIRECTIONAL RESEARCH MAY HAVE 4735 03:17:38,040 --> 03:17:39,600 DOWN THE LINE OUTCOMES THAT ARE 4736 03:17:39,600 --> 03:17:40,600 IMPORTANT TO THE PEOPLE WHO 4737 03:17:40,600 --> 03:17:44,800 WOULD BE IMPACTED BY ANY 4738 03:17:44,800 --> 03:17:47,400 INNOVATIONS OR NEW TECHNIQUES, 4739 03:17:47,400 --> 03:17:49,880 REHABILITATION TECH TECH NEEKS. 4740 03:17:49,880 --> 03:17:50,200 TECHNIQUES. 4741 03:17:50,200 --> 03:17:51,960 THAT IDEA OF WE NEED TO BE MAYBE 4742 03:17:51,960 --> 03:17:54,240 BETTER AT COMMUNICATING WHY SOME 4743 03:17:54,240 --> 03:17:56,760 OF THESE THINGS ARE IMPORTANT, 4744 03:17:56,760 --> 03:17:58,080 GIVEN THEY MAY BE A FEW STEPS 4745 03:17:58,080 --> 03:18:00,800 OUT BEFORE ACTUALLY HAVING HEED 4746 03:18:00,800 --> 03:18:04,400 YAMEDIAL REAL WORLD IMPACT, ANDI 4747 03:18:04,400 --> 03:18:05,360 THINK AGAIN JUST THAT IDEA THAT 4748 03:18:05,360 --> 03:18:07,240 WE NEED TO BE INCLUDING DIVERSE 4749 03:18:07,240 --> 03:18:08,800 GROUPS OF PEOPLE INCLUDING THE 4750 03:18:08,800 --> 03:18:09,960 PEOPLE WITH THE CONDITIONS WE 4751 03:18:09,960 --> 03:18:15,200 STUDY AS PART OF THE PLANNING 4752 03:18:15,200 --> 03:18:16,720 PROCESS, I WOULD ARGUE EVEN IN 4753 03:18:16,720 --> 03:18:17,400 BENCH SCIENCE, SO SHARING A 4754 03:18:17,400 --> 03:18:27,000 LITTLE BIT OF MY BIASES HERE. 4755 03:18:27,000 --> 03:18:29,640 KATHY, ARE YOUR COMMENTS RELATED 4756 03:18:29,640 --> 03:18:30,400 TO IMPACT? 4757 03:18:30,400 --> 03:18:31,800 >>BASICALLY WHAT YOU JUST SAID, 4758 03:18:31,800 --> 03:18:33,880 I THINK WE HAVE TO REMEMBER, WE 4759 03:18:33,880 --> 03:18:35,640 ALL DO RESEARCH IN OUR LITTLE 4760 03:18:35,640 --> 03:18:38,040 AREA, BUT WE HAVE TO MAKE 4761 03:18:38,040 --> 03:18:39,160 WHATEVER IMPACTFUL RESEARCH IT 4762 03:18:39,160 --> 03:18:41,840 IS, IT NEEDS TO BE SOMEWHAT 4763 03:18:41,840 --> 03:18:43,040 GENERALIZABLE OR, YOU KNOW, SO 4764 03:18:43,040 --> 03:18:47,880 IT CAN BE USEFUL FOR LOTS OF 4765 03:18:47,880 --> 03:18:51,200 DIFFERENT, YOU KNOW, I GUESS -- 4766 03:18:51,200 --> 03:18:53,320 I DON'T KNOW IF I WOULD EVEN USE 4767 03:18:53,320 --> 03:18:55,040 THE WORD PATHOLOGIES BUT MAYBE 4768 03:18:55,040 --> 03:18:55,760 DIFFERENT LIMITATIONS THAT 4769 03:18:55,760 --> 03:19:01,560 PEOPLE HAVE. 4770 03:19:01,560 --> 03:19:02,680 >>FRANCISCO? 4771 03:19:02,680 --> 03:19:04,040 >>YES, THANK YOU FOR THOSE 4772 03:19:04,040 --> 03:19:05,880 OTHER COMMENTS. 4773 03:19:05,880 --> 03:19:08,320 I JUST WAS LOOKING AT THE 4774 03:19:08,320 --> 03:19:09,520 PROPOSAL SOLUTIONS AND THOSE ARE 4775 03:19:09,520 --> 03:19:12,440 ALL, OF COURSE, VERY TIMELY. 4776 03:19:12,440 --> 03:19:19,000 THE ONE THAT TO ME IS -- STANDS 4777 03:19:19,000 --> 03:19:20,520 OUT AS KIND OF INNOVATIVE THAT 4778 03:19:20,520 --> 03:19:24,040 MAY NEED A LITTLE WORK TO HASH 4779 03:19:24,040 --> 03:19:27,000 OUT IS NUMBER FIVE ABOUT NIMBLE 4780 03:19:27,000 --> 03:19:30,440 FUNDING. 4781 03:19:30,440 --> 03:19:32,760 BECAUSE AS WE KNOW, REQUEST FOR 4782 03:19:32,760 --> 03:19:33,960 PROPOSALS, ET CETERA, THEY 4783 03:19:33,960 --> 03:19:39,320 TAKE -- THEY WORK IN THE SCALES 4784 03:19:39,320 --> 03:19:41,280 OF A FEW YEARS TYPICALLY, SO HOW 4785 03:19:41,280 --> 03:19:43,240 WOULD A LANDSCAPE OF NIMBLE 4786 03:19:43,240 --> 03:19:48,600 FUNDING LOOK LIKE AND SO -- ARE 4787 03:19:48,600 --> 03:19:49,680 THERE SOME THOUGHTS ABOUT KINDS 4788 03:19:49,680 --> 03:19:50,880 OF MECHANISMS DIFFERENT FROM 4789 03:19:50,880 --> 03:19:53,080 WHAT ARE CURRENTLY AVAILABLE 4790 03:19:53,080 --> 03:19:54,600 WOULD BE NIMBLE FUNDING? 4791 03:19:54,600 --> 03:19:56,800 I THINK IT'S A TOPIC THAT I'M 4792 03:19:56,800 --> 03:19:57,760 VERY CURIOUS ABOUT BECAUSE I 4793 03:19:57,760 --> 03:20:00,960 THINK IT'S VERY INNOVATIVE. 4794 03:20:00,960 --> 03:20:02,720 >>I'M GOING TO JUMP IN FRONT OF 4795 03:20:02,720 --> 03:20:05,480 THAT BUS. 4796 03:20:05,480 --> 03:20:07,680 SO IT CAN MEAN A LOT OF THINGS, 4797 03:20:07,680 --> 03:20:13,600 AND AGAIN, WE HAVEN'T CLEARED 4798 03:20:13,600 --> 03:20:15,120 ANY OF THIS AS A CONCEPT, 4799 03:20:15,120 --> 03:20:18,080 THERE'S NO RFA WRITTEN YET SO WE 4800 03:20:18,080 --> 03:20:22,200 HAVE TO BE VERY GENERAL, SO FOR 4801 03:20:22,200 --> 03:20:23,960 EXAMPLE, FROM AN NIH 4802 03:20:23,960 --> 03:20:27,760 PERSPECTIVE, WE DO ONE CALL FOR 4803 03:20:27,760 --> 03:20:29,560 PROPOSALS EVERY FIVE YEARS, AND 4804 03:20:29,560 --> 03:20:31,080 WHAT COMES IN IS WHAT GETS 4805 03:20:31,080 --> 03:20:33,160 FUNDED FOR FIVE YEARS, AND 4806 03:20:33,160 --> 03:20:34,440 THERE'S NOTHING THAT WE'RE DOING 4807 03:20:34,440 --> 03:20:37,840 IN BETWEEN THAT. 4808 03:20:37,840 --> 03:20:39,360 SO IN THAT SENSE, WE ARE KIND OF 4809 03:20:39,360 --> 03:20:40,040 LOCKED IN. 4810 03:20:40,040 --> 03:20:41,680 SO IS THAT SOMETHING WE NEED TO 4811 03:20:41,680 --> 03:20:48,000 THINK DIFFERENTLY ABOUT HOW WE 4812 03:20:48,000 --> 03:20:50,720 SET UP THE STRUCTURE OF MULTIPLE 4813 03:20:50,720 --> 03:20:52,040 CENTERS OR MULTIPLE SITES, LET'S 4814 03:20:52,040 --> 03:20:52,520 SAY. 4815 03:20:52,520 --> 03:20:57,400 THE OTHER THING THAT WE HEARD A 4816 03:20:57,400 --> 03:20:58,360 LOT IN THE REQUEST FOR 4817 03:20:58,360 --> 03:20:59,680 INFORMATION IS THAT THEY LOVED 4818 03:20:59,680 --> 03:21:01,120 PILOT FUNDS, THAT THE PILOT 4819 03:21:01,120 --> 03:21:05,600 FUNDING PROGRAM WAS REALLY 4820 03:21:05,600 --> 03:21:06,640 IMPORTANT, BUT WE HAVE SOME 4821 03:21:06,640 --> 03:21:08,440 LIMITS ON THAT, AND IS THERE 4822 03:21:08,440 --> 03:21:15,760 MORE FLEXIBILITY IN PILOT 4823 03:21:15,760 --> 03:21:17,160 FUNDING DISCRETION GIVEN TO THE 4824 03:21:17,160 --> 03:21:18,160 CENTERS INSTEAD OF GOING THROUGH 4825 03:21:18,160 --> 03:21:20,000 THAT LONGER PROCESS AND GETTING 4826 03:21:20,000 --> 03:21:23,800 FUNDED FROM NIH DIRECTLY, AND 4827 03:21:23,800 --> 03:21:27,720 THEN THE THIRD THING IS THAT AS 4828 03:21:27,720 --> 03:21:31,240 SCIENCE CHANGES, THERE ARE 4829 03:21:31,240 --> 03:21:35,520 MECHANISMS THAT HAVE MORE OR 4830 03:21:35,520 --> 03:21:37,120 LESS ROLE OF NIH IN THEM. 4831 03:21:37,120 --> 03:21:38,600 SO THERE ARE GRANTS, THERE ARE 4832 03:21:38,600 --> 03:21:40,120 COOPERATIVE AGREEMENTS, THERE 4833 03:21:40,120 --> 03:21:42,200 ARE CONTRACTS, AND EACH OF THOSE 4834 03:21:42,200 --> 03:21:45,640 HAS MORE OR LESS INVOLVEMENT OF 4835 03:21:45,640 --> 03:21:47,600 NIH STAFF, AND IF WE NEED TO 4836 03:21:47,600 --> 03:21:52,120 MAKE A CHANGE OR THERE IS A NEW 4837 03:21:52,120 --> 03:21:53,520 OPPORTUNITY OR A NEW PANDEMIC OR 4838 03:21:53,520 --> 03:21:57,320 A NEW WHATEVER, DIFFERENT LEVELS 4839 03:21:57,320 --> 03:21:58,880 OF NIH INVOLVEMENT IN A 4840 03:21:58,880 --> 03:22:00,320 MECHANISM FROM THE BEGINNING 4841 03:22:00,320 --> 03:22:01,960 WOULD ALLOW FOR MORE 4842 03:22:01,960 --> 03:22:03,560 FLEXIBILITY. 4843 03:22:03,560 --> 03:22:06,320 SO THAT BULLET IS DOING A LOT OF 4844 03:22:06,320 --> 03:22:09,040 LIFTING THERE. 4845 03:22:09,040 --> 03:22:19,280 IF THAT HELPS. 4846 03:22:20,280 --> 03:22:20,840 >>GREAT. 4847 03:22:20,840 --> 03:22:22,600 QUESTION FOR THE GROUP ALONG A 4848 03:22:22,600 --> 03:22:23,280 LITTLE DIFFERENT LINE. 4849 03:22:23,280 --> 03:22:24,880 WHAT FEEDBACK DO YOU HAVE IN 4850 03:22:24,880 --> 03:22:26,320 TERMS OF WHAT'S WORKED WELL WITH 4851 03:22:26,320 --> 03:22:29,720 THE CURRENT CENTERS AND ARE 4852 03:22:29,720 --> 03:22:30,480 THERE CRITICAL AREAS OF 4853 03:22:30,480 --> 03:22:32,480 INFRASTRUCTURE THAT WE ARE 4854 03:22:32,480 --> 03:22:33,520 MISSING, THAT WE JUST 4855 03:22:33,520 --> 03:22:40,000 OVERLOOKED? 4856 03:22:40,000 --> 03:22:42,200 >>AND THIS CAN BE TIED BACK 4857 03:22:42,200 --> 03:22:44,160 INTO TERESA'S EARLIER REPORT ON 4858 03:22:44,160 --> 03:22:47,400 SOME OF THE NCMRR AND NIH 4859 03:22:47,400 --> 03:22:49,640 STRATEGIC PLANNING ABOUT WHAT 4860 03:22:49,640 --> 03:22:53,120 BROAD AREAS IN THAT WE SEEM TO 4861 03:22:53,120 --> 03:23:03,520 BE UNDERRESEARCHED IN. 4862 03:23:04,720 --> 03:23:14,800 >>ANYONE? 4863 03:23:21,000 --> 03:23:29,360 I THINK WE COVERED THEM ALL. 4864 03:23:29,360 --> 03:23:31,320 FOR THOSE OF YOU WHO HAVE LOOKED 4865 03:23:31,320 --> 03:23:34,920 AT OR UTILIZED THE CURRENT 4866 03:23:34,920 --> 03:23:35,520 CENTERS, WHAT HAVE YOU LIKED 4867 03:23:35,520 --> 03:23:37,440 ABOUT THOSE, WHAT HAVE YOU USED? 4868 03:23:37,440 --> 03:23:39,280 I MEAN, I KNOW I'VE CERTAINLY 4869 03:23:39,280 --> 03:23:42,680 SENT TRAINEES TO THE PILOT 4870 03:23:42,680 --> 03:23:45,240 FUNDING OPPORTUNITIES ACROSS 4871 03:23:45,240 --> 03:23:46,640 DIFFERENT CENTERS. 4872 03:23:46,640 --> 03:23:57,040 BUT WHAT ABOUT OTHERS? 4873 03:24:02,040 --> 03:24:02,280 ANYONE? 4874 03:24:02,280 --> 03:24:03,800 FOR THOSE OF YOU WHO HAVE HAD A 4875 03:24:03,800 --> 03:24:05,080 CENTER IN THE PAST, OR CURRENT, 4876 03:24:05,080 --> 03:24:06,960 BEEN PART OF A CENTER, ANY 4877 03:24:06,960 --> 03:24:08,680 FEEDBACK? 4878 03:24:08,680 --> 03:24:09,720 HERE'S YOUR CHANCE. 4879 03:24:09,720 --> 03:24:11,320 >>THERE'S ALSO THE BALANCE 4880 03:24:11,320 --> 03:24:13,320 BETWEEN NIH NOT BEING 4881 03:24:13,320 --> 03:24:14,040 PRESCRIPTIVE ABOUT SAYING WHAT 4882 03:24:14,040 --> 03:24:17,000 WE'D LIKE TO SEE, AND HAVING YOU 4883 03:24:17,000 --> 03:24:20,160 TAKE WHAT YOUR BEST RESOURCES 4884 03:24:20,160 --> 03:24:22,160 AND SUPERPOWERS MIGHT BEST BE 4885 03:24:22,160 --> 03:24:24,000 TRAINING, AND ALSO WHAT IS 4886 03:24:24,000 --> 03:24:24,400 TEACHABLE? 4887 03:24:24,400 --> 03:24:25,480 SO THAT'S ALL PART OF THE 4888 03:24:25,480 --> 03:24:33,760 DISCUSSION. 4889 03:24:33,760 --> 03:24:34,760 >>I CAN KIND OF START THE 4890 03:24:34,760 --> 03:24:35,640 DISCUSSION. 4891 03:24:35,640 --> 03:24:36,600 I THINK THERESA HIT ON ONE OF 4892 03:24:36,600 --> 03:24:38,480 THE THINGS THAT HAS BEEN 4893 03:24:38,480 --> 03:24:42,080 CHALLENGING FROM TIME TO TIME 4894 03:24:42,080 --> 03:24:43,360 WITH THE CENTER THAT I'M 4895 03:24:43,360 --> 03:24:46,640 INVOLVED WITH, AND THAT IS THE 4896 03:24:46,640 --> 03:24:47,520 FLEXIBLE FUNDING. 4897 03:24:47,520 --> 03:24:50,720 SO WE HAVE TENDED TO THINK ABOUT 4898 03:24:50,720 --> 03:24:52,320 AND NIH HAS TENDED TO THINK 4899 03:24:52,320 --> 03:24:56,840 ABOUT THE FUNDING PRIMARILY 4900 03:24:56,840 --> 03:25:02,760 BEING FOR YOUNGER INVESTIGATORS, 4901 03:25:02,760 --> 03:25:03,840 GOING THROUGH A SET OF RULES AND 4902 03:25:03,840 --> 03:25:05,360 THINGS OF THAT NATURE, BUT 4903 03:25:05,360 --> 03:25:06,520 REHABILITATION IS A LITTLE BIT 4904 03:25:06,520 --> 03:25:11,080 UNIQUE IN OTHER -- FROM OTHER 4905 03:25:11,080 --> 03:25:13,000 DISCIPLINES, AND SO YOU KNOW, 4906 03:25:13,000 --> 03:25:16,920 ARE THERE PARTICULAR ASPECTS OF 4907 03:25:16,920 --> 03:25:19,320 FLEXIBILITY THAT INFRASTRUCTURES 4908 03:25:19,320 --> 03:25:20,680 NEED WITH PILOT FUNDING? 4909 03:25:20,680 --> 03:25:21,680 MAYBE THAT'S A QUESTION TO THINK 4910 03:25:21,680 --> 03:25:22,760 ABOUT. 4911 03:25:22,760 --> 03:25:24,720 THEN THE OTHER TOPIC THAT I 4912 03:25:24,720 --> 03:25:26,760 THINK -- I WONDER ABOUT, IF WE 4913 03:25:26,760 --> 03:25:29,000 COULD DISCUSS, IS THIS CROSS 4914 03:25:29,000 --> 03:25:31,600 DISCIPLINARY COLLABORATION. 4915 03:25:31,600 --> 03:25:33,480 I THINK IN REHABILITATION, WE 4916 03:25:33,480 --> 03:25:36,240 OFTEN THINK ABOUT BUILDING ON 4917 03:25:36,240 --> 03:25:37,840 OTHER PEOPLE'S SCIENCE FOR LACK 4918 03:25:37,840 --> 03:25:42,080 OF A BETTER TERM, AND WE OFTEN 4919 03:25:42,080 --> 03:25:43,760 DON'T THINK ABOUT HOW OUR 4920 03:25:43,760 --> 03:25:44,960 SCIENCE CAN TEACH OTHER FIELDS. 4921 03:25:44,960 --> 03:25:47,120 FOR EXAMPLE, IN LEARNING AND 4922 03:25:47,120 --> 03:25:47,840 EDUCATION. 4923 03:25:47,840 --> 03:25:50,880 I ANDAND I THINK WE HAVE A LOT O 4924 03:25:50,880 --> 03:25:51,520 OFFER. 4925 03:25:51,520 --> 03:25:54,480 SO SHOULD WE BE PULLING BROADLY 4926 03:25:54,480 --> 03:25:56,120 FROM DISCIPLINES ABOUT WHAT WE 4927 03:25:56,120 --> 03:25:57,640 CAN TEACH THEM AND HOW WE CAN 4928 03:25:57,640 --> 03:25:59,160 BRING THEM INTO EVEN OUR 4929 03:25:59,160 --> 03:26:04,320 INFRASTRUCTURE PROJECTS. 4930 03:26:04,320 --> 03:26:04,520 KATHY? 4931 03:26:04,520 --> 03:26:10,240 >>YES, I THINK WHAT THAT MAKES 4932 03:26:10,240 --> 03:26:11,440 ME THINK ABOUT IS TRYING TO BE A 4933 03:26:11,440 --> 03:26:15,040 LITTLE BIT MORE INTEGRATED WITH 4934 03:26:15,040 --> 03:26:16,040 SOME OF OUR STATISTICS 4935 03:26:16,040 --> 03:26:17,880 COLLEAGUES AND TRYING TO -- 4936 03:26:17,880 --> 03:26:19,280 BECAUSE I THINK WHAT MAKES OUR 4937 03:26:19,280 --> 03:26:20,280 RESEARCH SLIGHTLY DIFFERENT, 4938 03:26:20,280 --> 03:26:22,120 RIGHT, IS IT'S REALLY HARD TO 4939 03:26:22,120 --> 03:26:23,920 MAKE A CONTROL GROUP REALLY BE A 4940 03:26:23,920 --> 03:26:27,400 CONTROL IF YOU'RE DOING A 4941 03:26:27,400 --> 03:26:28,080 BEHAVIORAL INTERVENTION. 4942 03:26:28,080 --> 03:26:31,720 AND MAKING SURE THAT -- I THINK, 4943 03:26:31,720 --> 03:26:33,880 YOU KNOW, I THINK HAVING THAT 4944 03:26:33,880 --> 03:26:37,040 STATISTICAL OVERLAY IS REALLY 4945 03:26:37,040 --> 03:26:39,240 IMPORTANT TO BE SURE WE'RE 4946 03:26:39,240 --> 03:26:40,120 POWERED CORRECTLY AND WE'RE 4947 03:26:40,120 --> 03:26:41,120 THINKING ABOUT HOW TO GET THE 4948 03:26:41,120 --> 03:26:43,960 MOST FOR THE AMOUNT OF MONEY 4949 03:26:43,960 --> 03:26:45,400 THAT WE HAVE FOR THESE STUDIES. 4950 03:26:45,400 --> 03:26:49,640 THE SO THAT'S WSO THAT'S WHAT IN 4951 03:26:49,640 --> 03:26:50,840 YOU WERE TALKING ABOUT KIND OF 4952 03:26:50,840 --> 03:26:51,920 BEING COLLABORATIVE WITH OTHER 4953 03:26:51,920 --> 03:26:56,680 DISCIPLINES. 4954 03:26:56,680 --> 03:26:58,800 >>I REMEMBER THIS STARTED ALSO, 4955 03:26:58,800 --> 03:26:59,920 I COULDN'T AGREE WITH YOU MORE. 4956 03:26:59,920 --> 03:27:02,200 I DO THINK WE NEED TO BE 4957 03:27:02,200 --> 03:27:02,880 COLLABORATIVE ACROSS DISCIPLINES 4958 03:27:02,880 --> 03:27:04,320 AND PULL THEM INTO OUR FIELD, 4959 03:27:04,320 --> 03:27:05,600 AND AGAIN, I THINK WE HAVE A LOT 4960 03:27:05,600 --> 03:27:06,160 TO OFFER THEM. 4961 03:27:06,160 --> 03:27:07,640 THAT'S A REASON FOR THEM TO COME 4962 03:27:07,640 --> 03:27:11,320 INTO OUR FIELD. 4963 03:27:11,320 --> 03:27:12,720 BUT I GO BACK TO THIS IDEA OF 4964 03:27:12,720 --> 03:27:13,720 FLEXIBILITY IN OUR FUNDING. 4965 03:27:13,720 --> 03:27:15,320 YOU KNOW, ONE OF THE THINGS AS 4966 03:27:15,320 --> 03:27:19,160 DAWN MENTIONED IS WE OFTEN THIN 4967 03:27:19,160 --> 03:27:21,240 PILOT AWARDS AND THINGS OF THAT 4968 03:27:21,240 --> 03:27:22,560 NATURE FOR BEING FOR YOUNG 4969 03:27:22,560 --> 03:27:23,320 INVESTIGATORS, BUT 4970 03:27:23,320 --> 03:27:28,280 REHABILITATION IS A LITTLE BIT 4971 03:27:28,280 --> 03:27:29,480 UNIQUE BECAUSE UNFORTUNATELY WE 4972 03:27:29,480 --> 03:27:31,120 DON'T OFTEN HAVE A LARGE POOL OF 4973 03:27:31,120 --> 03:27:34,920 YOUNG INVESTIGATORS, AND WE ALSO 4974 03:27:34,920 --> 03:27:37,440 HAVE SOMETIMES LIMITED PLACES TO 4975 03:27:37,440 --> 03:27:38,440 APPLY FOR FUNDS. 4976 03:27:38,440 --> 03:27:41,280 SO SHOULD OUR FUNDING 4977 03:27:41,280 --> 03:27:42,360 OPPORTUNITIES -- SHOULD OUR 4978 03:27:42,360 --> 03:27:45,320 PILOT FUNDING BE DEDICATED TO 4979 03:27:45,320 --> 03:27:47,480 JUST YOUNG INVESTIGATORS OR 4980 03:27:47,480 --> 03:27:49,440 SHOULD WE -- IS THERE MORE IDEAL 4981 03:27:49,440 --> 03:27:51,640 TIME OR SHOULD WE BROADEN THAT? 4982 03:27:51,640 --> 03:27:52,760 SO THOSE ARE ALL QUESTIONS THAT 4983 03:27:52,760 --> 03:27:54,840 WE TALKED ABOUT. 4984 03:27:54,840 --> 03:27:58,600 PEPE? 4985 03:27:58,600 --> 03:28:06,680 >>SO LOOKING AT THESE 4986 03:28:06,680 --> 03:28:07,760 OPPORTUNITIES, I'D LIKE TO THINK 4987 03:28:07,760 --> 03:28:11,480 IN A DIFFERENT WAY IN TERMS OF A 4988 03:28:11,480 --> 03:28:13,000 ROAD MAP FOR US. 4989 03:28:13,000 --> 03:28:16,200 SO I THINK WE AGREE THAT THRAS 4990 03:28:16,200 --> 03:28:20,200 INTETHERE'SINTEREST IN NUMBER T, 4991 03:28:20,200 --> 03:28:21,440 INTEREST THAT HAS HAD HIGH 4992 03:28:21,440 --> 03:28:21,760 IMPACT. 4993 03:28:21,760 --> 03:28:23,560 FOR THAT, WE NEED NUMBER ONE, WE 4994 03:28:23,560 --> 03:28:25,840 NEED TO PROMOTE THE 4995 03:28:25,840 --> 03:28:29,320 COLLABORATION, AND THAT CAN BE 4996 03:28:29,320 --> 03:28:30,280 EXPRESSIVE AND HARD. 4997 03:28:30,280 --> 03:28:35,680 TO ACHIEVE THAT, WE NEED NIMBLE 4998 03:28:35,680 --> 03:28:37,000 FUNDING, AND -- NETWORKS OR 4999 03:28:37,000 --> 03:28:37,880 OPPORTUNITIES TO BRING PEOPLE 5000 03:28:37,880 --> 03:28:42,240 FROM DIFFERENT AREAS, WE NEED 5001 03:28:42,240 --> 03:28:44,960 ALSO IMPLEMENTATION SCIENCE 5002 03:28:44,960 --> 03:28:47,560 EXPERTS, AND OF COURSE YOU NEED 5003 03:28:47,560 --> 03:28:49,240 TO DO IT WELL AND WE INCLUDE, 5004 03:28:49,240 --> 03:28:53,400 YOU KNOW -- INCLUSIVE, THAT'S 5005 03:28:53,400 --> 03:28:56,680 NUMBER SIX, THEN THAT'S GOING TO 5006 03:28:56,680 --> 03:28:59,440 LEAD TO NUMBER TWO, WHICH IS 5007 03:28:59,440 --> 03:29:05,320 HIGH QUALITY DATA, WE CAN IN 5008 03:29:05,320 --> 03:29:06,760 TURN INFORM -- SO I THINK THAT, 5009 03:29:06,760 --> 03:29:11,600 YOU KNOW, WITH SOME 5010 03:29:11,600 --> 03:29:13,920 REARRANGEMENT OF THESE, WE CAN 5011 03:29:13,920 --> 03:29:14,880 SEE THAT THERE'S THE BEGINNING 5012 03:29:14,880 --> 03:29:19,560 OF A ROAD MAP HERE, BUT I THINK 5013 03:29:19,560 --> 03:29:22,320 NUMBER ONE, IT'S GOING TO BE 5014 03:29:22,320 --> 03:29:23,080 REALLY IMPORTANT TO BRING 5015 03:29:23,080 --> 03:29:24,920 PEOPLE, AND AGAIN NUMBER FIVE IS 5016 03:29:24,920 --> 03:29:35,480 ONE OF THE WAYS TO ADDRESS THAT. 5017 03:29:36,960 --> 03:29:43,120 SO FOR EXAMPLE, WE'RE THINKING 5018 03:29:43,120 --> 03:29:44,560 ABOUT -- WE HAVE THESE CENTERS 5019 03:29:44,560 --> 03:29:47,160 THAT THEY ARE ALREADY 5020 03:29:47,160 --> 03:29:48,440 INTERACTIVE AT SOME LEVEL BUT 5021 03:29:48,440 --> 03:29:50,040 HOW CAN WE INCREASE THAT LEVEL 5022 03:29:50,040 --> 03:29:51,360 OF INTERACTION, NOT ONLY WITHIN 5023 03:29:51,360 --> 03:29:54,560 THE NIH CENTERS BUT WITH OTHER 5024 03:29:54,560 --> 03:29:55,880 CENTERS THAT MIGHT BE FOCUSING 5025 03:29:55,880 --> 03:29:59,240 ON THE TECHNOLOGY PART OR IN THE 5026 03:29:59,240 --> 03:30:01,080 TRANSLATIONAL PART OR SOME 5027 03:30:01,080 --> 03:30:03,240 OTHER, YOU KNOW, EVEN INDUSTRY, 5028 03:30:03,240 --> 03:30:09,880 RIGHT, HOW DO WE ACCELERATE THIS 5029 03:30:09,880 --> 03:30:18,640 BY PARTNERING WITH INDUSTRY. 5030 03:30:18,640 --> 03:30:20,160 IT'S NOT VERY CLEAR HERE ON 5031 03:30:20,160 --> 03:30:28,160 THIS, BUT IT'S THERE. 5032 03:30:28,160 --> 03:30:30,000 ANYWAY, THOSE ARE MY THOUGHTS ON 5033 03:30:30,000 --> 03:30:30,200 THIS. 5034 03:30:30,200 --> 03:30:31,000 >>THANK YOU. 5035 03:30:31,000 --> 03:30:33,840 LEWIS? 5036 03:30:33,840 --> 03:30:35,280 >>YEAH, HI. 5037 03:30:35,280 --> 03:30:37,160 I AGREE WITH A LOT OF WHAT PEPE 5038 03:30:37,160 --> 03:30:37,840 SAID. 5039 03:30:37,840 --> 03:30:39,120 I WAS KIND OF GOING TO SAY 5040 03:30:39,120 --> 03:30:40,040 SOMETHING QUITE SIMILAR. 5041 03:30:40,040 --> 03:30:42,640 YOU KNOW, I THINK ONE OF THE 5042 03:30:42,640 --> 03:30:44,080 THINGS THAT I THINK IS 5043 03:30:44,080 --> 03:30:46,120 FASCINATING WITH THE FIELD, 5044 03:30:46,120 --> 03:30:49,760 PERHAPS, IT'S OBVIOUSLY GOOD TO 5045 03:30:49,760 --> 03:30:50,840 PROMOTE EARLY STAGE 5046 03:30:50,840 --> 03:30:52,920 INVESTIGATORS, PEOPLE THAT ARE 5047 03:30:52,920 --> 03:30:54,800 MAYBE COMING AT THINGS AS LIKE A 5048 03:30:54,800 --> 03:31:05,560 FI SIGH TERRORPHYSIATRIST -- SOS 5049 03:31:05,560 --> 03:31:06,760 SOME FEEDBACK FROM SOMEWHERE, 5050 03:31:06,760 --> 03:31:08,040 BUT I THINK IT'S ALSO IMPORTANT 5051 03:31:08,040 --> 03:31:09,400 TO FIND WAYS TO MAYBE ATTRACT 5052 03:31:09,400 --> 03:31:11,240 PEOPLE INTO THE FIELD, RIGHT, 5053 03:31:11,240 --> 03:31:14,840 ALL KIND OF -- WHAT I WAS KIND 5054 03:31:14,840 --> 03:31:17,280 OF ALLUDING TO BEFORE, THE BASIC 5055 03:31:17,280 --> 03:31:19,480 SCIENTIST WHO IS DOING A LOT OF 5056 03:31:19,480 --> 03:31:22,200 MECHANISTIC STUDIES, OR THE 5057 03:31:22,200 --> 03:31:23,600 ENGINEER WHO WAS REALLY 5058 03:31:23,600 --> 03:31:26,120 DEVELOPING A LOT OF DEVICES AND 5059 03:31:26,120 --> 03:31:27,240 TECHNOLOGIES THAT MAY TEND TO 5060 03:31:27,240 --> 03:31:30,960 INTERACT WITH OTHER FEDERAL 5061 03:31:30,960 --> 03:31:32,360 ORGANIZATIONS, MAY INTERACT MORE 5062 03:31:32,360 --> 03:31:35,000 WITH NSF, FOR EXAMPLE, HOW DO WE 5063 03:31:35,000 --> 03:31:38,400 ATTRACT OR ENGAGE THOSE 5064 03:31:38,400 --> 03:31:41,600 INDIVIDUALS FOR THESE TYPES OF 5065 03:31:41,600 --> 03:31:43,160 OPPORTUNITIES AS WELL, ARE THERE 5066 03:31:43,160 --> 03:31:44,440 BETTER WAYS TO RECRUIT 5067 03:31:44,440 --> 03:31:47,440 INDIVIDUALS THAT COME FROM THOSE 5068 03:31:47,440 --> 03:31:48,480 BACKGROUNDS INTO THE 5069 03:31:48,480 --> 03:31:49,680 REHABILITATION FIELD, BECAUSE 5070 03:31:49,680 --> 03:31:53,360 OFTENTIMES THERE IS CERTAINLY 5071 03:31:53,360 --> 03:31:54,240 TRANSLATIONAL OPPORTUNITY 5072 03:31:54,240 --> 03:31:56,400 A.T. 5073 03:31:56,400 --> 03:31:58,120 THE OTHER THING, I MENTIONED IT 5074 03:31:58,120 --> 03:32:00,160 BEFORE ABOUT MORE OF A PUBLIC 5075 03:32:00,160 --> 03:32:01,600 HEALTH PERSPECTIVE, I THINK THAT 5076 03:32:01,600 --> 03:32:04,640 REALLY HELPS US WITH POINT SIX, 5077 03:32:04,640 --> 03:32:07,160 IT HELPS US WITH POINT THREE IN 5078 03:32:07,160 --> 03:32:08,400 TERMS OF HAVING SOME DIRECT 5079 03:32:08,400 --> 03:32:11,800 IMPACT INTO THE RIGHT 5080 03:32:11,800 --> 03:32:15,000 COMMUNITIES, ARE THERE CENTERS 5081 03:32:15,000 --> 03:32:17,400 FOR WHICH PUBLIC HEALTH AND 5082 03:32:17,400 --> 03:32:22,880 REALLY UNDERSTANDING THE 5083 03:32:22,880 --> 03:32:25,280 POPULATION LEVEL, UNDERSTANDING 5084 03:32:25,280 --> 03:32:27,680 OF INEQUITIES, THINGS LIKE THAT 5085 03:32:27,680 --> 03:32:28,680 FROM YOUR IMPORTANCE, IT WOULD 5086 03:32:28,680 --> 03:32:30,080 BE GREAT TO HAVE THOSE AS A PART 5087 03:32:30,080 --> 03:32:31,520 OF THIS TYPE OF COMMUNITY. 5088 03:32:31,520 --> 03:32:34,920 SO WE KNOW THAT WE'RE DOING THE 5089 03:32:34,920 --> 03:32:39,160 THINGS THAT WE HOPE TO DO AND 5090 03:32:39,160 --> 03:32:41,160 OFTEN THE THINGS WE PROMISE TO 5091 03:32:41,160 --> 03:32:43,920 DO IN ENGAGING CENTERS, MEETING 5092 03:32:43,920 --> 03:32:44,880 THE STANDARD OR THE BAR WITH THE 5093 03:32:44,880 --> 03:32:45,680 WORK WE'RE DOING. 5094 03:32:45,680 --> 03:32:47,960 >>IF I CAN EXTEND WHAT LEWIS 5095 03:32:47,960 --> 03:32:51,480 SAID A LITTLE BIT, HAVING BEEN 5096 03:32:51,480 --> 03:32:53,800 AROUND THE FIELD A LONG TIME, 5097 03:32:53,800 --> 03:32:55,960 PART OF THE MANTRA IS YOU HAVE 5098 03:32:55,960 --> 03:32:57,280 PEOPLE COMMITTED TO SUPPORTING 5099 03:32:57,280 --> 03:32:58,600 THE FIELD OF DISABILITY 5100 03:32:58,600 --> 03:32:59,680 RESEARCH, HEALTH DISPARITIES, 5101 03:32:59,680 --> 03:33:00,800 AND YOU'RE TRYING TO TEACH THEM 5102 03:33:00,800 --> 03:33:03,640 TO DO RESEARCH, HOW TO HAVE MORE 5103 03:33:03,640 --> 03:33:04,680 RIGOR IN WHAT THEY DO. 5104 03:33:04,680 --> 03:33:06,520 YOU ALSO HAVE PEOPLE FROM ALLIED 5105 03:33:06,520 --> 03:33:07,720 FIELDS DOING SOME VERY 5106 03:33:07,720 --> 03:33:08,680 INTERESTING THINGS AND YOU'RE 5107 03:33:08,680 --> 03:33:10,040 TEACHING THEM TO BE EXCITED 5108 03:33:10,040 --> 03:33:11,680 ABOUT SOME OF THE QUESTIONS 5109 03:33:11,680 --> 03:33:12,440 WE'RE DEALING WITH. 5110 03:33:12,440 --> 03:33:14,360 WHAT'S THE ACTIVE INGREDIENT, 5111 03:33:14,360 --> 03:33:16,040 HOW DO YOU ISOLATE IT, HOW DO 5112 03:33:16,040 --> 03:33:16,920 YOU PROMOTE IT. 5113 03:33:16,920 --> 03:33:20,320 AND THE THIRD FUNCTION IS A 5114 03:33:20,320 --> 03:33:21,080 MATCH MAKER FUNCTION WHERE YOU 5115 03:33:21,080 --> 03:33:22,520 TRY TO HELP TO GET THESE TWO 5116 03:33:22,520 --> 03:33:23,960 PEOPLE TO MEET AND SO THOSE ARE 5117 03:33:23,960 --> 03:33:26,240 ALL OUT ON THE TABLE, BUT THOSE 5118 03:33:26,240 --> 03:33:27,880 ARE MY DIFFERENT WAYS THAT I 5119 03:33:27,880 --> 03:33:29,320 THINK -- I TRY TO PROMOTE 5120 03:33:29,320 --> 03:33:31,200 TRAINING CAREER DEVELOPMENT AND 5121 03:33:31,200 --> 03:33:33,480 SO ON IN THE BROADER REHAPPEN 5122 03:33:33,480 --> 03:33:43,600 FIELD. 5123 03:33:53,160 --> 03:33:54,160 >>OTHER FEEDBACK? 5124 03:33:54,160 --> 03:33:55,840 WE'RE TALKING A LITTLE ABOUT THE 5125 03:33:55,840 --> 03:33:57,120 PILOT FUNDING AND WHO TO TARGET 5126 03:33:57,120 --> 03:33:59,640 WITH PILOT FUNDING GETTING YOUR 5127 03:33:59,640 --> 03:34:07,720 IDEAS, BUT YOU KNOW, IN GENERAL, 5128 03:34:07,720 --> 03:34:08,480 FOR THE INFRASTRUCTURE PROGRAM, 5129 03:34:08,480 --> 03:34:09,720 WHAT ARE PEOPLE'S THOUGHTS ON, 5130 03:34:09,720 --> 03:34:11,480 YOU KNOW, WHO TO TARGET? 5131 03:34:11,480 --> 03:34:13,240 SO ONE THING I'M HEARING IS WE 5132 03:34:13,240 --> 03:34:14,200 SHOULD BE TARGETING OUTSIDE OF 5133 03:34:14,200 --> 03:34:18,480 OUR KIND OF RESEARCH -- WHAT WE 5134 03:34:18,480 --> 03:34:20,040 TYPICALLY THINK OF OUR RESEARCH 5135 03:34:20,040 --> 03:34:21,760 COMMUNITY AND BROADENING IT, 5136 03:34:21,760 --> 03:34:23,120 WHICH I THINK IS A REALLY 5137 03:34:23,120 --> 03:34:24,640 EXCITING IDEA TO BRING IN PEOPLE 5138 03:34:24,640 --> 03:34:26,160 ABOUT PUBLIC HEALTH OR 5139 03:34:26,160 --> 03:34:27,600 DISSEMINATION AND IMPLEMENTATION 5140 03:34:27,600 --> 03:34:28,800 SCIENCE EXPERTS, ENGAGEMENT 5141 03:34:28,800 --> 03:34:30,560 EXPERTS, BUT WHAT ABOUT -- WHAT 5142 03:34:30,560 --> 03:34:34,400 ALSO ABOUT LEVELS IN TERMS OF 5143 03:34:34,400 --> 03:34:37,360 BEGINNING, MIDDLE CAREER, YOU 5144 03:34:37,360 --> 03:34:38,480 KNOW, ANY STAGE, WHAT ARE 5145 03:34:38,480 --> 03:34:46,640 PEOPLE'S THOUGHTS? 5146 03:34:46,640 --> 03:34:47,920 OR ANY ADDITIONAL THOUGHTS ON 5147 03:34:47,920 --> 03:34:58,040 THAT? 5148 03:34:59,920 --> 03:35:00,040 ERIC? 5149 03:35:00,040 --> 03:35:04,080 >>LOOKING AT HOW TO RAISE MY 5150 03:35:04,080 --> 03:35:04,440 HAND. 5151 03:35:04,440 --> 03:35:05,960 SO I THINK IT DEPENDS A LITTLE 5152 03:35:05,960 --> 03:35:07,280 BIT ON THE QUESTION, RIGHT? 