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WELCOME COUNCIL MEMBERS AND 

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GUESTS TO THE NATIONAL ADVISORY 

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AND DENTAL CRANIO FACIAL 

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RESEARCH COUNCIL. 

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FOR THE FIRST FEW HOUSEKEEPING 

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ITEMS WE WON'T TAKE QUESTIONS OR

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COMMENTS FROM THE PUBLIC DURING 

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THE LIVE VIDEOCAST BUT WILL 

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ACCEPT QUESTIONS AND COMMENTS 

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UNTIL FEBRUARY 17TH IN THE 

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E-MAIL BOX WE WILL DISPLAY AT 

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THE END OF THE SESSION AND ASK 

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COUNCIL AND STAFF MAKE SURE 

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MICROPHONES ARE SET ON MUTE AND 

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VIDEO CAMERAS ARE OFF UNLESS YOU

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ARE SPEAKING AND WHEN SPEAKING 

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PLEASE STATE YOUR NAME SO WE 

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KNOW WHO IS SPEAKING AND TO 

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ENSURE ACCURACY OF THE RECORDS. 

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IF IN ZOOM OUR IT TEAM WILL BE 

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AVAILABLE TO ASSIST YOU AND 

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THEIR CONTACT INFORMATION WILL 

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BE POSTED IN THE CHATS. 

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I WILL BEGIN WITH THE FIRST 

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ORDER OF BUSINESS BEFORE WE 

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BEGIN WITH THE DIRECTOR'S REPORT

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AND FIRST ITEM OF BUSINESS IS 

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APPROVAL OF THE MINUTES FROM 

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PREVIOUS MEETING FROM SEPTEMBER 

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2ND 2022 MEETING WERE MADE 

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AVAILABLE FOR COUNCIL FOR 

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REVIEW.  ARE THERE QUESTIONS OR 

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COMMENTS ON THE SEPTEMBER 

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COUNCIL MINUTES?  

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IF NOT WOULD A MEMBER OF COUNCIL

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LIKE TO MAKE A MOTION TO APPROVE

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THE MINUTES. 

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>>SO MOVED. 

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>>LEE, I THINK MAKE SURE
YOU 

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UNMUTE YOUR PHONES OR UNMUTE 

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YOURSELF IF YOU ARE SPEAKING.  I

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SAW LEE AND WEN CHI.  IS THAT 

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CORRECT FOR A SECOND?  

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>>I SECOND. 

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>>THANK YOU, HAL. 

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>>YEAH. 

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>>ALL IN FAVOR?  

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>>AYE. 

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>>AYE. 

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>>ANY OPPOSED?  

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ALL RIGHT.  

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MOVING ON, THE OTHER ITEM OF 

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BUSINESS THAT HAPPENS EVERY 

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JANUARY MEETING IS THE ANNUAL 

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REVIEW OF THE COUNCIL OPERATING 

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PROCED

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PROCEDURES. 

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THE TO MAKE RECOMMENDATIONS AND 

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REVISIONS WHERE APPROPRIATE AND 

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THIS YEAR I MADE TWO CHANGES TO 

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THE OPERATING PROCEDURES AND 

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FIRST CHANGE COMPLIES WITH THE 

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UPDATED NIH POLICY DESCRIBING OR

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DESCRIBED IN NOTICE OF CHANGE TO

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NIH'S POLICY ON SPECIAL COUNCIL 

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REVIEW OF RESEARCH APPLICATIONS 

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AND DESCRIBED IN THE IN THE IN 

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SEPTEMBER OF 2012, NIH ISSUED A 

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SPECIAL COUNCIL REVIEW POLICY 

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REQUIRING INSTITUTIONS AND 

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CENTER ADVISORY COUNCILS TO 

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PROVIDE ADDITIONAL REVIEW OF 

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GRANT AND COOPERATIVE AGREEMENT 

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APPLICATIONS FROM PRINCIPLE 

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INVESTIGATORS RECEIVING $1 

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MILLION IN DIRECT COSTS PER YEAR

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TO DETERMINE IF ADDITIONAL FUNDS

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SHOULD BE PROVIDED TO AN ALREADY

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WELL-SUPPORTED INVESTIGATOR AND 

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ALIGNING WITH POLICY WITH NIH'S 

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UPDATED SUPPORT DISCLOSURE 

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REQUIREMENTS, UPDATED POLICY 

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REFLECTS THE DIRECT COSTS AND 

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INCLUSIVE OF DIRECT AND INDIRECT

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COSTS PER YEAR FOR ALL ACTIVE 

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AWARDS IT THAT HAS BEEN CHANGED 

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FROM THE 1 MILLION DIRECT COSTS 

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TO 2 MILLION IN TOTAL COSTS AND 

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THIS POLICY DOESN'T REPRESENT A 

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CAP IN NIH FUNDING. 

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SECOND CHANGE IS FOUND IN 

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SECTION 2 OF REVIEW OF GRANT 

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APPLICATIONS.  IT IS ONE OF THE 

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BULLETS THAT DESCRIBES THE 

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OPERATING PROCEDURES FOR THE 

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ELIGIBILITY OF UNDER THE PUBLIC 

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HEALTH SERVICE ACT.  

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THIS ONE IS THE PUBLIC HEALTH 

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SERVICE ACT REQUIRING GRANT 

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APPLICATIONS MAY BE FUNDED AFTER

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BEING REVIEWED AND COUNCIL HAS 

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CONCURRED WITH RECOMMENDATIONS 

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OF THE SCIENTIFIC REVIEW GROUP. 

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AND THIS HAS BEEN CHANGED TO 

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INCLUDE COOPERATIVE AGREEMENTS 

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AND STATEMENT IS NOW THE PUBLIC 

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HEALTH SERVICE ACT REQUIRES 

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PUBLICATIONS FOR GRANTS AND 

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COOPERATIVE AGREEMENTS MAY BE 

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FUNDED ONLY AFTER IT HAS BEEN 

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REVIEWED BY COUNCIL.  ANY 

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COUNCIL MEMBERS HAVE ANY 

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SUGGESTED CHANGED COMMENTS OR 

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QUESTIONS ON WHAT I HAVE FOR 

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PROPOSED CHANGES?  

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IF NO QUESTIONS OR COMMENTS 

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WOULD A MEMBER OF COUNCIL LIKE 

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TO MAKE A MOTION FOR THE 

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OPERATING PROCEDURES?  

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>>SO MOVED. 

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>>CHECK. 

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>>THANK YOU.  WOULD
ANYONE LIKE

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TO SECOND THE MOTION?  

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>>I WILL SECOND, AMY. 

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>>THANK YOU, AMY.  ALL IN

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FAVOR?  

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>>AYE. 

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>>AYE. 

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>>ANY OPPOSE THE?  

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OKAY.  NOW, WELL, NOW IT IS TIME

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FOR THE NEXT ITEM THAT IS DR. 

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ROOENA D'SOUZA WHO WILL PRESENT 

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THE DIRECTOR'S REPORT. 

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>>GREETINGS EVERYONE. 
HAPPY 

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2023 FOR COLLEAGUES MISERABLE IN

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BOSTON ENSURE SPRING IS IN THE 

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AIR AND COMES WITH IT HOPE AND 

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PROMISE FOR THE FUTURE WE ARE IN

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UNPRECEDENTED TIME IN SCIENCE 

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AND TECHNOLOGY IN THINKING IN 

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WAY THAT SOCIETY HAS EVOLVE THE 

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TO ACTUALLY MAKE A DIFFERENCE 

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AND WISH EACH ONE OF YOU WITH A 

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HEARTFELT GRATITUDE WITH SERVICE

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ON COUNCIL AND TO THE INSTITUTE 

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AND TO ALL THOSE LISTENING.  

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VERY IMPORTANT PART OF OUR 

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COMMUNITY THAT WE WANT TO ENGAGE

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YOU AND WELCOME YOU IN.  NOW, 

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THERE ARE DIFFERENT WAYS WHICH 

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COUNCIL CAN RUN.  WITH THE 

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ADVICE MY STAFF WILL TWEAK A 

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LITTLE BIT.  I THINK THAT 

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ACTUALLY HAS EVOLVE THE THEME 

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ATTIC AREAS; RIGHT?  

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WE HAVE FOCUSED DISCUSSIONS ON 

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CLINICAL RESEARCH, ET CETERA, ET

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CETERA. 

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I THINK FOR THIS PARTICULAR 

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COUNCIL THAT EMPHASIS WILL BE ON

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PEOPLE AND THAT THEY ACTUALLY 

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MATTER THAT COULD BE A CONSTANT 

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THEME.  BUT, THE WAY THAT OUR 

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SPEAKERS HAVE BEEN ORGANIZE THE 

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IN OUR TOPICS, IT WOULD REALLY 

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POINT TO THAT IMPORTANT VALUE 

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SYSTEM. 

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I'M ALSO EAGER TO SHARE THE 

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PLATFORM OF THE DIRECTOR'S 

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PODIUM, SO-TO-SPEAK AND TODAY 

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DELIGHTED TO HAVE JENNIFER 

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WEBSTER OUR DEPUTY DIRECTOR TO 

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GIVE PROGRESS SHE MADE IN ONE OF

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HER PORTFOLIOS SHE MINISTERS AND

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I HAVE BEEN MOTIVATED TO SHARE 

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AND DISSEMINATE INFORMATION THAT

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COMES MANY I WAY IN DIFFERENT 

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WAYS; RIGHT?  

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IT IS EASY TO NOT HAVE A HANDLE 

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ON WHAT IS GOING ON.  WE GET SO 

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CAUGHT UP IN OUR EGO SYSTEMS AND

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WORLDS AND IS FIRST GOAL OF 

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TODAY AND MOVING TO NEW PROGRAMS

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AND IMPERATIVES THAT NIH IS 

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IMPLEMENTING RIGHT NOW OF 

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CONCERN TO ALL OF US HERE, BOTH 

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PROGRAM STAFF AS WELL AS 

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GRANTEES AND TRAINEES AND QUICK 

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GLANCE AT MILESTONE ACHIEVEMENTS

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AT NIDCR GOING THROUGH VARIOUS 

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KEY LEADERSHIP APPOINTMENTS AND 

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WORDS AND RECOGNITIONS MOVING 

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EXTRAMURAL FRONTIERS AND 

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RESEARCH AND DISCOVERY FORWARD 

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AND WHAT IS COMING AND ENDING 

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WITH AN OPTIMISTIC NOTE ABOUT 70

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FIF NL CENTENNIAL DI-MONDAY 

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JUBILEE CELEBRATION BEGINNING IN

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JUNE, THE 24TH OF THIS YEAR AND 

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CONTINUE FOR A YEAR.  YOU WILL 

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SEE FOCUS THERE IS ON SCIENCE 

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AND ON PEOPLE AND ON ACTUALLY 

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MAKING SURE THAT WE HAVE A 

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SUSTAINABLY AND ROBUSTNESS IN 

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ALL WE DO FOR THE NEXT 25 YEARS 

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SUCH THAT WE MOVE THE NEEDLE FOR

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HEALTH FOR ALL. 

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LEADERSHIP REMAINS STRONG WITH 

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LARRY TABAK AND WE ARE ON HELM 

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OF NEWS OF PRESIDENTIAL NOMINEE 

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THAT HASN'T COME YET AND LARRY'S

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LEADERSHIP NOW IS ESCAPING US 

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VERY, VERY STEADY AND ON COURSE 

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CAN DECISIONS YOU WILL SEE THAT 

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MADE IMPORTANT PRIORITIES FOR 

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INSTITUTE IN GENERAL THROUGH TO 

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WELCOME RENAE ON TO THE 

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EXECUTIVE BOARD STAFF. 

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SHE IS THE NORMAL DIRECTOR OF 

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ARPAH.  I WILL SPEND A LITTLE 

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TIME ON THE PROGRAM SHE WILL 

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ADMINISTER VERY, VERY HIGH-RISK 

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INNOVATIVE VENTURE FOR THE 

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GOVERNMENT, REALLY, FOR HHS AND 

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FOR NIH AND WILL TALK A LITTLE 

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MORE ABOUT THAT.  IN TERMS OF 

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FUNDING NIH'S BUDGET HAS GROWN 

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STEADILY AND THAT IS ARROW 

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MECHANISM BUT WE HAVE GROWN 

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STEADILY OVER THE YEARS AND NIH 

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IN GENERAL RECEIVE THE MORE OF A

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BUDGET THAT INCLUDES FUNDING 

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GOING TO ARPAH WHICH IS OVER A 

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LITTLE OVER A BILLION AND 19 

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INCREASE REPRESENTING ABOUT 3.8%

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INCREASE THAT IS VERY, VERY G

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GOOD. 

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OUR HOPE IS REMAINING 

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RESPONSIBLE STEWARDS OF THAT 

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FUNDING AND YOU CAN SEE MOST OR 

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MAJORITY OF THAT BUDGET GOES 

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TOWARDS THE EXTRAMURAL COMMUNITY

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OF SUPPORTING GRANTEDS AT 

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INSTITUTIONS AND LABS, ET 

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CETERA. 

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WE SUPPORT INTRAMURAL AND 

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MANAGEMENT SYSTEM AND THAT RATIO

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HAS REMAINED FAIRLY STEADY.  YOU

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SEE FROM THE PIE CHART 

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DISTRIBUTION OF EXTRAMURAL 

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FUNDING REMAINS FOCUSED ON 

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INDIVIDUAL AND INDEPENDENT 

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INVESTIGATOR INITIATED PROJECTS 

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AND WE HAVE SMALLER AMOUNTS 

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ALLOCATED TO TRAINING AND 

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CAREERS, ACCENTURES AND OTHERS 

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THAT INCLUDE THE USE AND R13S 

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AND 24S AND OF COURSE THE SMALL 

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BUSINESS AND TECHNOLOGY TRANSIT 

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PROGRAMS.  YOU CAN LOOK AT ALL 

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OF THAT.  ASK YOURSELF THE 

262
00:11:15,200 --> 00:11:18,440
QUESTION IF THAT IS A BALANCE TO

263
00:11:18,440 --> 00:11:19,680
OUR PORTFOLIO. 

264
00:11:19,680 --> 00:11:22,200
NEED FOR US TO INVEST FURTHER IN

265
00:11:22,200 --> 00:11:23,640
TRAINING AND CAREER DEVELOPMENT 

266
00:11:23,640 --> 00:11:25,840
IS HUGE.  IT IS HUGE.  

267
00:11:25,840 --> 00:11:26,720
OPPORTUNITIES ARE HUGE.  IN 

268
00:11:26,720 --> 00:11:29,680
ORDER TO DO THAT, THERE HAS TO 

269
00:11:29,680 --> 00:11:31,880
BE A COMPROMISE THAT PIE CHART 

270
00:11:31,880 --> 00:11:33,720
HAS TO REMAIN IN BALANCE.  YOU 

271
00:11:33,720 --> 00:11:35,640
WILL SEE OVER THE NEXT FEW YEARS

272
00:11:35,640 --> 00:11:37,400
A SHIFT TOWARDS MUCH MORE 

273
00:11:37,400 --> 00:11:39,680
INVESTMENT IN TRAINING AND 

274
00:11:39,680 --> 00:11:41,160
CAREER DEVELOPMENT THAN WE HAVE 

275
00:11:41,160 --> 00:11:43,240
NOW AND WE KEEP BALANCE BETWEEN 

276
00:11:43,240 --> 00:11:45,360
NONCOMPETING AND COMPETING 

277
00:11:45,360 --> 00:11:45,560
GRANTS. 