5153 03:35:07,280 --> 03:35:08,480 SO ON THE ONE HAND, THERE'S A 5154 03:35:08,480 --> 03:35:13,520 GOAL OF HIGH QUALITY, EYE IMPACT 5155 03:35:13,520 --> 03:35:13,880 SCIENCE. 5156 03:35:13,880 --> 03:35:15,440 IN THAT CASE, I THINK WE NEED TO 5157 03:35:15,440 --> 03:35:16,640 PULL IN WHOEVER WE NEED TO 5158 03:35:16,640 --> 03:35:17,160 ACHIEVE THAT GOAL. 5159 03:35:17,160 --> 03:35:19,800 SO SOMETIMES IT COULD BE A VERY 5160 03:35:19,800 --> 03:35:20,920 SENIOR SCIENTIST WHO TENDS TO BE 5161 03:35:20,920 --> 03:35:22,120 OUTSIDE OF OUR FIELD WHO HAS 5162 03:35:22,120 --> 03:35:23,120 SOME SKILLS OR KNOWLEDGE THAT 5163 03:35:23,120 --> 03:35:30,640 MAYBE WE DON'T TRADITION NAY TRY 5164 03:35:30,640 --> 03:35:33,400 HAVE IN THE IMPACT SPACE. 5165 03:35:33,400 --> 03:35:37,240 PART OF THE P2C PROGRAM RIGHT 5166 03:35:37,240 --> 03:35:38,600 NOW AT THE LAB AT NORTHWESTERN, 5167 03:35:38,600 --> 03:35:40,960 I THINK ONE OF THE MOST -- THE 5168 03:35:40,960 --> 03:35:42,280 BIGGEST CONTRIBUTIONS WE MAKE IS 5169 03:35:42,280 --> 03:35:43,720 ACTUALLY THROUGH NOT REALLY JUST 5170 03:35:43,720 --> 03:35:46,480 THE PILOT GRANTS BUT THE 5171 03:35:46,480 --> 03:35:47,560 MENTORING THAT GOES ALONG WITH 5172 03:35:47,560 --> 03:35:50,200 THOSE PILOT GRANTS. 5173 03:35:50,200 --> 03:35:53,160 WE WON'T BE ABLE TO JUDGE, AS 5174 03:35:53,160 --> 03:35:54,800 UPON POINTED OUT EARLIER, FOR 5175 03:35:54,800 --> 03:35:57,000 SOME TIME IF THAT'S TRULY HAD AN 5176 03:35:57,000 --> 03:35:58,360 IMPACT, BUT CERTAINLY IN THE 5177 03:35:58,360 --> 03:35:59,400 SHORT TERM IS AT LEAST GIVING 5178 03:35:59,400 --> 03:36:00,320 PEOPLE THE COURAGE TO MOVE 5179 03:36:00,320 --> 03:36:01,360 FORWARD WITH NEW IDEAS AND 5180 03:36:01,360 --> 03:36:03,160 HELPING TO REFINE THOSE IDEAS, 5181 03:36:03,160 --> 03:36:05,680 WE HOPE WILL HELP LAUNCH THEIR 5182 03:36:05,680 --> 03:36:06,000 CAREERS. 5183 03:36:06,000 --> 03:36:07,400 SO I THINK IT'S A LITTLE BIT OF 5184 03:36:07,400 --> 03:36:09,520 BOTH, I DON'T THINK IT'S AN 5185 03:36:09,520 --> 03:36:10,840 EITHER/OR, I THINK IT DEPENDS ON 5186 03:36:10,840 --> 03:36:11,840 WHICH GOAL YOU'RE TACKLING. 5187 03:36:11,840 --> 03:36:13,600 THAT'S WHY I LIKE THE SUGGESTION 5188 03:36:13,600 --> 03:36:16,880 EARLIER OF ALLOWING APPLICANTS 5189 03:36:16,880 --> 03:36:18,600 TO DEFINE WHAT THEY MEAN BY 5190 03:36:18,600 --> 03:36:19,880 IMPACT AND THEN WE CAN ASSESS 5191 03:36:19,880 --> 03:36:26,200 THEM ACCORDINGLY. 5192 03:36:26,200 --> 03:36:28,920 >>GREAT. 5193 03:36:28,920 --> 03:36:31,240 OTHER THOUGHTS ON THAT TOPIC? 5194 03:36:31,240 --> 03:36:33,560 I THINK KATHY HAS HAD HER HAND 5195 03:36:33,560 --> 03:36:34,760 UP BUT I DON'T KNOW THAT I SEE 5196 03:36:34,760 --> 03:36:35,600 HER HAND UP NOW. 5197 03:36:35,600 --> 03:36:38,400 >>ERIC SAID PRETTY MUCH WHAT I 5198 03:36:38,400 --> 03:36:41,000 WAS THINKING TOO, I THOUGHT THAT 5199 03:36:41,000 --> 03:36:41,440 COVERED IT. 5200 03:36:41,440 --> 03:36:46,840 THANK YOU. 5201 03:36:46,840 --> 03:36:48,240 >>WHAT WOULD ATTRACT YOU OR 5202 03:36:48,240 --> 03:36:51,760 YOUR TRAINEES OR COLLEAGUES TO 5203 03:36:51,760 --> 03:36:53,080 AN INFRASTRUCTURE PROGRAM, TO 5204 03:36:53,080 --> 03:36:56,280 USE AN INFRASTRUCTURE PROGRAM 5205 03:36:56,280 --> 03:36:58,120 FOR RESOURCES OR TO SUBMIT AN 5206 03:36:58,120 --> 03:36:58,840 APPLICATION, OR WHAT WOULD HELP 5207 03:36:58,840 --> 03:37:00,960 THOSE? 5208 03:37:00,960 --> 03:37:02,280 THINK ABOUT IT FROM THAT 5209 03:37:02,280 --> 03:37:12,720 PERSPECTIVE FOR A MOMENT. 5210 03:37:24,240 --> 03:37:33,040 ANYONE? 5211 03:37:33,040 --> 03:37:35,920 ROBERT? 5212 03:37:35,920 --> 03:37:37,400 >>I WOULD THINK IT WOULD HAVE 5213 03:37:37,400 --> 03:37:38,960 TO OFFER SOMETHING THAT I JUST 5214 03:37:38,960 --> 03:37:41,480 CAN'T GET IN HOUSE. 5215 03:37:41,480 --> 03:37:45,520 ONE OF THE THINGS LISTENING TO A 5216 03:37:45,520 --> 03:37:47,280 LITTLE BIT OF A DISCUSSION -- 5217 03:37:47,280 --> 03:37:49,200 NO, I WAS LISTENING TO ALL OF 5218 03:37:49,200 --> 03:37:51,800 THE DISCUSSION. 5219 03:37:51,800 --> 03:37:53,000 LISTENING TO THE DISCUSSION THAT 5220 03:37:53,000 --> 03:37:56,280 HAPPENED A FEW MINUTES AGO, THE 5221 03:37:56,280 --> 03:37:59,920 CROSS DISCIPLINARY 5222 03:37:59,920 --> 03:38:02,560 COLLABORATION, ONE THING THAT 5223 03:38:02,560 --> 03:38:06,040 STRIKES ME AS SOMETHING THAT'S 5224 03:38:06,040 --> 03:38:09,360 CONTINUING IN OUR FIELD IS THAT 5225 03:38:09,360 --> 03:38:13,280 WE DON'T REALLY HAVE MEETING 5226 03:38:13,280 --> 03:38:15,040 THAT DO A GREAT JOB AT THIS 5227 03:38:15,040 --> 03:38:17,440 POINT OF INTEGRATING ACROSS THE 5228 03:38:17,440 --> 03:38:19,840 TRANSLATIONAL SPECTRUM UNLESS 5229 03:38:19,840 --> 03:38:22,280 THEY'RE REALLY BIG MEETINGS LIKE 5230 03:38:22,280 --> 03:38:22,600 SFN. 5231 03:38:22,600 --> 03:38:24,680 SO WE'VE GOT MORE CLINICAL 5232 03:38:24,680 --> 03:38:26,120 MEETINGS AND MORE BASIC 5233 03:38:26,120 --> 03:38:30,880 MEETINGS, AND MAYBE IF WE HAD A 5234 03:38:30,880 --> 03:38:32,600 LITTLE MORE OF THE WHOLE 5235 03:38:32,600 --> 03:38:33,600 TRANSLATIONAL, YOU KNOW, 5236 03:38:33,600 --> 03:38:35,240 FOCUSING ON THAT WHOLE 5237 03:38:35,240 --> 03:38:37,680 TRANSLATIONAL SPECTRUM AND 5238 03:38:37,680 --> 03:38:41,520 MEETINGS, I DON'T KNOW THAT THAT 5239 03:38:41,520 --> 03:38:47,600 WOULD POINT ME TO THAT I COULD 5240 03:38:47,600 --> 03:38:51,520 TAKE VAC OF ADVANTAGE OF ONE OE 5241 03:38:51,520 --> 03:38:53,200 CENTERS, BUT I THINK IT MIGHT BE 5242 03:38:53,200 --> 03:38:54,800 QUITE ATTRACTIVE, AND THEY MIGHT 5243 03:38:54,800 --> 03:38:55,680 END UP SEEING PEOPLE AT 5244 03:38:55,680 --> 03:38:56,640 DIFFERENT PARTS OF THE SPECTRUM 5245 03:38:56,640 --> 03:39:02,040 THAT HELP TO FOCUS THEIR 5246 03:39:02,040 --> 03:39:03,000 INTEREST IN MAYBE WHAT THESE 5247 03:39:03,000 --> 03:39:12,040 CENTERS ARE DOING. 5248 03:39:12,040 --> 03:39:13,440 >>THANK YOU. 5249 03:39:13,440 --> 03:39:23,600 OTHERS? 5250 03:39:33,480 --> 03:39:36,160 THINKING ABOUT MY OWN TRAINEES 5251 03:39:36,160 --> 03:39:37,960 AND EARLY CAREER FACULTY AT THE 5252 03:39:37,960 --> 03:39:40,360 UNIVERSITY OF WASHINGTON, I 5253 03:39:40,360 --> 03:39:42,440 CHAIR OUR DEPARTMENT'S MENTORING 5254 03:39:42,440 --> 03:39:44,560 PROGRAM, WHICH IS KIND OF 5255 03:39:44,560 --> 03:39:48,920 CROSS-DISCIPLINE FOR ALL OF OUR 5256 03:39:48,920 --> 03:39:50,160 FACULTY, AND WE'RE FORTUNATE TO 5257 03:39:50,160 --> 03:39:51,520 HAVE A LOT OF RESOURCES IN 5258 03:39:51,520 --> 03:39:52,960 HOUSE, BUT I THINK THINGS THAT 5259 03:39:52,960 --> 03:39:55,840 WOULD ATTRACT ME OR BE HELPFUL 5260 03:39:55,840 --> 03:39:57,280 TO THE PEOPLE I MENTOR AND TO MY 5261 03:39:57,280 --> 03:40:01,000 COLLEAGUES, REALLY, I THINK 5262 03:40:01,000 --> 03:40:02,000 IMPLEMENTATION AND 5263 03:40:02,000 --> 03:40:03,200 IMPLEMENTATION SCIENCE ARE STILL 5264 03:40:03,200 --> 03:40:04,960 CHALLENGES FOR THOSE OF US DOING 5265 03:40:04,960 --> 03:40:08,160 CLINICAL RESEARCH, SO HELPING 5266 03:40:08,160 --> 03:40:09,360 PEOPLE LEARN KIND OF BEST 5267 03:40:09,360 --> 03:40:11,000 PRACTICES OR METHODS AROUND 5268 03:40:11,000 --> 03:40:11,680 IMPLEMENTATION SCIENCE. 5269 03:40:11,680 --> 03:40:14,440 SO I PROBABLY SHOULD GO TO THE 5270 03:40:14,440 --> 03:40:17,720 CURRENT NETWORK'S IMPLEMENTATION 5271 03:40:17,720 --> 03:40:18,880 TRANSLATION WEBSITE AND SEE 5272 03:40:18,880 --> 03:40:22,320 WHAT'S ALREADY THERE, BUT I 5273 03:40:22,320 --> 03:40:23,560 CERTAINLY THINK THAT OUR FIELD 5274 03:40:23,560 --> 03:40:26,160 COULD BENEFIT FROM MORE THOUGHT 5275 03:40:26,160 --> 03:40:27,560 AROUND AND COLLABORATIONS WITH 5276 03:40:27,560 --> 03:40:29,400 OTHER AREAS THAT ARE GOOD AT 5277 03:40:29,400 --> 03:40:32,320 THAT AS IT GOES TO A POINT MADE 5278 03:40:32,320 --> 03:40:34,840 EARLIER ABOUT PUBLIC HEALTH, FOR 5279 03:40:34,840 --> 03:40:36,240 EXAMPLE, THEY'RE REALLY EXPERTS 5280 03:40:36,240 --> 03:40:38,960 AT IMPLEMENTATION. 5281 03:40:38,960 --> 03:40:40,680 SO HOW COULD WE LEARN MORE ABOUT 5282 03:40:40,680 --> 03:40:45,400 THAT AND TRANSLATE -- LEARN FROM 5283 03:40:45,400 --> 03:40:46,280 INFRASTRUCTURE HOW TO DO A 5284 03:40:46,280 --> 03:40:47,920 BETTER JOB AT GETTING SCIENCE 5285 03:40:47,920 --> 03:40:50,000 INTO THE HANDS OF THOSE WHO CAN 5286 03:40:50,000 --> 03:40:51,200 USE IT. 5287 03:40:51,200 --> 03:40:52,760 AND THEN I THINK, YOU KNOW, 5288 03:40:52,760 --> 03:40:54,200 PILOT FUNDING HAS BEEN MENTIONED 5289 03:40:54,200 --> 03:40:55,920 ALREADY, BUT I THINK THAT IS 5290 03:40:55,920 --> 03:41:00,480 REALLY SOMETHING THAT REALLY CAN 5291 03:41:00,480 --> 03:41:02,880 DEVELOP IN R01s, OTHER GRANTS, 5292 03:41:02,880 --> 03:41:03,760 COLLABORATIONS, IF YOU HAVE 5293 03:41:03,760 --> 03:41:06,600 PILOT ME C MECHANISMS. 5294 03:41:06,600 --> 03:41:09,160 RALPH? 5295 03:41:09,160 --> 03:41:10,800 >>AS PART OF THE INSTITUTIONAL 5296 03:41:10,800 --> 03:41:12,000 MEMORY FOR THIS PROGRAM, I WAS 5297 03:41:12,000 --> 03:41:14,400 GOING TO ADD, ONE PROGRAM WE HAD 5298 03:41:14,400 --> 03:41:16,280 SEVERAL YEARS BACK FOCUSED JUST 5299 03:41:16,280 --> 03:41:18,360 ON COMMERCIALIZATION OF DEVICES. 5300 03:41:18,360 --> 03:41:22,000 WHICH IS KIND OF ONE SMALL 5301 03:41:22,000 --> 03:41:23,640 SUBSET OF TRANSLATIONAL 5302 03:41:23,640 --> 03:41:27,920 RESEARCH, BUT IT TOOK ISSUES 5303 03:41:27,920 --> 03:41:28,920 LIKE -- WE'RE VERY GOOD AT 5304 03:41:28,920 --> 03:41:30,240 DEVELOPING THE PROTOTYPE, BUT WE 5305 03:41:30,240 --> 03:41:32,080 DON'T THINK ABOUT THE REGULATORY 5306 03:41:32,080 --> 03:41:34,600 ISSUES, THE ACCEPTANCE, THE 5307 03:41:34,600 --> 03:41:35,240 COMMERCIALIZATION, AND SO THIS 5308 03:41:35,240 --> 03:41:37,800 IS A CENTER THAT TOOK PEOPLE WHO 5309 03:41:37,800 --> 03:41:39,120 ARE DEVICE DEVELOPERS AND 5310 03:41:39,120 --> 03:41:42,400 EXPOSED THEM TO THE BROADER 5311 03:41:42,400 --> 03:41:45,040 CULTURE OF THE FDA REGULATIONS, 5312 03:41:45,040 --> 03:41:48,880 APPROVALS, COMMERCIALIZATION, 5313 03:41:48,880 --> 03:41:51,880 SEEKING CAPITAL, SO THAT MIGHT 5314 03:41:51,880 --> 03:41:52,440 GETTING THINKING ABOUT WHAT 5315 03:41:52,440 --> 03:41:53,680 WOULD BE THE BROADER WAY FOR YOU 5316 03:41:53,680 --> 03:41:55,880 TO DO TRANSLATION AND BROADER 5317 03:41:55,880 --> 03:41:56,760 APPLICATIONS, DISSEMINATION OF 5318 03:41:56,760 --> 03:41:58,920 YOUR RESEARCH FINDINGS IN YOUR 5319 03:41:58,920 --> 03:42:00,680 ACADEMIC JOURNALS TO SUDDENLY 5320 03:42:00,680 --> 03:42:01,920 BRING THEM INTO CLINICAL 5321 03:42:01,920 --> 03:42:03,360 PRACTICE, WHAT WOULD BE THE 5322 03:42:03,360 --> 03:42:13,880 ANALOGY FOR THAT BROADER FIELD? 5323 03:42:15,600 --> 03:42:25,880 >>THOUGHT ON THAT? 5324 03:42:35,640 --> 03:42:37,200 >>DAWN AND STEPHANIE, I FEEL 5325 03:42:37,200 --> 03:42:38,520 LIKE WE MIGHT BE SLOWING DOWN A 5326 03:42:38,520 --> 03:42:39,280 LITTLE BIT. 5327 03:42:39,280 --> 03:42:42,760 WHAT DO YOU GUYS THINK? 5328 03:42:42,760 --> 03:42:45,720 >>I JUST LOOKED -- 5329 03:42:45,720 --> 03:42:47,880 >>JUST SPEAK UP. 5330 03:42:47,880 --> 03:42:51,760 >>HERE'S YOUR CHANCE. 5331 03:42:51,760 --> 03:42:55,640 >>PEPE? 5332 03:42:55,640 --> 03:42:57,120 >>I'LL SHARE MY EXPERIENCE, 5333 03:42:57,120 --> 03:42:59,200 BECAUSE I HAVE BENEFITED FROM 5334 03:42:59,200 --> 03:43:03,080 CENTERS IN THE PAST WITH PILOTS 5335 03:43:03,080 --> 03:43:05,040 THAT THEN BECAME R01s, FOR 5336 03:43:05,040 --> 03:43:09,960 EXAMPLE, OR FROM THE PEDIATRIC 5337 03:43:09,960 --> 03:43:11,400 MEDICAL DEVICE CONSORTIUM THAT 5338 03:43:11,400 --> 03:43:15,800 LED TO, YOU KNOW, WORK TO 5339 03:43:15,800 --> 03:43:17,360 ADVANCE MEDICAL DEVICES, BUT 5340 03:43:17,360 --> 03:43:19,280 ALSO, YOU KNOW, FROM THE POINT 5341 03:43:19,280 --> 03:43:26,880 OF VIEW OF THE P.I., YOU KNOW, 5342 03:43:26,880 --> 03:43:31,600 THERE'S STILL A LIMBO BETWEEN -- 5343 03:43:31,600 --> 03:43:37,680 I'LL JUST PUT IT BLUNT FOR YOU, 5344 03:43:37,680 --> 03:43:46,080 THE NIH OR NSF, SO THERE'S STILL 5345 03:43:46,080 --> 03:43:49,040 THIS VERY FUZZY LINE HERE, WHICH 5346 03:43:49,040 --> 03:43:50,400 I HAVE EXPERIENCED, BY THE WAY, 5347 03:43:50,400 --> 03:43:57,640 IN TERMS OF HOW TO TRANSITION, 5348 03:43:57,640 --> 03:44:00,360 RIGHT, FROM THE BENCH TO -- TO 5349 03:44:00,360 --> 03:44:02,800 THE CLINICAL, IT TAKES A BIG 5350 03:44:02,800 --> 03:44:04,320 JUMP THERE, AND THEN YOU WANT TO 5351 03:44:04,320 --> 03:44:07,440 POWER THE STUDY OR YOU WANT TO 5352 03:44:07,440 --> 03:44:09,880 HAVE OTHER PARTNERS, IT'S HARD. 5353 03:44:09,880 --> 03:44:11,920 RIGHT? 5354 03:44:11,920 --> 03:44:16,560 SO YOU KNOW, IF I WANT TO USE A 5355 03:44:16,560 --> 03:44:17,760 CENTER, I WANT TO BE ABLE TO 5356 03:44:17,760 --> 03:44:20,760 HAVE ON DEMAND RESPONSE, TIMELY 5357 03:44:20,760 --> 03:44:23,920 AND EFFECTIVE RESPONSE, SO 5358 03:44:23,920 --> 03:44:25,040 THAT -- BECAUSE I HAVE A 5359 03:44:25,040 --> 03:44:28,640 TIMELINE, I CANNOT WAIT TOO 5360 03:44:28,640 --> 03:44:32,480 LONG, AND SO EVEN MAYBE, YOU 5361 03:44:32,480 --> 03:44:34,840 KNOW, IF I NEED SOME EXPERTISE 5362 03:44:34,840 --> 03:44:36,120 IMPLEMENTATION SCIENCE, YOU 5363 03:44:36,120 --> 03:44:39,280 KNOW, REACH OUT TO A CENTER, PUT 5364 03:44:39,280 --> 03:44:44,400 THEM ON MY TEAM TEMPORARILY, 5365 03:44:44,400 --> 03:44:45,800 TRANSITIONAL POSITION TO FILL 5366 03:44:45,800 --> 03:44:50,800 THIS GAP. 5367 03:44:50,800 --> 03:44:55,400 SO THERE IS NOT MUCH FLUIDITY, I 5368 03:44:55,400 --> 03:44:56,120 THINK. 5369 03:44:56,120 --> 03:44:59,080 BETWEEN DIFFERENT AGENCIES, BUT 5370 03:44:59,080 --> 03:45:03,560 IT'S GOOD TO KNOW THAT LARGER 5371 03:45:03,560 --> 03:45:04,640 INITIATIVES COULD BE VERY 5372 03:45:04,640 --> 03:45:07,760 POWERFUL HERE. 5373 03:45:07,760 --> 03:45:15,000 ACROSS BOUNDARIES AT ALL LEVELS. 5374 03:45:15,000 --> 03:45:19,160 >>ROBERT? 5375 03:45:19,160 --> 03:45:22,560 >>GETTING TO RALPH'S QUESTION, 5376 03:45:22,560 --> 03:45:26,160 THE DEVICES I IS A GOOD MODEL, T 5377 03:45:26,160 --> 03:45:27,920 I THINK DEVICES AND PRODUCTS ARE 5378 03:45:27,920 --> 03:45:29,600 KIND OF EASY TO THINK ABOUT. 5379 03:45:29,600 --> 03:45:32,160 DEVICES, PRODUCTS, TOOLS LIKE 5380 03:45:32,160 --> 03:45:33,160 EVALUATIONS, IT'S KIND OF EASY 5381 03:45:33,160 --> 03:45:34,440 TO THINK ABOUT HOW YOU CAN GET 5382 03:45:34,440 --> 03:45:35,640 THAT INTO THE CLINIC. 5383 03:45:35,640 --> 03:45:39,920 BUT THE MAJORITY OF WHAT'S GOING 5384 03:45:39,920 --> 03:45:42,480 ON IN TRANSLATIONAL RESEARCH IN 5385 03:45:42,480 --> 03:45:44,480 AT LEAST NEUROREHABILITATION IS 5386 03:45:44,480 --> 03:45:45,040 INFORMATION. 5387 03:45:45,040 --> 03:45:49,600 AND GETTING THAT INTO THE 5388 03:45:49,600 --> 03:45:50,320 CLINIC. 5389 03:45:50,320 --> 03:45:51,400 CHANGING THE WAY THAT -- NOT 5390 03:45:51,400 --> 03:45:53,120 NECESSARILY GIVING A TOOL, BUT 5391 03:45:53,120 --> 03:45:54,920 CHANGING THE WAY THAT THERAPISTS 5392 03:45:54,920 --> 03:45:57,160 ARE THINKING ABOUT APPROACHING A 5393 03:45:57,160 --> 03:45:57,480 PROBLEM. 5394 03:45:57,480 --> 03:45:59,000 I KNOW I'M GOING BACK TO A 5395 03:45:59,000 --> 03:46:00,560 COMMENT I MADE BEFORE, BUT I 5396 03:46:00,560 --> 03:46:02,000 DON'T THINK WE REALLY HAVE A 5397 03:46:02,000 --> 03:46:05,400 GOOD IDEA OF HOW TO TRANSLATE 5398 03:46:05,400 --> 03:46:06,920 THESE SUCCESSFUL INTERVENTION 5399 03:46:06,920 --> 03:46:08,040 STUDIES INTO INFORMATION THAT 5400 03:46:08,040 --> 03:46:10,040 GETS INTO THE CLINIC. 5401 03:46:10,040 --> 03:46:11,240 AND I THINK THAT'S WHAT RALPH 5402 03:46:11,240 --> 03:46:15,720 WAS ASKING, HOW CAN WE TAKE THAT 5403 03:46:15,720 --> 03:46:17,480 KIND OF LINE WHERE WE'VE BEEN 5404 03:46:17,480 --> 03:46:19,840 ABLE TO DO THAT WITH -- OR, YOU 5405 03:46:19,840 --> 03:46:20,960 KNOW, PEOPLE HAVE BEEN ABLE TO 5406 03:46:20,960 --> 03:46:26,400 DO THAT WITH DEVICES AND TAKE 5407 03:46:26,400 --> 03:46:27,520 THAT TO A LOT OF THE WORK THAT 5408 03:46:27,520 --> 03:46:30,560 WE'RE DOING WHERE IT'S NOT 5409 03:46:30,560 --> 03:46:31,800 DEVICES, IT'S NOT CONCRETE 5410 03:46:31,800 --> 03:46:33,040 THINGS BUT IT'S INFORMATION. 5411 03:46:33,040 --> 03:46:34,640 AND I THINK THAT REMAINS AN OPEN 5412 03:46:34,640 --> 03:46:44,840 QUESTION. 5413 03:46:51,280 --> 03:46:53,800 >>I THINK MY VIDEO HAS BEEN 5414 03:46:53,800 --> 03:47:00,720 STOPPED, SO I THINK I LOST THOSE 5415 03:47:00,720 --> 03:47:02,400 THAT MIGHT WANT TO SEE MY FACE. 5416 03:47:02,400 --> 03:47:03,160 OKAY, GOOD. 5417 03:47:03,160 --> 03:47:04,360 I KNOW IT'S REFLECTIVE, SO 5418 03:47:04,360 --> 03:47:07,680 EXCUSE ME FOR THAT. 5419 03:47:07,680 --> 03:47:10,760 BUT I HEAR ALL THE -- THESE 5420 03:47:10,760 --> 03:47:14,800 CAUTIONS AND I KNOW THERE WERE 5421 03:47:14,800 --> 03:47:17,760 SEVERAL SUBGROUP OR -- MEETINGS, 5422 03:47:17,760 --> 03:47:20,200 WE DISCUSSED EXTENSIVELY ON 5423 03:47:20,200 --> 03:47:21,840 TRANSLATION. 5424 03:47:21,840 --> 03:47:22,840 INTO CLINICAL PRACTICE. 5425 03:47:22,840 --> 03:47:29,760 AND I WAS PARTICULARLY AN 5426 03:47:29,760 --> 03:47:31,080 ADVOCATE FOR RESEARCH THAT DON'T 5427 03:47:31,080 --> 03:47:35,040 MAKE IT FROM BENCH SIDE TO 5428 03:47:35,040 --> 03:47:35,440 BEDSIDE. 5429 03:47:35,440 --> 03:47:37,360 WE NEED TO BE FUNDING MORE 5430 03:47:37,360 --> 03:47:39,960 RESEARCH THAT WILL HAVE IMPACT 5431 03:47:39,960 --> 03:47:44,000 AND CHANGE THE FACE OF PRACTICE. 5432 03:47:44,000 --> 03:47:54,560 I THINK THE CURRENT -- IS, ONE, 5433 03:47:55,520 --> 03:48:04,280 THE REVIEW PROCESS IS HEAVY ON 5434 03:48:04,280 --> 03:48:09,920 SCIENCE AND MORE ABOUT 5435 03:48:09,920 --> 03:48:11,520 EXPLAINING HOW IT WORKS THAN HOW 5436 03:48:11,520 --> 03:48:15,000 IT TRANSLATES TO PRACTICE. 5437 03:48:15,000 --> 03:48:17,520 AS WE GO ON. 5438 03:48:17,520 --> 03:48:19,920 ONE. 5439 03:48:19,920 --> 03:48:23,680 TWO, IN THESE FEW SITUATIONS 5440 03:48:23,680 --> 03:48:25,240 WHERE INDIVIDUALS HAVE HAD VERY 5441 03:48:25,240 --> 03:48:28,960 GOOD OUTCOME AND TRANSLATED TO 5442 03:48:28,960 --> 03:48:31,720 PRACTICE, IT BEEN LOCALIZED TO 5443 03:48:31,720 --> 03:48:34,120 THE INSTITUTIONS OF SUCH 5444 03:48:34,120 --> 03:48:35,680 INDIVIDUALS. 5445 03:48:35,680 --> 03:48:38,640 THERE HAS BEEN NO PLATFORM TO 5446 03:48:38,640 --> 03:48:42,440 PUT IT ON A BROAD LEVEL THAT 5447 03:48:42,440 --> 03:48:46,000 OTHER INSTITUTIONS CAN BENEFIT 5448 03:48:46,000 --> 03:48:49,480 FROM IT OR TRY TO IMPLEMENT IT. 5449 03:48:49,480 --> 03:48:51,000 THAT'S THE SECOND ONE. 5450 03:48:51,000 --> 03:48:52,240 THE THIRD ONE I THINK IS ALSO 5451 03:48:52,240 --> 03:48:56,520 THAT THERE IS A NEED FOR 5452 03:48:56,520 --> 03:48:59,480 REORIENTATION IN 5453 03:48:59,480 --> 03:49:01,200 REHABILITATIONAL MEDICINE 5454 03:49:01,200 --> 03:49:05,000 GENERALLY THAT WE DO NOT NEED TO 5455 03:49:05,000 --> 03:49:08,280 INVENT O A WHEEL OR TRY TO INVET 5456 03:49:08,280 --> 03:49:10,080 A WHEEL THAT HAS BEEN INVENTED. 5457 03:49:10,080 --> 03:49:14,920 WE ARE KNOWN TO WANT TO MAKE A 5458 03:49:14,920 --> 03:49:15,680 SLIGHT DIFFERENCE TO WHAT 5459 03:49:15,680 --> 03:49:17,760 SOMEONE HAS INVENTED OR WANT TO 5460 03:49:17,760 --> 03:49:19,960 TRY TO DO SOMETHING THAT IS 5461 03:49:19,960 --> 03:49:22,800 UNIQUE TO US. 5462 03:49:22,800 --> 03:49:26,200 ALL OF US WILL JUST CONTINUE TO 5463 03:49:26,200 --> 03:49:31,040 PROMOTE INDIVIDUALS -- BROADER 5464 03:49:31,040 --> 03:49:31,920 APPLICATION OF THE SYSTEM. 5465 03:49:31,920 --> 03:49:36,200 SO I THINK IN THE REVIEW 5466 03:49:36,200 --> 03:49:37,520 PROCESS, THESE ARE SOME OF THE 5467 03:49:37,520 --> 03:49:39,880 THINGS THAT NEED TO BE 5468 03:49:39,880 --> 03:49:44,240 INTRODUCED, AS IN WHAT IS THE 5469 03:49:44,240 --> 03:49:46,000 PLAN FOR THIS OUT COME TO 5470 03:49:46,000 --> 03:49:47,520 EVENTUALLY BE DISSEMINATED? 5471 03:49:47,520 --> 03:49:51,520 HOW WILL IT BE IMPLEMENTED IN 5472 03:49:51,520 --> 03:49:51,960 CLINICAL PRACTICE? 5473 03:49:51,960 --> 03:49:55,840 WHAT IS THE PLAN TO SPREADING 5474 03:49:55,840 --> 03:49:57,360 THE OUTCOME BEYOND YOUR OWN 5475 03:49:57,360 --> 03:49:58,680 INSTITUTION TO OTHER 5476 03:49:58,680 --> 03:50:05,560 INSTITUTIONS IN THE COUNTRY, AND 5477 03:50:05,560 --> 03:50:08,520 HOW AVAILABLE TO OTHER 5478 03:50:08,520 --> 03:50:09,320 INSTITUTIONS -- THAT IS WHAT 5479 03:50:09,320 --> 03:50:12,160 THEY WANT TO DO AND HOW CLBTIVE 5480 03:50:12,160 --> 03:50:15,840 WCOLLABORATIVE WOULD YOU BE IN 5481 03:50:15,840 --> 03:50:16,360 THOSE AREAS. 5482 03:50:16,360 --> 03:50:17,720 I THINK WE STILL NEED THAT, 5483 03:50:17,720 --> 03:50:20,960 THERE IS STILL A FAR SEPARATION 5484 03:50:20,960 --> 03:50:25,160 BETWEEN WHAT'S GOING ON 5485 03:50:25,160 --> 03:50:26,160 SCIENTIFICALLY AND IN THE 5486 03:50:26,160 --> 03:50:32,720 RESEARCH WORLD TO STILL WHAT ONE 5487 03:50:32,720 --> 03:50:33,600 OBTAINS CLINICALLY AND I THINK 5488 03:50:33,600 --> 03:50:34,960 WE NEED TO DO A BETTER JOB OF 5489 03:50:34,960 --> 03:50:45,080 THAT. 5490 03:50:48,080 --> 03:50:50,720 >>THANK YOU, ABIODUN. 5491 03:50:50,720 --> 03:50:52,640 THOSE ARE WELL-TAKEN POINTS. 5492 03:50:52,640 --> 03:50:54,040 I DON'T KNOW THAT WE CAN FIX 5493 03:50:54,040 --> 03:50:57,000 THEM ALL IN THIS PROGRAM, BUT 5494 03:50:57,000 --> 03:51:03,400 WELL TAKEN. 5495 03:51:03,400 --> 03:51:05,240 BEFORE WE WRAP UP THIS PART OF 5496 03:51:05,240 --> 03:51:08,600 THE AGENDA, AT WHICH POINT RALPH 5497 03:51:08,600 --> 03:51:11,400 IS GOING TO ASK FOR A VOTE, SO 5498 03:51:11,400 --> 03:51:13,840 PLEASE BE THINKING ABOUT YOUR 5499 03:51:13,840 --> 03:51:15,440 FEELINGS ON THIS REPORT. 5500 03:51:15,440 --> 03:51:17,880 I WANTED TO TAKE THIS 5501 03:51:17,880 --> 03:51:22,480 OPPORTUNITY TO THANK DAWN AND 5502 03:51:22,480 --> 03:51:23,720 STEPHANIE FOR CO-CHAIRING THE 5503 03:51:23,720 --> 03:51:29,000 WORKING DWREU GROUP, ALL THE MES 5504 03:51:29,000 --> 03:51:31,560 OF THE WORKING GROUP WHO CAME 5505 03:51:31,560 --> 03:51:34,560 MONTH AFTER MONTH TO HAVE THESE 5506 03:51:34,560 --> 03:51:36,200 BIG, BLUE-SKY KIND OF 5507 03:51:36,200 --> 03:51:38,600 DISCUSSIONS ABOUT WHERE DOES NIH 5508 03:51:38,600 --> 03:51:41,720 GO WITH OUR REHAB 5509 03:51:41,720 --> 03:51:43,160 INFRASTRUCTURE, YOU KNOW, WE 5510 03:51:43,160 --> 03:51:44,680 COULD HAVE SPENT A BILLION 5511 03:51:44,680 --> 03:51:46,480 DOLLARS, I THINK, IN THOSE 5512 03:51:46,480 --> 03:51:51,080 DISCUSSIONS ADDRESSING 5513 03:51:51,080 --> 03:51:54,360 INCREDIBLE IMPORTANT QUESTIONS. 5514 03:51:54,360 --> 03:51:57,960 THIS IS A SIGNIFICANT INVESTMENT 5515 03:51:57,960 --> 03:52:01,000 THAT NIH MAKES, ESPECIALLY NCM 5516 03:52:01,000 --> 03:52:06,840 RSMES PESH --ESPECIALLY NCMRR, T 5517 03:52:06,840 --> 03:52:08,000 THINK IT WOULD BE GOOD 5518 03:52:08,000 --> 03:52:09,640 STEWARDSHIP ON OUR PART NOT TO 5519 03:52:09,640 --> 03:52:13,200 STOP AND HAVE THIS CONVERSATION 5520 03:52:13,200 --> 03:52:16,480 IN A TIME WHEN THERE IS NO 5521 03:52:16,480 --> 03:52:17,440 PRESSURE FOR TIME, WE'RE NOT 5522 03:52:17,440 --> 03:52:18,960 TRYING TO CRANK SOMETHING OUT 5523 03:52:18,960 --> 03:52:20,920 RIGHT AWAY, WE HAVE TIME TO TAKE 5524 03:52:20,920 --> 03:52:23,120 A BREATH, SPEND SIX MONTHS 5525 03:52:23,120 --> 03:52:24,960 THINKING ABOUT THIS AND TALKING 5526 03:52:24,960 --> 03:52:28,080 ABOUT IT, OR YOU GUYS DO, AND 5527 03:52:28,080 --> 03:52:30,400 THEN TO GIVE US FEEDBACK. 5528 03:52:30,400 --> 03:52:34,120 SO WE KIND OF GAVE YOU A BIG 5529 03:52:34,120 --> 03:52:37,240 BROAD CANVAS TO THINK ABOUT AND 5530 03:52:37,240 --> 03:52:40,840 TO FILL IN, AND YOU ALL 5531 03:52:40,840 --> 03:52:41,360 CERTAINLY DID THAT. 5532 03:52:41,360 --> 03:52:46,480 YOU KNOW, I REALLY APPRECIATE 5533 03:52:46,480 --> 03:52:48,120 THE PERSPECTIVES AND THE TIME 5534 03:52:48,120 --> 03:52:50,440 AND ATTENTION THAT THE WORKING 5535 03:52:50,440 --> 03:52:53,480 GROUP MEMBERS PUT IN. 5536 03:52:53,480 --> 03:52:54,960 I ALSO HAVE TO THANK OUR 5537 03:52:54,960 --> 03:52:58,360 CONTRACTORS WHO REALLY KEPT US 5538 03:52:58,360 --> 03:53:01,400 ON POINT AND ORGANIZED, SO THANK 5539 03:53:01,400 --> 03:53:02,200 YOU TO THEM. 5540 03:53:02,200 --> 03:53:05,000 AS WELL AS THE NCMRR STAFF WHO 5541 03:53:05,000 --> 03:53:07,400 HELPED OUT WITH THESE MEETINGS 5542 03:53:07,400 --> 03:53:10,760 AND DATA CALLS. 5543 03:53:10,760 --> 03:53:14,000 AS I SAID, WE PROBABLY COULD 5544 03:53:14,000 --> 03:53:15,760 HAVE SPENT A BILLION DOLLARS, SO 5545 03:53:15,760 --> 03:53:19,800 WE WILL TAKE THIS BACK AND AFTER 5546 03:53:19,800 --> 03:53:23,840 YOU GUYS VOTE, AND WORK WITH OUR 5547 03:53:23,840 --> 03:53:27,000 COLLEAGUES AND SEE WHAT CAN WE 5548 03:53:27,000 --> 03:53:30,600 DO WITH THE TOOLS IN OUR TOOLBOX 5549 03:53:30,600 --> 03:53:33,320 TO TRY TO ADDRESS THE 5550 03:53:33,320 --> 03:53:34,360 OPPORTUNITIES THAT YOU GUYS PUT 5551 03:53:34,360 --> 03:53:41,120 OUT BEFORE US AND KNOW THAT WE 5552 03:53:41,120 --> 03:53:42,680 PROBABLY -- WE WILL NOT BE ABLE 5553 03:53:42,680 --> 03:53:45,440 TO GET EVERYTHING. 5554 03:53:45,440 --> 03:53:46,360 BUT THAT DOESN'T MEAN THAT THIS 5555 03:53:46,360 --> 03:53:49,400 WAS THE ONLY OPPORTUNITY TO 5556 03:53:49,400 --> 03:53:52,920 FORWARD SOME OF THOSE IDEAS THAT 5557 03:53:52,920 --> 03:53:55,680 WE COLLECT THESE AND AS OTHER 5558 03:53:55,680 --> 03:53:59,440 OPPORTUNITIES COME IN, WE ARE 5559 03:53:59,440 --> 03:54:00,280 CONSTANTLY THINKING ABOUT THE 5560 03:54:00,280 --> 03:54:01,840 FEEDBACK WE GET FROM YOU GUYS 5561 03:54:01,840 --> 03:54:05,080 AND OTHER WAYS TO OPERATIONALIZE 5562 03:54:05,080 --> 03:54:09,520 THEM. 5563 03:54:09,520 --> 03:54:09,720 RALPH? 5564 03:54:09,720 --> 03:54:10,400 >>OKAY. 5565 03:54:10,400 --> 03:54:13,120 SO IN CLOSING, ALSO ONE THING WE 5566 03:54:13,120 --> 03:54:15,280 MAYBE DIDN'T SAY LOUD ENOUGH IS, 5567 03:54:15,280 --> 03:54:17,920 I WANT TO ALSO THANK OUR 5568 03:54:17,920 --> 03:54:19,120 COLLEAGUES AT THE OTHER NIH 5569 03:54:19,120 --> 03:54:20,160 INSTITUTES, THAT THIS PROGRAM 5570 03:54:20,160 --> 03:54:23,320 WAS FUNDED NOT JUST BY NCMRR 5571 03:54:23,320 --> 03:54:25,280 THROUGH NICHD, BUT THERE ARE A 5572 03:54:25,280 --> 03:54:27,400 NUMBER OF OTHER NIH INSTITUTES 5573 03:54:27,400 --> 03:54:28,400 THAT ALSO BELIEVED IN THIS 5574 03:54:28,400 --> 03:54:29,600 PROGRAM ENOUGH AND THEY 5575 03:54:29,600 --> 03:54:31,040 SUPPORTED IT OVER THE YEARS. 5576 03:54:31,040 --> 03:54:33,040 SO A NUMBER OF OTHER INSTITUTES. 5577 03:54:33,040 --> 03:54:34,720 IT WASN'T A LARGE NUMBER, BUT IT 5578 03:54:34,720 --> 03:54:35,360 WAS A NUMBER. 5579 03:54:35,360 --> 03:54:37,000 SO I WANT TO THANK THEM FOR 5580 03:54:37,000 --> 03:54:39,680 THEIR PARTICIPATION AND SOME OF 5581 03:54:39,680 --> 03:54:41,240 THE PEOPLE AND INSTITUTES THAT 5582 03:54:41,240 --> 03:54:42,520 MADE IT HAPPEN ARE ACTUALLY ON 5583 03:54:42,520 --> 03:54:43,520 THIS ZOOM CONNECTION. 5584 03:54:43,520 --> 03:54:44,560 SO I WANTED TO ACKNOWLEDGE THAT 5585 03:54:44,560 --> 03:54:46,200 AS WELL. 5586 03:54:46,200 --> 03:54:50,680 AND SO YOU VL THE HAVE THE WHIR 5587 03:54:50,680 --> 03:54:51,880 REPORT, I SENT IT OUT TO 5588 03:54:51,880 --> 03:54:54,640 EVERYBODY, AND I THANK EVERYBODY 5589 03:54:54,640 --> 03:54:55,200 FOR THE DISCUSSION THIS 5590 03:54:55,200 --> 03:54:55,560 AFTERNOON. 5591 03:54:55,560 --> 03:54:56,760 THERE WAS ACTUALLY A LOT OF 5592 03:54:56,760 --> 03:54:57,960 SUBSTANCE IN THE REPORT ITSELF 5593 03:54:57,960 --> 03:55:00,080 THAT ALREADY GOT US PARTWAY TO 5594 03:55:00,080 --> 03:55:03,160 THE DISCUSSION, AND AS THERESA 5595 03:55:03,160 --> 03:55:04,440 INDICATED, IT'S THE BEGINNING OF 5596 03:55:04,440 --> 03:55:06,840 A PROCESS OF OUR PLANNING 5597 03:55:06,840 --> 03:55:08,880 PROCESS, WHERE DO WE GO WITH 5598 03:55:08,880 --> 03:55:10,680 THIS, AND I'M LOOKING FOR A 5599 03:55:10,680 --> 03:55:13,920 FORMAL VOTE FROM YOU FOLKS AS 5600 03:55:13,920 --> 03:55:16,080 OUR ADVISORY BOARD, AND YOU HAVE 5601 03:55:16,080 --> 03:55:16,720 ESSENTIALLY THREE CHOICES. 5602 03:55:16,720 --> 03:55:19,720 DO YOU ACCEPT THE REPORT, DO YOU 5603 03:55:19,720 --> 03:55:23,320 ACCEPT IT WITH SOME SORT OF 5604 03:55:23,320 --> 03:55:24,440 SIGNIFICANT MODIFICATIONS, OR DO 5605 03:55:24,440 --> 03:55:28,280 YOU NOT ACCEPT THE REPORT? 5606 03:55:28,280 --> 03:55:30,680 AND SO WE'RE GOING TO ASK EACH 5607 03:55:30,680 --> 03:55:32,600 OF YOU, WE HAVE THIS FORMAL POLL 5608 03:55:32,600 --> 03:55:33,800 UP THERE AND I THINK ALL THE 5609 03:55:33,800 --> 03:55:35,120 BOARD MEMBERS SHOULD BE ABLE TO 5610 03:55:35,120 --> 03:55:38,040 VOTE FOR THIS. 5611 03:55:38,040 --> 03:55:39,840 YOU HAVE ONE OF THOSE THREE 5612 03:55:39,840 --> 03:55:40,080 OPTIONS. 5613 03:55:40,080 --> 03:55:43,160 WE WILL NOT REVEAL WHO VOTES FOR 5614 03:55:43,160 --> 03:55:45,080 WHAT, BUT WE WILL REVEAL THE 5615 03:55:45,080 --> 03:55:48,880 TOTALS. 5616 03:55:48,880 --> 03:55:56,000 SO CAN YOU ALL PLEASE VOTE. 5617 03:55:56,000 --> 03:56:00,160 HOPE THIS WORKS. 5618 03:56:00,160 --> 03:56:02,320 >>VOTES ARE COMING IN ON THIS 5619 03:56:02,320 --> 03:56:03,160 END. 5620 03:56:03,160 --> 03:56:05,720 I'VE GOT 7, 8, 10 VOTED SO FAR, 5621 03:56:05,720 --> 03:56:07,080 THEY'RE TRICKLING UP, SO WE'LL 5622 03:56:07,080 --> 03:56:08,280 GIVE IT ANOTHER MINUTE AND THEN 5623 03:56:08,280 --> 03:56:10,880 I'LL SHARE THE RESPONSES. 5624 03:56:10,880 --> 03:56:13,240 >>WE SHOULD HAVE SET UP EARLY 5625 03:56:13,240 --> 03:56:14,480 VOTING BUT SOME PEOPLE MIGHT 5626 03:56:14,480 --> 03:56:24,920 HAVE A PROBLEM WITH THAT. 5627 03:56:26,920 --> 03:56:29,240 >>IT LOOKS LIKE WE HAVE 12 5628 03:56:29,240 --> 03:56:30,320 RESPONSES SO FAR. 5629 03:56:30,320 --> 03:56:35,000 IF THERE'S ANYONE STILL TO VOTE? 5630 03:56:35,000 --> 03:56:45,360 GO AHEAD AND DO SO. 5631 03:56:48,840 --> 03:56:50,240 DID YOU WANT TO KEEP WAITING 5632 03:56:50,240 --> 03:56:50,920 ANOTHER MINUTE? 5633 03:56:50,920 --> 03:56:52,360 IT DOESN'T SEEM TO BE MOVING 5634 03:56:52,360 --> 03:56:52,800 FROM 12. 5635 03:56:52,800 --> 03:56:54,040 I CAN END AND SHARE THE RESULTS. 5636 03:56:54,040 --> 03:56:54,920 >>I THINK THAT'S GOOD. 5637 03:56:54,920 --> 03:56:55,240 THANK YOU. 5638 03:56:55,240 --> 03:56:56,800 >>OKAY. 5639 03:56:56,800 --> 03:56:58,520 >>SO WHAT HAVE WE GOT FOR THE 5640 03:56:58,520 --> 03:57:07,440 TOTALS? 5641 03:57:07,440 --> 03:57:09,160 SO 83% -- OKAY. 5642 03:57:09,160 --> 03:57:11,200 >>IT'S 10 AND 2. 5643 03:57:11,200 --> 03:57:13,680 >>OKAY. 5644 03:57:13,680 --> 03:57:16,040 IT MAY NOT BE CLEAR TO PEOPLE 5645 03:57:16,040 --> 03:57:16,920 THAT -- OKAY. 5646 03:57:16,920 --> 03:57:21,200 THE MAKING NO RECOMMENDATION IS 5647 03:57:21,200 --> 03:57:23,320 NOT THAT YOU ACCEPT THE REPORT 5648 03:57:23,320 --> 03:57:24,440 EN MASSE, IT'S THAT YOU ARE NOT 5649 03:57:24,440 --> 03:57:26,720 MAKING ANY POSITIVE 5650 03:57:26,720 --> 03:57:27,680 RECOMMENDATIONS ABOUT THE 5651 03:57:27,680 --> 03:57:28,160 REPORT. 5652 03:57:28,160 --> 03:57:29,400 THAT'S KIND OF WHAT WE'RE 5653 03:57:29,400 --> 03:57:32,120 LOOKING FOR. 5654 03:57:32,120 --> 03:57:32,320 SO -- 5655 03:57:32,320 --> 03:57:33,760 >>I VOTED THE OPPOSITE. 5656 03:57:33,760 --> 03:57:34,640 I DIDN'T UNDERSTAND. 5657 03:57:34,640 --> 03:57:36,720 >>I'M SORRY. 5658 03:57:36,720 --> 03:57:37,920 MAYBE -- MAYBE WE'D BETTER DO 5659 03:57:37,920 --> 03:57:38,920 THAT AGAIN. 5660 03:57:38,920 --> 03:57:39,640 >>YEP. 5661 03:57:39,640 --> 03:57:43,160 >>CAN YOU PUT UP THE POLL? 5662 03:57:43,160 --> 03:57:44,200 MAYBE IT WASN'T CLEAR. 5663 03:57:44,200 --> 03:57:45,800 >>I'VE CLEARED THE RESULTS. 5664 03:57:45,800 --> 03:57:47,920 >>I'M SORRY. 5665 03:57:47,920 --> 03:57:50,640 THE FIRST OPTION, MAKE 5666 03:57:50,640 --> 03:57:51,800 RECOMMENDATIONS AS SUGGESTED IS 5667 03:57:51,800 --> 03:57:55,200 ESSENTIALLY ACCEPTING THE WHITE 5668 03:57:55,200 --> 03:57:56,840 PAPER AS WHOLE CLOTH. 5669 03:57:56,840 --> 03:58:00,640 THE SECOND OPTION IS THAT YOU 5670 03:58:00,640 --> 03:58:01,480 LIKE THE WHITE PAPER BUT YOU 5671 03:58:01,480 --> 03:58:03,280 HAVE SIGNIFICANT MODIFICATIONS 5672 03:58:03,280 --> 03:58:05,000 THAT YOU WANT PUT IN THERE. 5673 03:58:05,000 --> 03:58:06,200 THE THIRD ONE IS YOU'RE NOT 5674 03:58:06,200 --> 03:58:07,680 WILLING TO SUPPORT THE WHITE 5675 03:58:07,680 --> 03:58:09,200 PAPER, YOU'RE NOT WILLING TO 5676 03:58:09,200 --> 03:58:11,160 MAKE ANY RECOMMENDATIONS ON 5677 03:58:11,160 --> 03:58:13,800 INFRASTRUCTURE AT THIS TIME. 5678 03:58:13,800 --> 03:58:16,600 IS THAT CLEAR? 5679 03:58:16,600 --> 03:58:18,000 SO COULD WE HAVE THE VOTES 5680 03:58:18,000 --> 03:58:18,600 AGAIN? 5681 03:58:18,600 --> 03:58:25,480 I'M SORRY ABOUT THAT. 5682 03:58:25,480 --> 03:58:35,880 >>NO HANGING CHADS NOW. 5683 03:58:37,800 --> 03:58:39,440 >>IT LOOKS LIKE VOTES HAVE 5684 03:58:39,440 --> 03:58:42,160 SLOWED. 5685 03:58:42,160 --> 03:58:43,320 >>HOW MANY TOTAL SO FAR? 5686 03:58:43,320 --> 03:58:44,680 >>WE HAVE 11. 5687 03:58:44,680 --> 03:58:45,960 YOU WANT TO GIVE IT ANOTHER 5688 03:58:45,960 --> 03:58:47,720 MINUTE OR SHALL I END THE POLL? 5689 03:58:47,720 --> 03:58:49,640 >>ALL RIGHT. 5690 03:58:49,640 --> 03:58:52,560 YEAH, YOU GUYS -- WE CAN'T TAKE 5691 03:58:52,560 --> 03:58:54,000 A BREAK UNTIL I GET MORE VOTES. 5692 03:58:54,000 --> 03:58:57,280 COME ON, FOLKS. 5693 03:58:57,280 --> 03:58:59,120 >>11 IS SUFFICIENT. 5694 03:58:59,120 --> 03:59:00,840 >>OKAY, SO WHAT ARE THE TOTALS 5695 03:59:00,840 --> 03:59:02,480 NOW? 5696 03:59:02,480 --> 03:59:05,040 >>100%. 5697 03:59:05,040 --> 03:59:07,280 >>IS THAT CALLED ARM TWISTING 5698 03:59:07,280 --> 03:59:08,360 OR WHAT? 5699 03:59:08,360 --> 03:59:10,880 ALL RIGHT. 5700 03:59:10,880 --> 03:59:12,400 SO I'M GOING TO TURN IT OVER TO 5701 03:59:12,400 --> 03:59:13,840 ERIC SO WE CAN TAKE OUR BREAK, 5702 03:59:13,840 --> 03:59:15,440 AND THEN WE HAVE TWO VERY 5703 03:59:15,440 --> 03:59:17,160 INTERESTING TALKS TO BRING US ON 5704 03:59:17,160 --> 03:59:17,600 HOME. 5705 03:59:17,600 --> 03:59:20,360 WE'RE GOING TO HAVE JEN FRENCH 5706 03:59:20,360 --> 03:59:22,920 TALK TO US ABOUT INCORPORATING 5707 03:59:22,920 --> 03:59:23,920 THE LIVED EXPERIENCE. 5708 03:59:23,920 --> 03:59:25,560 SHE BRINGS SOME VERY INTERESTING 5709 03:59:25,560 --> 03:59:25,880 PERSPECTIVES. 5710 03:59:25,880 --> 03:59:31,960 AND THEN OUR OWN ABIODUN IS 5711 03:59:31,960 --> 03:59:34,040 GOING TO TALK ABOUT HIS OWN 5712 03:59:34,040 --> 03:59:35,560 RESEARCH BECAUSE A LOT OF YOU 5713 03:59:35,560 --> 03:59:36,440 HAVE INTERESTING SIDE HOBBIES 5714 03:59:36,440 --> 03:59:36,840 YOU DO. 5715 03:59:36,840 --> 03:59:38,600 BEFORE HE ROTATES OFF, WE WANTED 5716 03:59:38,600 --> 03:59:43,040 TO GIVE HIM A CHANCE TO TOWK TAK 5717 03:59:43,040 --> 03:59:44,480 ABOUT WHAT HE DOES SOME 5718 03:59:44,480 --> 03:59:45,680 INTERESTING WORK ON USING 5719 03:59:45,680 --> 03:59:47,040 VIRTUAL REALITY AND COGNITIVE 5720 03:59:47,040 --> 03:59:47,840 REHABILITATION. 5721 03:59:47,840 --> 03:59:48,680 SO ERIC, YOU WANT TO LEAD US 5722 03:59:48,680 --> 03:59:50,320 INTO A BREAK AND THEN WE'LL 5723 03:59:50,320 --> 03:59:50,600 RECONVENE. 5724 03:59:50,600 --> 03:59:50,960 >>SURE. 5725 03:59:50,960 --> 03:59:53,360 IT'S A LONG DAY TODAY, BUT I 5726 03:59:53,360 --> 03:59:54,200 THINK YOU'RE REALLY GOING TO 5727 03:59:54,200 --> 03:59:55,560 ENJOY THE NEXT TWO 5728 03:59:55,560 --> 03:59:56,840 PRESENTATIONS, SO PLEASE JOIN US 5729 03:59:56,840 --> 03:59:59,000 BACK AT 3:30 EASTERN TIME, 5730 03:59:59,000 --> 04:00:00,600 WHATEVER THAT IS IN YOUR LOCAL 5731 04:00:00,600 --> 04:00:01,280 TIME ZONE. 5732 04:00:01,280 --> 04:00:27,120 SEE YOU SHORTLY. 5733 04:00:27,120 --> 04:00:28,960 I CAN THINK OF NOBODY MORE 5734 04:00:28,960 --> 04:00:31,040 APPROPRIATE THAN HAVING JEN 5735 04:00:31,040 --> 04:00:33,680 FRENCH AND WE WERE ABLE TO SWEET 5736 04:00:33,680 --> 04:00:35,280 TALK HER INTO GIVING A LITTLE 5737 04:00:35,280 --> 04:00:37,600 INTRODUCTION TO THIS TOPIC, AND 5738 04:00:37,600 --> 04:00:40,440 WE'RE WELCOMING HER TODAY. 5739 04:00:40,440 --> 04:00:42,840 JEN IS THE FOUNDER AND EXECUTIVE 5740 04:00:42,840 --> 04:00:45,000 DIRECTOR OF NEUROTECH NETWORK, 5741 04:00:45,000 --> 04:00:46,280 AND SHE HAS A BREADTH OF 5742 04:00:46,280 --> 04:00:48,600 EXPERIENCE IN THE 5743 04:00:48,600 --> 04:00:49,880 NEUROTECHNOLOGY INDUSTRY. 5744 04:00:49,880 --> 04:00:51,320 SHE'S AN ASSOCIATE PUBLISHER, 5745 04:00:51,320 --> 04:00:53,200 SENIOR EDITOR OF NEUROTECH 5746 04:00:53,200 --> 04:00:53,720 REPORTS. 5747 04:00:53,720 --> 04:00:55,360 SHE'S ALSO AN ADVOCATE FOR 5748 04:00:55,360 --> 04:00:56,080 INCLUSION OF THE LIVED 5749 04:00:56,080 --> 04:00:56,960 EXPERIENCE. 5750 04:00:56,960 --> 04:01:00,000 AND MOST IMPORTANTLY, SHE'S -- 5751 04:01:00,000 --> 04:01:02,000 I'M SORRY LIVED EXPERIENCE OF 5752 04:01:02,000 --> 04:01:04,000 STAKEHOLDER ENGAGEMENT AND MOST 5753 04:01:04,000 --> 04:01:05,440 IMPORTANTLY, SHE'S ALSO A 5754 04:01:05,440 --> 04:01:06,200 PARTICIPANT. 5755 04:01:06,200 --> 04:01:09,600 WE REALLY APPRECIATE HER, SHE'S 5756 04:01:09,600 --> 04:01:10,800 HAS LONG EXPERIENCE WORKING WITH 5757 04:01:10,800 --> 04:01:13,360 THE NIH AND DOD IN RESEARCH. 5758 04:01:13,360 --> 04:01:14,680 I WANT TO TURN THIS OVER TO JEN 5759 04:01:14,680 --> 04:01:15,800 TO GET THE DISCUSSION GOING. 5760 04:01:15,800 --> 04:01:16,880 THANK YOU VERY MUCH, JEN. 5761 04:01:16,880 --> 04:01:19,040 >>THANKS FOR THAT INTRODUCTION, 5762 04:01:19,040 --> 04:01:20,240 RALPH, AND THANK YOU ALL FOR 5763 04:01:20,240 --> 04:01:22,160 INVITING ME FOR THIS OPPORTUNITY 5764 04:01:22,160 --> 04:01:22,640 TODAY. 5765 04:01:22,640 --> 04:01:26,440 I TRULY AM HONORED TO BE HERE. 5766 04:01:26,440 --> 04:01:29,280 MY NAME IS JEN FRENCH. 5767 04:01:29,280 --> 04:01:31,480 I'M A FAIR-SKINNED WOMAN WITH 5768 04:01:31,480 --> 04:01:33,600 BROWN CURLY HAIR AND BLUE EYES. 5769 04:01:33,600 --> 04:01:36,040 I'M WEARING A TURQUOISE SWEATER 5770 04:01:36,040 --> 04:01:39,080 TODAY WITH A SCARF THAT HAS 5771 04:01:39,080 --> 04:01:40,960 MULTI-SHADES OF BROWN AND SOME 5772 04:01:40,960 --> 04:01:41,400 WHITE. 5773 04:01:41,400 --> 04:01:45,960 BEHIND ME IS A WALL OF THE WORLD 5774 04:01:45,960 --> 04:01:48,040 MAP, BUT WHAT IS VISIBLE ON THE 5775 04:01:48,040 --> 04:01:52,040 SCREEN IS THE CONTINENTS OF 5776 04:01:52,040 --> 04:01:54,160 AFRICA, MIDDLE EAST AND AREAS OF 5777 04:01:54,160 --> 04:01:56,640 MIDDLE EAST AND ASIA, AS WELL AS 5778 04:01:56,640 --> 04:01:58,880 THE INDIAN OCEAN. 5779 04:01:58,880 --> 04:02:00,600 WHAT'S NOT BEING VISIBLE ON THE 5780 04:02:00,600 --> 04:02:02,160 SCREEN IS THAT I AM A PERSON 5781 04:02:02,160 --> 04:02:12,800 LIVING WITH TETRAPL APLEGIA. 5782 04:02:15,560 --> 04:02:18,640 I AM HONORABLY PRESENTING TO YOU 5783 04:02:18,640 --> 04:02:25,080 THE NATIVE LANDS, THE SEMINOLE 5784 04:02:25,080 --> 04:02:25,880 INDIAN NATIVE LANDS, SO THANK 5785 04:02:25,880 --> 04:02:26,840 YOU FOR THIS OPPORTUNITY TO 5786 04:02:26,840 --> 04:02:28,880 PRESENT TO YOU TODAY. 5787 04:02:28,880 --> 04:02:30,720 AS RALPH HAD MENTIONED, WE'RE 5788 04:02:30,720 --> 04:02:32,120 GOING TO BE TALKING A LITTLE BIT 5789 04:02:32,120 --> 04:02:33,480 ABOUT STAKEHOLDER ENGAGEMENT AND 5790 04:02:33,480 --> 04:02:35,920 PART OF THAT LIVED EXPERIENCE. 5791 04:02:35,920 --> 04:02:37,920 I REALLY WELCOME QUESTIONS, I'D 5792 04:02:37,920 --> 04:02:40,280 LOVE TO HEAR SOME FEEDBACK FROM 5793 04:02:40,280 --> 04:02:42,800 YOU ALL AND FROM THE BOARD AS WE 5794 04:02:42,800 --> 04:02:45,520 GO THROUGH THIS. 5795 04:02:45,520 --> 04:02:47,200 SO A LITTLE BIT OF AN AGENDA 5796 04:02:47,200 --> 04:02:47,680 TODAY. 5797 04:02:47,680 --> 04:02:48,640 WE'RE GOING TO TOUCH ON SIX 5798 04:02:48,640 --> 04:02:48,880 POINTS. 5799 04:02:48,880 --> 04:02:51,040 ONE IS THE STATE OF REHAB TODAY 5800 04:02:51,040 --> 04:02:52,720 WITH SPINAL CORD INJURY. 5801 04:02:52,720 --> 04:02:54,440 REALLY WHERE THE RESEARCH CAN 5802 04:02:54,440 --> 04:02:57,480 HAVE AN IMPACT. 5803 04:02:57,480 --> 04:02:57,960 ON REHABILITATION 5804 04:02:57,960 --> 04:02:58,600 TODAY. 5805 04:02:58,600 --> 04:03:00,680 REALLY LOOKING AT PEER SUPPORT 5806 04:03:00,680 --> 04:03:02,520 IN THE VALUE CHAIN, DO A QUICK 5807 04:03:02,520 --> 04:03:03,800 INTRODUCTION TO THE NORTH 5808 04:03:03,800 --> 04:03:05,160 AMERICAN SPINAL CORD INJURY 5809 04:03:05,160 --> 04:03:06,240 CONSORTIUM, AND OUR INVOLVEMENT 5810 04:03:06,240 --> 04:03:09,160 IN COMMUNITY ENGAGEMENT, AS WELL 5811 04:03:09,160 --> 04:03:11,080 AS THE THEME OF SPEAKING A 5812 04:03:11,080 --> 04:03:12,560 COMMON LANGUAGE, AND THEN WE'LL 5813 04:03:12,560 --> 04:03:14,640 WRAP THIS UP WITH BUILDING SOME 5814 04:03:14,640 --> 04:03:16,600 COLLABORATIVE FRAMEWORKS AND 5815 04:03:16,600 --> 04:03:19,320 COMMUNITY ENGAGEMENT MOVEMENT. 5816 04:03:19,320 --> 04:03:25,240 SO AS I MENTIONED, I LIVE WITH 5817 04:03:25,240 --> 04:03:27,040 TETRAPLEGIA, I HAD A TRAGIC 5818 04:03:27,040 --> 04:03:28,240 ACCIDENT AT THE AGE OF 26 AND 5819 04:03:28,240 --> 04:03:30,440 DEVELOPED A SPINAL CORD INJURY 5820 04:03:30,440 --> 04:03:33,560 WITH LEFT ME WITH TETRAPLEGIA 5821 04:03:33,560 --> 04:03:34,560 THE REST OF MY LIFE. 5822 04:03:34,560 --> 04:03:35,800 MY CAREER WAS REALLY IN FINANCE 5823 04:03:35,800 --> 04:03:36,640 AND TECHNOLOGY. 5824 04:03:36,640 --> 04:03:38,280 I KNEW NOTHING, I HAD VERY 5825 04:03:38,280 --> 04:03:40,440 LITTLE INTERACTION WITH THE 5826 04:03:40,440 --> 04:03:42,560 HEALTHCARE WORLD BEFORE I WAS 5827 04:03:42,560 --> 04:03:46,320 INJURED, SO HERE I AM WITH A 5828 04:03:46,320 --> 04:03:50,560 NECK BRACE ON, SITTING AT 5829 04:03:50,560 --> 04:03:52,000 FLETCHER ALLEN MEDICAL CENTER IN 5830 04:03:52,000 --> 04:03:53,240 BURLINGTON, VERMONT AND THE 5831 04:03:53,240 --> 04:03:54,360 PHYSICIANS COME IN AND SAY WE'RE 5832 04:03:54,360 --> 04:03:55,560 GOING TO SEND YOU TO REHAB. 5833 04:03:55,560 --> 04:03:57,200 I DIDN'T HAVE A LOT OF EXPOSURE 5834 04:03:57,200 --> 04:03:58,680 TO REHAB, SO OF COURSE MY FIRST 5835 04:03:58,680 --> 04:03:59,800 THOUGHTS WERE, WELL, I DON'T 5836 04:03:59,800 --> 04:04:01,680 HAVE A DRUG OR ALCOHOL PROGRAM, 5837 04:04:01,680 --> 04:04:03,280 WHY ARE YOU GOING TO SEND ME TO 5838 04:04:03,280 --> 04:04:03,680 REHAB? 5839 04:04:03,680 --> 04:04:05,000 THEY TELL ME NO, IT'S NOT THAT 5840 04:04:05,000 --> 04:04:06,200 TYPE OF REHAB. 5841 04:04:06,200 --> 04:04:07,000 THEN I THOUGHT WAIT A MINUTE, 5842 04:04:07,000 --> 04:04:08,920 ARE YOU GOING TO SEND ME TO 5843 04:04:08,920 --> 04:04:09,680 MENTAL HEALTH COUNSELING? 5844 04:04:09,680 --> 04:04:11,120 I MEAN, I KNOW I JUST WENT 5845 04:04:11,120 --> 04:04:12,880 THROUGH A TRAGIC EXPERIENCE AND 5846 04:04:12,880 --> 04:04:14,560 I'M GOING TO NEED COUNSELING 5847 04:04:14,560 --> 04:04:15,360 THROUGH THIS, BUT I DON'T THINK 5848 04:04:15,360 --> 04:04:19,680 I NEED TO GO INTO A FULL MENTAL 5849 04:04:19,680 --> 04:04:20,000 HEALTH REHAB. 5850 04:04:20,000 --> 04:04:21,560 IS THAT WHAT I'M GOING INTO? 5851 04:04:21,560 --> 04:04:23,040 THEN I THOUGHT, OH, JEEZ, WELL, 5852 04:04:23,040 --> 04:04:25,400 WAIT A MINUTE, DOES THAT MEAN 5853 04:04:25,400 --> 04:04:26,840 THAT I'M GOING TO BE GOING INTO 5854 04:04:26,840 --> 04:04:27,840 A CORRECTIONAL REHAB? 5855 04:04:27,840 --> 04:04:29,160 I MEAN, DID I DO SOMETHING 5856 04:04:29,160 --> 04:04:29,400 WRONG? 5857 04:04:29,400 --> 04:04:30,560 AM I IN TROUBLE? 5858 04:04:30,560 --> 04:04:32,080 SO THE REASON I SAY THIS STORY 5859 04:04:32,080 --> 04:04:33,920 IS THAT, YOU KNOW, WHEN WE THINK 5860 04:04:33,920 --> 04:04:38,280 ABOUT MEDICAL REHAB AND WE JUST 5861 04:04:38,280 --> 04:04:39,920 TALK ABOUT IT IN REHAB, ARE WE 5862 04:04:39,920 --> 04:04:41,240 REALLY SPEAKING THE SAME 5863 04:04:41,240 --> 04:04:42,360 LANGUAGES FROM THOSE WHO ARE NOT 5864 04:04:42,360 --> 04:04:43,360 EXPOSED TO THE HEALTHCARE 5865 04:04:43,360 --> 04:04:43,640 SYSTEM. 5866 04:04:43,640 --> 04:04:45,280 A LOT OF TIMES PEOPLE THAT HAVE 5867 04:04:45,280 --> 04:04:48,080 TRAUMATIC INJURIES OR TRAUMATIC 5868 04:04:48,080 --> 04:04:49,720 EXPERIENCE THAT GET THROWN INTO 5869 04:04:49,720 --> 04:04:50,800 THE MEDICAL HEALTHCARE SYSTEM 5870 04:04:50,800 --> 04:04:54,800 DON'T REALLY UNDERSTAND THE 5871 04:04:54,800 --> 04:04:55,920 LANGUAGE, SO WE HAVE TO THINK 5872 04:04:55,920 --> 04:05:00,280 ABOUT THAT AS DEVELOPERS AND AS 5873 04:05:00,280 --> 04:05:01,880 RESEARCHERS ON INTEGRATING WITH 5874 04:05:01,880 --> 04:05:02,440 THOSE IN THE COMMUNITY WITH 5875 04:05:02,440 --> 04:05:03,560 LIVED EXPERIENCE. 5876 04:05:03,560 --> 04:05:05,720 SO REALLY IT WASN'T UNTIL I WENT 5877 04:05:05,720 --> 04:05:08,240 TO PHYSICAL REHAB THAT I REALLY 5878 04:05:08,240 --> 04:05:09,280 UNDERSTOOD THE VALUE OF IT IN 5879 04:05:09,280 --> 04:05:12,040 TERMS OF BEING ABLE TO LEARN 5880 04:05:12,040 --> 04:05:13,760 ADLs AND LEARN HOW TO BECOME 5881 04:05:13,760 --> 04:05:15,160 MOBILE, AND REALLY UNDERSTAND 5882 04:05:15,160 --> 04:05:16,920 WHAT TYPE OF REHAB TECHNOLOGY 5883 04:05:16,920 --> 04:05:18,120 WAS AVAILABLE, AND IN FACT AT 5884 04:05:18,120 --> 04:05:20,160 THE TIME, WHEN I WAS INJURED, IT 5885 04:05:20,160 --> 04:05:22,720 WAS BACK IN 1998, FES CYCLING 5886 04:05:22,720 --> 04:05:25,640 WAS ONLY AVAILABLE IN REHAB 5887 04:05:25,640 --> 04:05:25,960 HOSPITALS. 5888 04:05:25,960 --> 04:05:27,400 SO THAT WAS REALLY MY EARLY 5889 04:05:27,400 --> 04:05:28,600 EXPOSURE TO UNDERSTANDING THE 5890 04:05:28,600 --> 04:05:29,800 VALUE AND THE SKILLS THAT I 5891 04:05:29,800 --> 04:05:32,400 NEEDED TO LEARN TO GET MY LIFE 5892 04:05:32,400 --> 04:05:33,400 BACK IN ORDER. 5893 04:05:33,400 --> 04:05:36,360 BUT THROUGH THAT EXPERIENCE, I 5894 04:05:36,360 --> 04:05:38,960 ALSO FOUND A RESEARCH GROUP UP 5895 04:05:38,960 --> 04:05:40,800 IN CLEVELAND WORKING WITH THE 5896 04:05:40,800 --> 04:05:43,080 V.A. CASE WESTERN RESERVE AND 5897 04:05:43,080 --> 04:05:44,840 THE METRO HEALTH SYSTEM. 5898 04:05:44,840 --> 04:05:46,640 AND I WAS ONE OF THE -- AT THE 5899 04:05:46,640 --> 04:05:48,000 TIME I WAS THE SIXTH PERSON TO 5900 04:05:48,000 --> 04:05:50,360 BE IMPLANTED WITH A LOWER 5901 04:05:50,360 --> 04:05:51,240 EXTREMITY NEUROPROSTHESIS, SO 5902 04:05:51,240 --> 04:05:54,440 HERE YOU SEE SOME IMAGES OF THE 5903 04:05:54,440 --> 04:05:56,480 ELECTRODES THAT I HAVE 5904 04:05:56,480 --> 04:05:56,760 IMPLANTED. 5905 04:05:56,760 --> 04:05:58,600 THERE'S SOME THAT ARE IMPLANTED 5906 04:05:58,600 --> 04:06:01,880 INTO THE NERVES, WHICH IS THIS 5907 04:06:01,880 --> 04:06:03,200 LITTLE CUFF ELECTRODE THAT LOOKS 5908 04:06:03,200 --> 04:06:05,880 LIKE A CUFF, THE FISH-TYPE IS AN 5909 04:06:05,880 --> 04:06:08,680 INTRAMUSCULAR AND FINALLY THE 5910 04:06:08,680 --> 04:06:11,120 DISK IS AN EPIMESIAL. 5911 04:06:11,120 --> 04:06:13,440 ALL OF THEM CONNECT TO A 5912 04:06:13,440 --> 04:06:15,040 PACEMAKER THAT'S IMPLANTED IN MY 5913 04:06:15,040 --> 04:06:16,760 ABDOMEN, AND ALL THAT IS 5914 04:06:16,760 --> 04:06:17,680 ENCAPSULATED INSIDE THE BODY. 5915 04:06:17,680 --> 04:06:19,160 I STILL USE THE SYSTEM TODAY 5916 04:06:19,160 --> 04:06:22,120 WITH AN EXTERNAL CONTROL UNIT 5917 04:06:22,120 --> 04:06:23,880 THAT FEEDS INFORMATION TO THE 5918 04:06:23,880 --> 04:06:26,360 IMPLANT AS WELL AS POWER FOR 5919 04:06:26,360 --> 04:06:27,480 FUNCTIONAL USE SUCH AS STANDING 5920 04:06:27,480 --> 04:06:29,520 BUT ALSO EXERCISE AND TRUNK 5921 04:06:29,520 --> 04:06:31,240 CONTROL AND VARIOUS OTHER 5922 04:06:31,240 --> 04:06:31,560 ASPECTS. 5923 04:06:31,560 --> 04:06:32,920 BUT IT WAS REALLY THROUGH THIS 5924 04:06:32,920 --> 04:06:34,720 EXPERIENCE THAT I STARTED TO GET 5925 04:06:34,720 --> 04:06:38,640 THE LIGHT OF UNDERSTANDING HOW 5926 04:06:38,640 --> 04:06:40,520 PEOPLE WITH LIVED EXPERIENCE CAN 5927 04:06:40,520 --> 04:06:42,040 HELP SHAPE HOW RESEARCH GOES 5928 04:06:42,040 --> 04:06:44,240 FORWARD AND REALLY HELP TO 5929 04:06:44,240 --> 04:06:47,200 PARTNER WITH DEVELOPERS TO 5930 04:06:47,200 --> 04:06:48,160 REALLY THINK ABOUT HOW PEOPLE 5931 04:06:48,160 --> 04:06:49,480 WOULD USE THIS AND LOOKING AT 5932 04:06:49,480 --> 04:06:51,600 THE NEXT GENERATIONS GOING 5933 04:06:51,600 --> 04:06:53,400 FORWARD. 5934 04:06:53,400 --> 04:06:56,760 AND REALLY FOR ME, WHEN I WAS 5935 04:06:56,760 --> 04:06:58,600 EARLY IN REHAB, I WAS ALL ABOUT 5936 04:06:58,600 --> 04:07:00,480 GETTING BACK TO NORMAL FOR ME. 5937 04:07:00,480 --> 04:07:02,120 SO MY PERSONAL EXPERIENCE, 5938 04:07:02,120 --> 04:07:05,400 OUTDOOR RECREATION WAS EXTREMELY 5939 04:07:05,400 --> 04:07:06,560 IMPORTANT, AND EARLY IN MY 5940 04:07:06,560 --> 04:07:08,560 REHAB, I HAD A RECREATION 5941 04:07:08,560 --> 04:07:09,760 THERAPIST COME IN AND INTRODUCE 5942 04:07:09,760 --> 04:07:11,280 ME TO SOME OF THE SPORTS AND I 5943 04:07:11,280 --> 04:07:13,400 THOUGHT, WHAT IN THE WORLD ARE 5944 04:07:13,400 --> 04:07:14,880 YOU TELLING ME ABOUT, I CAN 5945 04:07:14,880 --> 04:07:16,040 BARELY DRESS MYSELF. 5946 04:07:16,040 --> 04:07:17,280 BUT ACTUALLY THAT EARLY 5947 04:07:17,280 --> 04:07:19,040 INTERACTION LED TO GETTING MY 5948 04:07:19,040 --> 04:07:21,520 LIFE BACK TO NORMAL, AND I 5949 04:07:21,520 --> 04:07:23,720 DIDN'T REALIZE IT AT THE TIME, 5950 04:07:23,720 --> 04:07:27,120 BUT IT ALSO LED INTO A AN AREA F 5951 04:07:27,120 --> 04:07:28,680 PEER SUPPORT THAT HELPED TO 5952 04:07:28,680 --> 04:07:30,120 REALLY LEARN ABOUT A LOT OF THE 5953 04:07:30,120 --> 04:07:32,760 RESOURCES THAT ARE AVAILABLE 5954 04:07:32,760 --> 04:07:33,720 TODAY. 5955 04:07:33,720 --> 04:07:35,440 BUT I WANT TO DO A QUICK REALITY 5956 04:07:35,440 --> 04:07:36,960 CHECK OF WHERE WE ARE TODAY 5957 04:07:36,960 --> 04:07:40,360 COMPARED TO WHEN I DID REHAB 24 5958 04:07:40,360 --> 04:07:41,000 YEARS AGO. 5959 04:07:41,000 --> 04:07:46,800 SO TODAY, PNEUMONIA AND 5960 04:07:46,800 --> 04:07:49,200 SEPTICEMIA ARE STILL THE LEADING 5961 04:07:49,200 --> 04:07:50,840 CAUSES OF DEATH AMONG PEOPLE 5962 04:07:50,840 --> 04:07:52,120 WITH SPINAL CORD INJURY AND THAT 5963 04:07:52,120 --> 04:07:53,200 HASN'T CHANGED IN 40 YEARS. 5964 04:07:53,200 --> 04:07:55,720 BUT WHAT HAS CHANGED AND WHAT WE 5965 04:07:55,720 --> 04:07:57,240 HAVE SEEN CHANGE IS THAT MEDICAL 5966 04:07:57,240 --> 04:07:58,320 REHABILITATION HAS GOTTEN 5967 04:07:58,320 --> 04:07:59,520 SIGNIFICANTLY SHORTER TODAY THAN 5968 04:07:59,520 --> 04:08:01,920 IT WAS WHEN I WAS INJURED. 5969 04:08:01,920 --> 04:08:04,880 SO A STUDY THAT WAS DONE BACK IN 5970 04:08:04,880 --> 04:08:08,720 20 -- LOOKING AT REHAB IN 2006, 5971 04:08:08,720 --> 04:08:10,440 THE AVERAGE REHAB FOR SPINAL 5972 04:08:10,440 --> 04:08:12,400 CORD INJURY WAS 70 DAYS. 5973 04:08:12,400 --> 04:08:14,560 TODAY IN THE MODEL CARE SYSTEM, 5974 04:08:14,560 --> 04:08:17,760 IT'S 30 DAYS. 5975 04:08:17,760 --> 04:08:19,320 CUT IN MORE THAN HALF, AND 5976 04:08:19,320 --> 04:08:20,800 OUTSIDE OF THE MODEL CARE 5977 04:08:20,800 --> 04:08:22,320 SYSTEM, IT'S AN AVERAGE OF 16 5978 04:08:22,320 --> 04:08:23,440 DAYS. 5979 04:08:23,440 --> 04:08:24,640 SO THAT DOESN'T GIVE PEOPLE 5980 04:08:24,640 --> 04:08:28,000 ENOUGH TIME TO LEARN ACTIVITIES 5981 04:08:28,000 --> 04:08:29,200 OF DAILY LIVING, AND ALSO THE 5982 04:08:29,200 --> 04:08:30,480 IMPORTANCE OF THOSE AND HOW THEY 5983 04:08:30,480 --> 04:08:31,920 IMPACT QUALITY OF LIFE, BUT ALSO 5984 04:08:31,920 --> 04:08:33,120 HOW PEOPLE CAN LIVE 5985 04:08:33,120 --> 04:08:34,960 INDEPENDENTLY. 5986 04:08:34,960 --> 04:08:36,960 ALSO WHAT'S LOST IN THIS 5987 04:08:36,960 --> 04:08:39,560 SHORTENED REHAB IS HOW DO PEOPLE 5988 04:08:39,560 --> 04:08:40,960 MITIGATE SECONDARY CONDITIONS 5989 04:08:40,960 --> 04:08:43,040 AND SECONDARY COMPLICATIONS, AND 5990 04:08:43,040 --> 04:08:44,360 REALLY WE'RE LOOKING AT A CRISIS 5991 04:08:44,360 --> 04:08:46,760 NOW IN OUR REHAB CENTERS, WHERE 5992 04:08:46,760 --> 04:08:48,960 PEOPLE THAT HAVE VERY 5993 04:08:48,960 --> 04:08:51,200 PREVENTABLE SECONDARY CONDITIONS 5994 04:08:51,200 --> 04:08:53,200 ARE GETTING REHOSPITALIZED AND 5995 04:08:53,200 --> 04:08:55,400 BUILDING UP THE COST WITHIN OUR 5996 04:08:55,400 --> 04:08:56,360 HEALTHCARE SYSTEM. 