278
00:11:45,560 --> 00:11:47,640
FROM THE PURCHASING POWER 

279
00:11:47,640 --> 00:11:49,680
PERSPECTIVE YOU WILL SEE WE 

280
00:11:49,680 --> 00:11:51,280
HAVEN'T REALLY ACTUALLY LOWER 

281
00:11:51,280 --> 00:11:53,640
THAN WHAT WE HAD AVAILABLE IN 

282
00:11:53,640 --> 00:11:56,360
2020 AND PURCHASING POWER DUE TO

283
00:11:56,360 --> 00:11:58,160
INFLATION COSTS, I GUESS, HAS 

284
00:11:58,160 --> 00:12:01,000
NOT BEEN ALIGNED WELL WITH OUR 

285
00:12:01,000 --> 00:12:03,880
ACTUAL APPROPRIATIONS OR 

286
00:12:03,880 --> 00:12:04,240
ALLOCATIONS. 

287
00:12:04,240 --> 00:12:07,080
SUCCESS RATE IN TERMS OF FUNDING

288
00:12:07,080 --> 00:12:09,160
THIS YEAR CAME CLOSE TO NIH.  WE

289
00:12:09,160 --> 00:12:12,600
USED TO BE HIGHER BUT HAD TO 

290
00:12:12,600 --> 00:12:13,920
MAKE DECISIONS TO KEEP PORTFOLIO

291
00:12:13,920 --> 00:12:15,800
IN BALANCE AND WE HAVE FUNDING 

292
00:12:15,800 --> 00:12:17,640
YOU CAN SEE VERY CLOSE TO -- A 

293
00:12:17,640 --> 00:12:20,000
LITTLE ABOVE THE 20TH 

294
00:12:20,000 --> 00:12:22,120
PERCENTILE.  IT IS VERY 

295
00:12:22,120 --> 00:12:25,800
FAVORABLE.  THE SPLIT THAT NIDCR

296
00:12:25,800 --> 00:12:29,280
OR SUPPORT THAT NIDCR AFFORDS 

297
00:12:29,280 --> 00:12:30,760
DENTAL SCHOOLS WILL BE ON THE 

298
00:12:30,760 --> 00:12:33,680
RISE AND WE CURRENTLY HAVE 44% 

299
00:12:33,680 --> 00:12:35,640
OF TOTAL EXTRAMURAL BUDGET 

300
00:12:35,640 --> 00:12:38,600
INCLUDING RPGS AND TRAINING 

301
00:12:38,600 --> 00:12:39,920
GRANTS, ET CETERA.  THEY ACCOUNT

302
00:12:39,920 --> 00:12:42,720
FOR 44% OF THE BUDGET.  WE 

303
00:12:42,720 --> 00:12:44,640
SHOULD SHIFT THAT OVER TO YET 

304
00:12:44,640 --> 00:12:47,680
AND YET BE CONSISTENT AND 

305
00:12:47,680 --> 00:12:49,800
PRINCIPLE IN SUPPORTING THE VERY

306
00:12:49,800 --> 00:12:52,840
BEST SCIENCE AND TRAINING WILL 

307
00:12:52,840 --> 00:12:53,480
CONTINUE.  

308
00:12:53,480 --> 00:12:55,960
YOU KNOW, ON THE -- OVER THE 

309
00:12:55,960 --> 00:13:00,840
LAST FEW YEARS, MIKE LAUER 

310
00:13:00,840 --> 00:13:01,640
DIRECTING EXTRAMURAL RESEARCH 

311
00:13:01,640 --> 00:13:04,440
OFFICE FOR NIH DID A VERY, VERY 

312
00:13:04,440 --> 00:13:06,560
THOROUGH STUDY ON RETURN FOR 

313
00:13:06,560 --> 00:13:08,440
INVESTMENT FOR INDIVIDUAL 

314
00:13:08,440 --> 00:13:10,080
INVESTIGATORS IN THE EXTRAMURAL 

315
00:13:10,080 --> 00:13:12,480
WORLD AND GRANT NUMBERS AND 

316
00:13:12,480 --> 00:13:13,600
PRODUCTIVITY.  IT WAS CLEAR THAT

317
00:13:13,600 --> 00:13:16,160
THE MORE FUNDING ONE GIVES TO 

318
00:13:16,160 --> 00:13:17,520
VARIOUS ESTABLISHED 

319
00:13:17,520 --> 00:13:20,720
INVESTIGATORS, RETURNS ARE NOT 

320
00:13:20,720 --> 00:13:21,840
DIRECTLY PROPORTIONAL.  THAT 

321
00:13:21,840 --> 00:13:23,680
OBVIOUSLY MAKES SENSE.  SO, 

322
00:13:23,680 --> 00:13:26,680
INSTITUTES OTHER THAN OURS HAVE 

323
00:13:26,680 --> 00:13:28,800
STEADILY FOCUSED ON INCREASING 

324
00:13:28,800 --> 00:13:31,320
INVESTMENT IN EARLY STAGE 

325
00:13:31,320 --> 00:13:33,800
INVESTIGATORS NOT TO IN ANY WAY 

326
00:13:33,800 --> 00:13:35,640
TAKE AWAY FROM WELL-ESTABLISHED 

327
00:13:35,640 --> 00:13:37,880
LABS OR BEST SCIENCE OR ANY WAY 

328
00:13:37,880 --> 00:13:39,240
LIKE THAT BUT TO MAKE SURE THAT 

329
00:13:39,240 --> 00:13:40,880
THE BALANCE IS ACTUALLY MUCH 

330
00:13:40,880 --> 00:13:42,480
MORE DRIVEN TOWARDS OUR FUTURE 

331
00:13:42,480 --> 00:13:44,120
GENERATION OF RESEARCHERS. 

332
00:13:44,120 --> 00:13:48,080
WE HAD TARGETED 1100 FOR -- PER 

333
00:13:48,080 --> 00:13:50,000
YEAR.  ACTUALLY, WE WENT WAY 

334
00:13:50,000 --> 00:13:52,320
ABOVE THAT.  MANY INSTITUTES 

335
00:13:52,320 --> 00:13:55,080
TOOK THAT VERY SERIOUSLY AS DID 

336
00:13:55,080 --> 00:13:58,320
NIDCR.  WE FUNDED A TOTAL OF 16 

337
00:13:58,320 --> 00:14:01,040
AND ACTUALLY HAVE A PUBLISHED 

338
00:14:01,040 --> 00:14:01,640
BROCHURE HIGHLIGHTING EARLY 

339
00:14:01,640 --> 00:14:03,760
STAGE INVESTIGATORS AS BEING 

340
00:14:03,760 --> 00:14:06,760
FUTURE INVESTMENTS AND OUR 

341
00:14:06,760 --> 00:14:07,240
FUTURE STARS. 

342
00:14:07,240 --> 00:14:09,440
VERY IMPORTANT FOR US TO NOTE 

343
00:14:09,440 --> 00:14:12,200
THAT THE EXTRAMURAL COMMUNITY TO

344
00:14:12,200 --> 00:14:14,320
NOTE THAT ARE CHANGES IN THE 

345
00:14:14,320 --> 00:14:17,680
CRITERIA FOR EVALUATING GRANTS 

346
00:14:17,680 --> 00:14:20,360
OR CENTER FOR SCIENTIFIC REVIEW 

347
00:14:20,360 --> 00:14:22,120
UNDER REALLY OUTSTANDING 

348
00:14:22,120 --> 00:14:25,200
LEADERSHIP OF NONI BURNS WENT 

349
00:14:25,200 --> 00:14:26,760
THROUGH A VERY STRATEGIC 

350
00:14:26,760 --> 00:14:28,840
THINKING PROCESS TO LOOK 

351
00:14:28,840 --> 00:14:30,040
STRINGENTLY AT PEER REVIEW NOT 

352
00:14:30,040 --> 00:14:31,880
MEANING THAT ALL ISSUES OR 

353
00:14:31,880 --> 00:14:33,800
PROBLEMS WILL BE SOLVED BUT 

354
00:14:33,800 --> 00:14:35,520
TAKING STEPS IN THE RIGHT 

355
00:14:35,520 --> 00:14:36,560
DIRECTION IS IMPORTANT FOR NOW. 

356
00:14:36,560 --> 00:14:39,800
AND THE EMPHASIS IS NOW BEING 

357
00:14:39,800 --> 00:14:44,040
DIRECTED VERY CLEARLY TOWARDS 

358
00:14:44,040 --> 00:14:44,600
SUPPORTING THE STRONGEST 

359
00:14:44,600 --> 00:14:46,720
SCIENTIFICALLY IMPACTFUL 

360
00:14:46,720 --> 00:14:48,120
RESEARCH.  AND TO -- IN ORDER TO

361
00:14:48,120 --> 00:14:50,720
DO THAT, THEY HAVE TO EFOCUS 

362
00:14:50,720 --> 00:14:53,120
SOME CRITERIA THAT ARE 

363
00:14:53,120 --> 00:14:55,400
TRADITIONALLY USED AND TRY TO AS

364
00:14:55,400 --> 00:14:57,680
BEST AS POSSIBLE MITIGATE 

365
00:14:57,680 --> 00:14:58,760
REPUTATIONAL BIAS. 

366
00:14:58,760 --> 00:15:00,960
THAT ALL OF US WHO HAVE BEEN ON 

367
00:15:00,960 --> 00:15:02,640
STUDY SECTION KNOW IT EXISTS AS 

368
00:15:02,640 --> 00:15:05,560
PART OF THE HUMAN PROCESS.  WE 

369
00:15:05,560 --> 00:15:07,200
ARE TRYING OUR VERY BEST TO KIND

370
00:15:07,200 --> 00:15:08,720
OF CONTROL FOR THAT.  WHAT 

371
00:15:08,720 --> 00:15:10,600
QUESTIONS ARE ASKED WHAT SHOULD 

372
00:15:10,600 --> 00:15:12,000
IT BE DONE?  SHOULD SCIENCE BE 

373
00:15:12,000 --> 00:15:14,160
DONE?  THAT IS ON A FACTOR OF 1 

374
00:15:14,160 --> 00:15:15,560
AND IMPORTANCE OF ROOET SEARCH. 

375
00:15:15,560 --> 00:15:17,120
CAN IT BE DONE WELL AND WILL IT 

376
00:15:17,120 --> 00:15:18,480
BE DONE; RIGHT?  

377
00:15:18,480 --> 00:15:20,600
I WANT TO GO INTO JUST A LITTLE 

378
00:15:20,600 --> 00:15:22,760
MORE DETAIL AND TO URGE YOU TO 

379
00:15:22,760 --> 00:15:27,120
SEND IN YOUR RESPONSES AND STUDY

380
00:15:27,120 --> 00:15:29,920
THAT STRATEGIC PLAN AND SEND 

381
00:15:29,920 --> 00:15:32,120
RESPONSES BY MARCH 10TH IF YOU 

382
00:15:32,120 --> 00:15:34,240
HAVE ADDITIONAL SUGGESTIONS.  IN

383
00:15:34,240 --> 00:15:36,720
TERMS OF SIGNIFICANCE ALL 

384
00:15:36,720 --> 00:15:39,360
CRITERIA 1, 2, 3, 4, 5 THAT ARE 

385
00:15:39,360 --> 00:15:41,560
ALL SCORED ARE REDUCED TO 3 AND 

386
00:15:41,560 --> 00:15:43,800
IMPORTANT OF THE RESEARCH IS 

387
00:15:43,800 --> 00:15:45,360
RIGOR AND FEASIBILITY AND 

388
00:15:45,360 --> 00:15:47,600
WHETHER EXPERTISE AND RESOURCES 

389
00:15:47,600 --> 00:15:50,120
ARE THERE.  THAT LAST ELEMENT IS

390
00:15:50,120 --> 00:15:53,680
NOT SCORED ANYMORE INVESTIGATORS

391
00:15:53,680 --> 00:15:55,960
IN ENVIRONMENT COME INTO PLAY 

392
00:15:55,960 --> 00:15:58,480
BUT ARE NOT SCORED CRITERIA.  

393
00:15:58,480 --> 00:16:00,160
CURRENT REVIEW CRITERIA THAT 

394
00:16:00,160 --> 00:16:03,240
WERE -- THAT EFFECTS OVERALL 

395
00:16:03,240 --> 00:16:04,520
IMPACT SCORE WOULD PRETTY MUCH 

396
00:16:04,520 --> 00:16:06,400
STAY THE SAME.  SO, IT -- SO, IN

397
00:16:06,400 --> 00:16:09,160
THE AREAS OF HUMAN SUBJECTS AND 

398
00:16:09,160 --> 00:16:12,320
OF ALL COMPLIANCE ISSUES WITH 

399
00:16:12,320 --> 00:16:14,760
TIDBITS AND BIOHAZARDS AND 

400
00:16:14,760 --> 00:16:16,880
LOOKING AT RESPONSES TO PREVIOUS

401
00:16:16,880 --> 00:16:18,520
CRITIQUES ALL THAT COULD BE 

402
00:16:18,520 --> 00:16:19,680
CONSIDERED AND EFFECT THE 

403
00:16:19,680 --> 00:16:21,120
OVERALL IMPACT SCORE BUT THEY 

404
00:16:21,120 --> 00:16:23,080
ARE NOT SCORED DIRECTLY.  

405
00:16:23,080 --> 00:16:25,400
FACTORS THAT ARE NOT ANY LONGER 

406
00:16:25,400 --> 00:16:28,200
GOING TO IMPACT OR INFLUENCE 

407
00:16:28,200 --> 00:16:30,120
FINAL SCORES ARE THE BIOLOGICAL 

408
00:16:30,120 --> 00:16:31,720
AND CHEMICAL RESOURCES AND 

409
00:16:31,720 --> 00:16:34,720
BUDGET AND PERIOD OF SUPPORT.  