5997 04:08:56,360 --> 04:08:58,760 SO THIS IS WHERE WE ARE TODAY. 5998 04:08:58,760 --> 04:09:00,160 AND I WANT TO GIVE YOU A COUPLE 5999 04:09:00,160 --> 04:09:02,880 OF REAL WORLD EXAMPLES OF WHAT 6000 04:09:02,880 --> 04:09:03,680 WE'VE SEEN. 6001 04:09:03,680 --> 04:09:06,720 AND THESE ARE COURTESY OF UNITED 6002 04:09:06,720 --> 04:09:07,360 SPINAL ASSOCIATION. 6003 04:09:07,360 --> 04:09:08,680 SO THE FIRST ONE I WANT TO RELAY 6004 04:09:08,680 --> 04:09:11,640 TO YOU IS A WOMAN NAMED JANE WHO 6005 04:09:11,640 --> 04:09:14,000 WAS ELIGIBLE FOR 6006 04:09:14,000 --> 04:09:14,680 NEUROREHABILITATION, BUT SHE 6007 04:09:14,680 --> 04:09:16,120 DEVELOPED A PRESSURE SORE WHILE 6008 04:09:16,120 --> 04:09:18,280 SHE WAS AN INPATIENT. 6009 04:09:18,280 --> 04:09:20,000 AND DUE TO THAT PRESSURE SORE, 6010 04:09:20,000 --> 04:09:22,560 SHE WAS NEVER ELIGIBLE FOR ACUTE 6011 04:09:22,560 --> 04:09:24,600 REHAB AND ENTERED INTO A SKILLED 6012 04:09:24,600 --> 04:09:25,400 NURSING FACILITY. 6013 04:09:25,400 --> 04:09:26,600 AND THERE WAS NEVER ANY 6014 04:09:26,600 --> 04:09:28,520 FOLLOW-UP, AND SHE LOST HER 6015 04:09:28,520 --> 04:09:30,400 ELIGIBILITY, AND IN FACT, SHE 6016 04:09:30,400 --> 04:09:32,040 NEVER RECEIVED EITHER 6017 04:09:32,040 --> 04:09:33,560 REHABILITATION OR EDUCATION ON 6018 04:09:33,560 --> 04:09:35,280 LIVING WITH A SPINAL CORD INJURY 6019 04:09:35,280 --> 04:09:36,920 OR CHRONIC SPINAL CORD INJURY. 6020 04:09:36,920 --> 04:09:38,560 THE OTHER CASE I'D LIKE TO BRING 6021 04:09:38,560 --> 04:09:41,520 TO YOU IS A GENTLEMAN NAMED 6022 04:09:41,520 --> 04:09:43,800 JIMMY, INJURED THROUGH A GUNSHOT 6023 04:09:43,800 --> 04:09:46,000 WOUND, A T12 INJURY BUT HE HAD 6024 04:09:46,000 --> 04:09:47,520 NO SUPPORT SYSTEM AND EVENTUALLY 6025 04:09:47,520 --> 04:09:48,560 DEVELOPED SEVERE DEPRESSION. 6026 04:09:48,560 --> 04:09:50,360 HE HAD THREE WEEKS OF REHAB BUT 6027 04:09:50,360 --> 04:09:52,680 THEN BECAUSE HE'D HAD NO 6028 04:09:52,680 --> 04:09:54,080 EXTERNAL SUPPORT SYSTEM, HE WAS 6029 04:09:54,080 --> 04:09:55,400 TRANSFERRED TO A SKILLED NURSING 6030 04:09:55,400 --> 04:09:57,240 FACILITY, AND HE NEVER RECEIVED 6031 04:09:57,240 --> 04:09:58,600 OUTPATIENT REHAB. 6032 04:09:58,600 --> 04:10:00,200 HOWEVER, THE SKILLED NURSING 6033 04:10:00,200 --> 04:10:03,040 FACILITY WAS BILLING HIS 6034 04:10:03,040 --> 04:10:04,560 INSURANCE FOR SUBACUTE REHAB BUT 6035 04:10:04,560 --> 04:10:06,960 HE NEVER RECEIVED THAT THERAPY. 6036 04:10:06,960 --> 04:10:08,480 AND EVEN WHEN HE TRIED IN 6037 04:10:08,480 --> 04:10:10,320 EFFORTS TO GET DISCHARGED, HE 6038 04:10:10,320 --> 04:10:11,440 COULDN'T GET DISCHARGED FROM 6039 04:10:11,440 --> 04:10:13,360 THAT HOSPITAL TO TRY TO GET INTO 6040 04:10:13,360 --> 04:10:15,920 INDEPENDENT LIVING. 6041 04:10:15,920 --> 04:10:16,880 THE THIRD CASE I'D LIKE TO BRING 6042 04:10:16,880 --> 04:10:18,520 TO YOU OF REAL WORLD EXPERIENCE 6043 04:10:18,520 --> 04:10:19,920 IS A GENTLEMAN NAMED CHRIS, WHO 6044 04:10:19,920 --> 04:10:22,680 HAD A VERY HIGH LEVEL SPINAL 6045 04:10:22,680 --> 04:10:24,760 CORD INJURY AND HE WAS 6046 04:10:24,760 --> 04:10:25,400 VENTILATOR-DEPENDENT AND HE 6047 04:10:25,400 --> 04:10:27,160 LIVED IN A VERY RURAL STATE, AND 6048 04:10:27,160 --> 04:10:29,560 HE WAS ON MEDICARE -- OR EXCUSE 6049 04:10:29,560 --> 04:10:32,040 ME -- MEDICAID AND HAD NO ACCESS 6050 04:10:32,040 --> 04:10:36,440 TO AN SCI SPECIALTY CENTER AND 6051 04:10:36,440 --> 04:10:38,840 HE LIVED IN THE ICU FOR OVER A 6052 04:10:38,840 --> 04:10:40,120 YEAR WHILE HIS MOTHER WAS TRYING 6053 04:10:40,120 --> 04:10:41,520 TO GET HIM ADMITTED INTO A 6054 04:10:41,520 --> 04:10:43,720 SPECIALTY CARE CENTER BUT NO ONE 6055 04:10:43,720 --> 04:10:44,120 WOULD TAKE HIM. 6056 04:10:44,120 --> 04:10:46,320 IN FACT THE HOSPITAL HE WAS IN 6057 04:10:46,320 --> 04:10:48,760 IN ICU WAS TRYING TO ENCOURAGE 6058 04:10:48,760 --> 04:10:50,320 HIS MOTHER TO JUST LET HIM DIE. 6059 04:10:50,320 --> 04:10:52,840 SO EFFICIENTLY WHEN HIS MOTHER'S 6060 04:10:52,840 --> 04:10:54,400 PERSISTENCE AND HEAVEN WITH SOME 6061 04:10:54,400 --> 04:10:55,480 ADVOCACY GROUPS HE WAS ABLE TO 6062 04:10:55,480 --> 04:10:58,000 GET INTO AN SCI INJURY CENTER 6063 04:10:58,000 --> 04:10:59,640 BUT IT WAS OVER A THOUSAND MILES 6064 04:10:59,640 --> 04:11:01,440 AWAY SO HE DIDN'T HAVE THE 6065 04:11:01,440 --> 04:11:02,320 PERSONAL SUPPORT SYSTEM AROUND 6066 04:11:02,320 --> 04:11:02,600 HIM. 6067 04:11:02,600 --> 04:11:04,800 HE WAS ABLE TO GET OFF THE 6068 04:11:04,800 --> 04:11:06,760 VENTILATOR DURING THE DAY AND 6069 04:11:06,760 --> 04:11:08,040 FINALLY WHEN HE WENT HOME, HE 6070 04:11:08,040 --> 04:11:08,920 DIED SHORTLY THEREAFTER. 6071 04:11:08,920 --> 04:11:11,560 SO THESE ARE JUST A COUPLE OF 6072 04:11:11,560 --> 04:11:13,920 EXAMPLES, BUT I THIS IS SOMETHIG 6073 04:11:13,920 --> 04:11:15,680 THAT WE SEE THAT IS WIDESPREAD 6074 04:11:15,680 --> 04:11:17,000 WITHIN SPINAL CORD INJURY AND 6075 04:11:17,000 --> 04:11:18,840 I'M SURE IT EXISTS WITHIN OTHER 6076 04:11:18,840 --> 04:11:21,880 TRAUMATIC CONDITIONS AS WELL. 6077 04:11:21,880 --> 04:11:23,240 BUT THE NAMES HAVE BEEN CHANGED, 6078 04:11:23,240 --> 04:11:24,960 THESE ARE REAL CASES BUT THE 6079 04:11:24,960 --> 04:11:25,920 NAMES HAVE BEEN CHANGED TO 6080 04:11:25,920 --> 04:11:27,160 PROTECT PEOPLE'S PRIVACY AND I 6081 04:11:27,160 --> 04:11:29,640 DO WANT TO THANK UNITED SPINAL 6082 04:11:29,640 --> 04:11:31,280 ASSOCIATION FOR PROVIDING THESE 6083 04:11:31,280 --> 04:11:31,600 EXAMPLES. 6084 04:11:31,600 --> 04:11:33,600 BUT THESE ARE CASES THAT THEIR 6085 04:11:33,600 --> 04:11:37,080 RESOURCE CENTER AS WELL AS THE 6086 04:11:37,080 --> 04:11:38,720 RESOURCE CENTER AT THE -- CENTER 6087 04:11:38,720 --> 04:11:44,960 ARE TRYING TO GET AROUND -- THAT 6088 04:11:44,960 --> 04:11:47,800 PEOPLE ARE RECEIVING AROUND THE 6089 04:11:47,800 --> 04:11:48,560 WORLD TODAY. 6090 04:11:48,560 --> 04:11:49,880 SO WHERE ARE WE? 6091 04:11:49,880 --> 04:11:51,200 WHEN YOU'RE OUTSIDE OF RESEARCH 6092 04:11:51,200 --> 04:11:52,480 AND OUTSIDE OF A SPECIALTY CARE 6093 04:11:52,480 --> 04:11:53,800 CENTER, WE REALLY NEED TO THINK 6094 04:11:53,800 --> 04:11:55,440 ABOUT HOW WE ADDRESS THINGS IN 6095 04:11:55,440 --> 04:11:58,080 THE REAL WORLD. 6096 04:11:58,080 --> 04:11:59,360 SO WE'RE SEEING CLINICAL TRIALS 6097 04:11:59,360 --> 04:12:00,840 THAT HAVE MORE THERAPY SESSIONS 6098 04:12:00,840 --> 04:12:02,200 THAN ANY INSURANCE COMPANY, EVEN 6099 04:12:02,200 --> 04:12:04,360 MEDICARE AND MEDICAID WOULD 6100 04:12:04,360 --> 04:12:05,720 REALISTICALLY COVER OR THAT 6101 04:12:05,720 --> 04:12:07,560 PEOPLE COULD REALISTICALLY 6102 04:12:07,560 --> 04:12:07,760 RECEIVE. 6103 04:12:07,760 --> 04:12:08,680 WE'RE DEVELOPING TECHNOLOGIES 6104 04:12:08,680 --> 04:12:10,760 THAT ARE VERY INNOVATIVE, WHICH 6105 04:12:10,760 --> 04:12:12,400 I'LL TELL YOU IS EXTREMELY 6106 04:12:12,400 --> 04:12:13,880 EXCITING, BUT ARE WE DEVELOPING 6107 04:12:13,880 --> 04:12:15,800 THEM TO MAKE THEM OUT OF REACH 6108 04:12:15,800 --> 04:12:16,840 OF SO MANY PEOPLE WITH SPINAL 6109 04:12:16,840 --> 04:12:18,280 CORD INJURIES? 6110 04:12:18,280 --> 04:12:19,720 OR OTHER TRAUMATIC INJURIES? 6111 04:12:19,720 --> 04:12:21,800 AND THEN OF COURSE WE HAVE THE 6112 04:12:21,800 --> 04:12:23,760 SCI MODEL SYSTEMS, WHICH ARE 6113 04:12:23,760 --> 04:12:25,480 FANTASTIC BUT THEY'RE CLOSED 6114 04:12:25,480 --> 04:12:25,840 ECOSYSTEMS. 6115 04:12:25,840 --> 04:12:28,320 AND WE NEED TO UNDERSTAND THE 6116 04:12:28,320 --> 04:12:29,960 REHABILITATION OUTCOMES THAT 6117 04:12:29,960 --> 04:12:31,120 HAPPEN OUTSIDE OF THOSE 6118 04:12:31,120 --> 04:12:33,480 SPECIALTY CENTERS, WHICH ARE THE 6119 04:12:33,480 --> 04:12:36,200 BULK OF THE PEOPLE THAT ARE 6120 04:12:36,200 --> 04:12:38,400 RECEIVING REHABILITATION MEDICAL 6121 04:12:38,400 --> 04:12:40,040 REHABILITATION REHAB. 6122 04:12:40,040 --> 04:12:41,240 SO WHAT ARE SOME THINGS THAT WE 6123 04:12:41,240 --> 04:12:41,800 COULD DO? 6124 04:12:41,800 --> 04:12:43,320 HERE'S JUST A FEW IDEAS THAT 6125 04:12:43,320 --> 04:12:47,240 INTRN TOHAVE BEEN TOSSED AROUNDR 6126 04:12:47,240 --> 04:12:47,600 CONSORTIUM. 6127 04:12:47,600 --> 04:12:49,640 ONE IS TO THINK ABOUT HOW 6128 04:12:49,640 --> 04:12:51,120 RESEARCH OF CLINICAL OUTCOMES 6129 04:12:51,120 --> 04:12:52,520 FOR THOSE THAT ARE IN THE 6130 04:12:52,520 --> 04:12:53,480 SPECIALTY CARE CENTERS COMPARE 6131 04:12:53,480 --> 04:12:56,520 TO THOSE WHO ARE NOT. 6132 04:12:56,520 --> 04:12:57,880 OR WHAT ABOUT ECONOMIC BURDEN 6133 04:12:57,880 --> 04:12:59,720 STUDIES OF THOSE WHO RECEIVED 6134 04:12:59,720 --> 04:13:02,560 COMPREHENSIVE CARE WHICH OUR 6135 04:13:02,560 --> 04:13:03,880 MODEL CENTERS ARE VERY GOOD AT 6136 04:13:03,880 --> 04:13:05,280 COMPARED TO THOSE IN AING FROM 6137 04:13:05,280 --> 04:13:07,240 MEANTED SYSTEM WHICH REALLY 6138 04:13:07,240 --> 04:13:08,920 HAPPENS IN THE WIDESPREAD 6139 04:13:08,920 --> 04:13:10,200 HEALTHCARE SYSTEM IN THE U.S. 6140 04:13:10,200 --> 04:13:11,760 BUT ALSO LOOKING AT WHAT ABOUT A 6141 04:13:11,760 --> 04:13:13,160 NATIONAL STUDY OF REHABILITATION 6142 04:13:13,160 --> 04:13:14,680 OUTCOMES AND THE SOCIAL 6143 04:13:14,680 --> 04:13:17,840 IMPLICATIONS THAT HAPPEN DUE TO 6144 04:13:17,840 --> 04:13:20,040 PEOPLE THAT HAVE SHORTENED REHAB 6145 04:13:20,040 --> 04:13:25,840 OR DON'T RECEIVE PROPER 6146 04:13:25,840 --> 04:13:26,280 EDUCATION. 6147 04:13:26,280 --> 04:13:27,600 HERE'S A COUPLE STUDIES THAT 6148 04:13:27,600 --> 04:13:29,320 HAVE BEEN DONE, ONE I LOVE 6149 04:13:29,320 --> 04:13:31,880 LOOKING AT REHOSPITALIZATIONS 6150 04:13:31,880 --> 04:13:33,280 WITHIN THE FIRST FIVE YEARS OF 6151 04:13:33,280 --> 04:13:33,960 THEIR SPINAL CORD INJURY. 6152 04:13:33,960 --> 04:13:37,320 THEY LOOKED TH AT OVER 1800 RECS 6153 04:13:37,320 --> 04:13:38,400 OF INDIVIDUALS AND THEY FOUND 6154 04:13:38,400 --> 04:13:42,120 THAT 70% OF THOSE RECORDS -- OF 6155 04:13:42,120 --> 04:13:44,200 THOSE PEOPLE, INDIVIDUALS, WERE 6156 04:13:44,200 --> 04:13:45,400 REHOSPITALIZED WITHIN THE FIRST 6157 04:13:45,400 --> 04:13:47,520 FIVE YEARS OF THEIR INJURY 6158 04:13:47,520 --> 04:13:55,160 RELATING TO COSTS AS $2,019 OF 6159 04:13:55,160 --> 04:13:57,240 OVER $215,000 PER CASE. 6160 04:13:57,240 --> 04:13:59,320 THINK ABOUT HOW THAT ADDS COSTS 6161 04:13:59,320 --> 04:14:01,400 TO OUR HEALTHCARE SYSTEM, WHERE 6162 04:14:01,400 --> 04:14:03,040 IF WE JUST EXTENDED REHAB, WE 6163 04:14:03,040 --> 04:14:07,640 MIGHT BE ABLE TO GET TO A BETTER 6164 04:14:07,640 --> 04:14:08,720 SPACE AND LESS 6165 04:14:08,720 --> 04:14:09,160 REHOSPITALIZATIONS. 6166 04:14:09,160 --> 04:14:10,480 HERE ARE SOME OTHER STUDIES 6167 04:14:10,480 --> 04:14:12,320 ABOUT PREVENTIVE SERVICES, 6168 04:14:12,320 --> 04:14:14,720 LOOKING AT STROKE REHAB AND THE 6169 04:14:14,720 --> 04:14:15,880 DIFFERENCE BETWEEN INPATIENT 6170 04:14:15,880 --> 04:14:17,160 REHAB AND SKILLED NURSING 6171 04:14:17,160 --> 04:14:18,440 FACILITIES, AND ALSO HOW DO WE 6172 04:14:18,440 --> 04:14:21,400 DEMONSTRATE THE VALUE OF REHAB 6173 04:14:21,400 --> 04:14:23,920 SERVICES THAT EXIST TODAY. 6174 04:14:23,920 --> 04:14:25,720 THESE ARE ONLY A FEW EXAMPLES 6175 04:14:25,720 --> 04:14:27,320 BUT I WILL SAY THINKING OF IT 6176 04:14:27,320 --> 04:14:28,760 FROM A FUNDING AGENCY 6177 04:14:28,760 --> 04:14:30,200 STANDPOINT, YOU HAVE AN 6178 04:14:30,200 --> 04:14:31,400 INFLUENCE ON HOW THESE STUDIES 6179 04:14:31,400 --> 04:14:32,680 ARE MADE AND WHAT STUDY 6180 04:14:32,680 --> 04:14:35,960 DIRECTION THEY CAN GO, AND THINK 6181 04:14:35,960 --> 04:14:40,320 ABOUT WHAT INFEU INFLUENCE YOU D 6182 04:14:40,320 --> 04:14:42,640 HAVE ON RESEARCH WE DO TODAY TO 6183 04:14:42,640 --> 04:14:44,320 BE ABLE TO PARTNER WITH THE 6184 04:14:44,320 --> 04:14:45,120 LIVED EXPERIENCE SITUATIONS SO 6185 04:14:45,120 --> 04:14:46,920 THEY CAN DO THEIR ADVOCACY WORK 6186 04:14:46,920 --> 04:14:48,120 TO HELP CHANGE THE SYSTEM AND 6187 04:14:48,120 --> 04:14:50,440 ALSO TO HELP ADOPT WHAT WE LEARN 6188 04:14:50,440 --> 04:14:52,160 IN MEDICAL REHABILITATION 6189 04:14:52,160 --> 04:14:57,880 RESEARCH INTO THE CLINIC. 6190 04:14:57,880 --> 04:15:02,200 SO FOR ME TAKING IT BACK FROM A 6191 04:15:02,200 --> 04:15:05,200 PERSONAL EXPERIENCE,IN, GOING 6192 04:15:05,200 --> 04:15:06,400 THROUGH A TRAUMATIC INJURY IS 6193 04:15:06,400 --> 04:15:07,800 LIFE CHANGING, NO DOUBT ABOUT 6194 04:15:07,800 --> 04:15:08,040 THAT. 6195 04:15:08,040 --> 04:15:08,880 BUT TRANSITION IS POSSIBLE. 6196 04:15:08,880 --> 04:15:10,520 HERE'S A PICTURE OF ME RIGHT 6197 04:15:10,520 --> 04:15:13,600 BEFORE MY INJURY, SNOWBOARDING, 6198 04:15:13,600 --> 04:15:14,840 AND HERE'S ONE THE NEXT SKI 6199 04:15:14,840 --> 04:15:16,040 SEASON, I WAS BACK ON THE 6200 04:15:16,040 --> 04:15:16,360 SLOPES. 6201 04:15:16,360 --> 04:15:18,200 SO THE TRANSITION IS POSSIBLE, 6202 04:15:18,200 --> 04:15:20,080 AND A LOT OF TIMES WHEN WE SEE 6203 04:15:20,080 --> 04:15:20,960 PEOPLE WITH DISABILITIES OUT IN 6204 04:15:20,960 --> 04:15:22,800 THE COMMUNITY, WE THINK, OH, 6205 04:15:22,800 --> 04:15:24,080 THEY'VE ADJUSTED AND EVERYTHING 6206 04:15:24,080 --> 04:15:25,560 WAS FINE, BUT I WILL TELL YOU 6207 04:15:25,560 --> 04:15:27,400 THAT TRANSITIONS ARE NOT EASY. 6208 04:15:27,400 --> 04:15:31,120 SO WE HAVE TO BE VERY CONSCIOUS 6209 04:15:31,120 --> 04:15:33,400 OF WHAT WE DO IN THOSE TYPES OF 6210 04:15:33,400 --> 04:15:33,720 TRANSITIONS. 6211 04:15:33,720 --> 04:15:35,400 ONE AREA THAT I LEANED ON WAS 6212 04:15:35,400 --> 04:15:38,240 LEARNING HOW TO LIVE 6213 04:15:38,240 --> 04:15:38,600 INDEPENDENTLY. 6214 04:15:38,600 --> 04:15:39,840 NOW WHEN I WAS INJURED, I WAS 6215 04:15:39,840 --> 04:15:42,640 LIVING IN A SMALL STATE OF 6216 04:15:42,640 --> 04:15:45,880 NEW HAMPSHIRE, AND I LIVED IN AN 6217 04:15:45,880 --> 04:15:47,000 OLD COLONIAL HOPE WITH MANY, 6218 04:15:47,000 --> 04:15:47,960 MANY STEPS GOING INTO IT. 6219 04:15:47,960 --> 04:15:49,720 SO WHEN I WAS SENT HOME AFTER 6220 04:15:49,720 --> 04:15:51,080 REHAB, I WAS REALLY A PRISONER 6221 04:15:51,080 --> 04:15:52,040 IN MY OWN HOME. 6222 04:15:52,040 --> 04:15:53,720 I HAD NO WAY OF GETTING IN AND 6223 04:15:53,720 --> 04:15:54,120 OUT. 6224 04:15:54,120 --> 04:15:56,400 AND IT WAS ACTUALLY THE 6225 04:15:56,400 --> 04:15:57,960 INDEPENDENT LIVING CENTER THAT 6226 04:15:57,960 --> 04:15:59,720 EVENTUALLY PROVIDED A CHAIR 6227 04:15:59,720 --> 04:16:01,360 CLIMBER SO THAT THE PERSONS 6228 04:16:01,360 --> 04:16:02,120 PROVIDING TRANSPORTATION, I 6229 04:16:02,120 --> 04:16:04,520 COULD GET TO REHAB, BUT LATER 6230 04:16:04,520 --> 04:16:05,600 PROVIDED A LIFT. 6231 04:16:05,600 --> 04:16:07,680 SO I COULD GET IN AND OUT OF MY 6232 04:16:07,680 --> 04:16:09,320 HOME INDEPENDENTLY. 6233 04:16:09,320 --> 04:16:11,960 I ALSO NEEDED MEDICAL EQUIPMENT 6234 04:16:11,960 --> 04:16:14,160 THAT IS NOT COVERED BY 6235 04:16:14,160 --> 04:16:16,120 INSURANCE, AND SO I LEANED ON 6236 04:16:16,120 --> 04:16:16,840 THE INDEPENDENT LIVING CENTER 6237 04:16:16,840 --> 04:16:18,280 AND THEY PROVIDED WORKING WITH 6238 04:16:18,280 --> 04:16:20,160 LOCAL BANKS TO PROVIDE LOW AND 6239 04:16:20,160 --> 04:16:22,240 NO INCOME INTEREST LOANS FOR 6240 04:16:22,240 --> 04:16:27,920 MEDICAL EQUIPMENT. 6241 04:16:27,920 --> 04:16:30,080 BUT THEY ALSO HELPED TO TEACH ME 6242 04:16:30,080 --> 04:16:33,320 SOME OF THESE BASIC ADLs. 6243 04:16:33,320 --> 04:16:35,360 I WAS IN REHAB FOR THREE MONTHS 6244 04:16:35,360 --> 04:16:36,800 BUT THERE ARE CERTAIN THINGS YOU 6245 04:16:36,800 --> 04:16:38,000 DON'T LEARN IN REHAB. 6246 04:16:38,000 --> 04:16:39,320 PARTICULARLY FOR ME ONE LIFE 6247 04:16:39,320 --> 04:16:40,400 CHANGING EXPERIENCE WAS I 6248 04:16:40,400 --> 04:16:41,800 LEARNED HOW TO USE A PUBLIC 6249 04:16:41,800 --> 04:16:43,880 RESTROOM AND HOW I LEARNED TO DO 6250 04:16:43,880 --> 04:16:45,440 THAT WAS THROUGH MY PEER MENTOR. 6251 04:16:45,440 --> 04:16:46,960 MY PEER MENTOR TAUGHT ME A LOT 6252 04:16:46,960 --> 04:16:48,800 ABOUT HOW TO LIVE INDEPENDENTLY 6253 04:16:48,800 --> 04:16:51,680 AND HOW TO GO ABOUT THOSE SKILLS 6254 04:16:51,680 --> 04:16:53,720 TO LEARN AND BEING OPEN TO 6255 04:16:53,720 --> 04:16:56,480 LEARNING OUT IN THE ENVIRONMENT. 6256 04:16:56,480 --> 04:16:57,920 SO I WANT TO TOUCH ON A LITTLE 6257 04:16:57,920 --> 04:16:59,200 BIT ABOUT PEER SUPPORT. 6258 04:16:59,200 --> 04:17:00,720 THE NORTH AMERICAN SPINAL CORD 6259 04:17:00,720 --> 04:17:02,160 INJURY CONSORTIUM, WE'VE BEEN 6260 04:17:02,160 --> 04:17:03,480 HOSTING ROUNDTABLES WITH 6261 04:17:03,480 --> 04:17:04,560 NON-PROFIT ORGANIZATIONS THAT 6262 04:17:04,560 --> 04:17:07,760 DIRECTLY REPRESENT PEOPLE WITH 6263 04:17:07,760 --> 04:17:08,640 SPINAL CORD INJURY. 6264 04:17:08,640 --> 04:17:09,520 AND ONE THING THAT CAME THROUGH 6265 04:17:09,520 --> 04:17:10,880 A LOT OF THOSE ROUNDTABLES THAT 6266 04:17:10,880 --> 04:17:12,000 WE'VE BEEN RUNNING FOR THE LAST 6267 04:17:12,000 --> 04:17:13,880 SIX MONTHS IS THAT PEER SUPPORT 6268 04:17:13,880 --> 04:17:17,000 IS INCREDIBLY VALUABLE. 6269 04:17:17,000 --> 04:17:20,000 AND THIS IS JUST ONE STUDY 6270 04:17:20,000 --> 04:17:21,760 PUBLISHED THAT LOOKS AT REALLY 6271 04:17:21,760 --> 04:17:23,480 LOOKING AT PEER SUPPORT AS AN 6272 04:17:23,480 --> 04:17:23,880 INTERVENTION. 6273 04:17:23,880 --> 04:17:25,160 IN FACT, SOME COUNTRIES DO THIS, 6274 04:17:25,160 --> 04:17:26,320 BUT IT'S A FRAMEWORK THAT MAYBE 6275 04:17:26,320 --> 04:17:29,320 WE CAN ADOPT HERE IN THE U.S. 6276 04:17:29,320 --> 04:17:30,320 LOOKING AT A GREATER 6277 04:17:30,320 --> 04:17:32,280 CONCEPTUALIZATION OF WHAT PEER 6278 04:17:32,280 --> 04:17:35,520 SUPPORT INTERVENTIONS ARE, AND 6279 04:17:35,520 --> 04:17:36,560 WRAPPING AROUND IT WITH 6280 04:17:36,560 --> 04:17:37,560 DEVELOPMENT AND IMPLEMENTATION 6281 04:17:37,560 --> 04:17:39,080 AND HOW TO EVALUATE IT, AND THIS 6282 04:17:39,080 --> 04:17:44,200 PAPER ACTUALLY GOES INTO AN 6283 04:17:44,200 --> 04:17:46,520 EVIDENCE FRAMEWORK WHICH 6284 04:17:46,520 --> 04:17:47,600 SPECIFICALLY INCLUDES HEALTH 6285 04:17:47,600 --> 04:17:49,000 NAVIGATION COACHING BECAUSE OUR 6286 04:17:49,000 --> 04:17:50,160 HEALTHCARE SYSTEM IS SO COMPLEX, 6287 04:17:50,160 --> 04:17:51,760 IF YOU ARE NOT INTEGRATED INTO 6288 04:17:51,760 --> 04:17:53,000 THE HEALTHCARE SYSTEM OR REALLY 6289 04:17:53,000 --> 04:17:54,480 KNOW ANYTHING ABOUT IT, IT'S 6290 04:17:54,480 --> 04:17:59,280 VERY DIFFICULT TO NAVIGATE. 6291 04:17:59,280 --> 04:18:00,880 SO A LITTLE INTRODUCTION TO THE 6292 04:18:00,880 --> 04:18:02,160 NORTH AMERICAN SPINAL CORD 6293 04:18:02,160 --> 04:18:03,160 INJURY CONSORTIUM. 6294 04:18:03,160 --> 04:18:07,320 WE ARE A NON-PROFIT ORGANIZATION 6295 04:18:07,320 --> 04:18:09,960 REPRESENTING THOSE WITH LIVED 6296 04:18:09,960 --> 04:18:11,360 EXPERIENCE OF SPINAL CORD INJURY 6297 04:18:11,360 --> 04:18:12,440 AROUND NORTH AMERICA. 6298 04:18:12,440 --> 04:18:14,000 OUR MISSION IS TO BRING ABOUT 6299 04:18:14,000 --> 04:18:15,400 UNIFIED ACHIEVEMENT IN RESEARCH, 6300 04:18:15,400 --> 04:18:16,840 CARE AND POLICY IN COLLABORATIVE 6301 04:18:16,840 --> 04:18:18,040 EFFORTS ACROSS THE SPINAL CORD 6302 04:18:18,040 --> 04:18:18,600 INJURY COMMUNITY. 6303 04:18:18,600 --> 04:18:20,320 AND IN FACT, WE ACHIEVE OUR 6304 04:18:20,320 --> 04:18:24,280 MISSION BY IDENTIFYING GAPS, 6305 04:18:24,280 --> 04:18:25,600 COMMUNICATING RESOURCES 6306 04:18:25,600 --> 04:18:26,440 THROUGHOUT OUR COMMUNITY AS WELL 6307 04:18:26,440 --> 04:18:28,640 AS BEING A CONDUIT OF 6308 04:18:28,640 --> 04:18:29,280 COLLABORATION BETWEEN PEOPLE 6309 04:18:29,280 --> 04:18:30,760 WITH LIVED EXPERIENCE AND THE 6310 04:18:30,760 --> 04:18:31,960 MANY STAKEHOLDERS THAT ARE 6311 04:18:31,960 --> 04:18:32,400 INVOLVED. 6312 04:18:32,400 --> 04:18:34,240 AND THAT IS WHY WE HAVE THREE 6313 04:18:34,240 --> 04:18:36,680 DIFFERENT CATEGORIES OF 6314 04:18:36,680 --> 04:18:37,880 MEMBERSHIP, SO PATRON MEMBERS 6315 04:18:37,880 --> 04:18:39,160 ARE THOSE WHO HAVE LIVED 6316 04:18:39,160 --> 04:18:39,720 EXPERIENCE, DIRECT LIVED 6317 04:18:39,720 --> 04:18:40,040 EXPERIENCE. 6318 04:18:40,040 --> 04:18:42,240 IT COULD BE THOSE LIVING WITH A 6319 04:18:42,240 --> 04:18:44,680 CONDITION AND/OR THEIR FAMILY 6320 04:18:44,680 --> 04:18:45,560 MEMBERS. 6321 04:18:45,560 --> 04:18:46,400 PRINCIPAL MEMBERS ARE 6322 04:18:46,400 --> 04:18:47,280 NON-PROFITS OR REGISTERED 6323 04:18:47,280 --> 04:18:49,400 CHARITIES WHO DIRECTLY REPRESENT 6324 04:18:49,400 --> 04:18:51,000 PEOPLE WITH SPINAL CORD INJURY 6325 04:18:51,000 --> 04:18:52,880 AND OUR PARTNER MEMBERS ARE ALL 6326 04:18:52,880 --> 04:18:54,640 OF THOSE STAKEHOLDERS WHO ARE 6327 04:18:54,640 --> 04:18:57,920 REALLY INTERESTED AND HAVE -- 6328 04:18:57,920 --> 04:18:59,640 WANTING TO HAVE A DEEPER 6329 04:18:59,640 --> 04:19:00,320 UNDERSTANDING OF THE LIVED 6330 04:19:00,320 --> 04:19:01,000 EXPERIENCE. 6331 04:19:01,000 --> 04:19:03,400 REALLY, WE WERE FORMED OUT OF A 6332 04:19:03,400 --> 04:19:06,120 GRASSROOTS EFFORT FROM A MEETING 6333 04:19:06,120 --> 04:19:08,680 IN 2016, AND WE REALLY BUILT THE 6334 04:19:08,680 --> 04:19:09,360 COMMUNITY AROUND -- WITHIN A 6335 04:19:09,360 --> 04:19:13,960 YEAR OF 2017 AND WE LAUNCHED IN 6336 04:19:13,960 --> 04:19:14,800 2018. 6337 04:19:14,800 --> 04:19:16,640 AND I'LL GO INTO A LITTLE ABOUT 6338 04:19:16,640 --> 04:19:18,160 HOW WE'VE CRAFTED COMMUNITY 6339 04:19:18,160 --> 04:19:19,280 ENGAGEMENT AND DIFFERENT WAYS TO 6340 04:19:19,280 --> 04:19:22,880 BECOME INVOLVED NOT ONLY IN 6341 04:19:22,880 --> 04:19:25,120 RESEARCH BUT ALSO IN PRODUCT 6342 04:19:25,120 --> 04:19:30,880 DEVELOPMENT AND SERVICES 6343 04:19:30,880 --> 04:19:31,440 DEVELOPMENT. 6344 04:19:31,440 --> 04:19:33,760 SO REALLY THIS IS ONE EXAMPLE, 6345 04:19:33,760 --> 04:19:35,040 SCI2020, A DECADE OF DISRUPTION 6346 04:19:35,040 --> 04:19:36,680 WAS A MEETING HOSTED BY THE NIH 6347 04:19:36,680 --> 04:19:39,440 IN FEBRUARY OF 2019. 6348 04:19:39,440 --> 04:19:41,080 AND THEY CALLED ON US AND ASKED 6349 04:19:41,080 --> 04:19:43,160 US TO HAVE A PANEL HOSTED OF 6350 04:19:43,160 --> 04:19:43,720 LIVED EXPERIENCE. 6351 04:19:43,720 --> 04:19:46,120 SO THERE WERE EIGHT OF US ON 6352 04:19:46,120 --> 04:19:50,080 THAT PANEL, AND WE WERE 6353 04:19:50,080 --> 04:19:53,360 INTERACTING WITH GI LYN JAKEMAN 6354 04:19:53,360 --> 04:19:56,280 FROM NIH WHO SPEARHEADED THIS 6355 04:19:56,280 --> 04:19:57,520 EFFORT AND WE FELT LIKE EIGHT OF 6356 04:19:57,520 --> 04:19:58,400 US COULDN'T REPRESENT OUR 6357 04:19:58,400 --> 04:19:58,880 COMMUNITY. 6358 04:19:58,880 --> 04:20:00,040 SO WE DEVELOPED A COMMUNITY 6359 04:20:00,040 --> 04:20:01,600 SURVEY AND WITHIN 37 DAYS OF 6360 04:20:01,600 --> 04:20:03,320 PUTTING THAT OUT, WE HAD OVER 6361 04:20:03,320 --> 04:20:05,640 1800 RESPONSES FROM PEOPLE WITH 6362 04:20:05,640 --> 04:20:06,400 LIVED EXPERIENCE. 6363 04:20:06,400 --> 04:20:07,480 AND THIS IS WHAT WE FOUND. 6364 04:20:07,480 --> 04:20:09,160 WE FOUND THAT PEOPLE LIVING WITH 6365 04:20:09,160 --> 04:20:10,480 SPINAL CORD INJURIES AND THEIR 6366 04:20:10,480 --> 04:20:11,800 FAMILIES, THEY WANT TO BE 6367 04:20:11,800 --> 04:20:13,200 INVOLVED IN SETTING THE RESEARCH 6368 04:20:13,200 --> 04:20:14,440 PRIORITIES BUT THEY ALSO WANT TO 6369 04:20:14,440 --> 04:20:17,120 BE INVOLVED IN DESIGNING 6370 04:20:17,120 --> 04:20:17,520 PROJECTS. 6371 04:20:17,520 --> 04:20:19,120 BUT WHAT THEY ALSO FELT, THEY 6372 04:20:19,120 --> 04:20:20,760 FELT LEFT OUT OF THE RESEARCH 6373 04:20:20,760 --> 04:20:23,640 PROCESS UNTIL THEY WERE ACTUALLY 6374 04:20:23,640 --> 04:20:26,040 RECRUITING FOR CLINICAL TRIALS. 6375 04:20:26,040 --> 04:20:27,160 AND WE NEED TO CHANGE THAT. 6376 04:20:27,160 --> 04:20:28,240 THAT WAS A LITTLE EYE OPENING 6377 04:20:28,240 --> 04:20:28,880 FOR US. 6378 04:20:28,880 --> 04:20:30,000 AND OF COURSE THIS IS PUBLISHED 6379 04:20:30,000 --> 04:20:32,400 ON OUR WEBSITE AS A WHITE PAPER 6380 04:20:32,400 --> 04:20:33,800 AND YOU'RE WELCOME TO LOOK AT 6381 04:20:33,800 --> 04:20:38,440 THE OTHER RESULTS FROM THIS 6382 04:20:38,440 --> 04:20:38,680 SURVEY. 6383 04:20:38,680 --> 04:20:40,880 SO THAT SPARCED US IN THE 6384 04:20:40,880 --> 04:20:42,240 CONSORTIUM TO REALLY TAKE ON 6385 04:20:42,240 --> 04:20:43,720 COMMUNITY ENGAGEMENT PROJECTS, 6386 04:20:43,720 --> 04:20:45,480 SO WE DO EVERYTHING FROM HELPING 6387 04:20:45,480 --> 04:20:46,680 WITH SURVEYS OR COMMUNITY 6388 04:20:46,680 --> 04:20:51,400 SURVEYS TO GAIN KNOWLEDGE ABOUT 6389 04:20:51,400 --> 04:20:53,560 OUR COMMUNITY TO WORKING ON 6390 04:20:53,560 --> 04:20:55,800 POLICY CHANGESLIKE INCLUSION IN 6391 04:20:55,800 --> 04:21:02,160 THE CDC REGISTRY, AS WELL AS 6392 04:21:02,160 --> 04:21:03,440 DEVELOPMENT -- AS WELL AS BOTH 6393 04:21:03,440 --> 04:21:05,400 PRE-CLINICAL WORK LIKE THIS 6394 04:21:05,400 --> 04:21:07,520 VAGUS NERVE STIMULATION PROJECT 6395 04:21:07,520 --> 04:21:09,040 AS WELL AS GUIDELINES FOR 6396 04:21:09,040 --> 04:21:09,920 ACTIVITY-BASED THERAPY, THAT'S 6397 04:21:09,920 --> 04:21:10,680 ANOTHER RESEARCH THAT'S GOING 6398 04:21:10,680 --> 04:21:11,520 ON. 6399 04:21:11,520 --> 04:21:12,240 THESE ARE NOT ALL OF OUR 6400 04:21:12,240 --> 04:21:13,000 PROJECTS, THEY'RE LISTED ON OUR 6401 04:21:13,000 --> 04:21:17,840 WEB SIT, BUWEBSITE, BUT IT GIVEA 6402 04:21:17,840 --> 04:21:18,080 FLAVOR. 6403 04:21:18,080 --> 04:21:20,160 OVER THE YEARS OF RUNNING THESE 6404 04:21:20,160 --> 04:21:20,920 PROJECTS, WE FOUND SOMETHING 6405 04:21:20,920 --> 04:21:21,360 INTERESTING. 6406 04:21:21,360 --> 04:21:22,920 WE FOUND THAT ARE WE REALLY 6407 04:21:22,920 --> 04:21:26,520 SPEAKING THE SAME LANGUAGE? 6408 04:21:26,520 --> 04:21:27,600 RESEARCHERS ARE THOSE WHO ARE IN 6409 04:21:27,600 --> 04:21:29,800 THE RESEARCH REALM, ARE WE 6410 04:21:29,800 --> 04:21:30,880 SPEAKING THE SAME LANGUAGE AS 6411 04:21:30,880 --> 04:21:32,160 THOSE WITH LIVED EXPERIENCE THAT 6412 04:21:32,160 --> 04:21:34,760 DON'T HAVE THE RESEARCH 6413 04:21:34,760 --> 04:21:35,880 EXPERIENCE AND UNDERSTANDING? 6414 04:21:35,880 --> 04:21:38,400 BUT THEY DO HAVE A DISTINCT 6415 04:21:38,400 --> 04:21:40,040 KNOWLEDGE OF LIVED EXPERIENCE IN 6416 04:21:40,040 --> 04:21:42,880 THE COMMUNITY. 6417 04:21:42,880 --> 04:21:46,040 THAT SPARCED US TO DEVELOP THE 6418 04:21:46,040 --> 04:21:48,800 SCI RESEARCH ADVOCACY COURSE, IT 6419 04:21:48,800 --> 04:21:50,240 WILL BE RELEASED IN JANUARY AND 6420 04:21:50,240 --> 04:21:52,680 IT LOOKS AT REALLY TRAINING 6421 04:21:52,680 --> 04:21:56,920 INDIVIDUALS ON HOW TO 6422 04:21:56,920 --> 04:21:57,960 PARTICIPATE IN WHAT THE RESEARCH 6423 04:21:57,960 --> 04:21:59,000 PROCESS IS, PARTICULARLY THOSE 6424 04:21:59,000 --> 04:22:01,400 THAT DON'T HAVE THAT BASE 6425 04:22:01,400 --> 04:22:01,880 KNOWLEDGE. 6426 04:22:01,880 --> 04:22:03,160 WE'RE NOT TRYING TO TURN THEM 6427 04:22:03,160 --> 04:22:04,040 INTO SCIENTISTS BUT WE'RE TRYING 6428 04:22:04,040 --> 04:22:05,160 TO GIVE THEM THE BASE KNOWLEDGE 6429 04:22:05,160 --> 04:22:07,000 SO THAT THEY CAN BE GOOD 6430 04:22:07,000 --> 04:22:10,000 ADVISORS FOR VARIOUS TYPES OF 6431 04:22:10,000 --> 04:22:12,760 RESEARCH AND DEVELOPMENT 6432 04:22:12,760 --> 04:22:13,200 PROJECTS. 6433 04:22:13,200 --> 04:22:14,520 ALSO IT'S AN ONLINE TRAINING 6434 04:22:14,520 --> 04:22:15,960 COURSE TO MAKE IT EASY FOR OUR 6435 04:22:15,960 --> 04:22:17,920 COMMUNITY TO BE INVOLVED AND TO 6436 04:22:17,920 --> 04:22:19,120 TAKE IT AT THEIR OWN PACE. 6437 04:22:19,120 --> 04:22:21,160 WE ALSO ARE LOOKING AT EDUCATING 6438 04:22:21,160 --> 04:22:23,080 AND ORGANIZING RESEARCHERS AND 6439 04:22:23,080 --> 04:22:25,920 THOSE IN THE HEALTHCARE 6440 04:22:25,920 --> 04:22:27,120 PROVIDERS, BUT THEN ALSO 6441 04:22:27,120 --> 04:22:27,920 FACILITATING MATCH MAKING. 6442 04:22:27,920 --> 04:22:30,200 SO OUR OBJECTIVES ARE AGAIN TO 6443 04:22:30,200 --> 04:22:31,720 BUILD AN ONLINE RESEARCH 6444 04:22:31,720 --> 04:22:33,080 ADVOCACY COURSE, TO DO SOME 6445 04:22:33,080 --> 04:22:35,800 MATCH MAKING AS WELL AS BUILDING 6446 04:22:35,800 --> 04:22:38,000 AWARENESS OF CLINICAL TRIAL 6447 04:22:38,000 --> 04:22:39,560 RECRUITMENT AND FINALLY TO 6448 04:22:39,560 --> 04:22:41,760 EVENTUALLY GET TO A LIVE 6449 04:22:41,760 --> 04:22:42,760 INSTRUCTOR-LED PROGRAM WHICH WE 6450 04:22:42,760 --> 04:22:45,920 WILL EVENTUALLY GET TO. 6451 04:22:45,920 --> 04:22:47,120 THESE ARE THE MODULES. 6452 04:22:47,120 --> 04:22:48,320 WE HAVE 12 MODULES WITHIN OUR 6453 04:22:48,320 --> 04:22:49,560 COURSE. 6454 04:22:49,560 --> 04:22:52,840 WE EVEN HAVE A MODULE FOR SCI101 6455 04:22:52,840 --> 04:22:53,840 FOR RESEARCHERS TO REALLY 6456 04:22:53,840 --> 04:22:54,720 UNDERSTAND WHAT THE LIVED 6457 04:22:54,720 --> 04:22:56,120 EXPERIENCE IS AND AS THEY GO 6458 04:22:56,120 --> 04:22:57,280 THROUGH THIS COURSE, THERE'S A 6459 04:22:57,280 --> 04:22:59,680 DEEP DIVE INTO EACH TOPIC. 6460 04:22:59,680 --> 04:23:01,160 WE ALSO HAVE QUIZZES AFTERWARDS, 6461 04:23:01,160 --> 04:23:02,400 BEFORE YOU CAN ADVANCE TO THE 6462 04:23:02,400 --> 04:23:03,840 NEXT MODULE. 6463 04:23:03,840 --> 04:23:06,120 THEN AT THE END, WE HELP WITH 6464 04:23:06,120 --> 04:23:09,600 MATCH MAKING TO THOSE TEAMS 6465 04:23:09,600 --> 04:23:10,960 LOOKING TO EMBED THE LIVED 6466 04:23:10,960 --> 04:23:12,160 EXPERIENCE INTO THEIR VARIOUS 6467 04:23:12,160 --> 04:23:12,800 PROJECTS. 6468 04:23:12,800 --> 04:23:16,200 SO WE HAVE A DIVERSE COMMUNITY 6469 04:23:16,200 --> 04:23:18,400 OF A WORKING GROUP THAT'S 6470 04:23:18,400 --> 04:23:19,520 DEVELOPING THIS COURSE, SO IT'S 6471 04:23:19,520 --> 04:23:20,920 NOT JUST PEOPLE WITH LIVED 6472 04:23:20,920 --> 04:23:23,120 EXPERIENCE AND THEIR CAREGIVERS. 6473 04:23:23,120 --> 04:23:24,240 IT'S SCI RESEARCHERS. 6474 04:23:24,240 --> 04:23:25,360 WE HAVE SOME REPRESENTATIVES 6475 04:23:25,360 --> 04:23:28,720 FROM FUNDING AGENCIES, 6476 04:23:28,720 --> 04:23:29,680 PHYSICIANS AND INDUSTRY REP 6477 04:23:29,680 --> 04:23:30,480 TIFERS. 6478 04:23:30,480 --> 04:23:33,120 WE HIRED A CONSULTANT SUSAN 6479 04:23:33,120 --> 04:23:34,520 SCHAEFER FROM THE ACADEMY OF 6480 04:23:34,520 --> 04:23:36,000 RESEARCH ADVOCACY TO HELP US 6481 04:23:36,000 --> 04:23:37,400 WITH THE CONTENT AS WELL AS A 6482 04:23:37,400 --> 04:23:38,040 MARKETING GROUP THAT'S HELPING 6483 04:23:38,040 --> 04:23:39,600 US WITH THE PRODUCTION OF OUR 6484 04:23:39,600 --> 04:23:40,840 COURSE. 6485 04:23:40,840 --> 04:23:44,880 SO OUR PREREGISTRATION IS OPEN. 6486 04:23:44,880 --> 04:23:45,760 AGAIN THE COURSE WILL OPEN AT 6487 04:23:45,760 --> 04:23:46,960 THE BEGINNING OF THE YEAR, AND 6488 04:23:46,960 --> 04:23:51,800 AGAIN, IT'S A FREE ONLINE COURSE 6489 04:23:51,800 --> 04:23:56,200 FOREMEMBFOR MEMBERS OF OUR COMMO 6490 04:23:56,200 --> 04:23:56,840 TAKE AS WELL AS THOSE THAT WANT 6491 04:23:56,840 --> 04:23:57,920 TO LEARN MORE ABOUT SPINAL CORD 6492 04:23:57,920 --> 04:23:58,160 INJURY. 6493 04:23:58,160 --> 04:24:00,040 SO I JUST WANT TO CLOSE OUT 6494 04:24:00,040 --> 04:24:01,520 TODAY TO TALK A LITTLE BIT ABOUT 6495 04:24:01,520 --> 04:24:02,640 A COLLABORATIVE FRAMEWORK OF HOW 6496 04:24:02,640 --> 04:24:07,680 WE CAN LOOK AT DOING 6497 04:24:07,680 --> 04:24:08,640 REHABILITATION RESEARCH AND 6498 04:24:08,640 --> 04:24:10,280 PARTNERING WITH THE COMMUNITY. 6499 04:24:10,280 --> 04:24:12,080 THIS IS A NEAT PAPER ABOUT 6500 04:24:12,080 --> 04:24:13,040 PATIENT-CENTERED FRAME WORKS 6501 04:24:13,040 --> 04:24:14,040 PARTICULARLY FOR OUTPATIENT 6502 04:24:14,040 --> 04:24:15,040 SETTINGS. 6503 04:24:15,040 --> 04:24:16,240 THEY PUT FORWARD FIVE 6504 04:24:16,240 --> 04:24:17,240 PRINCIPLES, SO IDENTIFYING 6505 04:24:17,240 --> 04:24:19,000 SHARED VALUES, REALLY PARTNERING 6506 04:24:19,000 --> 04:24:21,600 WITHIN A SPECIFIC SETTING, 6507 04:24:21,600 --> 04:24:23,040 ENGAGING IN COEDCATION AND 6508 04:24:23,040 --> 04:24:25,440 COLLABORATION WITH THE 6509 04:24:25,440 --> 04:24:28,400 COMMUNITY, AND BUILDING THOSE 6510 04:24:28,400 --> 04:24:29,760 RELATIONSHIPS, AS WELL AS 6511 04:24:29,760 --> 04:24:32,680 DESIGNING ACCESSIBLE PROCEDURES. 6512 04:24:32,680 --> 04:24:36,200 AS WE LOOK AT INTEGRATING INTO 6513 04:24:36,200 --> 04:24:40,840 THE REHABILITATION SETTING. 6514 04:24:40,840 --> 04:24:42,480 THE ENGAGE THE SETTING IS A 6515 04:24:42,480 --> 04:24:44,000 MOVEMENT AROUND THE WORLD THAT 6516 04:24:44,000 --> 04:24:44,880 WE'RE SEEING DIFFERENT 6517 04:24:44,880 --> 04:24:45,880 CONSORTIUMS POP UP AROUND THE 6518 04:24:45,880 --> 04:24:46,720 WORLD. 6519 04:24:46,720 --> 04:24:47,640 AFTER SPINAL CORD INJURY, 6520 04:24:47,640 --> 04:24:48,920 THERE'S NOT JUST NORTH PLAIRK 6521 04:24:48,920 --> 04:24:51,080 BUT EUROPE, THERE'S AN EFFORT IN 6522 04:24:51,080 --> 04:24:51,720 AFRICA, AS WELL AS PARTS OF 6523 04:24:51,720 --> 04:24:52,360 ASIA. 6524 04:24:52,360 --> 04:24:53,920 SO WE KNOW THAT THE ENGAGEMENT 6525 04:24:53,920 --> 04:24:56,400 MOVEMENT IS GAINING MOMENTUM, 6526 04:24:56,400 --> 04:24:58,400 AND NOT ONLY JUST FOR SPINAL 6527 04:24:58,400 --> 04:25:00,720 CORD INJURY BUT FOR A LOT OF 6528 04:25:00,720 --> 04:25:02,800 OTHER INDICATIONS AS WELL, AND A 6529 04:25:02,800 --> 04:25:03,640 LOT OF WORK HAS BEEN DONE TO 6530 04:25:03,640 --> 04:25:04,920 UNDERSTAND WHAT THE BEST 6531 04:25:04,920 --> 04:25:06,200 FRAMEWORKS ARE FOR ENGAGEMENT. 6532 04:25:06,200 --> 04:25:08,080 IN FACT, OUR REGULATORY AGENCIES 6533 04:25:08,080 --> 04:25:11,080 HERE IN THE U.S. ARE VERY 6534 04:25:11,080 --> 04:25:12,600 ENGAGED IN UNDERSTANDING WHAT 6535 04:25:12,600 --> 04:25:13,880 PREFERENCES ARE WITHIN THOSE 6536 04:25:13,880 --> 04:25:15,240 COMMUNITIES. 6537 04:25:15,240 --> 04:25:19,200 SO THE DRUG EVALUATION OR CDER 6538 04:25:19,200 --> 04:25:20,720 AT FDA HAS VERY SPECIFIC 6539 04:25:20,720 --> 04:25:23,640 GUIDANCE ON PATIENT-FOCUSED DRUG 6540 04:25:23,640 --> 04:25:26,160 DEVELOPMENT, CDRH ARE THE 6541 04:25:26,160 --> 04:25:27,560 DEVICES AREA HAS A WHOLE 6542 04:25:27,560 --> 04:25:29,760 GUIDANCE ON PATIENT PREFERENCE 6543 04:25:29,760 --> 04:25:31,520 INITIATIVES AND CBER, WHICH 6544 04:25:31,520 --> 04:25:33,240 HANDLES THE BIOLOGICS IS KIND OF 6545 04:25:33,240 --> 04:25:34,920 A HYBRID BETWEEN THOSE TWO 6546 04:25:34,920 --> 04:25:35,520 CENTERS. 6547 04:25:35,520 --> 04:25:39,080 THIS IS JUST ONE EXAMPLE OF 6548 04:25:39,080 --> 04:25:41,640 ENGAGEMENT MODELS OR ENGAGEMENT 6549 04:25:41,640 --> 04:25:42,040 CONTINUUM. 6550 04:25:42,040 --> 04:25:43,280 THERE'S LOTS OF MODELS OUT THERE 6551 04:25:43,280 --> 04:25:46,480 AND I WILL SAY THIS IN WORKING 6552 04:25:46,480 --> 04:25:48,360 ON THESE PROJECTS, THERE IS NOT 6553 04:25:48,360 --> 04:25:49,680 SOMETHING COOKIE CUTTER FOR 6554 04:25:49,680 --> 04:25:53,360 EVERY PROJECT, AND SO WE 6555 04:25:53,360 --> 04:25:55,560 ENCOURAGE TO LOOK AT DIVERSITY 6556 04:25:55,560 --> 04:25:57,160 OF ENGAGEMENTS AND HOW THEY 6557 04:25:57,160 --> 04:25:58,120 MIGHT FIT INTO RESEARCH AND 6558 04:25:58,120 --> 04:25:59,640 REALLY HELPING TO EDUCATE THE 6559 04:25:59,640 --> 04:26:01,480 RESEARCH COMMUNITY OF HOW TO 6560 04:26:01,480 --> 04:26:02,560 EMBED ENGAGEMENT INTO THEIR 6561 04:26:02,560 --> 04:26:03,080 PROJECT. 6562 04:26:03,080 --> 04:26:05,520 SO NOT JUST GAINING INPUT FROM 6563 04:26:05,520 --> 04:26:07,160 COMMUNITIES BUT ALSO ADVISORY 6564 04:26:07,160 --> 04:26:08,680 BOARDS AND HELPING THEM MOVE 6565 04:26:08,680 --> 04:26:13,520 ALONG THAT RESEARCH AS WELL AS 6566 04:26:13,520 --> 04:26:14,640 COLLABORATIVE FRAME WORKS AND 6567 04:26:14,640 --> 04:26:15,240 SHARED LEADERSHIP. 6568 04:26:15,240 --> 04:26:17,040 SO I LOVE THIS FRAMEWORK, IT'S 6569 04:26:17,040 --> 04:26:18,480 DEVELOPED BY PCORI, BUT AGAIN, 6570 04:26:18,480 --> 04:26:20,320 THERE'S A LOT OF OTHER FRAME 6571 04:26:20,320 --> 04:26:21,880 WORKS THAT WE COULD LOOK TO AS 6572 04:26:21,880 --> 04:26:23,640 WE HELP TO EDUCATE BOTH THE 6573 04:26:23,640 --> 04:26:24,720 RESEARCH COMMUNITY AND THOSE 6574 04:26:24,720 --> 04:26:25,840 WITH LIVED EXPERIENCE. 6575 04:26:25,840 --> 04:26:31,200 SO IN SUMMARY, I JUST WANT TO 6576 04:26:31,200 --> 04:26:33,080 GIVE A QUICK SUMMARY, I KNOW I 6577 04:26:33,080 --> 04:26:34,360 TOUCHED ON A LOT DURING THIS 6578 04:26:34,360 --> 04:26:36,880 PRESENTATION, BUT REALLY LOOKING 6579 04:26:36,880 --> 04:26:39,440 AT THE FRAMEWORK WE HAVE TODAY 6580 04:26:39,440 --> 04:26:41,760 IS EXTREMELY SHORT, PEOPLE ARE 6581 04:26:41,760 --> 04:26:45,120 NOT LEARNING THEIR ADLs, 6582 04:26:45,120 --> 04:26:46,480 PREVENTABLE COMPLICATIONS ARE 6583 04:26:46,480 --> 04:26:47,680 CREATING A CRISIS WITHIN OUR 6584 04:26:47,680 --> 04:26:49,320 REHAB CENTERS. 6585 04:26:49,320 --> 04:26:50,520 ALSO LOOKING -- RESEARCH CAN 6586 04:26:50,520 --> 04:26:53,400 HAVE AN IMPACT ON HOW WE PARTNER 6587 04:26:53,400 --> 04:26:55,160 AND HOW WE MOVE FORWARD WITH 6588 04:26:55,160 --> 04:26:57,000 DIFFERENT TYPES OF DEVELOPMENT 6589 04:26:57,000 --> 04:26:58,800 AND IN REHAB, BOTH LOOKING AT 6590 04:26:58,800 --> 04:27:01,640 SPECIALTY CARE CENTERS AND THOSE 6591 04:27:01,640 --> 04:27:03,840 WHO DO NOT HAVE ACCESS TO THEM, 6592 04:27:03,840 --> 04:27:09,000 ECONOMIC BURDEN STU DNS, AS WELL 6593 04:27:09,000 --> 04:27:11,440 AS THE -- EDUCATION AND HOW WE 6594 04:27:11,440 --> 04:27:12,600 CAN IMPROVE THAT IN OUR NEW 6595 04:27:12,600 --> 04:27:13,800 MODELS AS WE GO FORWARD. 6596 04:27:13,800 --> 04:27:14,880 PEER SUPPORT I TOUCHED ON THAT 6597 04:27:14,880 --> 04:27:16,680 AND REALLY HOW IT FITS IN THE 6598 04:27:16,680 --> 04:27:18,240 VALUE CHAIN AND HOW WE SHOULD 6599 04:27:18,240 --> 04:27:19,960 CONSIDER THINKING ABOUT HOW WE 6600 04:27:19,960 --> 04:27:20,880 CAN FORMALIZE IT HERE IN THE 6601 04:27:20,880 --> 04:27:22,600 UNITED STATES. 6602 04:27:22,600 --> 04:27:28,000 I UNIT DUED YI INTRODUCED YOU TE 6603 04:27:28,000 --> 04:27:29,080 CONSORTIUM, WHAT WE CAN DO IN 6604 04:27:29,080 --> 04:27:30,200 TERMS OF THE VOICE OF THE 6605 04:27:30,200 --> 04:27:32,000 COMMUNITY BRINGING THEM INTO THE 6606 04:27:32,000 --> 04:27:33,320 RESEARCH PROCESS, ALSO THINKING 6607 04:27:33,320 --> 04:27:34,880 HOW WE CAN SPEAK COMMON 6608 04:27:34,880 --> 04:27:35,160 LANGUAGES. 6609 04:27:35,160 --> 04:27:36,440 NOT ONLY THOSE ON THE RESEARCH 6610 04:27:36,440 --> 04:27:39,000 SIDE BUT THOSE WITH LIVE 6611 04:27:39,000 --> 04:27:40,000 EXPERIENCE AND THOSE IN THE 6612 04:27:40,000 --> 04:27:40,960 CLINICAL ENVIRONMENT AND HOW WE 6613 04:27:40,960 --> 04:27:42,200 CAN DO SOME BETTER MATCH MAKING 6614 04:27:42,200 --> 04:27:44,080 TO MAKE SURE WE SPEAK COMMON 6615 04:27:44,080 --> 04:27:45,400 LANGUAGES SO WE CAN MOVE THE 6616 04:27:45,400 --> 04:27:46,200 RESEARCH FORWARD AND FINALLY 6617 04:27:46,200 --> 04:27:49,240 JUST TOUCHED ON BRIEFLY 6618 04:27:49,240 --> 04:27:52,320 COLLABORATIVE FRAMEWORKS THAT WE 6619 04:27:52,320 --> 04:27:53,840 CAN USE TO MOVE FORWARD IN TERMS 6620 04:27:53,840 --> 04:27:57,520 OF THE ENGAGEMENT MOVEMENT, 6621 04:27:57,520 --> 04:28:00,840 WOKIWORKING WITH REGULATORY AND 6622 04:28:00,840 --> 04:28:01,800 FUNDING AGENCIES AND WHAT 6623 04:28:01,800 --> 04:28:02,680 INFLUENCE THEY CAN HAVE OR YOU 6624 04:28:02,680 --> 04:28:03,920 COULD HAVE, I SHOULD SAY, AS 6625 04:28:03,920 --> 04:28:07,520 WELL AS SOME MODELS OF 6626 04:28:07,520 --> 04:28:07,880 ENGAGEMENT. 6627 04:28:07,880 --> 04:28:09,120 SO THAT KIND OF SUMMARIZES WHAT 6628 04:28:09,120 --> 04:28:09,840 I WAS TALKING ABOUT TODAY. 6629 04:28:09,840 --> 04:28:13,720 I WANT TO THANK OUR U. SUPPORTES 6630 04:28:13,720 --> 04:28:14,840 WITH THE NORTH AMERICAN SPINAL 6631 04:28:14,840 --> 04:28:17,680 CORD INJURY CONSORTIUM, AND THIS 6632 04:28:17,680 --> 04:28:19,680 IS MY CONTACT INFORMATION. 6633 04:28:19,680 --> 04:28:20,880 AND I WILL HAND IT BACK TO 6634 04:28:20,880 --> 04:28:21,080 RALPH. 6635 04:28:21,080 --> 04:28:24,280 THANK YOU. 6636 04:28:24,280 --> 04:28:25,040 OR ERIC. 6637 04:28:25,040 --> 04:28:26,480 >>THANKS, JEN. 6638 04:28:26,480 --> 04:28:27,040 THAT WAS TERRIFIC. 6639 04:28:27,040 --> 04:28:28,800 I APPRECIATE YOUR THOUGHTS AND 6640 04:28:28,800 --> 04:28:29,560 INSIGHTS. 6641 04:28:29,560 --> 04:28:35,360 DOES ANYONE HAVE QUESTIONS FOR 6642 04:28:35,360 --> 04:28:35,800 JEN? 6643 04:28:35,800 --> 04:28:37,080 MAYBE WHILE HANDS ARE GOING 6644 04:28:37,080 --> 04:28:38,480 UP -- WE'VE GOT ONE FROM -- 6645 04:28:38,480 --> 04:28:48,760 WE'VE GOT SEVERAL. 6646 04:28:49,080 --> 04:28:49,240 ABIODUN. 6647 04:28:49,240 --> 04:28:51,200 >>JEN, THANK YOU VERY, VERY 6648 04:28:51,200 --> 04:28:52,920 MUCH FOR A VERY INSIGHTFUL 6649 04:28:52,920 --> 04:28:56,880 PRESENTATION. 6650 04:28:56,880 --> 04:28:59,000 I JUST HAVE TWO QUESTIONS FOR 6651 04:28:59,000 --> 04:29:02,840 YOU. 6652 04:29:02,840 --> 04:29:04,480 DURING YOUR PRESENTATION, YOU 6653 04:29:04,480 --> 04:29:10,920 DID MENTION THE REDUCTION IN THE 6654 04:29:10,920 --> 04:29:12,720 TIME FOR REHOSPITALIZATION FOR 6655 04:29:12,720 --> 04:29:14,240 ALMOST 50% THEREABOUT NOW. 6656 04:29:14,240 --> 04:29:19,480 WHAT DO YOU THINK IS DRIVING 6657 04:29:19,480 --> 04:29:19,920 THAT? 6658 04:29:19,920 --> 04:29:24,440 IS IT COST OR EVIDENCE FOR 6659 04:29:24,440 --> 04:29:25,600 EFFECTIVENESS OF REHABILITATION 6660 04:29:25,600 --> 04:29:26,760 OR ARE THE INTERVENTIONS NOW 6661 04:29:26,760 --> 04:29:28,320 MUCH BETTER THAT WE'RE GETTING 6662 04:29:28,320 --> 04:29:31,880 BETTER OUTCOMES IN A SHORTER 6663 04:29:31,880 --> 04:29:32,680 TIME? 6664 04:29:32,680 --> 04:29:35,120 AND THEN THE SECOND QUESTION 6665 04:29:35,120 --> 04:29:45,640 THAT I HAVE FOR YOU IS, WHAT'S 6666 04:29:46,560 --> 04:29:48,040 THE ROLE OF -- IN DETERMINING 6667 04:29:48,040 --> 04:29:53,080 LENGTH OF REHABILITATION AND 6668 04:29:53,080 --> 04:29:53,360 RE -- 6669 04:29:53,360 --> 04:29:54,520 >>THOSE ARE INSIGHTFUL 6670 04:29:54,520 --> 04:29:55,280 QUESTIONS, SO THANK YOU FOR 6671 04:29:55,280 --> 04:29:56,280 ASKING THEM. 6672 04:29:56,280 --> 04:29:58,000 THE FIRST ONE OF WHAT IS DRIVING 6673 04:29:58,000 --> 04:30:02,120 THAT SHORTENED AREA, I THINK I 6674 04:30:02,120 --> 04:30:03,520 CAN MAKE SOME ASSUMPTIONS OR 6675 04:30:03,520 --> 04:30:04,760 SOME EDUCATED GUESSES BUT I 6676 04:30:04,760 --> 04:30:05,720 THINK THERE'S NOT A LOT OF 6677 04:30:05,720 --> 04:30:08,240 RESEARCH TO UNDERSTAND EXACTLY 6678 04:30:08,240 --> 04:30:08,840 WHY. 6679 04:30:08,840 --> 04:30:12,680 BUT WHAT WE HAVE SEEN BOOTS ON 6680 04:30:12,680 --> 04:30:15,280 THE GROUNDWORKING WITH THE 6681 04:30:15,280 --> 04:30:17,320 RESOURCE CENTERS IS A LOT OF IT 6682 04:30:17,320 --> 04:30:18,920 IS INSURANCE-DRIVEN. 6683 04:30:18,920 --> 04:30:22,880 WE SEE THAT THE MODEL CARE 6684 04:30:22,880 --> 04:30:25,560 SYSTEMS COULD POTENTIALLY BE 6685 04:30:25,560 --> 04:30:26,840 THAT THERE'S BETTER CARE IN 6686 04:30:26,840 --> 04:30:29,360 REHAB AND THAT MIGHT BE THE 6687 04:30:29,360 --> 04:30:29,680 CASE. 6688 04:30:29,680 --> 04:30:31,400 BUT FOR THE MAJORITY OF PEOPLE 6689 04:30:31,400 --> 04:30:33,240 WITH SPINAL CORD INJURIES, THEY 6690 04:30:33,240 --> 04:30:35,040 DON'T GO TO MODEL CARE CENTERS 6691 04:30:35,040 --> 04:30:35,920 AND, THEREFORE, THE DRIVING 6692 04:30:35,920 --> 04:30:40,200 FORCE OF THE SHORTENED REHAB IS 6693 04:30:40,200 --> 04:30:41,240 REALLY INSURANCE. 6694 04:30:41,240 --> 04:30:45,800 AND THE PAYORS ARE DRIVING THAT 6695 04:30:45,800 --> 04:30:46,480 AND WHAT IT IS. 6696 04:30:46,480 --> 04:30:47,880 SO I THINK THAT'S WHY WHAT OF 6697 04:30:47,880 --> 04:30:48,880 THE RECOMMENDATIONS OF WHAT WE 6698 04:30:48,880 --> 04:30:50,320 CAN MAKE IN TERMS OF ECONOMIC 6699 04:30:50,320 --> 04:30:53,280 BURDEN STUDIES, TO HELP MAKE THE 6700 04:30:53,280 --> 04:30:54,560 CASE FOR THE ADVOCATES ON THE 6701 04:30:54,560 --> 04:30:59,760 HILL OF WH WHY REHAB SHOULDN'T E 6702 04:30:59,760 --> 04:31:02,080 SHORTENED AND WHY WE CAN GET 6703 04:31:02,080 --> 04:31:04,520 BACK TO A PLACE WHERE PEOPLE ARE 6704 04:31:04,520 --> 04:31:05,000 RECEIVING PROPER REHAB. 6705 04:31:05,000 --> 04:31:10,000 SO I HOPE THAT ANSWERS YOUR 6706 04:31:10,000 --> 04:31:10,600 QUESTION. 6707 04:31:10,600 --> 04:31:11,960 BUT AGAIN, THERE'S NOT A LOT OF 6708 04:31:11,960 --> 04:31:13,440 CONCRETE STUDIES OUT THERE THAT 6709 04:31:13,440 --> 04:31:15,600 CAN SUPPORT THOSE HUNCHES THAT I 6710 04:31:15,600 --> 04:31:16,360 JUST GAVE YOU. 6711 04:31:16,360 --> 04:31:17,080 >>THANK YOU. 6712 04:31:17,080 --> 04:31:19,960 >>SURE. 6713 04:31:19,960 --> 04:31:23,120 > 6714 04:31:23,120 --> 04:31:23,760 >>PEPE? 6715 04:31:23,760 --> 04:31:26,520 >>THANK YOU, JEN, FOR A REALLY 6716 04:31:26,520 --> 04:31:27,000 INSIGHTFUL PRESENTATION. 6717 04:31:27,000 --> 04:31:29,840 I WOULD LIKE TO ASK YOU ABOUT 6718 04:31:29,840 --> 04:31:31,800 MODEL OF ENGAGEMENT. 6719 04:31:31,800 --> 04:31:34,320 DO YOU THINK, YOU KNOW, AS A 6720 04:31:34,320 --> 04:31:39,400 PARTICIPANT, YOU KNOW, 6721 04:31:39,400 --> 04:31:40,480 PARTICIPANT COST WOULD BE 6722 04:31:40,480 --> 04:31:42,680 HELPFUL IN PROMOTING ENGAGEMENT 6723 04:31:42,680 --> 04:31:45,240 AND KEEPING THE ENGAGEMENT 6724 04:31:45,240 --> 04:31:48,680 GOING, YOU KNOW, I'M NOT TALKING 6725 04:31:48,680 --> 04:31:55,720 ABOUT -- I'M TALKING ABOUT -- ON 6726 04:31:55,720 --> 04:31:57,160 THE TEAM, BEING THERE WORKING 6727 04:31:57,160 --> 04:31:58,720 SIDE BY SIDE WITH THE 6728 04:31:58,720 --> 04:31:59,040 RESEARCHERS. 6729 04:31:59,040 --> 04:32:01,600 >>YEAH, SO WORKING SIDE BY SIDE 6730 04:32:01,600 --> 04:32:04,240 BY RESEARCHERS CAN REALLY HAVE A 6731 04:32:04,240 --> 04:32:05,440 PROFOUND IMPACT, AND WE KNOW 6732 04:32:05,440 --> 04:32:06,960 THAT THERE'S STUDIES OUT THERE, 6733 04:32:06,960 --> 04:32:08,520 ACTUALLY THEY HAVE FURTHER 6734 04:32:08,520 --> 04:32:09,440 DEVELOPMENT IN THE DRUG SIDE 6735 04:32:09,440 --> 04:32:12,040 THAN THEY DO ON DEVICES, PEPE, 6736 04:32:12,040 --> 04:32:14,400 SO SOME OF WHAT WE'VE LEARNED 6737 04:32:14,400 --> 04:32:18,880 FROM THE DRUG SIDE IS THAT WE 6738 04:32:18,880 --> 04:32:20,440 CAN REALLY IMPROVE CLINICAL 6739 04:32:20,440 --> 04:32:22,400 TRIAL RECRUITMENT AND BE ABLE TO 6740 04:32:22,400 --> 04:32:25,680 HAVE SMARTER DESIGN BY EMBEDDING 6741 04:32:25,680 --> 04:32:27,600 THE LIVED EXPERIENCE EARLY INTO 6742 04:32:27,600 --> 04:32:29,320 THE DESIGN OF ANY TYPE OF 6743 04:32:29,320 --> 04:32:30,440 RESEARCH PROJECT. 6744 04:32:30,440 --> 04:32:33,320 SORE TYPICALLY IF WE'RE 6745 04:32:33,320 --> 04:32:34,120 LOOKING -- WHAT'S HAPPENED IN 6746 04:32:34,120 --> 04:32:36,160 THE PAST IS WE LOOK TO THE 6747 04:32:36,160 --> 04:32:37,760 COMMUNITY WHEN WE'RE RECRUITING 6748 04:32:37,760 --> 04:32:39,520 FOR A CLINICAL TRIAL BUT A LOT 6749 04:32:39,520 --> 04:32:41,960 OF TIMES IT TURNS OUT THOSE 6750 04:32:41,960 --> 04:32:43,120 CLINICAL TRIALS DIDN'T EMBED THE 6751 04:32:43,120 --> 04:32:45,000 LIVED EXPERIENCE SO THEY FAIL. 6752 04:32:45,000 --> 04:32:46,560 MANY OF THEM FAIL IN TERMS OF 6753 04:32:46,560 --> 04:32:47,560 RECRUITMENT. 6754 04:32:47,560 --> 04:32:50,520 AND/OR RETENTION OF PEOPLE 6755 04:32:50,520 --> 04:32:51,720 WITHIN THOSE CLINICAL TRIALS, 6756 04:32:51,720 --> 04:32:53,400 AND THAT'S JUST ONE EXAMPLE. 6757 04:32:53,400 --> 04:32:55,040 BUT REALLY, AND I KNOW YOU'RE 6758 04:32:55,040 --> 04:32:59,800 INVOLVED IN DEVA DEVICE DEVELOP, 6759 04:32:59,800 --> 04:33:00,960 THAT'S ALSO THE INTERFACE OF 6760 04:33:00,960 --> 04:33:02,920 WHAT THOSE EARLY INTERFACES WILL 6761 04:33:02,920 --> 04:33:03,720 BE LIKE. 6762 04:33:03,720 --> 04:33:05,560 ALSO IN PRE-CLINICAL STUDIES, 6763 04:33:05,560 --> 04:33:06,520 YOU'RE STARTING TO THINK ABOUT 6764 04:33:06,520 --> 04:33:07,920 HOWL THAT WILL TRANSLATE TO 6765 04:33:07,920 --> 04:33:08,320 HUMANS. 6766 04:33:08,320 --> 04:33:09,280 SO EMBEDDING THAT LIVED 6767 04:33:09,280 --> 04:33:11,000 EXPERIENCE AND HAVING A BETTER 6768 04:33:11,000 --> 04:33:13,760 UNDERSTANDING CAN HELP IMPROVE 6769 04:33:13,760 --> 04:33:15,360 THE DEVELOPMENT OF OUR 6770 04:33:15,360 --> 04:33:20,600 PRE-CLINICAL TRIALS AS WELL. 6771 04:33:20,600 --> 04:33:22,360 >>DO YOU THINK THAT WE SHOULD 6772 04:33:22,360 --> 04:33:25,200 BUDGET FOR PARTICIPANT COST TO 6773 04:33:25,200 --> 04:33:26,800 SUPPORT, YOU KNOW, THE EMBEDDING 6774 04:33:26,800 --> 04:33:27,560 ON THE TEAMS? 6775 04:33:27,560 --> 04:33:29,160 >>YEAH, ABSOLUTELY. 6776 04:33:29,160 --> 04:33:30,520 WE ADVOCATE FOR THAT IN THE 6777 04:33:30,520 --> 04:33:31,840 NORTH AMERICAN SPINAL CORD 6778 04:33:31,840 --> 04:33:32,640 INJURY CONSORTIUM. 6779 04:33:32,640 --> 04:33:35,240 IT'S REALLY LOOKING AT LIVED 6780 04:33:35,240 --> 04:33:39,240 EXPERIENCE ADVISORS AS RESEARCH 6781 04:33:39,240 --> 04:33:39,560 PARTNERS. 6782 04:33:39,560 --> 04:33:41,880 AND JUST AS YOU WOULD PAY A 6783 04:33:41,880 --> 04:33:43,400 STATISTICIAN OR YOU WOULD PAY A 6784 04:33:43,400 --> 04:33:47,960 CLINICAL COORDINATOR, TO REALLY 6785 04:33:47,960 --> 04:33:50,600 LOOKING AT THOSE LIVED 6786 04:33:50,600 --> 04:33:52,080 EXPERIENCE ADVISORS AS THEY ARE 6787 04:33:52,080 --> 04:33:53,560 EMBEDDED IN THE RESEARCH PROCESS 6788 04:33:53,560 --> 04:33:55,320 AS WELL, SO REALLY LOOKING AT 6789 04:33:55,320 --> 04:33:56,720 HOW YOU CAN PUT THAT IN AS A 6790 04:33:56,720 --> 04:33:57,840 LINE ITEM IN YOUR BUDGET WHEN 6791 04:33:57,840 --> 04:33:59,240 YOU'RE DOING A GRANT PROPOSAL. 6792 04:33:59,240 --> 04:33:59,960 >>THANK YOU. 6793 04:33:59,960 --> 04:34:01,640 >>JEN, I JUST HAD A FOLLOW-UP 6794 04:34:01,640 --> 04:34:02,120 ON THAT. 6795 04:34:02,120 --> 04:34:03,720 WHAT IS YOUR EXPERIENCE FOR 6796 04:34:03,720 --> 04:34:06,680 JUNIOR INVESTIGATORS, REALLY 6797 04:34:06,680 --> 04:34:08,200 ANYONE AS TO WHEN TO GET 6798 04:34:08,200 --> 04:34:09,880 STAKEHOLDER ENGAGEMENT? 6799 04:34:09,880 --> 04:34:10,760 I THINK THIS IS PARTICULARLY A 6800 04:34:10,760 --> 04:34:11,760 CONCERN FOR THOSE WHO THINK 6801 04:34:11,760 --> 04:34:13,160 THEY'RE DOING MORE FUNDAMENTAL 6802 04:34:13,160 --> 04:34:14,440 RESEARCH, BUT AS YOU POINTED 6803 04:34:14,440 --> 04:34:17,760 OUT, YOU CAN BE MOVING ALONG THE 6804 04:34:17,760 --> 04:34:19,360 SPECTRUM FROM TRANSLATIONAL 6805 04:34:19,360 --> 04:34:20,600 SCIENCE AND END UP TOO FAR DOWN 6806 04:34:20,600 --> 04:34:20,960 THE ROAD. 6807 04:34:20,960 --> 04:34:23,080 SO WHAT'S THE RIGHT STARTING 6808 04:34:23,080 --> 04:34:23,280 POINT? 6809 04:34:23,280 --> 04:34:24,440 >>REALLY THE RIGHT STARTING 6810 04:34:24,440 --> 04:34:25,800 POINT, AND THERE'S A LOT OF 6811 04:34:25,800 --> 04:34:27,440 MODELS AROUND THIS AND A COUPLE 6812 04:34:27,440 --> 04:34:28,640 OF PAPERS ACTUALLY WRITTEN ABOUT 6813 04:34:28,640 --> 04:34:34,040 HOW YOU CAN EMBED THE LIVED 6814 04:34:34,040 --> 04:34:36,360 EXPERIENCE, FASTER CURES HAS A 6815 04:34:36,360 --> 04:34:40,280 FANTASTIC MODEL. 6816 04:34:40,280 --> 04:34:41,680 BUT EVEN EARLY IN THE PROCESS, 6817 04:34:41,680 --> 04:34:43,280 IN THE IDEATION PHASE, WE HAVE 6818 04:34:43,280 --> 04:34:44,800 ONE RESEARCHER WE WORK WITH, HE 6819 04:34:44,800 --> 04:34:46,800 LOVES TO TELL THE STORY ABOUT HE 6820 04:34:46,800 --> 04:34:48,040 THOUGHT HE HAD THIS GREAT 6821 04:34:48,040 --> 04:34:49,240 RESEARCH IDEA AND WAS GOING TO 6822 04:34:49,240 --> 04:34:53,360 PUT FOOD FORWARD AN NIH PROPOST 6823 04:34:53,360 --> 04:34:55,120 WHEN HE TOSSED THE IDEA PAST A 6824 04:34:55,120 --> 04:34:57,200 COUPLE OF PEOPLE WITH LIVED 6825 04:34:57,200 --> 04:34:58,040 EXPERIENCE, THEY THOUGHT THIS 6826 04:34:58,040 --> 04:35:00,400 HAS NO VALUE TO US. 6827 04:35:00,400 --> 04:35:02,480 SO REALLY, HE KIND OF RE-THOUGHT 6828 04:35:02,480 --> 04:35:05,640 WHAT THAT IDEA MIGHT BE AND WAS 6829 04:35:05,640 --> 04:35:07,360 ABLE TO MOVE ON WITH A FULL 6830 04:35:07,360 --> 04:35:08,640 PROPOSAL FOR BASIC RESEARCH. 6831 04:35:08,640 --> 04:35:10,880 SO IT'S NEVER TOO EARLY TO EMBED 6832 04:35:10,880 --> 04:35:13,680 THE LIVED EXPERIENCE INTO 6833 04:35:13,680 --> 04:35:14,280 RESEARCH. 