410
00:16:34,720 --> 00:16:37,320
IT IS REALLY STREAMLINING THE 

411
00:16:37,320 --> 00:16:39,120
REVIEWER'S CRITERIA FOR 

412
00:16:39,120 --> 00:16:40,560
EVALUATING A GRANT AND DRAWING 

413
00:16:40,560 --> 00:16:42,760
MUCH ATTENTION TO THE 

414
00:16:42,760 --> 00:16:44,000
INVESTIGATOR AT HAND AND SCIENCE

415
00:16:44,000 --> 00:16:45,800
BEING PROPOSED AND AT THE SAME 

416
00:16:45,800 --> 00:16:48,960
TIME YOU CAN DO THAT FOR 

417
00:16:48,960 --> 00:16:49,840
INDEPENDENT RESEARCHERS IF YOU 

418
00:16:49,840 --> 00:16:51,440
ARE NOT CHANGING AND LEVELING 

419
00:16:51,440 --> 00:16:53,560
THE PLAYING FIELD FOR OUR 

420
00:16:53,560 --> 00:16:55,200
TRAINEES OR RESEARCH TRAINEES 

421
00:16:55,200 --> 00:16:58,640
AND FOR THAT NRSA FELLOWSHIP 

422
00:16:58,640 --> 00:17:00,480
PEER REVIEW COMMITTEE CAME UP 

423
00:17:00,480 --> 00:17:02,440
WITH VERY, VERY POINTED CRITERIA

424
00:17:02,440 --> 00:17:05,480
THAT WOULD -- THEY REALLY STEM 

425
00:17:05,480 --> 00:17:08,120
FROM THE OVERALL DATA-DRIVEN 

426
00:17:08,120 --> 00:17:10,160
FINDING THAT IF YOU CAME FROM A 

427
00:17:10,160 --> 00:17:11,960
SMALLER SCHOOL THAT IS NOT A 

428
00:17:11,960 --> 00:17:14,560
RESEARCH INTENSE SCHOOL OR 

429
00:17:14,560 --> 00:17:15,840
DOESN'T HAVE CRITICAL MASS AND 

430
00:17:15,840 --> 00:17:18,760
THAT YOUR CHANCES OF BEING OR 

431
00:17:18,760 --> 00:17:22,440
ENTERING BIOMEDICAL RESOURCE 

432
00:17:22,440 --> 00:17:24,680
THROUGH NIH ARE LAW IF YOU CAME 

433
00:17:24,680 --> 00:17:26,040
FROM A BIGGER SCHOOL AND WE HAVE

434
00:17:26,040 --> 00:17:27,840
ALL EXPERIENCE THE THAT IN ONE 

435
00:17:27,840 --> 00:17:29,800
WAY OR ANOTHER AND OF COURSE 

436
00:17:29,800 --> 00:17:31,560
APPLICATION OF SENIOR SCIENCES 

437
00:17:31,560 --> 00:17:33,600
DO BETTER WITH SPONSORS IN 

438
00:17:33,600 --> 00:17:35,680
EARLIER CAREERS AND COMES UP AS 

439
00:17:35,680 --> 00:17:37,640
A CRITIQUE.  THIS PERSON DOESN'T

440
00:17:37,640 --> 00:17:38,760
HAVE MENTORING EXPERIENCE.  ALL 

441
00:17:38,760 --> 00:17:41,280
THAT NOW WILL BE MODIFIED SUCH 

442
00:17:41,280 --> 00:17:43,120
THAT THE FOCUSES ON THE 

443
00:17:43,120 --> 00:17:45,160
POTENTIAL OF THE APPLICANT AND 

444
00:17:45,160 --> 00:17:46,720
STR INGRESTH OF THE SCIENCE AND 

445
00:17:46,720 --> 00:17:50,160
QUALITY OF THE TRAINING PLAN.  

446
00:17:50,160 --> 00:17:51,400
REVIEWERS WILL ALSO RECEIVE LESS

447
00:17:51,400 --> 00:17:52,920
INFORMATION AND INFORMATION THAT

448
00:17:52,920 --> 00:17:57,160
WILL CHANGE OUR -- IN THESE 

449
00:17:57,160 --> 00:17:57,840
CATEGORIES. 

450
00:17:57,840 --> 00:18:00,600
AND, OBVIOUSLY YOU CAN DELVE 

451
00:18:00,600 --> 00:18:02,400
INTO THAT IN FURTHER DEPTH.  WE 

452
00:18:02,400 --> 00:18:04,000
WILL CERTAINLY BE AVAILABLE TO 

453
00:18:04,000 --> 00:18:05,280
ANSWER QUESTIONS IN THE PROGRAM 

454
00:18:05,280 --> 00:18:07,680
STAFF IN OFFICE OF DIVISION OF 

455
00:18:07,680 --> 00:18:09,680
RESEARCH AND BRANCH OF RESEARCH 

456
00:18:09,680 --> 00:18:11,680
TRAINING AND CAREER DEVELOPMENT 

457
00:18:11,680 --> 00:18:14,720
ARE AVAILABLE AND WANTED TO 

458
00:18:14,720 --> 00:18:17,320
BRIEFLY SWEEP INTO THIS VERY 

459
00:18:17,320 --> 00:18:18,720
IMPORTANT EFFORT ACROSS OUR 

460
00:18:18,720 --> 00:18:21,200
CAMPUS THAT IS DEFINITELY 

461
00:18:21,200 --> 00:18:23,000
INFLUENCING OUR EXTRAMURAL 

462
00:18:23,000 --> 00:18:29,720
CULTURE IN VARIOUS SCHOOLS AND 

463
00:18:29,720 --> 00:18:30,600
JENNIFER WEBSTER-CYRIAQUE WILL 

464
00:18:30,600 --> 00:18:32,880
HIGHLIGHT PROGRESS MADE IN THIS 

465
00:18:32,880 --> 00:18:35,960
PARTICULAR EFFORT RIGHT NOW.  

466
00:18:35,960 --> 00:18:37,840
VERY, VERY IMPORTANT IS THIS 

467
00:18:37,840 --> 00:18:38,760
PROGRAM THAT GOES INTO EFFECT 

468
00:18:38,760 --> 00:18:41,680
THAT IS ACTUALLY IMPERATIVE THAT

469
00:18:41,680 --> 00:18:43,480
GOES INTO EFFECT TODAY. 

470
00:18:43,480 --> 00:18:45,440
SO, YOU KNOW, ODDLY ENOUGH IT IS

471
00:18:45,440 --> 00:18:45,760
TODAY. 

472
00:18:45,760 --> 00:18:48,200
YOU CAN SEE THAT IN THIS GROWING

473
00:18:48,200 --> 00:18:49,920
ANL OF SCIENCE AND TECHNOLOGY 

474
00:18:49,920 --> 00:18:53,720
THAT GENERATING, MANAGING, AND 

475
00:18:53,720 --> 00:18:54,760
ANALYZING HIGHLY SCALED AND 

476
00:18:54,760 --> 00:18:57,080
COMPLEX DATA WILL ALLOW US 

477
00:18:57,080 --> 00:18:58,760
ACTUALLY FAR BETTER INSIGHTS 

478
00:18:58,760 --> 00:19:01,920
INTO BIOLOGICAL SYSTEMS AND 

479
00:19:01,920 --> 00:19:02,800
SOCIETAL CHALLENGES AT A DEPTH 

480
00:19:02,800 --> 00:19:04,720
IT THAT IS PREVIOUSLY 

481
00:19:04,720 --> 00:19:06,600
UNIMAGINABLE AND WE ARE REALLY 

482
00:19:06,600 --> 00:19:08,920
EXCITED NEW NIH DATA MANAGEMENT 

483
00:19:08,920 --> 00:19:11,440
AND SHARING POLICIES EFFECTIVE 

484
00:19:11,440 --> 00:19:15,280
TODAY THAT ALL OF US PROGRAM 

485
00:19:15,280 --> 00:19:16,840
INVESTIGATORS ALL OF US WILL 

486
00:19:16,840 --> 00:19:21,080
REAP BENEFITS OF DATA SELLING 

487
00:19:21,080 --> 00:19:22,160
INCLUDING DISCOVERY OF 

488
00:19:22,160 --> 00:19:24,520
STRENGTHENING AND RIGOR BY 

489
00:19:24,520 --> 00:19:25,520
TACKLING ACTUALLY 

490
00:19:25,520 --> 00:19:26,520
REPRODUCIBILITY.  WE WILL AS YOU

491
00:19:26,520 --> 00:19:28,040
CAN SEE ON THE RIGHT WE WILL 

492
00:19:28,040 --> 00:19:30,520
MAKE IT A POINT TO ACTUALLY 

493
00:19:30,520 --> 00:19:32,280
PROVIDE RESOURCES AND LINKS TO 

494
00:19:32,280 --> 00:19:34,440
EASE INTO THE TRANSITION THAT 

495
00:19:34,440 --> 00:19:37,080
DOES APPLY TO NEWLY FUNDED 

496
00:19:37,080 --> 00:19:37,400
PROJECTS. 

497
00:19:37,400 --> 00:19:39,000
THERE WILL BE NO GRANDFATHERING 

498
00:19:39,000 --> 00:19:41,400
IN.  THAT IS A BIT TOO COMPLEX. 

499
00:19:41,400 --> 00:19:43,800
NOW, YOU CAN SEE THAT THE 

500
00:19:43,800 --> 00:19:47,480
APPLICATIONS FOR NIDC ARE HUGE 

501
00:19:47,480 --> 00:19:50,240
AND WE WERE INNOVATIVE AND 

502
00:19:50,240 --> 00:19:54,400
CREATED 20 YEARS AGO TO CREATE 

503
00:19:54,400 --> 00:19:57,640
FACE-BASE REPOSITORY ON KRAISH 

504
00:19:57,640 --> 00:20:00,960
CRANIO FACIAL DEFORMITIES AND 

505
00:20:00,960 --> 00:20:02,840
THEY HAVE GONE THROUGH THREE 

506
00:20:02,840 --> 00:20:04,120
CYCLES OPENING OPPORTUNITY FOR 

507
00:20:04,120 --> 00:20:05,760
US TO CREATE COMMON DATA 

508
00:20:05,760 --> 00:20:07,040
ELEMENTS TO LOOK AT INFORMATION 

509
00:20:07,040 --> 00:20:10,760
THAT IN THE END THROUGH THIS 

510
00:20:10,760 --> 00:20:14,040
PLATFORM INFORMS CLINICIANS 

511
00:20:14,040 --> 00:20:16,000
ABOVE IMPORTANT DECISIONS 

512
00:20:16,000 --> 00:20:18,200
RELATED TO PATIENT CARE 

513
00:20:18,200 --> 00:20:19,320
DIAGNOSIS AND TREATMENT.  YOU 

514
00:20:19,320 --> 00:20:22,640
CAN SEE HERE FROM THIS WONDERFUL

515
00:20:22,640 --> 00:20:25,960
SLIDE PREPARED FOR ME BY LIU 

516
00:20:25,960 --> 00:20:28,400
WANG AND KATIE STEIN THIS 

517
00:20:28,400 --> 00:20:29,520
BANISHMENT PLATFORM WE ARE RIGHT

518
00:20:29,520 --> 00:20:32,080
NOW IN THE SOUL-SEARCHING MODE 

519
00:20:32,080 --> 00:20:35,080
OF LOOKING AT ITS DEPTH, 

520
00:20:35,080 --> 00:20:36,720
BREADTH, AND PRACTICAL 

521
00:20:36,720 --> 00:20:38,160
APPLICATIONS OF TRANSLATABILITY 

522
00:20:38,160 --> 00:20:41,320
TO ALL DISEASES AND DISORDERS 

523
00:20:41,320 --> 00:20:42,200
THAT ARE IN OUR PORTFOLIO.  WE 

524
00:20:42,200 --> 00:20:43,800
WILL USE OBVIOUSLY DATA 

525
00:20:43,800 --> 00:20:46,000
MANAGEMENT AND SHARING POLICIES 

526
00:20:46,000 --> 00:20:47,440
WITH FAIR AND TRUST PRINCIPLES 

527
00:20:47,440 --> 00:20:50,040
THAT WILL BE APPLIED.  I WANT TO

528
00:20:50,040 --> 00:20:52,800
SPEND A LITTLE MORE TIME THAN, 

529
00:20:52,800 --> 00:20:55,520
PERHAPS, THIS HAS ALLOWED ME OR 

530
00:20:55,520 --> 00:20:57,200
ALLOTTED ME TODAY TO ACTUALLY 

531
00:20:57,200 --> 00:20:59,760
FOCUS ON PRINCIPLES THAT ARE 

532
00:20:59,760 --> 00:21:02,200
GUIDING ARPAH.  I WILL TELL YOU 

533
00:21:02,200 --> 00:21:04,920
WHY IN A MINUTE.  THIS 

534
00:21:04,920 --> 00:21:08,040
INITIATIVE WAS PUT FORTH BY 

535
00:21:08,040 --> 00:21:09,360
PRESIDENT BIDEN DRAWING FROM 

536
00:21:09,360 --> 00:21:11,360
SUCCESS OF DARPA DEFENSE BUDGET 

537
00:21:11,360 --> 00:21:13,560
CREATING INNOVATIVE TECHNOLOGIES

538
00:21:13,560 --> 00:21:17,200
AND GPS INTERNET ELECTRIC CARS, 

539
00:21:17,200 --> 00:21:20,400
ET CETERA AND MRNA VACCINES AND 

540
00:21:20,400 --> 00:21:22,320
I LIKE THIS QUOTE THAT SAID 

541
00:21:22,320 --> 00:21:24,920
PEOPLE JUST WONTDER IF WE COULD 

542
00:21:24,920 --> 00:21:27,400
ONLY TRY TO SOLVE THESE BIG BOLD

543
00:21:27,400 --> 00:21:28,960
AUDACIOUS PROBLEMS AND WE ARE 

544
00:21:28,960 --> 00:21:30,640
ABOUT TO TRY IN A BIG WAY IS 

545
00:21:30,640 --> 00:21:32,880
WHAT HE SAID.  ALLOWING US TO 

546
00:21:32,880 --> 00:21:36,400
EXPAND OUR THINKING NOW FROM OUR

547
00:21:36,400 --> 00:21:38,120
OWN INDIVIDUAL RUN LABS, 

548
00:21:38,120 --> 00:21:39,920
PROJECTS AND PROGRAMS TO 

549
00:21:39,920 --> 00:21:41,440
THINKING BIGGER AND HOW WE IN 

550
00:21:41,440 --> 00:21:45,080
THE ORAL HEALTH SCIENCES CAN 

551
00:21:45,080 --> 00:21:46,760
MOVE THE NEEDLE. 

552
00:21:46,760 --> 00:21:51,480
NOW IT IS NOT THAT OUR FOCUSED 

553
00:21:51,480 --> 00:21:54,040
PROJECTS WILL GET ATTENTION OF 

554
00:21:54,040 --> 00:21:56,400
ARPAH BUT GUARANTEE PROGRESSES 

555
00:21:56,400 --> 00:22:01,160
MADE BY ARPAH'S HIGH-RISK 

556
00:22:01,160 --> 00:22:02,680
INITIATIVES WILL BENEFIT US 

557
00:22:02,680 --> 00:22:04,240
WITHOUT A DOUBT.  YOU WILL SEE 

558
00:22:04,240 --> 00:22:06,240
WHY IT INVOLVES A HOLISTIC 

559
00:22:06,240 --> 00:22:08,720
APPROACH ENGAGING THOSE THAT 

560
00:22:08,720 --> 00:22:11,320
PERFORM WHICH IS YOU AND 

561
00:22:11,320 --> 00:22:12,920
ACADEMIC SECTOR AND CORPORATE 

562
00:22:12,920 --> 00:22:14,760
SECTOR AND CUSTOMERS AND THEIR 

563
00:22:14,760 --> 00:22:17,600
OPINION AND FOR US PROVIDERS AND

564
00:22:17,600 --> 00:22:18,760
CARETAKERS AND STAKEHOLDERS 

565
00:22:18,760 --> 00:22:22,200
INCLUDING NIH THAT IS AN 

566
00:22:22,200 --> 00:22:23,360
ALL-ENCOMPASSING ENDEAVOR THAT 

567
00:22:23,360 --> 00:22:25,600
GROWS FROM CREATING THAT 

568
00:22:25,600 --> 00:22:27,400
CHALLENGE YOU CAN SOLVE THROUGH 

569
00:22:27,400 --> 00:22:28,960
TRADITIONAL ACTIVITY AND FIRST 

570
00:22:28,960 --> 00:22:30,320
THING IS THINKING OUTSIDE OF THE

571
00:22:30,320 --> 00:22:33,560
BOX AND PROGRAM MANAGERS PLAY A 

572
00:22:33,560 --> 00:22:37,320
KEY ROLE IN GUIDING THIS TO 

573
00:22:37,320 --> 00:22:38,080
SOLUTION-BASED PLATFORM AND SEE 

574
00:22:38,080 --> 00:22:41,280
FOCUS AREAS ARE CREATING HEALTH 

575
00:22:41,280 --> 00:22:42,720
SCIENCES FUTURES EXPANDING WHAT 

576
00:22:42,720 --> 00:22:44,560
IS TECHNICALLY FEASIBLE.  YOU 

577
00:22:44,560 --> 00:22:47,120
KNOW WE AS HUMAN BEINGS HAVE NO 

578
00:22:47,120 --> 00:22:49,760
BOUNDARIES TO WHAT WE CAN 

579
00:22:49,760 --> 00:22:52,960
CREATE; RIGHT?  