6834 04:35:14,280 --> 04:35:16,600 FOR THOSE WITH EARLY CAREERS, WE 6835 04:35:16,600 --> 04:35:18,080 ARE ACTUALLY SEEING THIS IN 6836 04:35:18,080 --> 04:35:20,720 SPINAL CORD INJURY FOR OUR 6837 04:35:20,720 --> 04:35:22,560 COURSE, IS THAT A LOT OF THOSE 6838 04:35:22,560 --> 04:35:23,960 THAT ARE VERY NEW TO OUR 6839 04:35:23,960 --> 04:35:24,960 INDICATION OF TAKING THE COURSE 6840 04:35:24,960 --> 04:35:27,280 TO ACTUALLY REALLY UNDERSTAND 6841 04:35:27,280 --> 04:35:29,160 WHAT THAT LIVED EXPERIENCE IS 6842 04:35:29,160 --> 04:35:30,960 LIKE, SO THAT THEY CAN START TO 6843 04:35:30,960 --> 04:35:32,000 UNDERSTAND HOW THEY EMBED THAT 6844 04:35:32,000 --> 04:35:34,280 INTO THEIR RESEARCH. 6845 04:35:34,280 --> 04:35:35,800 SO -- AND REALLY INVOLVING THOSE 6846 04:35:35,800 --> 04:35:37,800 IN EARLY CAREERS IS PIVOTAL IN 6847 04:35:37,800 --> 04:35:40,240 TERMS OF DEVELOPMENT OF PATIENT 6848 04:35:40,240 --> 04:35:40,520 ENGAGEMENT. 6849 04:35:40,520 --> 04:35:41,880 >>THAT'S GREAT. 6850 04:35:41,880 --> 04:35:42,520 THANKS. 6851 04:35:42,520 --> 04:35:45,280 CHERI? 6852 04:35:45,280 --> 04:35:46,920 >>YEAH, THANKS, JENNIFER, SO 6853 04:35:46,920 --> 04:35:48,600 MUCH FOR YOUR PRESENTATION. 6854 04:35:48,600 --> 04:35:49,600 REALLY FANTASTIC AND SO 6855 04:35:49,600 --> 04:35:49,920 INTERESTING. 6856 04:35:49,920 --> 04:35:53,720 JUST A COUPLE QUICK QUESTIONS. 6857 04:35:53,720 --> 04:35:54,920 REALLY INTERESTED IN THE 6858 04:35:54,920 --> 04:35:55,920 RESEARCH ADVOCACY COURSE FOR 6859 04:35:55,920 --> 04:35:58,760 PEOPLE WITH LIVED EXPERIENCE TO 6860 04:35:58,760 --> 04:36:01,720 RECEIVE MORE EDUCATION AND 6861 04:36:01,720 --> 04:36:03,080 INFORMATION REGARDING WHAT IT 6862 04:36:03,080 --> 04:36:04,000 MEANS TO PARTICIPATE IN RESEARCH 6863 04:36:04,000 --> 04:36:05,400 AND HOW TO ADVOCATE FOR 6864 04:36:05,400 --> 04:36:05,680 RESEARCH. 6865 04:36:05,680 --> 04:36:07,520 HOW DO YOU PLAN TO GET THE WORD 6866 04:36:07,520 --> 04:36:09,400 OUT ABOUT THAT, AND 6867 04:36:09,400 --> 04:36:11,240 SUSTAINABILITY INTO THE FUTURE? 6868 04:36:11,240 --> 04:36:12,440 IS IT SOMETHING THAT WILL BE 6869 04:36:12,440 --> 04:36:17,200 SUPPORTED BY THE CONSORTIUM? 6870 04:36:17,200 --> 04:36:19,160 IS IT LIVE TAUGHT OR SORT OF 6871 04:36:19,160 --> 04:36:20,680 EVERGREEN LIVING ONLINE? 6872 04:36:20,680 --> 04:36:22,640 THE OTHER THING THAT I'M CURIOUS 6873 04:36:22,640 --> 04:36:26,680 ABOUT WITH THE COURSE IS JUST I 6874 04:36:26,680 --> 04:36:27,880 FIND SOMETIMES -- KEY QUESTION 6875 04:36:27,880 --> 04:36:30,960 IS WILL IT REALLY INVOLVE A 6876 04:36:30,960 --> 04:36:32,400 FOCUS ON RESEARCH ETHICS 6877 04:36:32,400 --> 04:36:33,720 THINKING ABOUT WHAT DOES IT MEAN 6878 04:36:33,720 --> 04:36:34,760 TO PARTICIPATE IN RESEARCH FROM 6879 04:36:34,760 --> 04:36:36,360 THE STANDPOINT OF CONTRIBUTING 6880 04:36:36,360 --> 04:36:40,440 TO THE SCIENCE AND THAT CAREFUL 6881 04:36:40,440 --> 04:36:44,240 PLACE WHERE WE WANT TO ENCOURAGE 6882 04:36:44,240 --> 04:36:45,400 PEOPLE TO PARTICIPATE IN 6883 04:36:45,400 --> 04:36:47,840 DEVELOPING THE SCIENCE BUT ALSO 6884 04:36:47,840 --> 04:36:48,840 NOT -- ASSUME THAT IT'S A 6885 04:36:48,840 --> 04:36:49,960 VEHICLE TOWARDS LIKE PERSONAL 6886 04:36:49,960 --> 04:36:51,480 CARE BECAUSE I THINK SOMETIMES 6887 04:36:51,480 --> 04:36:53,280 THAT CAN BE A SLIPPERY SLOPE 6888 04:36:53,280 --> 04:36:54,400 THERE AND A TRICKY INTERPLAY 6889 04:36:54,400 --> 04:36:55,880 THERE FOR CONSUMERS. 6890 04:36:55,880 --> 04:36:57,640 >>YEAH, ABSOLUTELY. 6891 04:36:57,640 --> 04:36:58,920 THAT'S A REALLY GOOD POINT, IF I 6892 04:36:58,920 --> 04:37:00,440 CAN TOUCH ON YOUR LATTER FIRST 6893 04:37:00,440 --> 04:37:08,280 AND THEN YOUR OW OTHER WEN SECO. 6894 04:37:08,280 --> 04:37:09,560 THAT'S A KEY POINT FOR PEOPLE TO 6895 04:37:09,560 --> 04:37:11,120 UNDERSTAND, THE DIFFERENCE 6896 04:37:11,120 --> 04:37:12,920 BETWEEN REHABILITATION AS A CARE 6897 04:37:12,920 --> 04:37:18,040 AND REHABILITATION AS A CLINICAL 6898 04:37:18,040 --> 04:37:18,680 TRIAL. 6899 04:37:18,680 --> 04:37:19,440 CLINICAL TRIALS ARE NOT CARE. 6900 04:37:19,440 --> 04:37:21,160 SO WE DO A LOT IN TERMS OF 6901 04:37:21,160 --> 04:37:22,680 EDUCATING ABOUT THAT PROCESS SO 6902 04:37:22,680 --> 04:37:23,800 THAT PEOPLE UNDERSTAND WHERE YOU 6903 04:37:23,800 --> 04:37:27,480 ARE IN VARIOUS STAGES O OF 6904 04:37:27,480 --> 04:37:28,560 DEVELOPMENT, SO REALLY HELPING 6905 04:37:28,560 --> 04:37:29,960 TO EDUCATE THOSE WITH LIVED 6906 04:37:29,960 --> 04:37:34,240 EXPERIENCE THAT IF YOU ARE GOING 6907 04:37:34,240 --> 04:37:35,840 TO DO A CLINICAL TRIAL, IT IS 6908 04:37:35,840 --> 04:37:36,320 NOT CARE. 6909 04:37:36,320 --> 04:37:38,160 IT IS REALLY BEING AN ADVISOR. 6910 04:37:38,160 --> 04:37:39,440 SO UNDERSTANDING HOW THEY CAN 6911 04:37:39,440 --> 04:37:41,280 CONTRIBUTE TO SCIENCE IS AN 6912 04:37:41,280 --> 04:37:42,800 INCREDIBLE MESSAGE, AND THAT'S A 6913 04:37:42,800 --> 04:37:45,000 KEY MESSAGE TO GET OUT TO THE 6914 04:37:45,000 --> 04:37:45,600 COMMUNITY. 6915 04:37:45,600 --> 04:37:47,440 SO WE'VE BEEN WORKING WITH OUR 6916 04:37:47,440 --> 04:37:50,000 COMMUNITY PARTNERS. 6917 04:37:50,000 --> 04:37:53,000 WE HAVE OVER 400 MEMBERS WITHIN 6918 04:37:53,000 --> 04:37:53,880 THE CONSORTIUM OF VARIOUS 6919 04:37:53,880 --> 04:37:54,640 ORGANIZATIONS SO WE'RE GETTING 6920 04:37:54,640 --> 04:37:56,400 THE WORD OUT THROUGH THEM, AS 6921 04:37:56,400 --> 04:37:58,520 WELL AS THROUGH SOCIAL MEDIAS 6922 04:37:58,520 --> 04:37:59,640 AND A LOT OF OTHER MEANS AS 6923 04:37:59,640 --> 04:38:00,280 WELL. 6924 04:38:00,280 --> 04:38:02,360 SO FROM A SUSTAINABILITY 6925 04:38:02,360 --> 04:38:04,080 STANDPOINT, WE DID HAVE SEED 6926 04:38:04,080 --> 04:38:06,040 FUNDING FROM THE CRAIG H. 6927 04:38:06,040 --> 04:38:07,760 NIELSEN FOUNDATION TO DESIGN AND 6928 04:38:07,760 --> 04:38:11,800 DEVELOP THE COURSE, AND WE ALSO 6929 04:38:11,800 --> 04:38:13,120 DEVELOPED IT WITH A 6930 04:38:13,120 --> 04:38:14,520 SUSTAINABILITY MODEL IN MIND 6931 04:38:14,520 --> 04:38:16,280 WITH ADDITIONAL FUNDERS TO KEEP 6932 04:38:16,280 --> 04:38:17,680 IT SUSTAINABLE GOING FORWARD. 6933 04:38:17,680 --> 04:38:22,120 BECAUSE WE KNOW THAT EVENTUALLY 6934 04:38:22,120 --> 04:38:24,080 WE HAVE TO UPDATE THE TOPICS AS 6935 04:38:24,080 --> 04:38:26,040 WE MOVE FORWARD SO WE EMBEDDED A 6936 04:38:26,040 --> 04:38:27,080 SUSTAINABILITY MODEL INTO THIS. 6937 04:38:27,080 --> 04:38:28,880 AND WE DIDN'T CREATE THIS IN A 6938 04:38:28,880 --> 04:38:29,360 VACUUM. 6939 04:38:29,360 --> 04:38:30,520 THERE ARE A LOT OF OTHER 6940 04:38:30,520 --> 04:38:31,440 INDICATION ORGANIZATIONS THAT 6941 04:38:31,440 --> 04:38:32,760 ARE DOING VERY SIMILAR AND 6942 04:38:32,760 --> 04:38:36,120 ACTUALLY WE LEARNED FROM THEM 6943 04:38:36,120 --> 04:38:37,240 BEFORE WE EVEN STARTED DOWN THIS 6944 04:38:37,240 --> 04:38:38,720 ROAD, SO INDICATIONS LIKE 6945 04:38:38,720 --> 04:38:40,360 CROHN'S AND COLITIS AND 6946 04:38:40,360 --> 04:38:42,640 PARKINSON'S DISEASE AND 6947 04:38:42,640 --> 04:38:45,280 ALZHEIMER'S, WHERE THEY'RE ALL 6948 04:38:45,280 --> 04:38:47,080 WORKING ON EDUCATING THEIR 6949 04:38:47,080 --> 04:38:50,040 COMMUNITY OF ADVISORS SO THERE'S 6950 04:38:50,040 --> 04:38:51,920 A WHOLE PLETHORA OF INFORMATION 6951 04:38:51,920 --> 04:38:53,320 ON HOW TO DEVELOP COURSES LIKE 6952 04:38:53,320 --> 04:38:55,480 THIS AND WE JUST CRAFTED OURS 6953 04:38:55,480 --> 04:38:57,640 AROUND THE COMMUNITY FOR SPINAL 6954 04:38:57,640 --> 04:38:58,240 CORD INJURY. 6955 04:38:58,240 --> 04:39:01,440 >>THANK YOU. 6956 04:39:01,440 --> 04:39:03,080 >>I'LL TAKE ONE MORE QUESTION. 6957 04:39:03,080 --> 04:39:03,440 STEPHANIE. 6958 04:39:03,440 --> 04:39:04,960 >>YES, THANK YOU FOR YOUR 6959 04:39:04,960 --> 04:39:05,280 DISCUSSION. 6960 04:39:05,280 --> 04:39:09,680 I WANTED TO SEE IF YOU COULD 6961 04:39:09,680 --> 04:39:10,720 COMMENT ABOUT THE IMPORTANCE FOR 6962 04:39:10,720 --> 04:39:12,120 RESEARCHERS TO COMMUNICATE THEIR 6963 04:39:12,120 --> 04:39:15,760 FINDINGS TO THEIR PARTICIPANTS. 6964 04:39:15,760 --> 04:39:19,440 BECAUSE I WORK WITH SOME 6965 04:39:19,440 --> 04:39:21,840 FAMILIES, AND YOU KNOW -- AND I 6966 04:39:21,840 --> 04:39:23,360 DO CLINICAL TRIALS AND THAT WAS 6967 04:39:23,360 --> 04:39:25,400 A BIG MESSAGE WE GET, IS THAT 6968 04:39:25,400 --> 04:39:26,600 NOBODY TELLS US, YOU KNOW, THEY 6969 04:39:26,600 --> 04:39:28,000 JUST SEND US A LINK TO A PAPER, 6970 04:39:28,000 --> 04:39:29,440 AND THAT'S NOT SUFFICIENT. 6971 04:39:29,440 --> 04:39:33,880 CAN YOU SPEAK A LITTLE BIT TO 6972 04:39:33,880 --> 04:39:34,080 THAT? 6973 04:39:34,080 --> 04:39:35,320 >>GREAT QUESTION, STEPHANIE, 6974 04:39:35,320 --> 04:39:36,280 AND THANK YOU FOR THAT, BECAUSE 6975 04:39:36,280 --> 04:39:38,560 THOSE THAT WE DO ENGAGE WITH, 6976 04:39:38,560 --> 04:39:42,280 WITH OUR PROJECTS, WE ADVOCATE 6977 04:39:42,280 --> 04:39:43,680 FOR LAY PERSON FINDINGS, SO WE 6978 04:39:43,680 --> 04:39:45,120 DO SHARE THEM OUT WITH THE 6979 04:39:45,120 --> 04:39:46,120 COMMUNITY. 6980 04:39:46,120 --> 04:39:48,440 MOSTLY IN TIDBITS, BECAUSE WHAT 6981 04:39:48,440 --> 04:39:50,480 WE FOUND IS, A, YOU'RE RIGHT, IF 6982 04:39:50,480 --> 04:39:52,000 YOU JUST DO A LINK TO A PAPER, 6983 04:39:52,000 --> 04:39:53,120 IT'S A VERY TECHNICAL PAPER AND 6984 04:39:53,120 --> 04:39:54,320 WE'RE NOT SPEAKING THE SAME 6985 04:39:54,320 --> 04:39:54,640 LANGUAGE. 6986 04:39:54,640 --> 04:39:57,200 SO ALL OF OUR PROJECT PARTNERS, 6987 04:39:57,200 --> 04:39:58,760 WE ASK FOR LAY LANGUAGE. 6988 04:39:58,760 --> 04:40:01,720 AND WE ALSO ASK THEM FOR THAT 6989 04:40:01,720 --> 04:40:03,600 LAY LANGUAGE IN TIDBITS THAT 6990 04:40:03,600 --> 04:40:05,120 PEOPLE CAN DIGEST, BECAUSE ONE 6991 04:40:05,120 --> 04:40:06,800 OF THE THINGS THAT WE'VE LEARNED 6992 04:40:06,800 --> 04:40:08,080 ALONG THE WAY IS THAT IF WE GIVE 6993 04:40:08,080 --> 04:40:10,880 A LONG NARRATIVE, PEOPLE DON'T 6994 04:40:10,880 --> 04:40:11,880 REALLY DIGEST IT. 6995 04:40:11,880 --> 04:40:14,480 BUT IF WE CAN SAY HERE'S ONE OF 6996 04:40:14,480 --> 04:40:17,640 THE FINDINGS FROM THIS STUDY AND 6997 04:40:17,640 --> 04:40:19,160 YOU COULD POINT TO A LONGER 6998 04:40:19,160 --> 04:40:24,200 NARRATIVE LATER, PEOPLE WILL 6999 04:40:24,200 --> 04:40:25,920 ABSORB THOSE FINDINGS, SO 7000 04:40:25,920 --> 04:40:26,680 COMMUNICATING THE FINDINGS BACK 7001 04:40:26,680 --> 04:40:29,640 TO THE COMMUNITY IS INCREDIBLY 7002 04:40:29,640 --> 04:40:29,960 IMPORTANT. 7003 04:40:29,960 --> 04:40:31,920 AND THAT'S WHY A LOT OF THE 7004 04:40:31,920 --> 04:40:33,120 ADVISORS, THE LIVED EXPERIENCE 7005 04:40:33,120 --> 04:40:35,840 ADVISORS THAT WE HAVE PLACED IN 7006 04:40:35,840 --> 04:40:37,400 THESE PROJECTS, THEY'RE THE 7007 04:40:37,400 --> 04:40:39,000 SOUNDING BOARD FOR HOW DO YOU 7008 04:40:39,000 --> 04:40:41,280 MAKE THE LANGUAGE A LAY 7009 04:40:41,280 --> 04:40:42,600 LANGUAGE, SO THAT'S ANOTHER AREA 7010 04:40:42,600 --> 04:40:45,880 WHERE THE VALUE OF LIVED 7011 04:40:45,880 --> 04:40:46,680 EXPERIENCE PARTNERING WITH THOSE 7012 04:40:46,680 --> 04:40:51,200 IN RESEARCH CAN HELP COMMUNICATE 7013 04:40:51,200 --> 04:40:52,280 THE VALUE AND WHAT THOSE 7014 04:40:52,280 --> 04:40:53,520 FINDINGS WERE IN VARIOUS 7015 04:40:53,520 --> 04:40:54,120 RESEARCH PROJECTS. 7016 04:40:54,120 --> 04:40:58,560 SO THANK YOU. 7017 04:40:58,560 --> 04:41:00,120 >>JEN, THANK YOU AGAIN FOR A 7018 04:41:00,120 --> 04:41:01,400 WONDERFUL TALK AND DISCUSSION. 7019 04:41:01,400 --> 04:41:02,360 WONDERFUL TO HAVE YOU HERE. 7020 04:41:02,360 --> 04:41:03,720 TAKE CARE. 7021 04:41:03,720 --> 04:41:04,680 >>THANK YOU SO MUCH. 7022 04:41:04,680 --> 04:41:06,360 YOU GUYS HAVE A GREAT REST OF 7023 04:41:06,360 --> 04:41:07,240 YOUR DAY. 7024 04:41:07,240 --> 04:41:13,040 THANK YOU FOR THE OPPORTUNITY. 7025 04:41:13,040 --> 04:41:14,680 >>OUR FINAL PRESENTATION TODAY 7026 04:41:14,680 --> 04:41:16,000 IS A RESEARCH TALK. 7027 04:41:16,000 --> 04:41:18,160 WE'RE HAPPY TO HAVE DR. ABIODUN 7028 04:41:18,160 --> 04:41:19,480 AKINWUNTAN TELL US A LITTLE BIT 7029 04:41:19,480 --> 04:41:20,360 ABOUT HIS WORK. 7030 04:41:20,360 --> 04:41:21,880 HE'S THE DEAN OF THE UNIVERSITY 7031 04:41:21,880 --> 04:41:23,200 OF KANSAS SCHOOL OF HEALTH 7032 04:41:23,200 --> 04:41:23,680 PROFESSIONS. 7033 04:41:23,680 --> 04:41:25,680 HE HAS A LONG LIST OF AWARDS AND 7034 04:41:25,680 --> 04:41:26,680 ACCOMPLISHMENTS INCLUDING A 7035 04:41:26,680 --> 04:41:28,920 FULBRIGHT SCHOLAR SHIP, HE'S THE 7036 04:41:28,920 --> 04:41:30,920 EDITOR-IN-CHIEF OF THE NIGERIAN 7037 04:41:30,920 --> 04:41:31,560 JOURNAL MEDICAL REHABILITATION 7038 04:41:31,560 --> 04:41:33,160 AND FELLOW OF THE ASSOCIATION OF 7039 04:41:33,160 --> 04:41:34,200 SCHOOLS ADVANCING HEALTH 7040 04:41:34,200 --> 04:41:40,800 PROFESSIONS AND OF THE ACLRM. 7041 04:41:40,800 --> 04:41:43,600 TO IMPROVE DAILY ACTIVITIES IN 7042 04:41:43,600 --> 04:41:45,240 NEUROLOGICALLY IMPAIRED PERSONS. 7043 04:41:45,240 --> 04:41:52,360 THE FLOOR IS YOURS. 7044 04:41:52,360 --> 04:41:53,000 >>OKAY. 7045 04:41:53,000 --> 04:41:57,560 CAN I SHARE MY SCREEN? 7046 04:41:57,560 --> 04:41:58,760 >>I THINK YOU SHOULD BE ABLE 7047 04:41:58,760 --> 04:41:58,920 TO. 7048 04:41:58,920 --> 04:42:00,080 >>YES, I AM ABLE TO. 7049 04:42:00,080 --> 04:42:02,920 CAN YOU SEE THE PRESENTATION? 7050 04:42:02,920 --> 04:42:03,640 >>YES, WE CAN. 7051 04:42:03,640 --> 04:42:04,200 >>OKAY. 7052 04:42:04,200 --> 04:42:06,840 SO THANK YOU FOR THE 7053 04:42:06,840 --> 04:42:07,800 INTRODUCTION, ERIC, AND I'LL 7054 04:42:07,800 --> 04:42:09,160 JUST QUICKLY GO THROUGH, I KNOW 7055 04:42:09,160 --> 04:42:14,560 I AM THE LAST PRESENTER TODAY, 7056 04:42:14,560 --> 04:42:16,600 SO I AM GOING TO KEEP IT SIMPLE 7057 04:42:16,600 --> 04:42:18,440 BECAUSE I KNOW MOST OF US ARE 7058 04:42:18,440 --> 04:42:19,640 FRIED RIGHT NOW AND JUST WAITING 7059 04:42:19,640 --> 04:42:20,640 TO GET OFF THE CALL. 7060 04:42:20,640 --> 04:42:21,960 SO I'M JUST GOING TO KEEP IT 7061 04:42:21,960 --> 04:42:32,480 VERY SIMPLE AND GO THROUGH IT. 7062 04:42:35,680 --> 04:42:39,640 SO IN ALL MY YEARS OF -- WE CAME 7063 04:42:39,640 --> 04:42:43,240 UP WITH THIS NEUROCOGNITIVE 7064 04:42:43,240 --> 04:42:44,760 CIRCUITS, WE CALL IT, WHERE FROM 7065 04:42:44,760 --> 04:42:48,360 A TOP-DOWN APPROACH, THERE IS 7066 04:42:48,360 --> 04:42:50,400 CONTROL FROM THE BRAIN LEVEL TO 7067 04:42:50,400 --> 04:42:53,640 PERFORMANCE, WHICH IS THE 7068 04:42:53,640 --> 04:42:55,000 ACTION. 7069 04:42:55,000 --> 04:42:59,360 NOW, FOR DRIVING -- I MEAN 7070 04:42:59,360 --> 04:43:00,680 INTEGRATION OF MULTIPLE SYSTEMS, 7071 04:43:00,680 --> 04:43:04,920 AND IT RELIES ON SENSORY INPUTS, 7072 04:43:04,920 --> 04:43:06,080 MEMORY, ATTENTION, PERCEPTION, 7073 04:43:06,080 --> 04:43:09,320 ALL OF THESE ARE INFLUENCED BY 7074 04:43:09,320 --> 04:43:12,320 AGE, DISEASE AND MEDICATIONS, 7075 04:43:12,320 --> 04:43:13,160 INTELLIGENCE, EXPERIENCE AND 7076 04:43:13,160 --> 04:43:14,360 PERSONALITY ALSO PLAY A ROLE. 7077 04:43:14,360 --> 04:43:19,040 ALL OF THESE CULMINATE IN WHAT 7078 04:43:19,040 --> 04:43:21,880 WE CALL DECISION-MAKING AND 7079 04:43:21,880 --> 04:43:23,000 PLANNING, WHICH IS TYPICALLY 7080 04:43:23,000 --> 04:43:24,240 REFERRED TO AS EXECUTIVE 7081 04:43:24,240 --> 04:43:25,880 FUNCTION. 7082 04:43:25,880 --> 04:43:27,720 BUT THERE'S ALSO AN ASPECT OF 7083 04:43:27,720 --> 04:43:32,240 DRIVING THAT THESE AUTOMATED AND 7084 04:43:32,240 --> 04:43:34,520 A GOOD EXAMPLE IS WHEN YOU 7085 04:43:34,520 --> 04:43:42,200 GET -- YOU GET DISTRACTED BY 7086 04:43:42,200 --> 04:43:44,360 YOUR PHONE OR SOMETHING, YOU 7087 04:43:44,360 --> 04:43:46,240 JUST ARRIVED AT YOUR 7088 04:43:46,240 --> 04:43:46,560 DESTINATION. 7089 04:43:46,560 --> 04:43:48,800 ALL OF THAT SHOWS IN PERFORMANCE 7090 04:43:48,800 --> 04:43:49,080 BEHAVIOR. 7091 04:43:49,080 --> 04:43:50,240 SO THERE IS THE INPUT AND THERE 7092 04:43:50,240 --> 04:43:55,400 IS THE COGNITIVE PROCESSING, THE 7093 04:43:55,400 --> 04:43:56,400 EXECUTIVE PROCESS FUNCTIONING 7094 04:43:56,400 --> 04:43:57,440 AND IT LEADS TO DIFFERENT 7095 04:43:57,440 --> 04:44:00,040 OUTPUTS THAT WE SEE. 7096 04:44:00,040 --> 04:44:01,520 SO HOW DID I GET INTO THIS FIELD 7097 04:44:01,520 --> 04:44:05,600 OF STUDY, AS A TRAINED PHYSICAL 7098 04:44:05,600 --> 04:44:07,880 THERAPIST IN 1999, I WANTED TO 7099 04:44:07,880 --> 04:44:09,600 ENGAGE IN MY MASTERS STUDY AND I 7100 04:44:09,600 --> 04:44:11,320 WAS REALLY INTERESTED IN THE 7101 04:44:11,320 --> 04:44:12,920 MANY QUESTIONS MY PATIENTS HAVE 7102 04:44:12,920 --> 04:44:14,520 ASKED ME, CAN I DRIVE AFTER A 7103 04:44:14,520 --> 04:44:15,040 STROKE? 7104 04:44:15,040 --> 04:44:16,920 HOWEVER, TO MY DISAPPOINTMENT, 7105 04:44:16,920 --> 04:44:19,240 WHEN I READ AS MUCH LITERATURE 7106 04:44:19,240 --> 04:44:20,680 AS WAS AVAILABLE AT THE TIME, 7107 04:44:20,680 --> 04:44:22,440 THE MORE I READ OF THE 7108 04:44:22,440 --> 04:44:24,400 LITERATURE, THE MORE I REALIZED 7109 04:44:24,400 --> 04:44:26,520 THAT THE BIGGEST IMPEDIMENT TO 7110 04:44:26,520 --> 04:44:29,280 DRIVING AFTER STROKE WAS NOT THE 7111 04:44:29,280 --> 04:44:30,680 PHYSICAL ABILITY, IT WAS MORE 7112 04:44:30,680 --> 04:44:35,720 THE COGNITIVE AND THE VISUAL 7113 04:44:35,720 --> 04:44:36,360 ABILITIES. 7114 04:44:36,360 --> 04:44:37,880 I WAS A BIT DISCOURAGED BECAUSE 7115 04:44:37,880 --> 04:44:40,720 AS A PHYSICAL THERAPIST I WAS 7116 04:44:40,720 --> 04:44:42,320 THINKING WHAT DO I DO IN THIS 7117 04:44:42,320 --> 04:44:42,760 AREA. 7118 04:44:42,760 --> 04:44:44,640 FORTUNATELY I WAS TAKING A MOTOR 7119 04:44:44,640 --> 04:44:45,840 LEARNING CLASS AS ONE OF THE 7120 04:44:45,840 --> 04:44:47,320 COURSES I HAD TO TAKE DURING MY 7121 04:44:47,320 --> 04:44:48,720 MASTERS AND IT HAPPENED TO BE A 7122 04:44:48,720 --> 04:44:52,320 TATIME WHEN WE WERE LEARNING ABT 7123 04:44:52,320 --> 04:44:53,720 SIMILARITIES IN CONTEXT BETWEEN 7124 04:44:53,720 --> 04:44:55,160 TRAINING AND PERFORMANCE, AND 7125 04:44:55,160 --> 04:44:58,040 ACTUALLY THIS IS ALL BASED ON 7126 04:44:58,040 --> 04:45:02,120 THE IDENTICAL ELEMENTS THEORY 7127 04:45:02,120 --> 04:45:03,480 PROPOSED AS EARLY AS 1914, AND 7128 04:45:03,480 --> 04:45:07,360 IT SAYS THE MOST SIMILAR THE 7129 04:45:07,360 --> 04:45:09,040 COMPONENT PARTS OF WHO SKILLS OR 7130 04:45:09,040 --> 04:45:10,400 TWO PERFORMANCE CONTEXTS ARE, 7131 04:45:10,400 --> 04:45:11,400 THE GREATER WILL BE THE AMOUNT 7132 04:45:11,400 --> 04:45:15,520 OF POSITIVE TRANSFER. 7133 04:45:15,520 --> 04:45:16,960 SO I STARTED THINKING HOW ELSE 7134 04:45:16,960 --> 04:45:18,080 COULD YOU TRAIN DRIVING, HOW 7135 04:45:18,080 --> 04:45:20,440 ELSE COULD YOU ASSESS DRIVING IF 7136 04:45:20,440 --> 04:45:22,080 NOT PUTTING PATIENTS IN A REAL 7137 04:45:22,080 --> 04:45:24,560 CAR ON A REAL ROAD. 7138 04:45:24,560 --> 04:45:30,560 SO I DECIDED TO VISIT THE 7139 04:45:30,560 --> 04:45:33,080 BELGIAN INSTITUTE AND I WAS 7140 04:45:33,080 --> 04:45:34,400 INVOLVED IN -- ALL THREE TIMES 7141 04:45:34,400 --> 04:45:36,000 I'M SURE MY BLOOD PRESSURE WAS 7142 04:45:36,000 --> 04:45:38,960 RAISING THROUGH THE TOPS BECAUSE 7143 04:45:38,960 --> 04:45:40,480 OF HOW MANY TIMES WE GOT THROUGH 7144 04:45:40,480 --> 04:45:41,600 TRUE NEAR ACCIDENTS. 7145 04:45:41,600 --> 04:45:43,240 I DECIDED THIS WAS NOT A 7146 04:45:43,240 --> 04:45:44,280 CONTEXTUAL TRAINING THAT I 7147 04:45:44,280 --> 04:45:49,080 WANTED TO ENGAGE IN. 7148 04:45:49,080 --> 04:45:50,520 COINCIDENTALLY, I WAS PASSING 7149 04:45:50,520 --> 04:45:51,920 THROUGH ONE OF THE OFFICES AND I 7150 04:45:51,920 --> 04:45:54,880 SAW A CAR IN A BUILDING AND THE 7151 04:45:54,880 --> 04:45:56,400 CAR, I ASKED WHAT THE CAR WAS 7152 04:45:56,400 --> 04:45:58,360 BEING USED FOR AND I WAS TOLD IT 7153 04:45:58,360 --> 04:46:01,720 WAS USED TO TRAIN POLICE 7154 04:46:01,720 --> 04:46:04,440 OFFICERS IN TARGET ACQUISITION 7155 04:46:04,440 --> 04:46:07,960 DURING DRIVING. 7156 04:46:07,960 --> 04:46:09,880 I WAS LIKE, YEAH, WE COULD USE 7157 04:46:09,880 --> 04:46:11,840 THIS TO TRAIN DRIVING, IT'S VERY 7158 04:46:11,840 --> 04:46:13,640 SIMILAR IN CONTEXT TO DRIVING. 7159 04:46:13,640 --> 04:46:16,320 BUT THE DISAPPOINTMENT AGAIN WAS 7160 04:46:16,320 --> 04:46:17,520 THERE WAS NO SOPHISTICATED 7161 04:46:17,520 --> 04:46:18,720 DRIVING PROGRAM AT THE TIME. 7162 04:46:18,720 --> 04:46:22,320 WELL, SUFFICE TO SAY, I INVESTED 7163 04:46:22,320 --> 04:46:26,160 TIME IN DEVELOPING A FULL -- IT 7164 04:46:26,160 --> 04:46:31,080 TOOK ME NINE MONTHS TO INTEGRATE 7165 04:46:31,080 --> 04:46:32,760 A FULL DRIVING PROGRAM IN A 7166 04:46:32,760 --> 04:46:33,560 DRIVING SIMULATOR, AND SINCE 7167 04:46:33,560 --> 04:46:35,320 THEN, WE HAVE USED THE DRIVING 7168 04:46:35,320 --> 04:46:36,960 SIMULATOR TO ASSESS FITNESS TO 7169 04:46:36,960 --> 04:46:40,600 DRIVE AFTER STROKE, PARKING 7170 04:46:40,600 --> 04:46:46,640 SPARKINSON'SDISEASE, MULTIPLE S, 7171 04:46:46,640 --> 04:46:49,840 FITNESS TO DRIVE AFTER 7172 04:46:49,840 --> 04:46:53,560 CONCUSSION, AUTOMATED DRIVING 7173 04:46:53,560 --> 04:46:55,640 FOR CLINICAL ALZHEIMER'S DISEASE 7174 04:46:55,640 --> 04:46:59,640 AND DRIVING IN MILD COGNITIVE 7175 04:46:59,640 --> 04:46:59,920 IMPAIRMENT. 7176 04:46:59,920 --> 04:47:01,120 I SHOW YOU THE SLIDES TO SHOW 7177 04:47:01,120 --> 04:47:02,200 THE THAT ALMOST ALL OF THE 7178 04:47:02,200 --> 04:47:04,360 STUDIES WE'VE DONE, AS A MATTER 7179 04:47:04,360 --> 04:47:07,640 OF FACT ALL OF THE STUDIES WE 7180 04:47:07,640 --> 04:47:09,120 HAVE DONE HAVE PUBLICATIONS AND 7181 04:47:09,120 --> 04:47:10,680 I AM HAPPY TO GIVE YOU THE LINKS 7182 04:47:10,680 --> 04:47:14,920 TO THOSE PUBLICATIONS AFTER THIS 7183 04:47:14,920 --> 04:47:15,240 PRESENTATION. 7184 04:47:15,240 --> 04:47:17,120 SO THESE ARE JUST A LIST OF SOME 7185 04:47:17,120 --> 04:47:20,280 OF THE STUDIES THAT HAVE BEEN 7186 04:47:20,280 --> 04:47:23,560 PUBLISHED. 7187 04:47:23,560 --> 04:47:29,560 AGAIN, WE EXTENDED TO 7188 04:47:29,560 --> 04:47:33,720 REHABILITATION OF DRIVING, 7189 04:47:33,720 --> 04:47:34,920 DIFFERENT NEUROLOGICAL 7190 04:47:34,920 --> 04:47:36,240 COGNITIONS, AND OUR FINDINGS 7191 04:47:36,240 --> 04:47:43,320 HAVE BEEN PUBLISHED IN SEVERAL 7192 04:47:43,320 --> 04:47:43,960 PUBLICATIONS. 7193 04:47:43,960 --> 04:47:44,600 SO I'LL JUST TAKE THIS 7194 04:47:44,600 --> 04:47:47,680 OPPORTUNITY TO DESCRIBE WHAT I 7195 04:47:47,680 --> 04:47:49,680 WOULD CALL THE FLAGSHIP RESEARCH 7196 04:47:49,680 --> 04:47:52,120 WE DID THAT BASICALLY BROADENED 7197 04:47:52,120 --> 04:47:54,320 OUR HORIZONS OF DRIVING 7198 04:47:54,320 --> 04:47:57,680 SIMULATORS. 7199 04:47:57,680 --> 04:48:00,440 SO THESE ARE TIED THE EFFECT OF 7200 04:48:00,440 --> 04:48:01,880 DRIVING SIMULATOR ON DRIVING 7201 04:48:01,880 --> 04:48:04,040 AFTER STROKE, AND IT WAS A 7202 04:48:04,040 --> 04:48:05,440 RANDOMIZED CONTROLLED TRIAL IN 7203 04:48:05,440 --> 04:48:08,280 WHICH WE RECRUITED FIRST EVER 7204 04:48:08,280 --> 04:48:09,480 STROKE PATIENTS WITHIN THE FIRST 7205 04:48:09,480 --> 04:48:11,760 THREE MONTHS OF STROKE. 7206 04:48:11,760 --> 04:48:13,080 LUCKY ENOUGH, I DID THIS STUDY 7207 04:48:13,080 --> 04:48:16,480 IN EUROPE, WHERE PATIENTS ARE 7208 04:48:16,480 --> 04:48:18,520 RECOVERING FROM A NEUROLOGICAL 7209 04:48:18,520 --> 04:48:20,480 IMPAIRMENT COULD GO TO A 7210 04:48:20,480 --> 04:48:21,600 REHABILITATION FACILITY AND STAY 7211 04:48:21,600 --> 04:48:24,520 THERE FOR LONG TERM TRAINING. 7212 04:48:24,520 --> 04:48:27,240 SO ALL PATIENTS WERE BETWEEN 7213 04:48:27,240 --> 04:48:29,080 6 TO 8 WEEKS POST STROKE, I TOLD 7214 04:48:29,080 --> 04:48:30,840 YOU WITHIN THE FIRST THREE 7215 04:48:30,840 --> 04:48:32,600 MONTHS, THEY WERE FIRST-EVER 7216 04:48:32,600 --> 04:48:35,200 STROKE PATIENTS. 7217 04:48:35,200 --> 04:48:36,880 EVENTUALLY FROM ABOUT 120, WE 7218 04:48:36,880 --> 04:48:41,120 CONSENTED ABOUT 83 AND 7219 04:48:41,120 --> 04:48:42,680 RANDOMLY -- INTO A SIMULATOR 7220 04:48:42,680 --> 04:48:43,400 GROUP AND A COGNITIVE GROUP. 7221 04:48:43,400 --> 04:48:46,240 WE DID 15 HOURS OF TRAINING, ONE 7222 04:48:46,240 --> 04:48:48,960 HOUR PER DAY, THREE DAYS A WEEK. 7223 04:48:48,960 --> 04:48:52,360 FOR FIVE WEEKS. 7224 04:48:52,360 --> 04:48:53,320 SUCH THAT AT THE END OF 7225 04:48:53,320 --> 04:48:55,280 TRAINING, MOST OF OUR PATIENTS 7226 04:48:55,280 --> 04:48:57,000 WERE BETWEEN 11 AND 15 WEEKS 7227 04:48:57,000 --> 04:48:58,760 POST STROKE. 7228 04:48:58,760 --> 04:49:03,240 WE HAVE ALMOST THAT EQUAL NUMBER 7229 04:49:03,240 --> 04:49:05,080 IN A COGNITIVE GROUP. 7230 04:49:05,080 --> 04:49:05,840 IN BELGIUM IF YOU HAVE A STROKE 7231 04:49:05,840 --> 04:49:07,600 YOU'RE NOT ALLOWED TO GO BACK TO 7232 04:49:07,600 --> 04:49:09,080 DRIVING UNTIL SIX MONTHS AFTER 7233 04:49:09,080 --> 04:49:10,960 STROKE AND YOU HAVE TO GO TO A 7234 04:49:10,960 --> 04:49:11,600 COMPREHENSIVE EVALUATION. 7235 04:49:11,600 --> 04:49:14,120 SO WE TRIED TO LOOK AT THE 7236 04:49:14,120 --> 04:49:15,800 PERFORMANCE OF THESE TWO 7237 04:49:15,800 --> 04:49:21,000 DIFFERENT GROUPS DURING THE 7238 04:49:21,000 --> 04:49:22,960 OFFICIAL 24 -- SIX MONTHS POST 7239 04:49:22,960 --> 04:49:24,600 STROKE EVALUATION. 7240 04:49:24,600 --> 04:49:26,400 NOW, WITHIN THE PERIOD WE 7241 04:49:26,400 --> 04:49:27,960 STARTED THE STUDY, WE HAVE LOST 7242 04:49:27,960 --> 04:49:32,880 QUITE AN EQUAL NUMBER OF 7243 04:49:32,880 --> 04:49:34,720 PARTICIPANTS DURING TRAINING 7244 04:49:34,720 --> 04:49:37,240 FROM 41 TO 36, AND DURING THE 7245 04:49:37,240 --> 04:49:38,360 FOLLOW-UP. 7246 04:49:38,360 --> 04:49:41,160 IT IS IMPORTANT TO MENTION THAT 7247 04:49:41,160 --> 04:49:46,120 DURING TRAINING, NEITHER OF THE 7248 04:49:46,120 --> 04:49:49,360 MOST PARTICIPANTS IN BOTH GROUPS 7249 04:49:49,360 --> 04:49:50,480 WAS RELATED TO THE TRAINING, IT 7250 04:49:50,480 --> 04:49:51,960 WAS JUST THAT THEY WERE NOT 7251 04:49:51,960 --> 04:49:53,360 INTERESTED ANYMORE, OR I THINK 7252 04:49:53,360 --> 04:49:55,240 ONE OF THEM HAD A SECOND STROKE 7253 04:49:55,240 --> 04:49:56,680 AND DROPPED OUT OF THE STUDY. 