580
00:22:52,960 --> 00:22:54,240
ROBOTICS AND EVERYTHING IN THE 

581
00:22:54,240 --> 00:22:55,760
WORKS AND WHAT WE DO IS 

582
00:22:55,760 --> 00:22:57,360
SCALEABLE TO A LARGER PLATFORM 

583
00:22:57,360 --> 00:22:59,800
BENEFIT TO GENERAL SOCIETY 

584
00:22:59,800 --> 00:23:02,080
ABSOLUTELY THAT IS PROACTIVE 

585
00:23:02,080 --> 00:23:04,240
WITH THINKING WAEBD ACTUALLY 

586
00:23:04,240 --> 00:23:06,000
INVENT SYSTEMS THAT ARE HERETO 

587
00:23:06,000 --> 00:23:09,680
LAST THAT WILL NOT FALL BY THE 

588
00:23:09,680 --> 00:23:11,720
WAYSIDE GIVEN BUDGET ECONOMY 

589
00:23:11,720 --> 00:23:13,840
STRAINS OR EVEN POLITICAL 

590
00:23:13,840 --> 00:23:14,120
STRAINS. 

591
00:23:14,120 --> 00:23:15,360
SO, THE PROGRAM OFFICE THAT THEY

592
00:23:15,360 --> 00:23:17,720
ARE LOOKING FOR HAVE TO HAVE 

593
00:23:17,720 --> 00:23:18,280
THESE CHARACTERISTICS. 

594
00:23:18,280 --> 00:23:20,520
I KNOW THAT I LOOKED AT THEM AND

595
00:23:20,520 --> 00:23:23,720
SAID, WOW.  PROBLEM SOLVER AND 

596
00:23:23,720 --> 00:23:25,880
DREAMER AND STATUS QUO 

597
00:23:25,880 --> 00:23:27,560
CHALLENGER AND TINKER OF THE 

598
00:23:27,560 --> 00:23:29,800
SAGE, THE ROOKIE.  WHICH ARE 

599
00:23:29,800 --> 00:23:31,600
YOU?  WHAT CAN YOU BECOME?  ALL 

600
00:23:31,600 --> 00:23:33,600
QUESTIONS WE ASK OURSELVES. 

601
00:23:33,600 --> 00:23:35,680
AS THEY DELIBERATE THROUGH 

602
00:23:35,680 --> 00:23:37,520
ACTUALLY LAYING DOWN 

603
00:23:37,520 --> 00:23:39,120
INFRASTRUCTURE OF ARPAH THESE 

604
00:23:39,120 --> 00:23:40,920
ARE QUESTIONS WE WERE RAISED AND

605
00:23:40,920 --> 00:23:44,000
REASON I BRING THIS UP IS EVEN 

606
00:23:44,000 --> 00:23:47,280
THOUGH ARPAH BE -- NO ONE WILL 

607
00:23:47,280 --> 00:23:49,280
HAVE A CENTRAL PLATFORM THAT 

608
00:23:49,280 --> 00:23:50,720
WILL BE VERY CROSS-CUTTING AND 

609
00:23:50,720 --> 00:23:53,280
WE HAVE PROJECTS IN MIND AND 

610
00:23:53,280 --> 00:23:56,600
TEAM WILL MEET WITH BRENE VERY 

611
00:23:56,600 --> 00:23:57,960
SHORTLY, THE DIRECTOR.  THESE 

612
00:23:57,960 --> 00:23:59,440
ARE QUESTIONS THEY ASKED AND ARE

613
00:23:59,440 --> 00:24:01,360
QUESTIONS WE SHOULD BE ASKING 

614
00:24:01,360 --> 00:24:05,360
OURSELVES ANYWAY, ALL THE TIME, 

615
00:24:05,360 --> 00:24:07,800
FOR ALL OF THE GRANTS ISSUED AND

616
00:24:07,800 --> 00:24:09,480
FOR GRANTS PROJECTS AND GOALS 

617
00:24:09,480 --> 00:24:11,320
THAT WE EXECUTE.  RIGHT?  HOW 

618
00:24:11,320 --> 00:24:12,480
MUCH WILL IT TAKE AND COST AND 

619
00:24:12,480 --> 00:24:14,680
WHO CARES AND WHAT IS NEW ABOUT 

620
00:24:14,680 --> 00:24:16,880
OUR APPROACH?  I WANTED THAT TO 

621
00:24:16,880 --> 00:24:19,600
KIND OF STICK WITH US FOR NOW AS

622
00:24:19,600 --> 00:24:22,520
A THEME AND GIVING EXAMPLE MOON 

623
00:24:22,520 --> 00:24:24,080
SHOT INITIATIVE AGAIN BY 

624
00:24:24,080 --> 00:24:24,920
PRESIDENT BIDEN HAD THESE 

625
00:24:24,920 --> 00:24:27,880
VARIOUS WHAT THEY CALL NOTIONAL 

626
00:24:27,880 --> 00:24:30,760
INITIATIVES OF -- THESE ARE THE 

627
00:24:30,760 --> 00:24:32,560
HIGH -- HIGH-LEVEL GOALS THAT 

628
00:24:32,560 --> 00:24:34,760
THEY SEEK; RIGHT?  

629
00:24:34,760 --> 00:24:41,360
EXAMPLE OF WHERE ARPAH CAN MAKE 

630
00:24:41,360 --> 00:24:43,800
DIFFERENCE IS A EXAMPLE TO COME 

631
00:24:43,800 --> 00:24:46,040
UP WITH MACHINE LEARNING TOOLS 

632
00:24:46,040 --> 00:24:47,720
AND PATHOLOGY THAT IS DONE VERY 

633
00:24:47,720 --> 00:24:50,280
MUCH THE OLD-FASHIONED WAY 

634
00:24:50,280 --> 00:24:52,400
MANUALLY ON GLASS SLIDES MAKING 

635
00:24:52,400 --> 00:24:54,760
IT AVAILABLE TO PHYSICIANS 

636
00:24:54,760 --> 00:24:57,160
CLINICIANS RESEARCHERS AND 

637
00:24:57,160 --> 00:25:00,600
PATIENTS IT THAT IS NO. 4 

638
00:25:00,600 --> 00:25:01,040
PRIORITY. 

639
00:25:01,040 --> 00:25:03,840
NOW, I WILL GET BACK TO US, 

640
00:25:03,840 --> 00:25:06,160
NIDCR AND WHO WE ARE ABOUT.  ALL

641
00:25:06,160 --> 00:25:07,800
OF THESE ELEMENTS IT THAT MAKE 

642
00:25:07,800 --> 00:25:10,760
UP WHO WE ARE.  IT IS IN FACT 

643
00:25:10,760 --> 00:25:13,720
ALL ABOUT PEOPLE FOR US. 

644
00:25:13,720 --> 00:25:16,640
SO, FOR ME, IN THAT REGARD 

645
00:25:16,640 --> 00:25:17,800
OUTREACHING AND VISITING SCHOOL 

646
00:25:17,800 --> 00:25:20,000
ROOZ HE MAINS THE BLESSING OF 

647
00:25:20,000 --> 00:25:21,680
THE JOB EVEN THOUGH IT IS 

648
00:25:21,680 --> 00:25:23,480
TEDIOUS AND TIRING SOMETIMES AND

649
00:25:23,480 --> 00:25:26,600
I HAVE CHOSEN AND GAINED SO MUCH

650
00:25:26,600 --> 00:25:28,360
IN TERMS OF UNDERSTANDING 

651
00:25:28,360 --> 00:25:29,160
CULTURES OF INDIVIDUAL 

652
00:25:29,160 --> 00:25:30,160
INSTITUTION MEETING WITH 

653
00:25:30,160 --> 00:25:32,920
TRAINEES AND FACULTY AND FROM 

654
00:25:32,920 --> 00:25:35,760
ALL OVER, TYPICALLY.  I HAVE 

655
00:25:35,760 --> 00:25:37,160
ALSO MADE IT A POINTED REQUEST 

656
00:25:37,160 --> 00:25:39,320
TO MEET WITH THE HIRED 

657
00:25:39,320 --> 00:25:41,720
ADMINISTRATION AND CHANCELLORS 

658
00:25:41,720 --> 00:25:42,760
AND PRESIDENTS TO COMMUNICATE 

659
00:25:42,760 --> 00:25:44,960
IMPORTANCE OF SUPPORT FOR ALL 

660
00:25:44,960 --> 00:25:46,960
ORAL HEALTH SCIENCES AND 

661
00:25:46,960 --> 00:25:49,600
JENNIFER HAS JOINED ME DOING HER

662
00:25:49,600 --> 00:25:53,800
OWN OUTREACH AS WELL AS RENÉ 

663
00:25:53,800 --> 00:25:55,520
JOSCO AND OTHER PROGRAM MEMBERS 

664
00:25:55,520 --> 00:25:58,040
AND WE BUILD MEANINGFUL 

665
00:25:58,040 --> 00:25:59,560
RELATIONSHIPS WITH STAKEHOLDERS 

666
00:25:59,560 --> 00:26:01,480
MEANING THAT IN TERMS OF JOINT 

667
00:26:01,480 --> 00:26:03,480
INITIATIVES LOOKING ACROSS THE 

668
00:26:03,480 --> 00:26:05,120
BOARD WITH IC DIRECTOR 

669
00:26:05,120 --> 00:26:07,640
COLLEAGUES AND WE HAVE GROWN THE

670
00:26:07,640 --> 00:26:11,440
EXTENT OF TRANS NIH OR ACROSS 

671
00:26:11,440 --> 00:26:13,160
NIH INITIATIVES SIGNIFICANTLY IN

672
00:26:13,160 --> 00:26:14,800
THE LAST YEAR AND YOU CAN SEE A 

673
00:26:14,800 --> 00:26:16,360
FEW EXAMPLES WHAT IS OUT THERE. 

674
00:26:16,360 --> 00:26:20,960
I WANT TO WELCOME ON BOARD 

675
00:26:20,960 --> 00:26:22,760
SHARON JACKSON DEPUTY CLINICAL 

676
00:26:22,760 --> 00:26:25,520
DIRECTOR WORKING WITH DIRECTOR 

677
00:26:25,520 --> 00:26:29,800
JANIS LEE BRINGING WEALTH OF 

678
00:26:29,800 --> 00:26:31,440
EXPERTISE TO PEDIATRICIAN YOU 

679
00:26:31,440 --> 00:26:32,840
CAN SEE WITH A VERY STRONG 

680
00:26:32,840 --> 00:26:34,560
INTEREST IN DISPARITY RESEARCH. 

681
00:26:34,560 --> 00:26:36,160
>>I DON'T KNOW HOW LONG
THIS 

682
00:26:36,160 --> 00:26:40,120
WILL BE BUT PROBABLY.  I MIGHT 

683
00:26:40,120 --> 00:26:49,200
GO THIS AFTERNOON. 

684
00:26:49,200 --> 00:26:53,760
SOMEONE IS TALKING ON MUTE.  

685
00:26:53,760 --> 00:27:03,880
SORRY.  

686
00:27:15,360 --> 00:27:17,360
 -- WHO WILL BE A FAMILIAR FACE 

687
00:27:17,360 --> 00:27:20,280
TO OUR TRAINEES AND TO OUR 

688
00:27:20,280 --> 00:27:21,720
TRAINEES AND OUR GRANTS. 

689
00:27:21,720 --> 00:27:24,160
I WANT TO SAY AS A TRIPLE HEADER

690
00:27:24,160 --> 00:27:26,240
HERE IS JENNIFER WHO I WANT TO 

691
00:27:26,240 --> 00:27:29,040
ACKNOWLEDGE HER 22 WAS A 

692
00:27:29,040 --> 00:27:31,560
MAGNIFICENT YEAR FOR HER SHE WAS

693
00:27:31,560 --> 00:27:33,640
NAMED DISTINGUISHED SCIENTIST BY

694
00:27:33,640 --> 00:27:37,880
IDR ELECTED TO NATIONAL ACADEMY 

695
00:27:37,880 --> 00:27:41,800
AND VICE PRESIDENT FOR AMERICAN 

696
00:27:41,800 --> 00:27:45,640
SOCIAL DENTAL ORAL CRANIO 

697
00:27:45,640 --> 00:27:46,520
FACIAL. 

698
00:27:46,520 --> 00:27:50,720
YOU HAVE BEEN PRICELESS AND 

699
00:27:50,720 --> 00:27:51,960
[INDISCERNIBLE] HONORS 

700
00:27:51,960 --> 00:27:52,960
INDIVIDUALS MAKING A DIFFERENCE 

701
00:27:52,960 --> 00:27:57,920
IN THE FIELD OF IMMUNOLOGY AND 

702
00:27:57,920 --> 00:28:02,360
IN NICKY'S CASE MUCOSAL 

703
00:28:02,360 --> 00:28:05,480
[INDISCERNIBLE] AND LIFETIME 

704
00:28:05,480 --> 00:28:08,480
SERVICE AWARD PRESTIGIOUS AWARD 

705
00:28:08,480 --> 00:28:10,880
FROM HEALTH AND HUMAN SERVICES 

706
00:28:10,880 --> 00:28:15,120
IN 2020 WE AWARDED RFAS IN THESE

707
00:28:15,120 --> 00:28:17,720
AREAS THAT YOU CAN SEE NUMBERS 

708
00:28:17,720 --> 00:28:22,760
AND ACTIVITIES THAT WE CONTINUE 

709
00:28:22,760 --> 00:28:26,760
IN THAT MANNER LOOKING AT 

710
00:28:26,760 --> 00:28:29,720
2023RFAS HERE THAT COVER A RANGE

711
00:28:29,720 --> 00:28:31,880
OF INFECTIOUS DISEASES HIV 

712
00:28:31,880 --> 00:28:34,400
CONGENITAL DISORDERS LOOKING AT 

713
00:28:34,400 --> 00:28:37,240
PAIN MANAGEMENT SUBSTANCE USE 

714
00:28:37,240 --> 00:28:39,440
DISORDERS AS WELL HARNESSING 

715
00:28:39,440 --> 00:28:40,640
TECHNOLOGIES FOR PROMOTION OF 

716
00:28:40,640 --> 00:28:45,040
ORAL HEALTH AND SAYING OPIOID 

717
00:28:45,040 --> 00:28:46,680
DRUG MISUSE AND FENTANYL CRISIS 

718
00:28:46,680 --> 00:28:49,600
IS A BURDEN FOR US ON THE 

719
00:28:49,600 --> 00:28:50,680
NATIONAL LEVEL IS A REAL 

720
00:28:50,680 --> 00:28:51,840
UNDERSTATEMENT TODAY IF YOU LOOK

721
00:28:51,840 --> 00:28:53,200
AT ACTUAL DATA.  WE WILL 

722
00:28:53,200 --> 00:28:55,320
CONTINUE AS YOU CAN SEE WITH 

723
00:28:55,320 --> 00:28:57,360
THESE VERY SPECIAL INITIATIVES 

724
00:28:57,360 --> 00:28:59,240
AND VERY PROUD WE COULD BRING 

725
00:28:59,240 --> 00:29:01,160
THAT FORTH AS SIGNATURE 

726
00:29:01,160 --> 00:29:08,240
INITIATIVES FOR T 7 /* THE 75TH 

727
00:29:08,240 --> 00:29:10,640
LOOKING AT LONGSTANDING ISSUES 

728
00:29:10,640 --> 00:29:13,000
WE WRESTLED WITH FOR YEARS AND 

729
00:29:13,000 --> 00:29:15,640
BRINGING COMMUNITIES TOGETHER IN

730
00:29:15,640 --> 00:29:16,600
NATIONAL COLLABORATIVE APPROACH 

731
00:29:16,600 --> 00:29:18,680
TO CONNECT DOTS AND SHARE 

732
00:29:18,680 --> 00:29:19,880
RESOURCES AND KNOWLEDGE ACROSS 

733
00:29:19,880 --> 00:29:21,920
ALL FOR THE BENEFIT FOR THE 

734
00:29:21,920 --> 00:29:25,480
PATIENT AND THE COMMUNITY AND I 

735
00:29:25,480 --> 00:29:28,120
WANT TO HIGHLIGHT OUR REALLY 

736
00:29:28,120 --> 00:29:30,480
RESPONSE FROM YOU OUR EXTRAMURAL

737
00:29:30,480 --> 00:29:31,520
COMMUNITY AND VERY ROBUST 

738
00:29:31,520 --> 00:29:33,080
RESPONSE THAT IS IN DENTAL 

739
00:29:33,080 --> 00:29:36,600
SCHOOLS IT THAT HAVE APPLIED FOR

740
00:29:36,600 --> 00:29:40,400
THIS PARTICULAR INITIATIVE. 

741
00:29:40,400 --> 00:29:42,760
LOTS MORE NEWS WILL COME AS PEER

742
00:29:42,760 --> 00:29:46,360
REVIEW PROGRESSES IN THE NEWS.  

743
00:29:46,360 --> 00:29:47,640
I THANK YOU FOR COMING AND 

744
00:29:47,640 --> 00:29:49,400
STEPPING UP TO THE PLATE AND 

745
00:29:49,400 --> 00:29:51,280
WANTING TO BELONG TO OUR 

746
00:29:51,280 --> 00:29:52,920
COMMUNITY.  WE NEED CLINICAL 

747
00:29:52,920 --> 00:29:54,720
RESEARCHERS AND NEED 

748
00:29:54,720 --> 00:29:55,480
TRANSLATIONAL RESEARCHERS AS 

749
00:29:55,480 --> 00:29:58,760
WELL.  CONCEPTS APPROVED BY 

750
00:29:58,760 --> 00:30:00,640
COUNCIL RANGE FROM MATERNAL 

751
00:30:00,640 --> 00:30:02,040
HEALTH AND CHILD HEALTH 

752
00:30:02,040 --> 00:30:05,200
INITIATIVE THAT THE NIH IS 

753
00:30:05,200 --> 00:30:06,560
SUPPORTED BY THE WHITE HOUSE, 

754
00:30:06,560 --> 00:30:08,200
ACTUALLY IN PROMOTING.  WE HAVE 

755
00:30:08,200 --> 00:30:10,640
A STAKE IN THAT ALONG WITH 

756
00:30:10,640 --> 00:30:14,280
LOOKING AT HPV AND LOOKING AT, 

757
00:30:14,280 --> 00:30:18,760
AGAIN, A VERY DIAGNOSTICS WAYS 

758
00:30:18,760 --> 00:30:21,680
TO DISRUPT THE WAY WE THINK IN 

759
00:30:21,680 --> 00:30:25,240
THE ARPAH MODE AND APPLYING DATA

760
00:30:25,240 --> 00:30:27,040
SCIENCE, OF COURSE.  I'M VERY 

761
00:30:27,040 --> 00:30:30,600
EAGER TO HEAR FROM AXEL ON 

762
00:30:30,600 --> 00:30:31,800
WORKING GROUP'S PROGRESS IN THIS

763
00:30:31,800 --> 00:30:33,520
AREA.  WE CONTINUE WITH OUR 

764
00:30:33,520 --> 00:30:36,360
SPECIAL ANNOUNCEMENTS IT THAT 

765
00:30:36,360 --> 00:30:38,760
SIMPLY HIGHLIGHTS AREAS THAT WE 

766
00:30:38,760 --> 00:30:40,240
IDENTIFIED GAPS OR HOLES WE NEED

767
00:30:40,240 --> 00:30:44,480
TO MOVE ALONG.  WE CREATE THESE 

768
00:30:44,480 --> 00:30:46,760
ATTRACT AND CHEMOATTRACTANTS I 

769
00:30:46,760 --> 00:30:48,720
CALL THEM TO SOLICIT INPUT AND 

770
00:30:48,720 --> 00:30:50,520
ASK EACH OF YOU TO REALLY THINK 

771
00:30:50,520 --> 00:30:53,840
ABOUT WHO YOU ARE AROUND IN YOUR

772
00:30:53,840 --> 00:30:55,600
UNIVERSITY SETTINGS. 

773
00:30:55,600 --> 00:30:57,880
MANY HAVE VERY ENRICHED 

774
00:30:57,880 --> 00:30:59,840
RESOURCES IN TERMS OF HUMAN 

775
00:30:59,840 --> 00:31:03,760
CAPITAL IN SCHOOLS OF HEALTH 

776
00:31:03,760 --> 00:31:08,960
PUBLIC HEALTH PHARMACY NURSING 

777
00:31:08,960 --> 00:31:10,560
AND ENGAGING THIS AND THIS 

778
00:31:10,560 --> 00:31:12,240
DEMANDS THAT AND IN PARTICULAR I

779
00:31:12,240 --> 00:31:14,760
WANT TO HIGHLIGHT THAT WE BRING 

780
00:31:14,760 --> 00:31:17,520
TOGETHER BASIC AND CLINICAL 

781
00:31:17,520 --> 00:31:18,800
RESEARCHERS IN A TEAM APPROACH 

782
00:31:18,800 --> 00:31:21,680
TO LOOK AT PATHOPHYSIOLOGY AND 

783
00:31:21,680 --> 00:31:24,720
STRATIFICATION OF PAIN AND EARLY

784
00:31:24,720 --> 00:31:28,000
DIAGNOSTICS AND HOW BEST TO MOVE

785
00:31:28,000 --> 00:31:30,240
THE NEEDLE AND DENTAL PAIN 

786
00:31:30,240 --> 00:31:31,280
REMAINS A DIFFICULT PAIN TO 

787
00:31:31,280 --> 00:31:34,720
SOLVE OR TREAT AS WE KNOW.  

788
00:31:34,720 --> 00:31:39,120
TAKES THEMSELVES TEMPERO MAN 

789
00:31:39,120 --> 00:31:39,880
DIBULAR AND [INDISCERNIBLE] ET 

790
00:31:39,880 --> 00:31:42,400
CETERA AND CRANIO FACIAL AS 

791
00:31:42,400 --> 00:31:44,240
WELL.  VERY PLEASED WITH THE 

792
00:31:44,240 --> 00:31:45,600
PROGRESS THAT IS MADE IN THE 

793
00:31:45,600 --> 00:31:49,920
MEET THE -- I WAS CALLED MINING 

794
00:31:49,920 --> 00:31:51,400
THE GAP MINE THE FUTURE PROGRAM 

795
00:31:51,400 --> 00:31:57,520
THAT WE HAVE SUPPORTED AADCR.  

796
00:31:57,520 --> 00:31:59,480
IF YOU CAN IMAGINE THIS AND 

797
00:31:59,480 --> 00:32:01,840
PINCH YOURSELF 60% OF THE FIRST 

798
00:32:01,840 --> 00:32:03,960
COHORT ACTUALLY FUNDED BY NIH 

799
00:32:03,960 --> 00:32:06,640
AND SECOND COHORT, 55%.  THAT IS

800
00:32:06,640 --> 00:32:09,320
A SIGNIFICANT SUCCESS RATE.  WE 

801
00:32:09,320 --> 00:32:10,720
WILL URGE INDIVIDUALS TO STAY 

802
00:32:10,720 --> 00:32:13,440
CLOSE TO OUR PROGRAM OFFICERS TO

803
00:32:13,440 --> 00:32:15,320
MAINTAIN THAT CONTINUUM OF 

804
00:32:15,320 --> 00:32:17,440
SCHOLARSHIP AND FUNDING AND NO 

805
00:32:17,440 --> 00:32:19,520
MATTER HOW DEMANDING YOUR LIFE 

806
00:32:19,520 --> 00:32:22,920
IS AS A FACULTY MEMBER, EITHER 

807
00:32:22,920 --> 00:32:27,200
IN A DENTAL OR MEDICAL SCHOOL.  

808
00:32:27,200 --> 00:32:28,480
QUICK GLANCE AT RESEARCH 

809
00:32:28,480 --> 00:32:31,240
ADVANCES THAT YOU CAN SEE HERE. 

810
00:32:31,240 --> 00:32:35,000
WE DISCOVERED THIS.  THE SUPPORT

811
00:32:35,000 --> 00:32:42,600
BY MCLEE YOED AND OWL AND 

812
00:32:42,600 --> 00:32:45,840
SUBSPECIES OF GIVEN MICROBE HAS 

813
00:32:45,840 --> 00:32:49,280
SITE SPECIFICITY AND THAT 

814
00:32:49,280 --> 00:32:50,760
DISTINCTIVE HABITAT AND 

815
00:32:50,760 --> 00:32:52,920
ECOSYSTEM CHARACTERISTICS 

816
00:32:52,920 --> 00:32:54,560
ATTRACTING ORGANISMS TO SPECIFIC

817
00:32:54,560 --> 00:32:55,800
SITES THAT IS A NICE AND GOOD 

818
00:32:55,800 --> 00:33:00,480
WAY TO LOOK AT ORAL HYGIENE AND 

819
00:33:00,480 --> 00:33:01,680
TREATMENT STRATEGIES AND WE KNOW

820
00:33:01,680 --> 00:33:06,360
THAT A FEW ACTUALLY USE 

821
00:33:06,360 --> 00:33:08,040
STEREOSTATIC BODY RADIATION THAT

822
00:33:08,040 --> 00:33:12,400
IN FACT HAS AN ACTUALLY HUGE 

823
00:33:12,400 --> 00:33:14,640
BENEFIT FOR TARGETING PRIMARY 

824
00:33:14,640 --> 00:33:18,720
TUMORS THIS IS A PRACTICAL 

825
00:33:18,720 --> 00:33:19,520
IMPLEMENTATION PIECE OF WORK 

826
00:33:19,520 --> 00:33:21,920
THAT WILL IMPACT OUR CLINICAL 

827
00:33:21,920 --> 00:33:25,960
TRIALS RESEARCH IN AREA OF HEAD,

828
00:33:25,960 --> 00:33:27,880
NECK, SQUEEMOUS CANCERS AND 

829
00:33:27,880 --> 00:33:31,800
NUMBERS AND DENTAL FEAR ANXIETY 

830
00:33:31,800 --> 00:33:34,200
HAVE REMAINED HIGH AMONGST BLACK

831
00:33:34,200 --> 00:33:36,040
WOMEN FOR DIFFERENT REASONS THAT

832
00:33:36,040 --> 00:33:39,840
REALLY SETS US UP LOOKING 

833
00:33:39,840 --> 00:33:41,280
CAREFULLY AT INCLUDING 

834
00:33:41,280 --> 00:33:42,680
POPULATIONS THAT ARE 

835
00:33:42,680 --> 00:33:43,640
DISADVANTAGED THAT COULD BE 

836
00:33:43,640 --> 00:33:45,480
BECAUSE OF THE FEAR AND ANXIETY 

837
00:33:45,480 --> 00:33:47,840
ELEMENT THAT COULD APPLY TO 

838
00:33:47,840 --> 00:33:53,840
OTHER POPULATIONS OF RISK AS 

839
00:33:53,840 --> 00:33:54,760
WELL AND [INDISCERNIBLE] THAT 

840
00:33:54,760 --> 00:33:58,160
OUR PROGRAM STAFF WAS ABLE TO 

841
00:33:58,160 --> 00:33:59,520
ORGANIZE A GROUP OF 

842
00:33:59,520 --> 00:34:00,760
[INDISCERNIBLE] OR HEALTH PORT 

843
00:34:00,760 --> 00:34:02,080
LEADERS COMING TOGETHER TO LOOK 

844
00:34:02,080 --> 00:34:04,000
AT THIS WHOLE AREA OF HOW DO WE 

845
00:34:04,000 --> 00:34:07,280
P MAKE IT BETTER FOR CHILDREN.  

846
00:34:07,280 --> 00:34:11,240
4 OUT OF 5 REMAIN WITH UNTREATED

847
00:34:11,240 --> 00:34:12,760
DENTAL CARRIES.  THIS IS A STUDY

848
00:34:12,760 --> 00:34:17,040
THAT CAME TO US FROM AFRICA AND 

849
00:34:17,040 --> 00:34:19,760
BELIEVE IT WAS NAIROBI, I'M NOT 

850
00:34:19,760 --> 00:34:23,600
SURE.  YOU CAN SEE SORRY IT WAS 

851
00:34:23,600 --> 00:34:24,720
NIGERIA.  PARTICIPANTS WERE 

852
00:34:24,720 --> 00:34:26,720
COHORT OF HIV INFECTED AND THOSE

853
00:34:26,720 --> 00:34:29,360
THAT ARE NOT AND CLEARLY IF YOU 

854
00:34:29,360 --> 00:34:34,760
ARE INFECTED WITH THIS VIRUS, 

855
00:34:34,760 --> 00:34:37,160
YOUR RISK FORWARD CARRIES 

856
00:34:37,160 --> 00:34:38,800
PREVALENCE OR GOES MUCH HIGHER 

857
00:34:38,800 --> 00:34:41,040
AN IMPORTANT DISCOVERY FOR US TO

858
00:34:41,040 --> 00:34:44,240
TAKE NOTE OF AND ALSO OTHER 

859
00:34:44,240 --> 00:34:45,440
COMORBID INFECTIONS WE WITNESS 

860
00:34:45,440 --> 00:34:47,680
IN THE US THAT INFLUENCES 

861
00:34:47,680 --> 00:34:49,720
CARRIES AS YOU KNOW.  

862
00:34:49,720 --> 00:34:53,680
WE HAD THIS REALLY WONDERFUL 

863
00:34:53,680 --> 00:34:54,720
STUDY ALONG WITH ALL OTHER 

864
00:34:54,720 --> 00:34:58,400
INDIVIDUAL PROJECTS FUNDING IN 

865
00:34:58,400 --> 00:35:02,720
AREA OF TEMPOROMAN DIBULAR 

866
00:35:02,720 --> 00:35:03,880
DISFUNCTION YOU CAN DEVELOP 

867
00:35:03,880 --> 00:35:05,440
RESPONSES TO PAIN DEPENDING 

868
00:35:05,440 --> 00:35:07,480
WHERE YOU HAVE LOCI OF PAIN IN 

869
00:35:07,480 --> 00:35:09,600
YOUR BODY THAT RELATES AND 

870
00:35:09,600 --> 00:35:11,400
CORRELATES TO INFORMATION.  SO, 

871
00:35:11,400 --> 00:35:13,360
THIS IS AN IMPORTANT DISCOVERY 

872
00:35:13,360 --> 00:35:15,640
AS WELL.  