7254 04:49:56,680 --> 04:50:00,040 BUT IT WAS NOT RELATED TO THE 7255 04:50:00,040 --> 04:50:00,480 TRAINING. 7256 04:50:00,480 --> 04:50:02,640 WHEREAS FOR THE SIMULATOR GROUP, 7257 04:50:02,640 --> 04:50:07,600 WE LOST ABOUT 11 IN EACH GROUP, 7258 04:50:07,600 --> 04:50:14,320 AGAIN BECAUSE OF JUST THE 7259 04:50:14,320 --> 04:50:15,520 DIFFICULTY OF TRACKING THEM 7260 04:50:15,520 --> 04:50:16,520 DOWN. 7261 04:50:16,520 --> 04:50:18,520 SO I BASICALLY WILL JUST SHOW 7262 04:50:18,520 --> 04:50:24,720 YOU A VIDEO OF THE SIMULATION 7263 04:50:24,720 --> 04:50:27,680 GROUP. 7264 04:50:27,680 --> 04:50:29,640 SO IN THE INTERVENTION GROUP, 7265 04:50:29,640 --> 04:50:30,400 PATIENTS WERE -- THIS IS THE 7266 04:50:30,400 --> 04:50:33,120 PROGRAM I TOLD YOU WE WROTE. 7267 04:50:33,120 --> 04:50:35,760 PATIENTS WERE REALLY IN THE 7268 04:50:35,760 --> 04:50:40,320 DRIVING -- IN A CAR, SO THEY SAW 7269 04:50:40,320 --> 04:50:43,400 THE PROJECTION ON A BIG SCREEN. 7270 04:50:43,400 --> 04:50:44,640 EVERY PART OF THE CAR WORKED, 7271 04:50:44,640 --> 04:50:46,800 THEY COULD STEP ON THE GAS PEDAL 7272 04:50:46,800 --> 04:50:50,600 EU THE DRIVING WHEEL, THEY WERE 7273 04:50:50,600 --> 04:50:53,120 EXPOSED TO DIFFERENT PROGRAMS, 7274 04:50:53,120 --> 04:50:55,160 DIFFERENT SKILLS, FOR 15 HOURS. 7275 04:50:55,160 --> 04:50:58,680 IN THE COGNITIVE GROUP, THEY 7276 04:50:58,680 --> 04:51:03,920 ALSO RECEIVED TRAINING THAT WAS 7277 04:51:03,920 --> 04:51:05,120 DRIVING-RELATED BUT THE GOLD 7278 04:51:05,120 --> 04:51:10,440 STANDARD AT THE TIME WAS -- OR 7279 04:51:10,440 --> 04:51:12,720 THE -- WAS USING CONVENTIONAL 7280 04:51:12,720 --> 04:51:20,600 OFF THE SHELF -- SO WE ENGAGED 7281 04:51:20,600 --> 04:51:22,120 THE COGNITIVE GROUP OR WHAT WE 7282 04:51:22,120 --> 04:51:23,440 CALL THE CONTROL GROUP IN 7283 04:51:23,440 --> 04:51:28,120 COGNITIVE TRAINING USING 7284 04:51:28,120 --> 04:51:29,240 DIFFERENT GAMES THAT HAVE BEEN 7285 04:51:29,240 --> 04:51:33,040 KNOWN TO TRAIN DRIVING-RELATED 7286 04:51:33,040 --> 04:51:34,200 COGNITIVE SKILLS. 7287 04:51:34,200 --> 04:51:37,800 IN PARTICULAR IS THE PICTURE 7288 04:51:37,800 --> 04:51:44,040 THAT I WOULD PAUSE THE VIDEO ON, 7289 04:51:44,040 --> 04:51:47,240 YES, THIS, THIS WAS ROADSIDE 7290 04:51:47,240 --> 04:51:47,560 RECOGNITION. 7291 04:51:47,560 --> 04:51:51,920 WE TRAINED PATIENTS OR 7292 04:51:51,920 --> 04:51:53,320 PARTICIPANTS IN BOTH GROUP ON 7293 04:51:53,320 --> 04:51:55,600 ROAD SIGN RECOGNITION. 7294 04:51:55,600 --> 04:51:56,480 IN THE COGNITIVE GROUP, WE SHOW 7295 04:51:56,480 --> 04:51:58,480 THEM A CAR AND SAY DESCRIBE WHAT 7296 04:51:58,480 --> 04:51:59,680 WOULD HAPPEN HERE. 7297 04:51:59,680 --> 04:52:01,280 SO PARTICIPANT WAS EXPECTED TO 7298 04:52:01,280 --> 04:52:03,280 TELL YOU THAT THE PERSON IN THE 7299 04:52:03,280 --> 04:52:04,920 YELLOW CAR WAS SUPPOSED TO YIELD 7300 04:52:04,920 --> 04:52:09,920 TO THE CROSSING BUS IN FRONT. 7301 04:52:09,920 --> 04:52:11,200 NOW, A SIMILAR TREATMENT TOOK 7302 04:52:11,200 --> 04:52:12,840 PLACE IN THE SIMULATOR 7303 04:52:12,840 --> 04:52:13,840 INTERVENTION. 7304 04:52:13,840 --> 04:52:16,680 THE ONLY DIFFERENCE WAS THAT 7305 04:52:16,680 --> 04:52:18,440 WHENEVER THE TRAFFIC SIGN POPPED 7306 04:52:18,440 --> 04:52:19,760 UP, THE PARTICIPANTS WERE 7307 04:52:19,760 --> 04:52:22,240 EXPECTED TO REACT BY DRIVING 7308 04:52:22,240 --> 04:52:25,080 THROUGH THE SCENARIO LIKE THEY 7309 04:52:25,080 --> 04:52:27,280 WERE DOING REAL LIFE DRIVING. 7310 04:52:27,280 --> 04:52:28,480 SO ONE WAS REALLY IN THE CONTEXT 7311 04:52:28,480 --> 04:52:30,200 AND THE OTHER WAS NOT BUT 7312 04:52:30,200 --> 04:52:36,920 TRAINING THE SAME COGNITIVE 7313 04:52:36,920 --> 04:52:37,440 SKILLS. 7314 04:52:37,440 --> 04:52:38,960 NOW IN THE DRIVING SIMULATOR, 7315 04:52:38,960 --> 04:52:40,600 THE SPECIFIC SKILLS WE COULD 7316 04:52:40,600 --> 04:52:44,320 TRAIN BETTER WHEN LANE 7317 04:52:44,320 --> 04:52:45,760 POSITIONING, BRAKE REACTION TIME 7318 04:52:45,760 --> 04:52:48,160 WHEN THE PARTICIPANTS HAD TO 7319 04:52:48,160 --> 04:52:50,000 SUDDENLY STOP, COME TO A FULL 7320 04:52:50,000 --> 04:52:52,640 STOP WHEN A STOP SIGN SUDDENLY 7321 04:52:52,640 --> 04:52:53,920 APPEARED IN THE MIDDLE OF THE 7322 04:52:53,920 --> 04:52:54,160 SCREEN. 7323 04:52:54,160 --> 04:52:55,120 JUST LIKE THAT. 7324 04:52:55,120 --> 04:52:56,760 IT WAS SUPPOSED TO COME TO A 7325 04:52:56,760 --> 04:52:57,560 COMPLETE STOP AND THEN CONTINUE 7326 04:52:57,560 --> 04:52:58,720 TO MOVE. 7327 04:52:58,720 --> 04:53:02,960 THEN WE ALSO TRAINED OVERTAKING 7328 04:53:02,960 --> 04:53:07,000 MANEUVERS WHEN TR THEY HAVE TO S 7329 04:53:07,000 --> 04:53:08,200 SLOW-MOVING VEHICLES IN 7330 04:53:08,200 --> 04:53:08,680 DIFFERENT CONDITIONS. 7331 04:53:08,680 --> 04:53:11,360 LIKE I TOLD YOU, THE ROAD SIGN 7332 04:53:11,360 --> 04:53:12,560 RECOGNITION, THEY HAVE TO FIRST 7333 04:53:12,560 --> 04:53:14,040 IDENTIFY THE ROAD SIGNS AND THEN 7334 04:53:14,040 --> 04:53:15,760 THEY HAVE TO DRIVE REACTING TO 7335 04:53:15,760 --> 04:53:18,600 THE ROAD SIGNS IN AN INTEGRATIVE 7336 04:53:18,600 --> 04:53:20,400 DRIVING SYSTEM. 7337 04:53:20,400 --> 04:53:22,200 SO ONE OF THE THINGS THAT IS 7338 04:53:22,200 --> 04:53:23,880 VERY DIFFICULT TO REPRODUCE IN 7339 04:53:23,880 --> 04:53:26,240 THE REAL ROAD, ON THE ROAD 7340 04:53:26,240 --> 04:53:27,840 DRIVING TRAINING IS GOING 7341 04:53:27,840 --> 04:53:30,040 THROUGH DIFFERENT DANGEROUS 7342 04:53:30,040 --> 04:53:30,320 SITUATIONS. 7343 04:53:30,320 --> 04:53:34,720 OF COURSE IN THE SIMIL SIMULATOE 7344 04:53:34,720 --> 04:53:35,680 COULD DO THAT, SO THAT WAS ONE 7345 04:53:35,680 --> 04:53:36,680 OF THE THINGS WE COULD TRAIN 7346 04:53:36,680 --> 04:53:37,240 WELL. 7347 04:53:37,240 --> 04:53:38,440 THE OTHER THING WE COULD TRAIN 7348 04:53:38,440 --> 04:53:40,400 WELL IN THE SIMULATOR WAS 7349 04:53:40,400 --> 04:53:41,720 ANTICIPATION, WHICH IS REACTION 7350 04:53:41,720 --> 04:53:45,960 TO UNEXPECTED ACTIVITIES ON THE 7351 04:53:45,960 --> 04:53:46,720 ROAD. 7352 04:53:46,720 --> 04:53:47,360 SO BASICALLY QUICKLY GOING 7353 04:53:47,360 --> 04:53:52,280 THROUGH THE RESULTS, WHEN WE -- 7354 04:53:52,280 --> 04:53:54,280 THE TOTAL OF 196, WHEN WE LOOK 7355 04:53:54,280 --> 04:53:56,880 AT THE DIFFERENCE IN THE ON-ROAD 7356 04:53:56,880 --> 04:53:57,960 DRIVING PERFORMANCE 7357 04:53:57,960 --> 04:53:59,400 PRE-TRAINING, BOTH GROUPS 7358 04:53:59,400 --> 04:54:02,320 APPEARED QUITE SIMILAR, SCORING 7359 04:54:02,320 --> 04:54:03,520 BETWEEN 135 AND 140 OUT OF THE 7360 04:54:03,520 --> 04:54:04,520 196 TESTED. 7361 04:54:04,520 --> 04:54:09,440 AFTER TRAINING, PARTICIPANTS IN 7362 04:54:09,440 --> 04:54:10,280 THE EXPERIMENTAL SIMULATOR 7363 04:54:10,280 --> 04:54:13,240 TRAINING GROUP INCREASED 7364 04:54:13,240 --> 04:54:14,760 SIGNIFICANTLY TO AN AVERAGE 7365 04:54:14,760 --> 04:54:17,280 PERFORMANCE OF 195 OUT OF 196, 7366 04:54:17,280 --> 04:54:18,120 WHEREAS THOSE IN THE COGNITIVE 7367 04:54:18,120 --> 04:54:20,960 GROUP HAD IMPROVED FROM ABOUT 7368 04:54:20,960 --> 04:54:22,120 145 TO 179. 7369 04:54:22,120 --> 04:54:25,920 AND WE SAW A RETENTION OF THE 7370 04:54:25,920 --> 04:54:28,080 BENEFITS OF TRAINING EVEN THREE 7371 04:54:28,080 --> 04:54:29,760 MONTHS POST TRAINING, WHICH WAS 7372 04:54:29,760 --> 04:54:33,560 SIX MONTHS AFTER STROKE. 7373 04:54:33,560 --> 04:54:37,600 SO AGAIN, THE IMPLICATION OF 7374 04:54:37,600 --> 04:54:40,440 THAT WAS THAT WHERE WE'VE HAD 7375 04:54:40,440 --> 04:54:46,760 ALMOST A SIMILAR NUMBER OF 7376 04:54:46,760 --> 04:54:50,320 PARTICIPANTS IN THE -- WELL, 27% 7377 04:54:50,320 --> 04:54:54,320 IN THE SIMULATOR GROUP FAILED AT 7378 04:54:54,320 --> 04:54:55,600 PRE-TRAINING BY -- NO, NO, 7379 04:54:55,600 --> 04:54:58,240 SORRY, THIS WAS AT THE SIX-MONTH 7380 04:54:58,240 --> 04:55:03,000 FOLLOW-UP, THE PARTICIPANTS -- 7381 04:55:03,000 --> 04:55:05,040 THE SIMULATOR TRAINING, 73 MORE 7382 04:55:05,040 --> 04:55:06,320 PARTICIPANTS PASSED THE 7383 04:55:06,320 --> 04:55:10,240 SIX-MONTH FOLLOW-UP COMPARED TO 7384 04:55:10,240 --> 04:55:11,560 42% OF THE PARTICIPANTS IN THE 7385 04:55:11,560 --> 04:55:14,280 COGNITIVE TRAINING GROUP. 7386 04:55:14,280 --> 04:55:16,440 IF YOU REMEMBER IN THE PREVIOUS 7387 04:55:16,440 --> 04:55:19,880 SCREEN THAT I SHOWED YOU, THEY 7388 04:55:19,880 --> 04:55:22,600 HAD ALMOST SIMILAR PERFORMANCES 7389 04:55:22,600 --> 04:55:26,400 AT PRE-TRAINING, IN WHICH CASE 7390 04:55:26,400 --> 04:55:30,160 MOST ALL OF THEM FAILED. 7391 04:55:30,160 --> 04:55:32,440 PREDOMINANTLY MORE 7392 04:55:32,440 --> 04:55:33,720 EXPERIMENTAL -- PASSED BY THE 7393 04:55:33,720 --> 04:55:34,720 TIME THEY COMPLETED 15 HOURS OF 7394 04:55:34,720 --> 04:55:39,000 TRAINING AND SOME FAILED IN THE 7395 04:55:39,000 --> 04:55:40,440 CONTROL COGNITIVE GROUP AND WE 7396 04:55:40,440 --> 04:55:43,080 SEE THE SAME RESULT HERE AT SIX 7397 04:55:43,080 --> 04:55:43,480 MONTHS FOLLOW-UP. 7398 04:55:43,480 --> 04:55:48,160 AND THIS IS WHAT YOU SEE HERE. 7399 04:55:48,160 --> 04:55:49,600 SO 73% OF THE PARTICIPANTS IN 7400 04:55:49,600 --> 04:55:50,960 THE EXPERIMENTAL GROUP ACTUALLY 7401 04:55:50,960 --> 04:55:53,160 PASSED THE OFFICIAL ON THE ROAD 7402 04:55:53,160 --> 04:55:54,920 DRIVING ASSESSMENT AND WENT BACK 7403 04:55:54,920 --> 04:55:59,520 OFFICIALLY TO DRIVING, VERSUS 7404 04:55:59,520 --> 04:56:03,640 42% IN THE COGNITIVE GROUP. 7405 04:56:03,640 --> 04:56:08,600 WHAT WE -- MOST NUMBER OF STU 7406 04:56:08,600 --> 04:56:10,600 STUDIES HAVE NOT DONE, WE 7407 04:56:10,600 --> 04:56:11,640 FOLLOWED UM FIVE YEARS POST 7408 04:56:11,640 --> 04:56:12,840 COMPLETION OF TRAINING, AND WE 7409 04:56:12,840 --> 04:56:17,200 STILL FOUND THAT SOME -- A 7410 04:56:17,200 --> 04:56:18,480 HIGHER NUMBER IN THE SIMULATOR 7411 04:56:18,480 --> 04:56:24,760 GROUP CONTINUED TO DRIVE 7412 04:56:24,760 --> 04:56:51,800 [PLEASE STAND BY] 7413 04:56:51,800 --> 04:56:55,120 FAILED THE DRIVING ASSESSMENT AT 7414 04:56:55,120 --> 04:56:57,240 PRE-TRAINING, THEN THEY 7415 04:56:57,240 --> 04:56:57,880 AUTOMATICALLY SELF-SELECTED INTO 7416 04:56:57,880 --> 04:57:01,680 A CONTROL GROUP. 7417 04:57:01,680 --> 04:57:06,280 AND IF THEY PASSED -- NO, SORRY. 7418 04:57:06,280 --> 04:57:09,240 IF THEY WERE PRONE TO SIMULATOR 7419 04:57:09,240 --> 04:57:10,640 SICKNESS, THEY AUTOMATICALLY 7420 04:57:10,640 --> 04:57:12,720 SELF-SELECTED INTO A CONTROL 7421 04:57:12,720 --> 04:57:14,800 GROUP, AND WHERE THEY CAN 7422 04:57:14,800 --> 04:57:16,760 TOLERATE THE SIMULATOR TRAINING, 7423 04:57:16,760 --> 04:57:18,040 THEY WERE IN THE SIMULATOR 7424 04:57:18,040 --> 04:57:19,360 TRAINING GROUP. 7425 04:57:19,360 --> 04:57:20,960 AGAIN, THEY RECEIVED FIVE WEEKS 7426 04:57:20,960 --> 04:57:24,040 OF TRAINING, AND WE DID A POST 7427 04:57:24,040 --> 04:57:24,600 TRAINING EVALUATION. 7428 04:57:24,600 --> 04:57:33,440 WHAT WE SAW THERE, OF THE 36 7429 04:57:33,440 --> 04:57:34,200 PARTICIPANTS IN THE TRAINING 7430 04:57:34,200 --> 04:57:38,480 GROUP, 29 PASSED PRETRAINING AND 7431 04:57:38,480 --> 04:57:39,120 SEVEN FAILED. 7432 04:57:39,120 --> 04:57:40,720 AFTER FIVE WEEKS OF TREATMENT, 7433 04:57:40,720 --> 04:57:43,280 THE NUMBER THAT PASSED INCREASED 7434 04:57:43,280 --> 04:57:47,520 TO 34, AND ONLY TWO STILL FAILED 7435 04:57:47,520 --> 04:57:48,840 AFTER TRAINING. 7436 04:57:48,840 --> 04:57:52,960 IN THE CONTROL GROUP, OF THE SIX 7437 04:57:52,960 --> 04:57:54,600 PARTICIPANTS, FIVE PASSED BEFORE 7438 04:57:54,600 --> 04:57:57,040 TRAINING, ONE FAILED BEFORE 7439 04:57:57,040 --> 04:57:59,480 TRAINING. 7440 04:57:59,480 --> 04:58:04,800 WHAT WE OBSERVED IS, THE SAME 7441 04:58:04,800 --> 04:58:06,960 FIVE PEOPLE PASSED AGAIN AND THE 7442 04:58:06,960 --> 04:58:08,640 ONE PERSON WHO FAILED DID NOT 7443 04:58:08,640 --> 04:58:09,520 SHOW ANY IMPROVEMENT. 7444 04:58:09,520 --> 04:58:11,040 WHEN WE LOOK AT THE ON ROAD TEST 7445 04:58:11,040 --> 04:58:12,360 OVERALL SCORE, WE SAW THAT THE 7446 04:58:12,360 --> 04:58:18,240 AVERAGE WAS BETTER IN FAVOR 7447 04:58:18,240 --> 04:58:20,960 OF -- WAS BASICALLY THE SAME IN 7448 04:58:20,960 --> 04:58:25,320 BOTH GROUPS, REALLY. 7449 04:58:25,320 --> 04:58:26,960 SO WE DID THE SAME THING IN 7450 04:58:26,960 --> 04:58:27,520 PATIENTS WITH PARKINSON'S 7451 04:58:27,520 --> 04:58:29,920 DISEASE, BUT I REALLY THINK JUST 7452 04:58:29,920 --> 04:58:31,320 SHOWING YOU WHAT HAPPENED WITH 7453 04:58:31,320 --> 04:58:35,560 STROKE AND MULTIPLE SCLEROSIS, 7454 04:58:35,560 --> 04:58:36,560 WE'LL SUFFICE TO SAY WE SAW 7455 04:58:36,560 --> 04:58:38,200 ALMOST A SIMILAR TRAIN OF 7456 04:58:38,200 --> 04:58:40,720 BENEFIT OF TRAINING IN 7457 04:58:40,720 --> 04:58:42,000 PARTICIPANTS WITH PARKINSON'S 7458 04:58:42,000 --> 04:58:42,240 DISEASE. 7459 04:58:42,240 --> 04:58:47,400 SO WE STARTED TO THINK OF JUST 7460 04:58:47,400 --> 04:58:49,480 THE NEUROCOGNITIVE ASPECT OF 7461 04:58:49,480 --> 04:58:51,480 DRIVING AGAIN AND SAY LOOK, IN 7462 04:58:51,480 --> 04:58:53,200 ALL OF THE STUDIES THAT WE HAVE 7463 04:58:53,200 --> 04:58:54,920 DONE, WE HAVE FOUND THAT THE 7464 04:58:54,920 --> 04:58:58,320 SAME SET OF COGNITIVE AND VISUAL 7465 04:58:58,320 --> 04:59:01,600 SKILLS APPEAR ALMOST IMPLICATED 7466 04:59:01,600 --> 04:59:05,720 IN ALL DRIVING SITUATIONS. 7467 04:59:05,720 --> 04:59:07,280 SO WE STARTED TO THINK, HOW CAN 7468 04:59:07,280 --> 04:59:09,320 WE BETTER UNDERSTAND WHAT IS 7469 04:59:09,320 --> 04:59:10,520 HAPPENING TO SPECIFICALLY 7470 04:59:10,520 --> 04:59:12,400 INFLUENCE OUR INTERVENTION? 7471 04:59:12,400 --> 04:59:14,120 WE STARTED TO LOOK AT DIFFERENT 7472 04:59:14,120 --> 04:59:17,960 STUDIES THAT HAVE BEEN DONE ON 7473 04:59:17,960 --> 04:59:18,960 NEUROCORRELATES OF DRIVING AND 7474 04:59:18,960 --> 04:59:20,680 FOUND THAT MULTIPLE BRAIN AREAS 7475 04:59:20,680 --> 04:59:23,080 ARE ACTIVATED DURING DRIVING. 7476 04:59:23,080 --> 04:59:26,280 BRAIN ACTIVATION PATTERNS WERE 7477 04:59:26,280 --> 04:59:27,800 HIGHLY DEPENDENT ON THE TYPE OF 7478 04:59:27,800 --> 04:59:29,520 DRIVING TASK. 7479 04:59:29,520 --> 04:59:31,360 AND THERE WAS SIGNIFICANT SHIFTS 7480 04:59:31,360 --> 04:59:32,640 IN PATTERNS FROM POSTERIOR AREA 7481 04:59:32,640 --> 04:59:37,280 TO THE ANTERIOR AREA, AS DRIVING 7482 04:59:37,280 --> 04:59:39,560 TASK COMPLEXITY INCREASES. 7483 04:59:39,560 --> 04:59:46,480 IN PARTICULAR WAS THE -- IN 7484 04:59:46,480 --> 04:59:48,920 2013, WHERE IT SHOWED THAT THE 7485 04:59:48,920 --> 04:59:51,360 POSTERIOR PORTION ESPECIALLY THE 7486 04:59:51,360 --> 04:59:53,080 VISUAL PARIETAL CORTEX WAS MORE 7487 04:59:53,080 --> 04:59:55,320 ENGAGED WHEN DRIVING ON A 7488 04:59:55,320 --> 04:59:56,440 STRAIGHT ROAD WITHOUT DOING 7489 04:59:56,440 --> 05:00:00,040 ANYTHING ELSE. 7490 05:00:00,040 --> 05:00:01,680 SO THEY SHOWED THAT WITH THIS 7491 05:00:01,680 --> 05:00:06,640 IMAGING AND SHOWS VERY LITTLE 7492 05:00:06,640 --> 05:00:07,200 ACTIVATION OF THE POSTERIOR 7493 05:00:07,200 --> 05:00:11,680 PORTION OF THE BRAIN DURING 7494 05:00:11,680 --> 05:00:13,480 STRAIGHT DRIVING, THEN WHEN THEY 7495 05:00:13,480 --> 05:00:16,000 WERE TO ENGAGE IN A RIGHT TURN. 7496 05:00:16,000 --> 05:00:17,520 WE ALL KNOW WHEN YOU ENGAGE IN A 7497 05:00:17,520 --> 05:00:19,840 RIGHT TURN, APART FROM LOOKING 7498 05:00:19,840 --> 05:00:22,120 AT WHEN YOUR TURNING INTO, YOU 7499 05:00:22,120 --> 05:00:26,800 USUALLY DO NOT INTERACT WITH 7500 05:00:26,800 --> 05:00:27,840 OTHER TRAFFIC. 7501 05:00:27,840 --> 05:00:28,880 ON THE OTHER HAND, WHEN YOU HAVE 7502 05:00:28,880 --> 05:00:30,200 TO MAKE A LEFT TURN, THEN YOU 7503 05:00:30,200 --> 05:00:33,280 HAVE TO MOST LIKELY CROSS 7504 05:00:33,280 --> 05:00:34,040 ANOTHER SECTION OF THE ROAD AND 7505 05:00:34,040 --> 05:00:37,840 YOU HAVE TO PAY ATTENTION TO 7506 05:00:37,840 --> 05:00:39,240 OTHER ONCOMING VEHICLES. 7507 05:00:39,240 --> 05:00:42,440 NOW THE B PART IS A LEFT TURN 7508 05:00:42,440 --> 05:00:43,520 WITHOUT ONCOMING VEHICLE BUT WE 7509 05:00:43,520 --> 05:00:48,080 SEE MORE ACTIVATION IN VISUAL 7510 05:00:48,080 --> 05:00:48,640 PARIETAL CORTEX. 7511 05:00:48,640 --> 05:00:53,080 THE THIRD LEVEL WAS LEFT TURN, 7512 05:00:53,080 --> 05:00:55,280 THIS TIME WITH ONCOMING TRAFFIC, 7513 05:00:55,280 --> 05:00:56,480 AGAINST ONCOMING TRAFFIC. 7514 05:00:56,480 --> 05:01:00,360 THEN WE SEE EVEN GREATER 7515 05:01:00,360 --> 05:01:01,600 ACTIVATION PATTERN OF THE VISUAL 7516 05:01:01,600 --> 05:01:06,280 PARIETAL CORTEX. 7517 05:01:06,280 --> 05:01:07,880 THEN THEY EXTENDED THE STUDY TO 7518 05:01:07,880 --> 05:01:12,200 LOOK AT STRAIGHT DRIVING WITH 7519 05:01:12,200 --> 05:01:13,320 ANOTHER COMPETING STIMULUS, 7520 05:01:13,320 --> 05:01:19,040 WHICH WAS AN AUDIO STIMULUS. 7521 05:01:19,040 --> 05:01:22,680 THEN WE SEE THE PREFRONTAL 7522 05:01:22,680 --> 05:01:26,040 CORTEX WAS INVOLVED IN ADDITION 7523 05:01:26,040 --> 05:01:28,320 TO THE POSTERIOR CORTEX. 7524 05:01:28,320 --> 05:01:32,280 AND IT BECAME OBVIOUS THAT MORE 7525 05:01:32,280 --> 05:01:36,080 AREAS OF THE BRAIN WERE 7526 05:01:36,080 --> 05:01:37,640 ACTIVATED DURING DUAL OR 7527 05:01:37,640 --> 05:01:38,480 MULTITASKING, AND THOSE ARE 7528 05:01:38,480 --> 05:01:40,800 ACTIVITIES LIKE A COMPLEX TURN, 7529 05:01:40,800 --> 05:01:46,560 LEFT TURN AGAINST OPPOSING 7530 05:01:46,560 --> 05:01:49,080 TRAFFIC WITH RESPONDING TO 7531 05:01:49,080 --> 05:01:50,680 THE -- WHEN IT WAS STRAIGHT LINE 7532 05:01:50,680 --> 05:01:52,120 DRIVING AND JUST -- FIRST IT WAS 7533 05:01:52,120 --> 05:01:55,240 STRAIGHT LINE DRIVING, VERY 7534 05:01:55,240 --> 05:01:56,120 LITTLE ACTIVATION OF ANY PART OF 7535 05:01:56,120 --> 05:01:59,680 THE BRAIN, THEN THE AUDIO INPUT 7536 05:01:59,680 --> 05:02:00,880 WAS ADDED AND THEN YOU STARTED 7537 05:02:00,880 --> 05:02:02,320 SEEING MORE INVOLVEMENT OF THE 7538 05:02:02,320 --> 05:02:06,840 LATERAL CORTEX, AND THEN IT 7539 05:02:06,840 --> 05:02:09,000 REMAINED LIKE THAT FOR A WHILE. 7540 05:02:09,000 --> 05:02:10,080 WELL, WITH LEFT TURN PLUS 7541 05:02:10,080 --> 05:02:12,000 TRAFFIC PLUS AUDIO, THEN WE SAW 7542 05:02:12,000 --> 05:02:14,880 MORE ACTIVATION PATTERN 7543 05:02:14,880 --> 05:02:16,320 INCLUDING THE VISUAL CORTEX 7544 05:02:16,320 --> 05:02:18,480 ITSELF PAYING MORE ATTENTION NOW 7545 05:02:18,480 --> 05:02:23,520 TO CALCULATING BETWEEN WHEN TO 7546 05:02:23,520 --> 05:02:27,480 TURN AGAINST ONCOMING TRAFFIC. 7547 05:02:27,480 --> 05:02:29,000 SO WE CAME TO THE REALIZATION 7548 05:02:29,000 --> 05:02:39,680 THAT DRIVING IS INDEED A 7549 05:02:39,680 --> 05:02:40,880 MULTI- -- TASK ACTIVITIES 7550 05:02:40,880 --> 05:02:42,320 USUALLY INVOLVING DUAL TASKING 7551 05:02:42,320 --> 05:02:44,840 AND IN MANY CASES IN COMPLICATED 7552 05:02:44,840 --> 05:02:46,120 DRIVING REQUIRING HIGHLY 7553 05:02:46,120 --> 05:02:56,040 COGNITIVE TASKS. 7554 05:02:56,040 --> 05:02:59,200 AN ASPECT OF IT IS A 10 FEET 7555 05:02:59,200 --> 05:03:01,080 WALK AND WE STARTED REAL IEDZING 7556 05:03:01,080 --> 05:03:03,480 THAT A GOOD NUMBER OF OUR 7557 05:03:03,480 --> 05:03:05,440 PARTICIPANTS AND PATIENTS WHO WE 7558 05:03:05,440 --> 05:03:08,480 HAD TO SUPPORT DURING THE 7559 05:03:08,480 --> 05:03:11,200 10 FEET WALK WERE MORE LIKELY TO 7560 05:03:11,200 --> 05:03:13,920 FAIL THE DRIVING ASSESSMENT 7561 05:03:13,920 --> 05:03:16,480 COMPARED TO SOMEONE WHO 7562 05:03:16,480 --> 05:03:17,680 INDEPENDENTLY WALKED TO THE 7563 05:03:17,680 --> 05:03:18,800 10 FEET WITHOUT ANY PROBLEMS. 7564 05:03:18,800 --> 05:03:21,360 SO WE STARTED TO LOOK AT WHAT'S 7565 05:03:21,360 --> 05:03:25,720 THE RELATIONSHIP BETWEEN WALKING 7566 05:03:25,720 --> 05:03:26,840 AND DRIVING. 7567 05:03:26,840 --> 05:03:27,680 THE ONE THING WE FOUND OUT IS 7568 05:03:27,680 --> 05:03:31,280 BOTH WALKING AND DRIVING ARE 7569 05:03:31,280 --> 05:03:33,800 MULTITASKING ACTIVITIES THAT 7570 05:03:33,800 --> 05:03:37,440 INVOLVE A COORDINATION BETWEEN 7571 05:03:37,440 --> 05:03:43,080 VISUAL, COGNITIVE AND MOTOR 7572 05:03:43,080 --> 05:03:43,480 SKILLS. 7573 05:03:43,480 --> 05:03:44,640 WE STARTED TO LOOK AT WHAT COULD 7574 05:03:44,640 --> 05:03:47,240 BE RESPONSIBLE FOR THAT. 7575 05:03:47,240 --> 05:03:49,080 OF COURSE WE ARE SEEING IN THE 7576 05:03:49,080 --> 05:03:53,360 PREFRONTAL CORTEX IS ASSOCIATED 7577 05:03:53,360 --> 05:03:55,880 WITH DUAL TASKING, ATTENTION AND 7578 05:03:55,880 --> 05:03:56,400 WORKING MEMORY. 7579 05:03:56,400 --> 05:03:57,160 THESE ARE SOME OF THE SKILLS 7580 05:03:57,160 --> 05:04:00,520 THAT ARE INHERENTLY REFLECTED IN 7581 05:04:00,520 --> 05:04:02,840 THOSE WITH NEUROLOGICAL PROBLEMS 7582 05:04:02,840 --> 05:04:05,000 AND MANY TIMES AFFECTS THEIR 7583 05:04:05,000 --> 05:04:05,680 DRIVING PERFORMANCE. 7584 05:04:05,680 --> 05:04:08,800 IT ALSO AFFECTS THEIR SPEED OF 7585 05:04:08,800 --> 05:04:09,600 PROCESSING AND COMPLEX 7586 05:04:09,600 --> 05:04:10,480 DECISION-MAKING AGAIN WHICH IS 7587 05:04:10,480 --> 05:04:17,360 THE EXECUTIVE FUNCTION. 7588 05:04:17,360 --> 05:04:18,360 SO WE STARTED TO LOOK AT 7589 05:04:18,360 --> 05:04:20,080 DIFFERENT STUDIES TO SEE CAN 7590 05:04:20,080 --> 05:04:21,960 DRIVING -- CAN USING THE DRIVING 7591 05:04:21,960 --> 05:04:23,240 SIMULATOR HELP EXPLAIN SOME OF 7592 05:04:23,240 --> 05:04:47,080 THE THINGS THAT ARE HAPPENING IN 7593 05:04:47,080 --> 05:04:48,280 DIFFERENT ON MORE SALIENT 7594 05:04:48,280 --> 05:04:56,440 COGNITIVE DEFICITS -- PRESUMABLY 7595 05:04:56,440 --> 05:04:58,720 RESOLVED CONCUSSION STILL HAD 7596 05:04:58,720 --> 05:05:01,120 THAT AFFECTED THEIR DRIVING 7597 05:05:01,120 --> 05:05:03,440 PERFORMANCE AND DUAL TASKING 7598 05:05:03,440 --> 05:05:05,160 ACTIVITIES THAT WHEN SUCH SKILLS 7599 05:05:05,160 --> 05:05:11,400 WERE NOT EASILY PICKED UP BY 7600 05:05:11,400 --> 05:05:13,480 REGULAR NEUROPSYCHOLOGICAL 7601 05:05:13,480 --> 05:05:13,680 TESTS. 7602 05:05:13,680 --> 05:05:15,480 SO WE STARTED LOOKING AT WHO THE 7603 05:05:15,480 --> 05:05:20,920 DRIVING SIMULATOR PROVIDE A 7604 05:05:20,920 --> 05:05:22,120 HIGHLY INTEGRATED CONTEXTUAL 7605 05:05:22,120 --> 05:05:26,920 COGNITIVE DRIVING ASSESSMENT AND 7606 05:05:26,920 --> 05:05:27,800 TRAINING PARADIGM. 7607 05:05:27,800 --> 05:05:32,400 THEN WE STARTED TO LOOK AT 7608 05:05:32,400 --> 05:05:33,160 COGNITIVE -- AT DIFFERENT 7609 05:05:33,160 --> 05:05:34,360 ACTIVITIES IN PARKINSON'S 7610 05:05:34,360 --> 05:05:37,000 DISEASE. 7611 05:05:37,000 --> 05:05:39,400 WE DID TARGET DETECTION DURING 7612 05:05:39,400 --> 05:05:40,560 SIMULATOR DRIVING IN PARKINSON'S 7613 05:05:40,560 --> 05:05:41,880 DISEASE AND WE STARTED 7614 05:05:41,880 --> 05:05:46,160 LOOKING -- SEEING THAT THERE 7615 05:05:46,160 --> 05:05:47,680 WERE DIFFERENT PUPILLARY 7616 05:05:47,680 --> 05:05:49,320 RESPONSES TO DIFFERENT 7617 05:05:49,320 --> 05:05:50,440 INTENSITIES OF COGNITIVE 7618 05:05:50,440 --> 05:05:54,680 CHALLENGES DURING DRIVING. 7619 05:05:54,680 --> 05:05:57,040 THEN WE STARTED THINKING COULD 7620 05:05:57,040 --> 05:05:58,360 THIS BE MEASURE OF COGNITIVE 7621 05:05:58,360 --> 05:05:59,760 WORKLOAD. 7622 05:05:59,760 --> 05:06:02,480 SO WE WENT ON TO START 7623 05:06:02,480 --> 05:06:04,280 LOOKING -- AGAIN WE DID IT AGAIN 7624 05:06:04,280 --> 05:06:09,080 IN LOOKING AT PUPILLARY RESPONSE 7625 05:06:09,080 --> 05:06:11,480 IN DIFFERENT BREAST CANCER 7626 05:06:11,480 --> 05:06:14,520 SURVIVORS, AND AGAIN TO MEASURE 7627 05:06:14,520 --> 05:06:16,080 REALTIME ASSESSMENT OF DAY TIME 7628 05:06:16,080 --> 05:06:19,680 SLEEPNESS IN DRIVERS WITH 7629 05:06:19,680 --> 05:06:20,320 MULTIPLE SCLEROSIS. 7630 05:06:20,320 --> 05:06:25,440 SO JUST TO SUMMARIZE EVERYTHING, 7631 05:06:25,440 --> 05:06:27,080 WE HAVE STARTED REALIZING THAT A 7632 05:06:27,080 --> 05:06:29,120 DRIVING SIMULATOR COULD PERHAPS 7633 05:06:29,120 --> 05:06:33,600 HAVE MORE USE IN COGNITIVE 7634 05:06:33,600 --> 05:06:37,600 REHABILITATION BEYOND JUST THE 7635 05:06:37,600 --> 05:06:39,240 EVALUATION AND TRAINING OF JUST 7636 05:06:39,240 --> 05:06:40,880 DRIVING AS A FUNCTIONAL TASK 7637 05:06:40,880 --> 05:06:41,200 ITSELF. 7638 05:06:41,200 --> 05:06:45,640 THE QUESTION IS, CAN THE 7639 05:06:45,640 --> 05:06:48,640 NEUROCOGNITIVE TRAINING BENEFITS 7640 05:06:48,640 --> 05:06:52,440 IN A DRIVING SIMULATOR 7641 05:06:52,440 --> 05:06:55,960 GENERALIZE TO OTHER SKILLS -- TO 7642 05:06:55,960 --> 05:06:57,200 PERFORMANCE OF OTHER SKILLS IN 7643 05:06:57,200 --> 05:07:00,160 DIFFERENT NEUROLOGICAL 7644 05:07:00,160 --> 05:07:00,480 CONDITIONS. 7645 05:07:00,480 --> 05:07:02,560 AGAIN WITH THE UNDERLYING 7646 05:07:02,560 --> 05:07:06,600 PRINCIPLE BEING THAT THE SAME 7647 05:07:06,600 --> 05:07:08,880 VISUAL COGNITIVE AND MOTOR 7648 05:07:08,880 --> 05:07:10,080 SKILLS SEEM IMPLICATED IN 7649 05:07:10,080 --> 05:07:13,160 DRIVING AS IN OTHER HIGHLY 7650 05:07:13,160 --> 05:07:18,640 COGNITIVELY TASKING ACTIVITIES. 7651 05:07:18,640 --> 05:07:20,160 SO WE'RE BEGINNING TO EXPLORE 7652 05:07:20,160 --> 05:07:22,320 DIFFERENT ASPECTS OF USE OF THE 7653 05:07:22,320 --> 05:07:26,280 DRIVING SIMULATOR. 7654 05:07:26,280 --> 05:07:27,360 ONE OF THE OTHER THINGS WE'RE 7655 05:07:27,360 --> 05:07:28,680 USING THE DRIVING SIMULATOR FOR 7656 05:07:28,680 --> 05:07:34,360 NOW IS LOOKING AT OTHER FORMS OF 7657 05:07:34,360 --> 05:07:36,760 IMAGING WHILE DRIVING TO ASSESS 7658 05:07:36,760 --> 05:07:40,680 COGNITIVE CAPACITY, COGNITIVE 7659 05:07:40,680 --> 05:07:43,000 WORKLOAD, AND DEPLETION OF THAT 7660 05:07:43,000 --> 05:07:48,040 COGNITIVE CAPACITY INCREASING 7661 05:07:48,040 --> 05:07:49,760 OUR INTENSITY OF THE COGNITIVE 7662 05:07:49,760 --> 05:07:50,080 TASKS. 