873
00:35:15,640 --> 00:35:17,880
I WANT TO NOW MOVE ON TO GIVING 

874
00:35:17,880 --> 00:35:20,480
YOU A LITTLE BIT OF INFORMATION 

875
00:35:20,480 --> 00:35:23,320
WHERE WE ARE WITH THE 7 FIFTH 

876
00:35:23,320 --> 00:35:26,360
THAT FROM THE BEGINNING IS NOT 

877
00:35:26,360 --> 00:35:29,600
MEANT TO BE A SPLASHY ONE-TIME 

878
00:35:29,600 --> 00:35:31,440
EVENT BUT A SERIES SPREAD OUT 

879
00:35:31,440 --> 00:35:33,960
THROUGH THE YEAR IN KIND OF 

880
00:35:33,960 --> 00:35:35,680
EDIBLE VIGNETTE AND DRAWING 

881
00:35:35,680 --> 00:35:36,800
ATTENTION TO OUR SCIENCE AND 

882
00:35:36,800 --> 00:35:38,760
SCIENCE THAT PROPELLED US TO 

883
00:35:38,760 --> 00:35:40,080
WHERE WE ARE TODAY. 

884
00:35:40,080 --> 00:35:42,760
IT MEANS THAT WE ACKNOWLEDGE THE

885
00:35:42,760 --> 00:35:44,640
HISTORY AND CAN'T IGNORE IT.  

886
00:35:44,640 --> 00:35:46,520
CLEARLY WITH THE INTENTION TO 

887
00:35:46,520 --> 00:35:48,880
FORECAST HOW THAT SCIENCE IS 

888
00:35:48,880 --> 00:35:50,040
BEING DONE TODAY AND HOW DOES IT

889
00:35:50,040 --> 00:35:53,240
-- HOW DO WE AS A COMMUNITY 

890
00:35:53,240 --> 00:35:55,280
FORECAST THE NEXT 25 YEARS. 

891
00:35:55,280 --> 00:35:58,360
SO, WE START OFF WITH THESE 

892
00:35:58,360 --> 00:36:00,320
THINGS ON THE PERATIVE REAL 

893
00:36:00,320 --> 00:36:02,120
OCCURRING AS WE PLAN ALL OF THE 

894
00:36:02,120 --> 00:36:05,880
OTHER PROGRAMS AND WE START OFF 

895
00:36:05,880 --> 00:36:08,120
WITH SCIENTIFIC STRIDE SYMPOSIUM

896
00:36:08,120 --> 00:36:12,960
AT ARCD GENERAL SESSION IN 

897
00:36:12,960 --> 00:36:14,240
PORTLAND MID MARCH HOPE YOU CAN 

898
00:36:14,240 --> 00:36:15,920
ATTEND IT WILL BE RECORDED BUT 

899
00:36:15,920 --> 00:36:17,360
HOPE YOU CAN ATTEND THIS 

900
00:36:17,360 --> 00:36:18,400
IMPORTANT MEETING.  OTHER THINGS

901
00:36:18,400 --> 00:36:20,440
WILL BE HAPPENING AND AT THAT 

902
00:36:20,440 --> 00:36:22,480
TIME WE WILL ACKNOWLEDGE 

903
00:36:22,480 --> 00:36:26,040
400 + CONTRIBUTORS TO ORAL 

904
00:36:26,040 --> 00:36:27,760
HEALTH AND AMERICAN REPORT AND 

905
00:36:27,760 --> 00:36:28,720
ARE WAITING FOR THAT OPPORTUNITY

906
00:36:28,720 --> 00:36:30,280
TO DELIVER THIS IN PERSON AND WE

907
00:36:30,280 --> 00:36:33,840
HAVE CERTIFICATES THAT ARE VERY 

908
00:36:33,840 --> 00:36:36,560
NICE ACKNOWLEDGMENT SYMBOLS.  

909
00:36:36,560 --> 00:36:37,200
THOSE THAT CAN'T ATTEND WILL 

910
00:36:37,200 --> 00:36:39,720
HAVE THEM MAILED TO THEM.  WHAT 

911
00:36:39,720 --> 00:36:43,120
IS HAPPENING AT THAT SYMPOSIUM? 

912
00:36:43,120 --> 00:36:44,640
OPPORTUNITY HERE FROM HEALTH 

913
00:36:44,640 --> 00:36:47,880
[INDISCERNIBLE] AND IMPACTFUL 

914
00:36:47,880 --> 00:36:50,800
5-YEAR TERM WHEN INSTITUTE 

915
00:36:50,800 --> 00:36:53,880
CHANGED THEIR NAME AND LARRY 

916
00:36:53,880 --> 00:36:56,200
TAIBAC WE WILL HEAR FROM AND 

917
00:36:56,200 --> 00:36:58,800
THEIR TENURE INITIATIVES THEY 

918
00:36:58,800 --> 00:37:01,000
SUPPORTED SPEARHEADED AND 

919
00:37:01,000 --> 00:37:02,760
CHAMPIONED HOW DID THEY FEEL 

920
00:37:02,760 --> 00:37:04,800
ABOUT THEM AND SEE THEM TODAY 

921
00:37:04,800 --> 00:37:06,480
AND FORECAST INITIATIVES GOING 

922
00:37:06,480 --> 00:37:08,760
FORWARD AND WITH ME COMING IN AT

923
00:37:08,760 --> 00:37:11,880
THE END JUST SHOWCASING OR 

924
00:37:11,880 --> 00:37:13,440
PROJECTING A VISION FROM MY 

925
00:37:13,440 --> 00:37:14,520
PERSPECTIVE IN THE NEXT 25 YEARS

926
00:37:14,520 --> 00:37:18,000
THAT IS FOLLOWED BY INTRAMURAL 

927
00:37:18,000 --> 00:37:19,880
RESEARCHERS WHO WILL -- FOUR OR 

928
00:37:19,880 --> 00:37:22,800
FIVE OF THEM REALLY RESEMBLE A 

929
00:37:22,800 --> 00:37:24,200
SYMBOLIZE THE DIFFERENT FOCUS 

930
00:37:24,200 --> 00:37:25,560
AREAS OF THE INSTITUTE THAT I 

931
00:37:25,560 --> 00:37:29,000
WANT -- IT IS THE BEST WAY FOR 

932
00:37:29,000 --> 00:37:30,760
US TO ACTUALLY STRESS HOW 

933
00:37:30,760 --> 00:37:32,960
IMPORTANT OUR INTRAMURAL 

934
00:37:32,960 --> 00:37:34,760
RESEARCH PROGRAM IS ON OUR 

935
00:37:34,760 --> 00:37:38,360
CAMPUS AND HOW SOME OF THE 

936
00:37:38,360 --> 00:37:40,440
DISCOVERIES ACTUALLY CHAMPION 

937
00:37:40,440 --> 00:37:42,600
AND PROPELLED OTHER FIELDS 

938
00:37:42,600 --> 00:37:47,280
ACROSS NIH WHETHER MICROBIOME OR

939
00:37:47,280 --> 00:37:48,360
STEM CELL WORK FROM 

940
00:37:48,360 --> 00:37:49,800
[INDISCERNIBLE] THERE ARE MANY 

941
00:37:49,800 --> 00:37:50,680
EXAMPLES THAT WE CAN SHARE WITH 

942
00:37:50,680 --> 00:37:53,160
THE COMMUNITY THAT WILL BE 

943
00:37:53,160 --> 00:37:55,800
FOLLOWED BY A GROUP OF 

944
00:37:55,800 --> 00:37:57,320
INVESTIGATORS THAT ARE ACTUALLY 

945
00:37:57,320 --> 00:37:59,240
PUBLISHING A VERY -- I WOULDN'T 

946
00:37:59,240 --> 00:38:01,160
CALL THEM PHYSICIAN PAPERS BUT 

947
00:38:01,160 --> 00:38:04,560
THEY ARE MORE LIKE REVIEWS IN A 

948
00:38:04,560 --> 00:38:07,640
JDR SPECIAL ISSUE OR ADVANCES IN

949
00:38:07,640 --> 00:38:09,480
DEMORESEARCH AND WE HAVE I THINK

950
00:38:09,480 --> 00:38:11,920
OUR FLAGSHIP EVENT THAT IS A 

951
00:38:11,920 --> 00:38:13,600
TRAINING SYMPOSIUM THAT NOW WILL

952
00:38:13,600 --> 00:38:15,480
BE DONE TOTALLY VIRTUALLY 

953
00:38:15,480 --> 00:38:17,120
DRAWING TOGETHER ABOUT 

954
00:38:17,120 --> 00:38:19,120
400 + TRAINEES FROM ALL OVER OUR

955
00:38:19,120 --> 00:38:22,000
COUNTRY INCLUDING THEIR MENTORS 

956
00:38:22,000 --> 00:38:24,560
AND TRAINING PROGRAM DIRECTORS 

957
00:38:24,560 --> 00:38:26,120
ASSOCIATE DEANS FOR RESEARCH AND

958
00:38:26,120 --> 00:38:27,880
ANYONE ELSE AROUND CAMPUS THAT 

959
00:38:27,880 --> 00:38:29,480
CAN PARTICIPATE OR WELCOME TO.  

960
00:38:29,480 --> 00:38:31,280
IT IS THEIR WAY OF SENSING HOW 

961
00:38:31,280 --> 00:38:32,720
THEY BELONG TO THIS COMMUNITY 

962
00:38:32,720 --> 00:38:35,400
THAT WE CARE ABOUT DEEPLY.  WE 

963
00:38:35,400 --> 00:38:37,640
DO HAVE -- THE NEXT SLIDE IS A 

964
00:38:37,640 --> 00:38:39,320
SAVE THE DATE THAT ONE I SHARED 

965
00:38:39,320 --> 00:38:41,440
MORE WITH YOU.  WE FOLLOW THAT 

966
00:38:41,440 --> 00:38:43,320
UP WITH A SPECIAL SEMINAR 

967
00:38:43,320 --> 00:38:45,600
ATTRIBUTING TO FIBERS DISPLACING

968
00:38:45,600 --> 00:38:48,080
WORK OF 25 YEARS AND ACTUALLY IT

969
00:38:48,080 --> 00:38:52,440
PROCEEDS AND IT IS IN SEPTEMBER.

970
00:38:52,440 --> 00:38:55,440
AND THEN CONTINUE ON TO KIND OF 

971
00:38:55,440 --> 00:38:57,600
ROUNDING UP THE YEAR WITH 

972
00:38:57,600 --> 00:38:59,440
CELEBRATIONS AND WITH A JOINT 

973
00:38:59,440 --> 00:39:02,160
SYMPOSIUM AND WITH FELLOW 

974
00:39:02,160 --> 00:39:04,800
INSTITUTES NIHLBI THAT WAS ALSO 

975
00:39:04,800 --> 00:39:06,560
FOUNDED IN THE SAME YEAR AS WE 

976
00:39:06,560 --> 00:39:07,920
WERE.  THERE IS A LOT OF 

977
00:39:07,920 --> 00:39:10,160
CONNECTION THAT THE ORAL CAVITY 

978
00:39:10,160 --> 00:39:12,560
HAS WITH ALL THESE SYSTEMS AND 

979
00:39:12,560 --> 00:39:14,240
WE WILL HIGHLIGHT THE BEST 

980
00:39:14,240 --> 00:39:16,280
SCIENCE THERE.  THE DATE TO NOTE

981
00:39:16,280 --> 00:39:19,320
IS OCTOBER THE 10TH AND 11TH AND

982
00:39:19,320 --> 00:39:21,280
A TWO-DAY VERY ENRICHED SETTING 

983
00:39:21,280 --> 00:39:22,800
THAT WILL BE -- WE HAVE 

984
00:39:22,800 --> 00:39:25,640
CONTRACTED AND WE HAVE MADE SURE

985
00:39:25,640 --> 00:39:27,200
THAT EVERYTHING IS DONE IN THE 

986
00:39:27,200 --> 00:39:31,160
MOST MODERN OF ALL TECHNOLOGY 

987
00:39:31,160 --> 00:39:32,480
PLATFORMS THAT WE HAVE ONE OF 

988
00:39:32,480 --> 00:39:36,760
THE TWO NOBLISTS ARE 

989
00:39:36,760 --> 00:39:40,120
[INDISCERNIBLE] WHO RECEIVED 

990
00:39:40,120 --> 00:39:42,240
NOBEL PRIZE FOR MEDICINE IN 2022

991
00:39:42,240 --> 00:39:45,520
AND FUNDED FOR 10 YEARS AND 

992
00:39:45,520 --> 00:39:46,800
JOULUS IS THE OTHER WHO WILL 

993
00:39:46,800 --> 00:39:48,960
COME IN LATER IN OUR PROGRAM AND

994
00:39:48,960 --> 00:39:50,480
WILL BE IN OUR PROGRAM AND THAT 

995
00:39:50,480 --> 00:39:54,760
WILL BE NICE TO HEAR FROM HIM 

996
00:39:54,760 --> 00:39:56,920
HIS JOURNEY THROUGH SCIENCE AND 

997
00:39:56,920 --> 00:39:58,200
PROFESSIONALLY AND HIGHLIGHTS 

998
00:39:58,200 --> 00:40:02,160
FOR ME IN 2022 IS CONNECTING 

999
00:40:02,160 --> 00:40:04,040
WITH TONY FAUCI CONNECTED 

1000
00:40:04,040 --> 00:40:06,120
THROUGH E-MAIL.  HARD TO ENGAGE 

1001
00:40:06,120 --> 00:40:08,200
WITH HIM IN PERSON.  HE WAS SO 

1002
00:40:08,200 --> 00:40:12,200
INVOLVED IN THE PANDEMIC AND WAS

1003
00:40:12,200 --> 00:40:14,680
AT THE WHITE HOUSE I GOT TO SEE 

1004
00:40:14,680 --> 00:40:16,080
HIM BEFORE HE LEFT.  THAT OFFICE

1005
00:40:16,080 --> 00:40:18,640
IS A MUSEUM OF AWARDS AND 

1006
00:40:18,640 --> 00:40:20,680
RECOGNITIONS THAT IS 

1007
00:40:20,680 --> 00:40:22,120
UNBELIEVABLE AND DIRECTORS CAME 

1008
00:40:22,120 --> 00:40:24,480
TOGETHER WITH HIS LAB AND OWN 

1009
00:40:24,480 --> 00:40:25,800
INSTITUTE COMMUNITY AND SMALL 

1010
00:40:25,800 --> 00:40:28,400
AUDIENCE TO SAY OR TO BID HIM 

1011
00:40:28,400 --> 00:40:30,320
FAREWELL.  I WAS THERE ON THE 

1012
00:40:30,320 --> 00:40:32,080
SECOND ROLE.  I CAME LATER.  

1013
00:40:32,080 --> 00:40:37,760
THAT WAS ONLY SEAT I HAD.  I 

1014
00:40:37,760 --> 00:40:38,360
LEARNED FROM TONY WELL PUBLICIZE

1015
00:40:38,360 --> 00:40:39,880
THE HIS PRINCIPLES ARE TO SERVE 

1016
00:40:39,880 --> 00:40:41,920
OTHERS AND HE CAME IN WITH THAT 

1017
00:40:41,920 --> 00:40:43,600
PASSION THAT WAS DEEP IN HIS 

1018
00:40:43,600 --> 00:40:46,200
SOUL EARLY ON AS A PHYSICIAN.  

1019
00:40:46,200 --> 00:40:47,920
HE BECAME DISCERNING AND 

1020
00:40:47,920 --> 00:40:50,200
CRITICALLY ANALYTICAL, THAT IS 

1021
00:40:50,200 --> 00:40:52,520
OBVIOUS.  HE PAID A LOT OF 

1022
00:40:52,520 --> 00:40:54,640
ATTENTION TO FITNESS AND 

1023
00:40:54,640 --> 00:40:56,000
SELF-DISCIPLINE AND REMAINED 

1024
00:40:56,000 --> 00:40:58,280
COMPASSIONATE AND UNFAILING IN 

1025
00:40:58,280 --> 00:40:59,840
HIS EFFORTS AND, OF COURSE, 

1026
00:40:59,840 --> 00:41:05,480
FILLED WITH LOVE.  YOU HAVE TO 

1027
00:41:05,480 --> 00:41:06,480
HAVE THAT GUIDING ALL THAT YOU 

1028
00:41:06,480 --> 00:41:06,720
DO. 

1029
00:41:06,720 --> 00:41:08,920
YOU SEE IT THAT HERE.  HIS 

1030
00:41:08,920 --> 00:41:10,760
LEADERSHIP TIP WAS TO MASTER ART

1031
00:41:10,760 --> 00:41:13,280
OF PRECISION OF THOUGHT AND 

1032
00:41:13,280 --> 00:41:14,800
ECONOMY OF EXPRESSION, BOTH OF 

1033
00:41:14,800 --> 00:41:17,240
WHICH I STRIVE TO ACHIEVE IN MY 

1034
00:41:17,240 --> 00:41:18,920
DAILY LIFE AND EVEN HERE IN 

1035
00:41:18,920 --> 00:41:20,640
COUNCIL.  I WANTED TO SAY THANK 

1036
00:41:20,640 --> 00:41:25,840
YOU TO TONY.  IF I CAN REACH HIM

1037
00:41:25,840 --> 00:41:29,880
AND GET HIM TO COME TO US IN A 

1038
00:41:29,880 --> 00:41:31,600
CELEBRATORY EVENT ESPECIALLY 

1039
00:41:31,600 --> 00:41:33,560
THAT INVOLVING TRAINEES WOULD BE

1040
00:41:33,560 --> 00:41:35,000
WONDERFUL.  WE ARE WORKING ON 

1041
00:41:35,000 --> 00:41:36,120
THAT RIGHT NOW. 

1042
00:41:36,120 --> 00:41:39,080
NOW, ONE OF THE TIPS THAT TONY 

1043
00:41:39,080 --> 00:41:41,760
GAVE ME AS HE SAID, IT TOOK HIM 

1044
00:41:41,760 --> 00:41:43,440
THREE YEARS TO ORGANIZE HIS 

1045
00:41:43,440 --> 00:41:45,080
TEAM.  HE SAID I FINALLY GOT THE

1046
00:41:45,080 --> 00:41:46,440
TEAM I WANTED. 

1047
00:41:46,440 --> 00:41:48,560
I NOW -- THAT RESONATES WITH ME 

1048
00:41:48,560 --> 00:41:50,960
VERY DEEPLY.  I SAID, HOW DID 

1049
00:41:50,960 --> 00:41:51,920
YOU DO THAT?  

1050
00:41:51,920 --> 00:41:54,400
HE SAID, I WANT TO MAKE SURE 

1051
00:41:54,400 --> 00:41:57,160
THAT EVERYONE WHO IS ON BOARD 

1052
00:41:57,160 --> 00:41:59,120
ALIGNS AND RECOGNIZES AND VALUES

1053
00:41:59,120 --> 00:42:01,240
MY VISION AND MY MISSION AND MY 

1054
00:42:01,240 --> 00:42:01,560
VALUES. 

1055
00:42:01,560 --> 00:42:03,960
AND I WAS THINKING, HM.  THIS IS

1056
00:42:03,960 --> 00:42:05,800
NOT ALL ABOUT YOU; RIGHT?  

1057
00:42:05,800 --> 00:42:07,800
IT IS ABOUT THE TEAM.  WHAT HE 

1058
00:42:07,800 --> 00:42:09,720
MEANT IS I HAVE TO FIRST MAKE IT

1059
00:42:09,720 --> 00:42:11,320
CLEAR WHAT WE ARE ABOUT.  IT 

1060
00:42:11,320 --> 00:42:13,440
THEN PEOPLE WILL SIGN ON AND 

1061
00:42:13,440 --> 00:42:14,760
SOME MIGHT DROP OFF AND JOIN 

1062
00:42:14,760 --> 00:42:16,760
THIS EFFORT.  IT IS CLEAR TOED 

1063
00:42:16,760 --> 00:42:18,960
THAT MY VISION ALONG WITH 

1064
00:42:18,960 --> 00:42:21,480
JENNIFER'S AND LEADERSHIP AT 

1065
00:42:21,480 --> 00:42:23,680
NIDCR IS TO TAKE PROBLEMS THAT 

1066
00:42:23,680 --> 00:42:27,360
CAME OUT FROM -- THAT WERE 

1067
00:42:27,360 --> 00:42:28,920
IDENTIFIED IN THE REPORT THAT 

1068
00:42:28,920 --> 00:42:32,040
WERE LEASED IN 2021 AND 

1069
00:42:32,040 --> 00:42:33,640
RECOGNIZED SUCCESSES AND 

1070
00:42:33,640 --> 00:42:35,400
ADVANCES WE MADE.  IT WASN'T ALL

1071
00:42:35,400 --> 00:42:37,440
ABOUT IDENTIFYING PROBLEMS AND 

1072
00:42:37,440 --> 00:42:38,920
COMING UP WITH SOLUTIONS AND THE

1073
00:42:38,920 --> 00:42:41,920
PLAN THAT WE HAVE IN OUR 

1074
00:42:41,920 --> 00:42:43,800
STRATEGIC INITIATIVES CLEARLY 

1075
00:42:43,800 --> 00:42:46,520
SPELLED OUT.  WE ARE CONSTANTLY 

1076
00:42:46,520 --> 00:42:47,480
EVALUATING AND FINE TUNING 

1077
00:42:47,480 --> 00:42:49,560
MEASURING HOW WE ARE DOING AND 

1078
00:42:49,560 --> 00:42:52,120
WE DON'T WAIT 5 YEARS DOWN THE 

1079
00:42:52,120 --> 00:42:53,960
ROAD TO THINK ABOUT HOW DID WE 

1080
00:42:53,960 --> 00:42:56,000
DO?  WE DO IT IN REAL-TIME AND 

1081
00:42:56,000 --> 00:42:57,520
HOPE ALL OF YOU LEARN MORE ABOUT

1082
00:42:57,520 --> 00:43:00,000
OUR ANALYSIS SUCH THAT WITH THAT

1083
00:43:00,000 --> 00:43:01,800
COMBINATION AND FORCE, IT 

1084
00:43:01,800 --> 00:43:04,080
PROPELS US TO THE FUTURE IN SUCH

1085
00:43:04,080 --> 00:43:05,920
THAT THE OUTCOME IS VERY CLEAR 

1086
00:43:05,920 --> 00:43:08,480
THAT WE WOULD IMPROVE ORAL 

1087
00:43:08,480 --> 00:43:09,640
HEALTH NOT JUST FOR INDIVIDUALS 

1088
00:43:09,640 --> 00:43:11,280
ABOUT YOU FOR ALL AND 

1089
00:43:11,280 --> 00:43:12,880
COMMUNITIES AND POPULATIONS AT 

1090
00:43:12,880 --> 00:43:15,160
ALL LEVELS BOTH IN THE US AND 

1091
00:43:15,160 --> 00:43:18,240
GLOBALLY.  THAT IS THE MISSION. 

1092
00:43:18,240 --> 00:43:22,160
IT IS FIRM AND WELSTATED AND 

1093
00:43:22,160 --> 00:43:23,960
UNFLAGGING AND WILL SUSTAIN US 

1094
00:43:23,960 --> 00:43:27,560
FOR THE FUTURE AND I'M ACTUALLY 

1095
00:43:27,560 --> 00:43:29,840
THRILLED WE HAVE TWO WONDERFUL 

1096
00:43:29,840 --> 00:43:31,840
SPEAKERS AND NATALIA WHO I BRAG 

1097
00:43:31,840 --> 00:43:35,680
IS ONE OF OUR OWN GRADUATES THAT

1098
00:43:35,680 --> 00:43:38,400
WAS ON JANIS LEE'S MENTORSHIP AS

1099
00:43:38,400 --> 00:43:41,040
A CLINICAL RESEARCH FELLOW WHO 

1100
00:43:41,040 --> 00:43:42,360
IS INAUGURAL CHIEF DENTAL 

1101
00:43:42,360 --> 00:43:46,760
OFFICER AT CENTERS FOR MEDICARE 

1102
00:43:46,760 --> 00:43:48,720
AND MEDICAID AND HEAR ABOUT IF 

1103
00:43:48,720 --> 00:43:50,760
PIVOTAL LEADERSHIP ROLES AND 

1104
00:43:50,760 --> 00:43:53,920
DATA ON OPIOID SUBSTANCE USE 

1105
00:43:53,920 --> 00:43:56,160
DISORDERS AND READING ABOUT YOU 

1106
00:43:56,160 --> 00:43:57,800
SIMULATED MY THOUGHTS.  YOU 

1107
00:43:57,800 --> 00:43:59,760
DISCOVERED THAT SALIVA WAS IN 

1108
00:43:59,760 --> 00:44:01,920
FACT A VERY IMPORTANT MEDIUM IN 

1109
00:44:01,920 --> 00:44:04,880
CONNECTING ORAL AND GUT 

1110
00:44:04,880 --> 00:44:06,000
MICROBIOME THAT I THOUGHT WOULD 

1111
00:44:06,000 --> 00:44:10,240
BE OF GREAT INTEREST TO VIEWERS 

1112
00:44:10,240 --> 00:44:11,480
AND LISTENERS AND THANK YOU FOR 

1113
00:44:11,480 --> 00:44:13,720
BEING HERE AND TURN IT OVER TO 

1114
00:44:13,720 --> 00:44:15,560
LYNNE OR ACTUALLY JENNIFER RIGHT

1115
00:44:15,560 --> 00:44:19,880
NOW.  THAT MEANS I HAVE TO STOP 

1116
00:44:19,880 --> 00:44:27,320
SHARING.  JENNIFER?  RIGHT ON 

1117
00:44:27,320 --> 00:44:29,160
10:45.  DO YOU HAVE YOUR -- 

1118
00:44:29,160 --> 00:44:32,360
>>ROOENA, WE HAVE TIME
FOR A 

1119
00:44:32,360 --> 00:44:33,560
FEW QUESTIONS FOR YOU. 

1120
00:44:33,560 --> 00:44:35,680
>>YEAH.  PLEASE DO.  

1121
00:44:35,680 --> 00:44:38,720
>>IF THERE ARE ANY. 

1122
00:44:38,720 --> 00:44:39,360
>>ANYONE?  

1123
00:44:39,360 --> 00:44:41,080
>>QUESTIONS OR COMMENTS? 

1124
00:44:41,080 --> 00:44:44,720
>>YEAH.  ESPECIALLY ABOUT

1125
00:44:44,720 --> 00:44:55,040
REVIEW CRITERIA.  

1126
00:44:57,040 --> 00:44:57,600
THAT IS A PRETTY BROAD-SWEEPING 

1127
00:44:57,600 --> 00:44:58,920
CHANGE AND DAYS THAT WE HAD 

1128
00:44:58,920 --> 00:45:01,320
LIMITED RO1S DOWN TO SMALLER 

1129
00:45:01,320 --> 00:45:03,360
NUMBERS AND WE ARE CONSTANTLY 

1130
00:45:03,360 --> 00:45:13,840
LOOKING TO IMPROVE THE PROCESS. 

1131
00:45:13,840 --> 00:45:17,440
ANYONE?  WEN CHI?  I DON'T HAVE 

1132
00:45:17,440 --> 00:45:27,960
TO POINT OR DRAG YOU ON BUT -- 

1133
00:45:30,480 --> 00:45:30,760
NO?  

1134
00:45:30,760 --> 00:45:32,960
>>WELL. 

1135
00:45:32,960 --> 00:45:38,480
>>IT WAS THAT CLEAR?  

1136
00:45:38,480 --> 00:45:41,920
>>WELL, IF NO QUESTIONS
OR 

1137
00:45:41,920 --> 00:45:44,000
COMMENTS.  IS THERE A QUESTION? 

1138
00:45:44,000 --> 00:45:45,920
>>I HAVE A QUICK
QUESTION.  

1139
00:45:45,920 --> 00:45:47,080
THIS RELATES TO YOUR 

1140
00:45:47,080 --> 00:45:49,240
PRESENTATION OR EARLIER PART OF 

1141
00:45:49,240 --> 00:45:49,840
YOUR PRESENTATION. 

1142
00:45:49,840 --> 00:45:50,120
>>RIGHT. 

1143
00:45:50,120 --> 00:45:53,200
>>ABOUT THE INCREASE IN
EARLY 

1144
00:45:53,200 --> 00:45:54,560
STAGE INVESTIGATORS AWARDS THAT 

1145
00:45:54,560 --> 00:45:57,560
ARE ACROSS NIH.  

1146
00:45:57,560 --> 00:46:00,240
SAME IS TRUE FOR NIDCR.  

1147
00:46:00,240 --> 00:46:01,920
SOMETHING THAT I THINK CAME UP 

1148
00:46:01,920 --> 00:46:05,440
IN DISCUSSIONS ABOUT THIS IS THE

1149
00:46:05,440 --> 00:46:09,680
QUESTION ABOUT THE LONG-TERM 

1150
00:46:09,680 --> 00:46:12,560
SUSTAINABILITY OF THIS; RIGHT?  

1151
00:46:12,560 --> 00:46:14,760
IT IS GREAT THAT MORE EARLY 

1152
00:46:14,760 --> 00:46:17,800
STAGE INVESTIGATORS GET AWARDED 

1153
00:46:17,800 --> 00:46:20,280
BUT AT THE SAME TIME SAME 

1154
00:46:20,280 --> 00:46:22,680
INVESTIGATORS WILL APPLY FOR 

1155
00:46:22,680 --> 00:46:24,560
FOLLOWUP GRANTS AT SOME POINT; 

1156
00:46:24,560 --> 00:46:25,480
RIGHT?  

1157
00:46:25,480 --> 00:46:27,160
OVERALL FUNDING STAYS THE SAME. 

1158
00:46:27,160 --> 00:46:29,920
YOU KNOW, DOES THAT ESSENTIALLY 

1159
00:46:29,920 --> 00:46:32,480
KICK THE CAN DOWN THE ROAD AND 

1160
00:46:32,480 --> 00:46:37,520
CREATES A BOOTLE NECK THEN?  

1161
00:46:37,520 --> 00:46:38,640
I'M SURE THERE ARE DISCUSSIONS 

1162
00:46:38,640 --> 00:46:40,480
ABOUT THIS.  WHAT IS THE CURRENT

1163
00:46:40,480 --> 00:46:41,120
THINKING?  

1164
00:46:41,120 --> 00:46:45,600
>>IT IS A VERY VALID
PLATFORM 

1165
00:46:45,600 --> 00:46:47,800
AND WAYS AND RISKS WITH BENEFITS

1166
00:46:47,800 --> 00:46:50,040
WE MUST SEEK THAT IT WEIGHS; 

1167
00:46:50,040 --> 00:46:50,320
RIGHT?  