7663 05:07:50,080 --> 05:07:52,240 BUT ONE OF THE UNDERCUTS WE HAD 7664 05:07:52,240 --> 05:07:54,880 WAS THAT THE DRIVING SIMULATOR 7665 05:07:54,880 --> 05:08:00,480 WAS STATIONARY OBJECT IN A BIG 7666 05:08:00,480 --> 05:08:02,080 ROOM THAT WAS ONLY ACCESSIBLE IF 7667 05:08:02,080 --> 05:08:04,600 PARTICIPANTS OR PATIENTS CAME TO 7668 05:08:04,600 --> 05:08:06,360 THE DRIVING LAB. 7669 05:08:06,360 --> 05:08:10,400 AND WE STARTED THINKING, COULD 7670 05:08:10,400 --> 05:08:13,120 WE IMPROVE OUR NEED TO ADVANCE 7671 05:08:13,120 --> 05:08:14,560 THE DRIVING SIMULATOR TO 7672 05:08:14,560 --> 05:08:16,040 SOMETHING THAT COULD ACTUALLY GO 7673 05:08:16,040 --> 05:08:21,760 TO THE PATIENTS AND PARTICIPANTS 7674 05:08:21,760 --> 05:08:22,640 RATHER THAN ALWAYS HAVING TO 7675 05:08:22,640 --> 05:08:24,840 COME TO THE DRIVING SIMULATOR. 7676 05:08:24,840 --> 05:08:26,600 SECONDLY, IT WAS DIFFICULT TO DO 7677 05:08:26,600 --> 05:08:28,040 IMAGING STUDIES BECAUSE OF THE 7678 05:08:28,040 --> 05:08:32,840 DIFFERENT LOCATIONS OF OUR 7679 05:08:32,840 --> 05:08:34,680 DRIVING LAB AND OUR IMAGING 7680 05:08:34,680 --> 05:08:34,880 UNIT. 7681 05:08:34,880 --> 05:08:35,880 THEN WE STARTED THINKING OF WHAT 7682 05:08:35,880 --> 05:08:36,640 WE COULD DO. 7683 05:08:36,640 --> 05:08:38,400 WE CAME UP WITH WHAT WAS CALLED 7684 05:08:38,400 --> 05:08:39,800 THE PORTABLE DRIVING SIMULATOR, 7685 05:08:39,800 --> 05:08:41,880 WHICH I THINK WAS AN INNOVATIVE 7686 05:08:41,880 --> 05:08:44,920 INVENTION AT THE TIME AND I 7687 05:08:44,920 --> 05:08:46,200 WOULD SAY WE WERE ONE OF THE 7688 05:08:46,200 --> 05:08:50,520 FIRST TO CONVERT IT, FULL 7689 05:08:50,520 --> 05:08:51,440 DRIVING INTERACTIVE SIMULATOR 7690 05:08:51,440 --> 05:08:54,040 INTO A SMALL FRIDGE-LIKE OBJECT 7691 05:08:54,040 --> 05:08:55,640 THAT CAN BE IN ANYBODY'S OFFICE 7692 05:08:55,640 --> 05:09:00,800 AND YOU WILL -- IT'S A 7693 05:09:00,800 --> 05:09:01,080 SIMULATOR. 7694 05:09:01,080 --> 05:09:03,880 THE INTERESTING PART OF IT IS IT 7695 05:09:03,880 --> 05:09:04,920 ALSO HAS WHEELS THAT CAN BE 7696 05:09:04,920 --> 05:09:06,800 LOCKED WHILE IN USE OR CAN BE 7697 05:09:06,800 --> 05:09:08,680 RELEASED IF IT IS TO BE 7698 05:09:08,680 --> 05:09:12,680 TRANSPORTED TO ONE ROOM TO THE 7699 05:09:12,680 --> 05:09:13,040 OTHER. 7700 05:09:13,040 --> 05:09:14,120 YET IT HAS ALL THE COMPONENT 7701 05:09:14,120 --> 05:09:15,560 PARTS OF THE DRIVING SIMULATOR, 7702 05:09:15,560 --> 05:09:20,920 THERE'S A FULL DRIVING WHEEL 7703 05:09:20,920 --> 05:09:23,440 WITH THE BLINKERS OR POINTER 7704 05:09:23,440 --> 05:09:25,280 INDICATORS THEY CALL IT, THERE 7705 05:09:25,280 --> 05:09:27,280 ARE THE SIDE MIRRORS, THE 7706 05:09:27,280 --> 05:09:27,720 REARVIEW MIRROR. 7707 05:09:27,720 --> 05:09:29,760 THE INTERESTING THING IS WE ALSO 7708 05:09:29,760 --> 05:09:33,600 EQUIPPED THIS SYSTEM WITH A 7709 05:09:33,600 --> 05:09:37,920 CAMERA MONITOR UP THERE FOR 7710 05:09:37,920 --> 05:09:39,400 TELEHEALTH AND REMOTE TRAINING 7711 05:09:39,400 --> 05:09:41,480 AND ASSESSMENT OF DRIVING 7712 05:09:41,480 --> 05:09:48,120 RELATED SKILLS. 7713 05:09:48,120 --> 05:09:49,680 NOW THIS IS AN UPGRADED VERSION 7714 05:09:49,680 --> 05:09:50,880 BECAUSE AS SOON AS WE GOT THE 7715 05:09:50,880 --> 05:09:52,080 PORTABLE DRIVING SIMULATORS IN 7716 05:09:52,080 --> 05:09:54,240 THE HANDS OF SOME RESEARCHERS AT 7717 05:09:54,240 --> 05:09:59,880 OTHER INSTITUTIONS, THE 7718 05:09:59,880 --> 05:10:01,280 COMPLAINT WAS THAT THE INITIAL 7719 05:10:01,280 --> 05:10:03,160 VERSION HAD ONLY ABOUT 7720 05:10:03,160 --> 05:10:05,680 43 DEGREES OF FIELD OF VIEW. 7721 05:10:05,680 --> 05:10:07,040 AND DRIVING USUALLY REQUIRES 7722 05:10:07,040 --> 05:10:07,520 MORE THAN THAT. 7723 05:10:07,520 --> 05:10:10,840 WHAT WE WERE ABLE TO DO IS 7724 05:10:10,840 --> 05:10:13,480 IMPROVE ON THIS TO ADD TO OTHER 7725 05:10:13,480 --> 05:10:15,640 SIDE SCREENS TO GIVE US ABOUT 7726 05:10:15,640 --> 05:10:18,040 135 DEGREES FIELD OF VIEW, AND I 7727 05:10:18,040 --> 05:10:19,560 WILL JUST PLAY A VIDEO OF WHAT 7728 05:10:19,560 --> 05:10:20,680 IT LOOKS LIKE BECAUSE WHEN YOU 7729 05:10:20,680 --> 05:10:22,680 SIT DOWN AND DRIVE THE PORTABLE 7730 05:10:22,680 --> 05:10:25,400 DRIVING SIMULATOR, WE HAVE JUST 7731 05:10:25,400 --> 05:10:29,000 FINISHED A STUDY AT THE USER 7732 05:10:29,000 --> 05:10:30,000 FRIENDLINESS OF THE PORTABLE 7733 05:10:30,000 --> 05:10:32,320 DRIVING SIMULATOR AS COMPARED TO 7734 05:10:32,320 --> 05:10:37,800 THE REGULAR BIG SIZE FULL BODY 7735 05:10:37,800 --> 05:10:38,880 DRIVING SIMULATOR AND THERE WAS 7736 05:10:38,880 --> 05:10:42,280 JUST VERY LITTLE DIFFERENCE BUT 7737 05:10:42,280 --> 05:10:43,600 FOR THE ACCESSIBILITY AND THE 7738 05:10:43,600 --> 05:10:45,240 KOTS, THE PORTABLE DRIVING 7739 05:10:45,240 --> 05:10:46,000 SIMULATOR WAS PREFERRED. 7740 05:10:46,000 --> 05:10:52,040 AND THIS IS HOW IT WORKS. 7741 05:10:52,040 --> 05:10:55,360 SNOW THE CLINICIAN THERE IS THE 7742 05:10:55,360 --> 05:10:57,280 ONE DRIVING AND YOU CAN SEE 7743 05:10:57,280 --> 05:11:01,520 WHERE HER FEET ARE, SHE CAN 7744 05:11:01,520 --> 05:11:03,080 CONTROL -- WHEN SHE HAS TO 7745 05:11:03,080 --> 05:11:06,240 BRAKE, SHE TURNS THE STEERING. 7746 05:11:06,240 --> 05:11:07,880 AFTER SOME TIME, THE 7747 05:11:07,880 --> 05:11:09,840 PARTICIPANTS SAY YOU KNOW, APART 7748 05:11:09,840 --> 05:11:13,000 FROM GETTING OVER THE PART THAT 7749 05:11:13,000 --> 05:11:15,520 IT'S NOT A REAL CAR, ONCE THEY 7750 05:11:15,520 --> 05:11:37,400 START DRIVING AND THEY SEE 7751 05:11:37,400 --> 05:11:39,600 THE -- BECAUSE -- PORTABLE AND 7752 05:11:39,600 --> 05:11:41,000 EASILY ACCESSIBLE, IT COULD 7753 05:11:41,000 --> 05:11:42,960 INCREASE THE PRACTICE FREQUENCY, 7754 05:11:42,960 --> 05:11:46,040 AND YOU KNOW, IT CAN BE ACQUIRED 7755 05:11:46,040 --> 05:11:49,760 BY DIFFERENT RESEARCHERS, 7756 05:11:49,760 --> 05:11:50,320 INSTITUTIONS AND HEALTHCARE 7757 05:11:50,320 --> 05:11:50,760 FACILITIES. 7758 05:11:50,760 --> 05:11:55,720 SO WE STILL REMAIN VERY BUSY, 7759 05:11:55,720 --> 05:11:57,600 WE'RE NOW EQUIPPING THEM WITH 7760 05:11:57,600 --> 05:11:58,800 THINGS LIKE EMGs, AND TRYING 7761 05:11:58,800 --> 05:12:01,720 TO SEE IF WE CAN BETTER UNRAVEL 7762 05:12:01,720 --> 05:12:04,360 THE MYSTERY OF DRIVING AND HOW 7763 05:12:04,360 --> 05:12:07,560 TO BETTER ASSESS IT AND IMPROVE 7764 05:12:07,560 --> 05:12:07,960 IT. 7765 05:12:07,960 --> 05:12:12,560 BUT MORE IMPORTANTLY, MAYBE TO 7766 05:12:12,560 --> 05:12:33,400 USE IT -- 7767 05:12:33,400 --> 05:12:34,720 >> THANK YOU, THAT WAS GREAT. 7768 05:12:34,720 --> 05:12:44,520 DO WE HAVE ANY QUESTIONS? 7769 05:12:44,520 --> 05:12:47,640 >> I WAS GOING TO ASK WHETHER 7770 05:12:47,640 --> 05:12:48,480 YOU INCLUDED DISTRACTIONS LIKE 7771 05:12:48,480 --> 05:12:53,240 HAVING A VIRTUAL CAR RADIO OR 7772 05:12:53,240 --> 05:12:54,640 CONVERSATION WITH THE DRIVER. 7773 05:12:54,640 --> 05:12:56,480 SOME OF YOUR PATIENTS MIGHT HAVE 7774 05:12:56,480 --> 05:13:00,720 VISUAL DEFICITS OR NEGLECT, 7775 05:13:00,720 --> 05:13:02,680 VISUAL NEGLECT. 7776 05:13:02,680 --> 05:13:04,080 DID YOU -- IS IT POSSIBLE FOR 7777 05:13:04,080 --> 05:13:05,960 THEM TO DEVELOP STRATEGIES OF 7778 05:13:05,960 --> 05:13:07,600 HOW TO BE A BETTER DRIVER AND 7779 05:13:07,600 --> 05:13:09,040 MOVE THEIR HEAD TO DEAL WITH 7780 05:13:09,040 --> 05:13:11,000 VISUAL ISSUES? 7781 05:13:11,000 --> 05:13:14,320 >> THANK YOU FOR TWO VERY GOOD 7782 05:13:14,320 --> 05:13:29,640 QUESTIONS. 7783 05:13:29,640 --> 05:13:30,560 THE MIDDLE OF THE SITTING WE 7784 05:13:30,560 --> 05:15:52,240 WERE IN -- 7785 05:15:52,240 --> 05:15:53,280 >> IF THEY COME UP WITH THE 7786 05:15:53,280 --> 05:15:54,360 RIGHT PRESCRIPTION OF VISION 7787 05:15:54,360 --> 05:15:57,840 GLASSES THAT WILL HELP 7788 05:15:57,840 --> 05:16:34,440 OVERCOME -- KIND OF -- THIS WAS 7789 05:16:34,440 --> 05:16:36,840 REALLY -- THAT IS WHY IN ALL THE 7790 05:16:36,840 --> 05:16:38,360 INSTITUTIONS THAT I'VE WORKED 7791 05:16:38,360 --> 05:16:41,720 WITH, ONE OF OUR BIGGEST 7792 05:16:41,720 --> 05:16:45,680 COLLABORATORS HAS ALWAYS BEEN 7793 05:16:45,680 --> 05:16:47,640 THE -- VERY HELPFUL ESPECIALLY 7794 05:16:47,640 --> 05:16:48,440 FOR THEIR PATIENTS WITH LOW 7795 05:16:48,440 --> 05:16:59,200 VISION. 7796 05:16:59,200 --> 05:17:17,200 >> IN A PARTICULAR -- THE 7797 05:17:17,200 --> 05:17:21,040 RIGHT-SIDED STROKE AND RIGHT 7798 05:17:21,040 --> 05:17:24,080 PARIETAL STROKE OR RIGHT -- TEND 7799 05:17:24,080 --> 05:17:28,120 TO HAVE MORE VISUAL -- FOR LEFT 7800 05:17:28,120 --> 05:17:28,520 SIDE. 7801 05:17:28,520 --> 05:17:31,280 SO THE TRAINING IS UNTIL THE 7802 05:17:31,280 --> 05:17:34,160 NEGLECT IS OVERCOME, HOW CAN 7803 05:17:34,160 --> 05:17:36,880 THEY COMPENSATE FOR THE VISUAL 7804 05:17:36,880 --> 05:17:38,280 FIELD THAT IS NOW ONLY PRESERVED 7805 05:17:38,280 --> 05:17:39,400 TO THE RIGHT. 7806 05:17:39,400 --> 05:17:42,440 AND HOW COULD THEY DO THAT 7807 05:17:42,440 --> 05:17:43,680 DRIVING? 7808 05:17:43,680 --> 05:17:45,480 HOWEVER, PATIENTS WITH A 7809 05:17:45,480 --> 05:17:46,480 RIGHT-SIDED STROKE TEND TO HAVE 7810 05:17:46,480 --> 05:17:49,040 MORE COGNITIVE PROBLEMS AS WELL. 7811 05:17:49,040 --> 05:17:51,840 SO THEY ARE MUCH MORE DIFFICULT 7812 05:17:51,840 --> 05:17:54,360 TO TRAIN THAN PATIENTS WITH A 7813 05:17:54,360 --> 05:18:00,560 LEFT SIDED AFFECTATION BECAUSE 7814 05:18:00,560 --> 05:18:02,520 THEY TEND TO HAVE MORE MOTOR 7815 05:18:02,520 --> 05:18:06,360 PROBLEM AND WITH THE IN-VEHICLE 7816 05:18:06,360 --> 05:18:08,720 ADAPTIVE DEVICES TODAY, THERE'S 7817 05:18:08,720 --> 05:18:10,600 SUCH HUGE ADAPTIVE DEVICES THAT 7818 05:18:10,600 --> 05:18:12,600 PHYSICAL CHALLENGES DO NOT TEND 7819 05:18:12,600 --> 05:18:15,280 TO AFFECT DRIVING THAT MUCH. 7820 05:18:15,280 --> 05:18:19,560 SO AGAIN, PATIENTS WITH THE LEFT 7821 05:18:19,560 --> 05:18:20,640 SIDED -- STROKE TEND TO DO 7822 05:18:20,640 --> 05:18:20,880 BETTER. 7823 05:18:20,880 --> 05:18:24,280 THE SAME IS TRUE FOR 7824 05:18:24,280 --> 05:18:25,600 RELAPSING -- DIFFERENT TYPES OF 7825 05:18:25,600 --> 05:18:26,880 MULTIPLE SCLEROSIS, ESPECIALLY 7826 05:18:26,880 --> 05:18:28,840 AS IT ADVANCES. 7827 05:18:28,840 --> 05:18:31,040 SAME IS TRUE FOR PARKINSON'S 7828 05:18:31,040 --> 05:18:34,200 DEEDS, WHEDISEASE, WHEN YOU'RE IN THE 7829 05:18:34,200 --> 05:18:35,480 EARLIEST STAGES, THEY TEND TO DO 7830 05:18:35,480 --> 05:18:37,120 MUCH BETTER BECAUSE IT'S ONLY 7831 05:18:37,120 --> 05:18:38,320 MILD COGNITIVE IMPAIRMENT. 7832 05:18:38,320 --> 05:18:43,800 NOW AS THE PARKINSON'S 7833 05:18:43,800 --> 05:18:45,000 PROGRESSES, MORE COGNITIVE 7834 05:18:45,000 --> 05:18:47,240 CHALLENGES, ESPECIALLY MEMORY 7835 05:18:47,240 --> 05:18:48,720 PROBLEMS START TO COME WITH IT, 7836 05:18:48,720 --> 05:18:50,040 AND THEN THEY BECOME MUCH MORE 7837 05:18:50,040 --> 05:18:51,120 DIFFICULT TO TRAIN TO THE EXTENT 7838 05:18:51,120 --> 05:18:52,280 THAT IT GETS TO A POINT WHERE 7839 05:18:52,280 --> 05:18:55,600 YOU REALLY JUST HAVE TO DISCUSS 7840 05:18:55,600 --> 05:18:56,160 ALTERNATIVE MEANS OF 7841 05:18:56,160 --> 05:18:57,080 TRANSPORTATION WITH THEM BECAUSE 7842 05:18:57,080 --> 05:18:58,360 YOU'RE JUST NOT GOING TO MAKE 7843 05:18:58,360 --> 05:18:59,880 ANY PROGRESS BECAUSE OF THE 7844 05:18:59,880 --> 05:19:00,880 SEVERITY OF THE NEUROLOGICAL 7845 05:19:00,880 --> 05:19:02,080 PROBLEM. 7846 05:19:02,080 --> 05:19:03,600 AGAIN, THE SAME IS TRUE WITH LOW 7847 05:19:03,600 --> 05:19:04,240 VISION. 7848 05:19:04,240 --> 05:19:06,880 IT DEPENDS ON HOW MUCH OF THE 7849 05:19:06,880 --> 05:19:07,840 VISUAL FIELD IS IMPAIRED. 7850 05:19:07,840 --> 05:19:10,040 IF THE MAJORITY OF THE VISUAL 7851 05:19:10,040 --> 05:19:11,880 FIELD IS ALREADY BEING AFFECTED 7852 05:19:11,880 --> 05:19:13,200 BY THE OPHTHALMOLOGICAL 7853 05:19:13,200 --> 05:19:13,960 CONDITION, THERE'S NOT MUCH YOU 7854 05:19:13,960 --> 05:19:15,360 CAN DO, SO THE GOOD THING WITH 7855 05:19:15,360 --> 05:19:18,320 THE SIMULATOR IS IT ALSO HELPS 7856 05:19:18,320 --> 05:19:20,480 DRIVE A REALISTIC DISCUSSION. 7857 05:19:20,480 --> 05:19:21,720 WE HAVE PATIENTS THAT FIND IT 7858 05:19:21,720 --> 05:19:23,040 DIFFICULT TO UNDERSTAND WHY YOU 7859 05:19:23,040 --> 05:19:25,560 WANT TO TAKE AWAY THEIR DRIVING 7860 05:19:25,560 --> 05:19:27,280 LICENSE, WHEN SOMEONE ELSE THAT 7861 05:19:27,280 --> 05:19:28,600 HAS A SIMILAR PROBLEM WITH 7862 05:19:28,600 --> 05:19:28,840 DRIVE. 7863 05:19:28,840 --> 05:19:30,120 ALL YOU HAVE TO DO IS PUT THEM 7864 05:19:30,120 --> 05:19:32,080 IN THE DRIVING SIMULATOR AND IF 7865 05:19:32,080 --> 05:19:34,520 THEY SEE THE FREQUENCY AT WHICH 7866 05:19:34,520 --> 05:19:38,800 THEY CRASH, IT SUDDENLY BECOMES 7867 05:19:38,800 --> 05:19:40,520 KNOWN TO THEM THAT, WHY AM I 7868 05:19:40,520 --> 05:19:41,160 CRASHING? 7869 05:19:41,160 --> 05:19:42,400 AND YOU SHOW THEM -- THE GOOD 7870 05:19:42,400 --> 05:19:44,880 THING WITH THE DRIVING SIMULATOR 7871 05:19:44,880 --> 05:19:47,480 IS NOW THERE'S REPLAY MODE. 7872 05:19:47,480 --> 05:19:48,800 YOU CAN REPLAY EXACTLY WHAT THEY 7873 05:19:48,800 --> 05:19:49,920 DID AND SHOW THEM WHERE THEY 7874 05:19:49,920 --> 05:19:51,440 MADE THE MISTAKE AND THEY'RE 7875 05:19:51,440 --> 05:19:53,000 LIKE, OH, I DIDN'T SEE THAT ON 7876 05:19:53,000 --> 05:19:53,760 THE SIDE OF THE ROAD. 7877 05:19:53,760 --> 05:19:55,800 I DIDN'T SEE THAT CAR COMING 7878 05:19:55,800 --> 05:19:57,440 UNTIL IT -- IF IT WAS IN REAL 7879 05:19:57,440 --> 05:19:59,880 LIFE, YOU MAY NOT BE ALIVE TO 7880 05:19:59,880 --> 05:20:00,680 TELL THAT STORY. 7881 05:20:00,680 --> 05:20:02,080 SO THEY EASILY COME TO THE 7882 05:20:02,080 --> 05:20:05,880 ACCEPT STANCE THAACCEPTANCE THAT PERHAPS I T'S 7883 05:20:05,880 --> 05:20:06,880 TIME TO GIVE UP DRIVING. 7884 05:20:06,880 --> 05:20:08,040 >> THAT'S HELPFUL. 7885 05:20:08,040 --> 05:20:09,320 THANKS VERY MUCH AGAIN FOR A 7886 05:20:09,320 --> 05:20:09,880 GREAT TALK. 7887 05:20:09,880 --> 05:20:10,960 WE'RE GOING TO HAVE TO MOVE ON 7888 05:20:10,960 --> 05:20:12,920 TO OUR LAST ITEM TODAY, WHICH IS 7889 05:20:12,920 --> 05:20:14,360 GOING TO BE -- I'M GOING TO HAND 7890 05:20:14,360 --> 05:20:16,280 THE FLOOR OVER TO RALPH TO 7891 05:20:16,280 --> 05:20:18,280 DISCUSS THE ELECTION OF THE NEXT 7892 05:20:18,280 --> 05:20:19,480 CHAIR. 7893 05:20:19,480 --> 05:20:21,600 THANK YOU, ABIODUN. 7894 05:20:21,600 --> 05:20:22,760 >> THANK YOU. 7895 05:20:22,760 --> 05:20:23,880 >> SO WE VERY MUCH APPRECIATE 7896 05:20:23,880 --> 05:20:25,280 THE JOB ERIC HAS DONE AS OUR 7897 05:20:25,280 --> 05:20:26,680 BOARD CHAIR FOR THE LAST YEAR 7898 05:20:26,680 --> 05:20:30,280 AND A HALF, AND HIS TERM WILL 7899 05:20:30,280 --> 05:20:34,680 FINISH WITH THE PLAY 2023 7900 05:20:34,680 --> 05:20:35,000 MEETING. 7901 05:20:35,000 --> 05:20:37,000 SO WE WANTED TO LOOK AHEAD AND 7902 05:20:37,000 --> 05:20:37,960 TRY TO SELECT SOMEBODY ELSE FROM 7903 05:20:37,960 --> 05:20:42,080 THE BOARD TO TAKE OVER AND FILL 7904 05:20:42,080 --> 05:20:44,200 ERIC'S SHOES AND TAKE OVER AS 7905 05:20:44,200 --> 05:20:46,160 BOARD CHAIR. 7906 05:20:46,160 --> 05:20:48,240 THE MAIN JOB OF IT AS YOU SEE IS 7907 05:20:48,240 --> 05:20:49,520 ACTUALLY RUNNING -- KEEPING THE 7908 05:20:49,520 --> 05:20:50,880 MEETING IN ORDER, AND ALSO 7909 05:20:50,880 --> 05:20:53,560 WORKING WITH TERESA AND THE 7910 05:20:53,560 --> 05:20:55,160 OTHER STAFF -- TERESA, ME AND 7911 05:20:55,160 --> 05:20:57,240 THE OTHER STAFF AT NCMRR TO PLAN 7912 05:20:57,240 --> 05:21:00,240 THE AGENDA FOR EACH BOARD 7913 05:21:00,240 --> 05:21:00,760 MEETING. 7914 05:21:00,760 --> 05:21:03,800 SO WE'D LIKE TO TAKE NOMINATIONS 7915 05:21:03,800 --> 05:21:06,320 FOR WHO MIGHT WANT TO EITHER 7916 05:21:06,320 --> 05:21:07,400 VOLUNTEER THEMSELVES OR TO 7917 05:21:07,400 --> 05:21:08,920 NOMINATE OTHER PEOPLE TO BE 7918 05:21:08,920 --> 05:21:11,280 BOARD CHAIR, AND THE WAY THE 7919 05:21:11,280 --> 05:21:12,880 TIMING WOULD WORK OUT, IDEALLY 7920 05:21:12,880 --> 05:21:15,240 IT WOULD BE BEST FOR SOMEBODY 7921 05:21:15,240 --> 05:21:16,360 FROM THE SOPHOMORE CLASS, 7922 05:21:16,360 --> 05:21:17,440 BECAUSE THOSE PEOPLE THAT HAVE 7923 05:21:17,440 --> 05:21:23,160 TWO MORE YEARS TO SERVE AS BOARD 7924 05:21:23,160 --> 05:21:25,440 CHAIR, THE MAXIMUM AMOUNT TO 7925 05:21:25,440 --> 05:21:27,640 LEARN AND FUNCTION. 7926 05:21:27,640 --> 05:21:29,800 AND SO IF WE CAN THINK ABOUT THE 7927 05:21:29,800 --> 05:21:31,280 SOPHOMORE CLASS AS BEING IDEAL, 7928 05:21:31,280 --> 05:21:33,760 BUT WE'LL ACCEPT ANY OTHER 7929 05:21:33,760 --> 05:21:35,080 NOMINATION, AND WE'LL TAKE 7930 05:21:35,080 --> 05:21:36,920 NOMINATIONS AT THE END -- RIGHT 7931 05:21:36,920 --> 05:21:40,720 NOW, AND ALLOW ELECTION EARRING 7932 05:21:40,720 --> 05:21:42,040 OVERNIGHT AND TOMORROW WE'LL 7933 05:21:42,040 --> 05:21:43,360 HAVE THE ACTUAL VOTE AS WE THINK 7934 05:21:43,360 --> 05:21:44,120 ABOUT THEM. 7935 05:21:44,120 --> 05:21:45,520 SO JUST TO GIVE YOU PERSPECTIVE, 7936 05:21:45,520 --> 05:21:46,720 THE PEOPLE I'M TRYING TO TARGET 7937 05:21:46,720 --> 05:21:49,600 WHO WOULD BE THE SOPHOMORE CLASS 7938 05:21:49,600 --> 05:21:54,840 WOULD BE BARBARA BREGMAN, JOSE 7939 05:21:54,840 --> 05:22:04,960 CONFLICT OF INTERESTWHO'S -- MAYBE AS AN A NTITIE 7940 05:22:04,960 --> 05:22:06,920 ABUSE CLAUSE, WE WOULD LEAVE HIM 7941 05:22:06,920 --> 05:22:07,360 OFF. 7942 05:22:07,360 --> 05:22:09,520 BOB SAINBURG WOULD BE IN THAT 7943 05:22:09,520 --> 05:22:12,400 GROUP, AND FRANCISCO VALERO 7944 05:22:12,400 --> 05:22:14,480 WOULD BE SOMEBODY ELSE FROM THAT 7945 05:22:14,480 --> 05:22:16,080 GROUP. 7946 05:22:16,080 --> 05:22:18,920 SO CAN WE TAKE ANY NOMINATIONS 7947 05:22:18,920 --> 05:22:21,680 OR SELF-NOMINATIONS OF PEOPLE 7948 05:22:21,680 --> 05:22:25,480 WHO WOULD LIKE TO SERVE AS CHAIR 7949 05:22:25,480 --> 05:22:27,120 TO TAKE OVER FOR ERIC? 7950 05:22:27,120 --> 05:22:36,040 THE FLOOR IS OPEN. 7951 05:22:36,040 --> 05:22:44,720 THE FLOOR IS STILL OPEN. 7952 05:22:44,720 --> 05:22:45,600 >> RALPH? 7953 05:22:45,600 --> 05:22:46,480 >> YES, SIR. 7954 05:22:46,480 --> 05:22:48,480 >> IS THERE A PLACE WHERE WE CAN 7955 05:22:48,480 --> 05:22:49,560 FIND A LIST OF THE SOPHOMORE 7956 05:22:49,560 --> 05:22:50,440 CLASS SO WE CAN -- 7957 05:22:50,440 --> 05:22:51,760 >> NO, I JUST MENTIONED THE 7958 05:22:51,760 --> 05:22:51,960 FIVE. 7959 05:22:51,960 --> 05:22:55,920 >> I KNOW, BUT MY BRAIN IS FRIED 7960 05:22:55,920 --> 05:23:00,520 FOR TODAY, I COULDN'T KEEP UP 7961 05:23:00,520 --> 05:23:01,400 WHO YOU WERE SAYING. 7962 05:23:01,400 --> 05:23:02,680 OR MAYBE YOU CAN GO THROUGH IT 7963 05:23:02,680 --> 05:23:03,680 ONE MORE TIME AND WE CAN WRITE 7964 05:23:03,680 --> 05:23:04,000 IT DOWN. 7965 05:23:04,000 --> 05:23:05,040 >> OKAY, OKAY. 7966 05:23:05,040 --> 05:23:06,440 SO THE SOPHOMORE CLASS IS 7967 05:23:06,440 --> 05:23:11,480 BARBARA BREGMAN. 7968 05:23:11,480 --> 05:23:21,600 JOSE CONTRERAS-VIDAL, DAWN EHDE. 7969 05:23:21,600 --> 05:23:28,080 I'M GOING BY THE -- WHO ELSE DID 7970 05:23:28,080 --> 05:23:29,480 I -- FRANCISCO -- 7971 05:23:29,480 --> 05:23:34,600 >> BOB SAINBURG AND FRANCISCO. 7972 05:23:34,600 --> 05:23:36,040 >> BY THE WAY, FRANCISCO IS 7973 05:23:36,040 --> 05:23:39,640 JOINING US FROM EUROPE, SO I 7974 05:23:39,640 --> 05:23:41,160 APPRECIATE HIS DURABILITY HERE. 7975 05:23:41,160 --> 05:23:43,120 >> I'LL JUST SAY, ON BEHALF, 7976 05:23:43,120 --> 05:23:44,560 FRANCISCO SENT ME A NOTE EARLIER 7977 05:23:44,560 --> 05:23:46,240 SAYING HE'S COMMITTED TO A 7978 05:23:46,240 --> 05:23:47,480 COUPLE BIG ACTIVITIES RIGHT NOW 7979 05:23:47,480 --> 05:23:49,040 AND SO HE UNFORTUNATELY WON'T BE 7980 05:23:49,040 --> 05:23:50,480 ABLE TO SERVE IN THIS ROLE. 7981 05:23:50,480 --> 05:23:51,640 >> OKAY. 7982 05:23:51,640 --> 05:23:54,400 >> I'M WONDERING, RALPH, IF 7983 05:23:54,400 --> 05:23:56,760 MAYBE YOU ASK CAN THEY SAY IF 7984 05:23:56,760 --> 05:23:58,040 THEY'RE INTERESTED? 7985 05:23:58,040 --> 05:23:59,280 >> ALL RIGHT, SO LET'S GO TO 7986 05:23:59,280 --> 05:24:00,880 THOSE THREE, SO IF WE ALSO TAKE 7987 05:24:00,880 --> 05:24:06,040 OFF PEPE BECAUSE HE'S ALSO 7988 05:24:06,040 --> 05:24:09,840 SERVING AS LIAISON, MAY WE ASK 7989 05:24:09,840 --> 05:24:10,760 BARBARA, ROBERT AND DAWN IF 7990 05:24:10,760 --> 05:24:11,840 THEY'D EACH LIKE TO GIVE A 7991 05:24:11,840 --> 05:24:13,600 LITTLE STATEMENT ABOUT THEIR 7992 05:24:13,600 --> 05:24:18,080 WILLINGNESS TO SERVE, IF 7993 05:24:18,080 --> 05:24:18,760 NOMINATED? 7994 05:24:18,760 --> 05:24:19,000 BARBARA? 7995 05:24:19,000 --> 05:24:20,040 >> THANKS, EVERYONE. 7996 05:24:20,040 --> 05:24:22,200 IF NOMINATED, I WOULD SERVE. 7997 05:24:22,200 --> 05:24:25,480 MY PLATE IS PRETTY FULL. 7998 05:24:25,480 --> 05:24:28,000 BUT I AM VERY COMMITTED TO WHAT 7999 05:24:28,000 --> 05:24:30,280 THE NCMRR IS DOING. 8000 05:24:30,280 --> 05:24:32,160 SO I'M HOPING BOB SAINBURG WILL 8001 05:24:32,160 --> 05:24:34,800 SAY YES. 8002 05:24:34,800 --> 05:24:37,640 >> OKAY. 8003 05:24:37,640 --> 05:24:39,880 DAWN, WE APPRECIATE WHAT YOU DID 8004 05:24:39,880 --> 05:24:43,080 FOR THE INFRASTRUCTURE PROGRAM. 8005 05:24:43,080 --> 05:24:44,080 WHAT SAY OF YOU? 8006 05:24:44,080 --> 05:24:45,680 >> I'M GOING TO REPEAT WHAT 8007 05:24:45,680 --> 05:24:46,120 BARBARA SAID. 8008 05:24:46,120 --> 05:24:47,680 I WOULD BE HAPPY TO DO IT, BUT I 8009 05:24:47,680 --> 05:24:50,200 WAS ACTUALLY GOING TO NOMINATE 8010 05:24:50,200 --> 05:24:52,160 BOB, SO THERE YOU GO. 8011 05:24:52,160 --> 05:24:52,800 >> OKAY. 8012 05:24:52,800 --> 05:24:57,600 SO BOB, I GUESS HOW DO YOU FEEL? 8013 05:24:57,600 --> 05:25:01,280 >> I JUST FEEL GREAT. 8014 05:25:01,280 --> 05:25:03,800 I WOULD -- I MEAN, SAME THING. 8015 05:25:03,800 --> 05:25:06,280 MY PLATE IS FULL. 8016 05:25:06,280 --> 05:25:09,600 OF COURSE I WOULD -- I'D BE 8017 05:25:09,600 --> 05:25:10,160 HAPPY TO DO IT. 8018 05:25:10,160 --> 05:25:12,520 I HAVE TO SAY THAT I'M NOT GOOD 8019 05:25:12,520 --> 05:25:14,480 AT ORGANIZING OR LEADING 8020 05:25:14,480 --> 05:25:18,440 ANYTHING. 8021 05:25:18,440 --> 05:25:20,720 SO YOU MIGHT WANT TO RECONSIDER. 8022 05:25:20,720 --> 05:25:20,920 BUT -- 8023 05:25:20,920 --> 05:25:22,480 >> WELL, THAT MAKES IT EASIER 8024 05:25:22,480 --> 05:25:26,120 FOR TERESA AND I TO GET OUR WAY. 8025 05:25:26,120 --> 05:25:27,880 >> WHATEVER YOU NEED. 8026 05:25:27,880 --> 05:25:29,280 >> OKAY. 8027 05:25:29,280 --> 05:25:30,920 SO I MEAN, WE'LL LEAVE IT 8028 05:25:30,920 --> 05:25:32,440 OVERNIGHT FOR YOU THREE TO THING 8029 05:25:32,440 --> 05:25:35,040 ABOUT IT, AND TOMORROW WE'VE 8030 05:25:35,040 --> 05:25:37,200 ACTUALLY SCHEDULED A BLOCK OF 8031 05:25:37,200 --> 05:25:39,520 TIME TO ACTUALLY, YOU KNOW, GET 8032 05:25:39,520 --> 05:25:41,840 SOMEBODY'S NAME AND GO ON FROM 8033 05:25:41,840 --> 05:25:43,680 THERE, SO ERIC WILL STILL HAVE 8034 05:25:43,680 --> 05:25:45,080 THIS MEETING AND ERIC WILL STILL 8035 05:25:45,080 --> 05:25:47,720 DO THE MAY MEETING, BUT WE 8036 05:25:47,720 --> 05:25:49,880 WANTED TO GET -- ALSO, YOU KNOW, 8037 05:25:49,880 --> 05:25:52,880 OF COURSE ANYBODY ELSE WANT TO 8038 05:25:52,880 --> 05:25:54,200 NOMINATE SOMEBODY FROM A 8039 05:25:54,200 --> 05:25:56,320 DIFFERENT CLASS? 8040 05:25:56,320 --> 05:25:57,880 THAT'S STILL -- THE JUNIORS 8041 05:25:57,880 --> 05:25:59,680 COULD STILL SERVE ONE-YEAR 8042 05:25:59,680 --> 05:26:00,480 TERMS, THAT'S STILL A 8043 05:26:00,480 --> 05:26:06,600 POSSIBILITY. 8044 05:26:06,600 --> 05:26:10,720 SO ANYWAY, IT'S BEEN A LONG DAY. 8045 05:26:10,720 --> 05:26:12,680 ANY FINAL COMMENTS? 8046 05:26:12,680 --> 05:26:14,280 WE VERY MUCH APPRECIATE YOUR 8047 05:26:14,280 --> 05:26:14,800 ATTENTION SPAN. 8048 05:26:14,800 --> 05:26:15,880 WE'VE HAD SOME GREAT 8049 05:26:15,880 --> 05:26:16,200 DISCUSSIONS. 8050 05:26:16,200 --> 05:26:18,120 I REALLY -- I REALLY APPRECIATE 8051 05:26:18,120 --> 05:26:21,800 YOUR COMMITMENT TO WHAT WE'VE 8052 05:26:21,800 --> 05:26:24,920 BEEN DISCUSSING AND YOUR 8053 05:26:24,920 --> 05:26:26,040 STICKING WITH IT. 8054 05:26:26,040 --> 05:26:27,800 SO TERESA, DO YOU HAVE ANY FINAL 8055 05:26:27,800 --> 05:26:29,600 COMMENTS YOU WANT TO SAY BEFORE 8056 05:26:29,600 --> 05:26:31,920 WE DISMISS PEOPLE, LET THEM GO 8057 05:26:31,920 --> 05:26:34,560 BACK TO THEIR HOTEL ROOMS? 8058 05:26:34,560 --> 05:26:37,280 >> I JUST WANT TO ECHO MY THANKS 8059 05:26:37,280 --> 05:26:39,280 FOR EVERYONE FOR STICKING OUT A 8060 05:26:39,280 --> 05:26:41,120 LONG DAY. 8061 05:26:41,120 --> 05:26:42,360 WE HAD DEVELOPED THIS AGENDA IN 8062 05:26:42,360 --> 05:26:45,680 THE HOPES OF BEING IN PERSON OR 8063 05:26:45,680 --> 05:26:46,800 HYBRID, BUT YOU KNOW, THAT 8064 05:26:46,800 --> 05:26:48,520 DIDN'T QUITE WORK OUT FOR US AT 8065 05:26:48,520 --> 05:26:49,520 THIS POINT. 8066 05:26:49,520 --> 05:26:51,280 BUT WE'RE HOPING FOR MAY. 8067 05:26:51,280 --> 05:26:52,680 WE DO HAVE SOME GREAT TALKS 8068 05:26:52,680 --> 05:26:53,040 TOMORROW. 8069 05:26:53,040 --> 05:26:56,280 WE HOPE YOU ALL COME BACK FOR 8070 05:26:56,280 --> 05:26:57,120 THAT. 8071 05:26:57,120 --> 05:26:58,240 10:00 A.M. START, WE'LL HEAR 8072 05:26:58,240 --> 05:27:01,640 FROM OUR COLLEAGUES AT NICHD AND 8073 05:27:01,640 --> 05:27:04,120 AT NIDILRR. 8074 05:27:04,120 --> 05:27:04,880 SO THANK YOU VERY MUCH. 8075 05:27:04,880 --> 05:27:08,920 AND I HOPE ERIC FEELS THAT HIS 8076 05:27:08,920 --> 05:27:10,480 SERVICE AS CHAIR HAS NOT BEEN 8077 05:27:10,480 --> 05:27:12,880 TOO ONEROUS, AND THAT WE'VE MADE 8078 05:27:12,880 --> 05:27:15,280 IT A GOOD EXPERIENCE FOR HIM. 8079 05:27:15,280 --> 05:27:17,560 >> THE PERKS ARE WONDERFUL. 8080 05:27:17,560 --> 05:27:20,840 I CAN'T COMPLAIN AT ALL. 8081 05:27:20,840 --> 05:27:22,400 GOOD COMPANY ON ALL THE PLANNING 8082 05:27:22,400 --> 05:27:22,680 MEETINGS. 8083 05:27:22,680 --> 05:27:24,040 >> ALL RIGHT. 8084 05:27:24,040 --> 05:27:26,280 SO THANK YOU ALL, AND WE'LL BE 8085 05:27:26,280 --> 05:27:27,280 BACK 10:00 A.M., REMEMBER 8086 05:27:27,280 --> 05:27:32,120 TOMORROW IT ONLY GOES FROM 10:00 A.M. UNTI L 2:00 P.M. SO 8087 05:27:32,120 --> 05:27:33,200 YOU GET OFF A LITTLE EARLY. 8088 05:27:33,200 --> 05:27:34,840 SO THANKS AGAIN, AND I'LL SEE 8089 05:27:34,840 --> 05:27:36,680 YOU ALL TOMORROW. 8090 05:27:36,680 --> 05:27:37,680 10:00 A.M. EASTERN TIME. 8091 05:27:37,680 --> 05:27:59,080 >> THANK YOU.