1168
00:46:50,320 --> 00:46:52,640
THERE IS A GREAT AMOUNT OF 

1169
00:46:52,640 --> 00:46:54,200
VARIETY OF RESPONSES AMONGST 

1170
00:46:54,200 --> 00:46:56,360
INSTITUTES.  IF YOU LOOK AT 

1171
00:46:56,360 --> 00:46:58,240
NATIONAL INSTITUTES FOR GENERAL 

1172
00:46:58,240 --> 00:46:59,560
MEDICAL SCIENCES AND THEY FOUND 

1173
00:46:59,560 --> 00:47:02,640
BASIC SCIENCES THEY LIMIT RO 

1174
00:47:02,640 --> 00:47:04,600
ONE'S INSTITUTE IF YOU COME UP 

1175
00:47:04,600 --> 00:47:06,760
WITH IT GET 1% OR 2 THEY WON'T 

1176
00:47:06,760 --> 00:47:10,120
CONSIDER IT AND WILL LOOK AT 

1177
00:47:10,120 --> 00:47:11,920
OVERALL FUNDING HOW WARD HUES 

1178
00:47:11,920 --> 00:47:14,200
AND FOUNDATIONAL MONEY TO DRAW 

1179
00:47:14,200 --> 00:47:15,160
BACK CONCLUSION AND GOING BACK 

1180
00:47:15,160 --> 00:47:17,760
FROM THAT I WOULDN'T CALL IT 

1181
00:47:17,760 --> 00:47:21,200
EXTREME POSITION TO INSTITUTES 

1182
00:47:21,200 --> 00:47:24,520
FAR MORE SAFEGUARDING OF CURRENT

1183
00:47:24,520 --> 00:47:29,600
PORT FOLIO AND LOOKED AT NEEDS 

1184
00:47:29,600 --> 00:47:31,840
AND ERRORS AND DENTAL SCIENCE 

1185
00:47:31,840 --> 00:47:32,920
PERIONTOLOGY THAT ADVANCE IN THE

1186
00:47:32,920 --> 00:47:34,040
MANNER THAT IS SIGNIFICANT.  WE 

1187
00:47:34,040 --> 00:47:36,560
WILL PUT IT THAT WAY.  BE 

1188
00:47:36,560 --> 00:47:38,480
LACKING CRITICAL MASS TRAINEES 

1189
00:47:38,480 --> 00:47:40,720
AND YOU WOULD ADMIT LOOKING AT 

1190
00:47:40,720 --> 00:47:41,920
DATA SCIENCE THAT WE NEED A 

1191
00:47:41,920 --> 00:47:44,320
BREED OR GENERATION OF DATA 

1192
00:47:44,320 --> 00:47:46,760
SCIENTISTS WHO HAVE AN ORAL 

1193
00:47:46,760 --> 00:47:48,520
HEALTH BACKGROUND OR HEALTH 

1194
00:47:48,520 --> 00:47:50,640
SCIENCES BACKGROUND, AT LEAST; 

1195
00:47:50,640 --> 00:47:50,880
RIGHT?  

1196
00:47:50,880 --> 00:47:55,320
WE ARE SHIFTING OUR PRIORITIES 

1197
00:47:55,320 --> 00:47:58,200
WITH ESIS TO FOCUS ON TARGETED 

1198
00:47:58,200 --> 00:47:59,760
NEEDS THAT WE HAVE.  I THINK 

1199
00:47:59,760 --> 00:48:01,800
THAT THE BALANCE WILL BE IN 

1200
00:48:01,800 --> 00:48:03,680
CONTROLLING THE LARGER 

1201
00:48:03,680 --> 00:48:05,920
INITIATIVES AND THE BIG 

1202
00:48:05,920 --> 00:48:07,360
INVESTMENTS AND BEING ABLE TO 

1203
00:48:07,360 --> 00:48:09,880
ALSO LOOK AT SENIOR 

1204
00:48:09,880 --> 00:48:11,400
INVESTIGATORS THAT HAVE 4 OR 5 

1205
00:48:11,400 --> 00:48:13,680
GRANTS AND KIND OF CREATE THE 

1206
00:48:13,680 --> 00:48:18,520
VERY BEST EQUILIBRIUM TO KEEP 

1207
00:48:18,520 --> 00:48:19,440
VERY BEST SCIENCE IN TACT WHILE 

1208
00:48:19,440 --> 00:48:22,080
INVESTING IN THE FUTURE THAT IS 

1209
00:48:22,080 --> 00:48:24,080
A TOUGH BALANCING ACT.  I 

1210
00:48:24,080 --> 00:48:26,760
APPRECIATE IT.  WE WILL COUNT ON

1211
00:48:26,760 --> 00:48:29,640
YOUR ADVICE AND SUPPORT. 

1212
00:48:29,640 --> 00:48:31,200
>>JACK HAS A QUESTION. 

1213
00:48:31,200 --> 00:48:32,280
>>HI, JACK. 

1214
00:48:32,280 --> 00:48:37,520
>>HI.  THANK YOU, LYNN.  

1215
00:48:37,520 --> 00:48:39,440
QUESTION IS REVIEWING CRITERIA 

1216
00:48:39,440 --> 00:48:42,760
FOR NIH GRANTS AND TWO BRIEF 

1217
00:48:42,760 --> 00:48:46,840
QUESTIONS.  ONE IS WHAT IS THE 

1218
00:48:46,840 --> 00:48:48,960
REAL PROBLEM THAT NEW CRITERIA 

1219
00:48:48,960 --> 00:48:50,760
IS TRYING TO FIX OR ADDRESS?  

1220
00:48:50,760 --> 00:48:53,520
IF YOU HAVE A PERSPECTIVE OF IN 

1221
00:48:53,520 --> 00:48:55,360
TERMS OF A TIMELINE FOR 

1222
00:48:55,360 --> 00:48:56,840
IMPLEMENTATION OF THE NEW 

1223
00:48:56,840 --> 00:48:57,880
CRITERIA.  THANK YOU. 

1224
00:48:57,880 --> 00:49:02,280
>>YES.  YES.  AND I WILL 

1225
00:49:02,280 --> 00:49:05,480
ACTUALLY TURN OVER THE TIMELINE 

1226
00:49:05,480 --> 00:49:09,440
QUESTION TO LILLIAN AND LYNN.  

1227
00:49:09,440 --> 00:49:11,680
THERE WAS A DEBATE WHEN IT WOULD

1228
00:49:11,680 --> 00:49:13,240
TAKE EFFECT AND WILL TELL YOU 

1229
00:49:13,240 --> 00:49:15,120
BONES ARE VERY CLEAR.  IF YOU 

1230
00:49:15,120 --> 00:49:17,600
HAVE TO CREATE FOCUS ON SCIENCE 

1231
00:49:17,600 --> 00:49:19,880
ALONE, THINGS LIKE INSTITUTIONS 

1232
00:49:19,880 --> 00:49:22,600
AND ENVIRONMENTS BECOME 

1233
00:49:22,600 --> 00:49:22,920
SECONDARY. 

1234
00:49:22,920 --> 00:49:24,080
>>UH-HUH. 

1235
00:49:24,080 --> 00:49:26,360
>>AND VERY OFTEN NOT
ALLOWING 

1236
00:49:26,360 --> 00:49:29,560
IT TO STAY THAT WAY CREATES A 

1237
00:49:29,560 --> 00:49:33,120
KIND OF IMPLICIT BIAS AMONGST 

1238
00:49:33,120 --> 00:49:34,840
REVIEWERS BELONGING TO A GREAT 

1239
00:49:34,840 --> 00:49:36,800
UNIVERSITY LIKE MICHIGAN AND 

1240
00:49:36,800 --> 00:49:39,280
ENCOURAGE A DIVERSE PIPELINE IN 

1241
00:49:39,280 --> 00:49:41,760
EVERY WAY AND RESEARCH INTERESTS

1242
00:49:41,760 --> 00:49:43,840
AND BACKGROUNDS AND WE MIGHT BE 

1243
00:49:43,840 --> 00:49:45,840
SKEWING TO THOSE WHO ARE ALREADY

1244
00:49:45,840 --> 00:49:49,040
PROVEN ENTITIES RATHER THAN 

1245
00:49:49,040 --> 00:49:50,160
INVESTING TO THOSE WHO ARE 

1246
00:49:50,160 --> 00:49:52,320
COMING INTO THE PIPELINE AND ARE

1247
00:49:52,320 --> 00:49:55,720
TWO MAJOR DRIVING FACTORS. 

1248
00:49:55,720 --> 00:49:58,080
AND IT CAME AFTER VERY DEEP 

1249
00:49:58,080 --> 00:49:59,880
REVIEW BY CSR.  

1250
00:49:59,880 --> 00:50:02,520
WHEN I COME TO MICHIGAN NEXT 

1251
00:50:02,520 --> 00:50:05,440
WEEK OR WEEK AFTER, I WILL DELVE

1252
00:50:05,440 --> 00:50:07,160
INTO IT AS A LITTLE MORE DEPTH 

1253
00:50:07,160 --> 00:50:09,120
AND MEET WITH TRAINING OFFICERS 

1254
00:50:09,120 --> 00:50:09,680
AS WELL. 

1255
00:50:09,680 --> 00:50:10,800
>>THANK YOU. 

1256
00:50:10,800 --> 00:50:14,920
>>WHAT IS THE SECOND ONE?

1257
00:50:14,920 --> 00:50:20,280
OKAY.  

1258
00:50:20,280 --> 00:50:22,360
DID YOU HAVE ANOTHER QUESTION?  

1259
00:50:22,360 --> 00:50:23,280
WAS THAT JUST -- 

1260
00:50:23,280 --> 00:50:27,480
>>JUST IN TERMS OF
TIMELINE. 

1261
00:50:27,480 --> 00:50:31,160
>>YEAH.  LYNN, DO YOU
REMEMBER?

1262
00:50:31,160 --> 00:50:35,800
>>JASMINE ARE YOU AWARE
OF A 

1263
00:50:35,800 --> 00:50:37,520
SPECIFIC TIMELINE, DR. CHER 

1264
00:50:37,520 --> 00:50:37,720
RAZI. 

1265
00:50:37,720 --> 00:50:39,880
>>THEY ARE NOW REQUESTING
INPUT

1266
00:50:39,880 --> 00:50:41,440
FROM THE COMMUNITY AND AFTER 

1267
00:50:41,440 --> 00:50:43,200
THEY RECEIVE INPUT FROM THE 

1268
00:50:43,200 --> 00:50:45,800
COMMUNITY THEY WILL WORK OUT A 

1269
00:50:45,800 --> 00:50:46,600
DETAILED TIMELINE. 

1270
00:50:46,600 --> 00:50:47,200
>>THANK YOU. 

1271
00:50:47,200 --> 00:50:47,680
>>YEAH. 

1272
00:50:47,680 --> 00:50:50,240
>>THANK YOU. 

1273
00:50:50,240 --> 00:50:52,600
>>I'M SURE IT WILL BE --
YOU 

1274
00:50:52,600 --> 00:50:55,000
KNOW, IT TAKES IT A WHILE TO GET

1275
00:50:55,000 --> 00:50:56,720
THROUGH DIFFERENT STAGES OF 

1276
00:50:56,720 --> 00:50:59,880
APPROVAL AND IT WILL BE AT LEAST

1277
00:50:59,880 --> 00:51:02,080
A YEAR OUT, I'M PREDICTING. 

1278
00:51:02,080 --> 00:51:02,880
>>THANK YOU. 

1279
00:51:02,880 --> 00:51:05,840
>>THANK YOU.  PLEASURE TO
HAVE 

1280
00:51:05,840 --> 00:51:07,840
JENNIFER HERE TO SHARE THE 

1281
00:51:07,840 --> 00:51:08,840
PODIUM.  GO FOR IT. 

1282
00:51:08,840 --> 00:51:14,760
>>WE CAN TURN IT OVER TO
DR. 

1283
00:51:14,760 --> 00:51:16,080
JENNIFER WEBSTER-CYRIAQUE. 

1284
00:51:16,080 --> 00:51:18,400
>>THANK YOU ALL VERY MUCH
FOR 

1285
00:51:18,400 --> 00:51:21,800
THOSE VERY KIND WORDS, RENA.  AS

1286
00:51:21,800 --> 00:51:25,840
YOU MAY REMEMBER, IN MARCH.  

1287
00:51:25,840 --> 00:51:29,920
2021, JUST AFTER THE HORRIFIC 

1288
00:51:29,920 --> 00:51:33,120
EVENTS ASSOCIATED WITH GEORGE 

1289
00:51:33,120 --> 00:51:34,480
FLOYD, FRANCIS COLLINS THEN 

1290
00:51:34,480 --> 00:51:36,840
LEADER OF NIH SHARED WITH THE 

1291
00:51:36,840 --> 00:51:39,120
COMMUNITY THAT NIH'S EFFORTS TO 

1292
00:51:39,120 --> 00:51:41,720
IMPROVE DIVERSITY WERE NOT 

1293
00:51:41,720 --> 00:51:42,760
SUFFICIENT.  

1294
00:51:42,760 --> 00:51:44,520
HE APOLOGIZED TO INDIVIDUALS WHO

1295
00:51:44,520 --> 00:51:48,600
WERE PART OF THE RESEARCH 

1296
00:51:48,600 --> 00:51:51,120
ENTERPRISE AND WHO ENDURED 

1297
00:51:51,120 --> 00:51:53,280
DISADVANTAGES ASSOCIATED WITH 

1298
00:51:53,280 --> 00:51:54,800
STRUCTURAL RACISM.  HE SHARED 

1299
00:51:54,800 --> 00:51:57,720
THERE WOULD BE PLANS FOR NIH TO 

1300
00:51:57,720 --> 00:51:59,920
DO THINGS DIFFERENTLY AND TO 

1301
00:51:59,920 --> 00:52:03,080
CORRECT POLICIES HERE AT NIH 

1302
00:52:03,080 --> 00:52:04,960
HARMING THE WORKFORCE AND 

1303
00:52:04,960 --> 00:52:06,520
SCIENCE.  AND TO STRUCTURAL 

1304
00:52:06,520 --> 00:52:08,320
RACISM, THE FOCUS REALLY THERE 

1305
00:52:08,320 --> 00:52:13,280
IS ON POLICIES, PRACTICES AND 

1306
00:52:13,280 --> 00:52:15,480
NORMS THAT CAN PERPETUATE 

1307
00:52:15,480 --> 00:52:16,960
INEQUITY.  OKAY?  

1308
00:52:16,960 --> 00:52:18,840
WHAT WAS STEP 1?  REACHING OUT 

1309
00:52:18,840 --> 00:52:20,360
TO THE COMMUNITY AND HEARING 

1310
00:52:20,360 --> 00:52:22,640
FROM THEM INCLUDING PEOPLE FROM 

1311
00:52:22,640 --> 00:52:25,480
ACADEMIA AND NIH AND HEALTHCARE 

1312
00:52:25,480 --> 00:52:27,200
PROFESSIONALS, STUDENTS AND 

1313
00:52:27,200 --> 00:52:29,000
PROFESSIONAL SOCIETIES AND 

1314
00:52:29,000 --> 00:52:32,760
OTHERS AND ACROSS THE COMMUNITY,

1315
00:52:32,760 --> 00:52:35,440
HE CAME BACK WITH CONCERNS IN 

1316
00:52:35,440 --> 00:52:39,320
FIVE AREAS:  GRANTS, CAREER 

1317
00:52:39,320 --> 00:52:41,920
PATHWAYS, WORKFORCE ITSELF AND 

1318
00:52:41,920 --> 00:52:43,920
HEALTH DISPARITIES EQUITY 

1319
00:52:43,920 --> 00:52:45,560
RESEARCH AND COMMUNITY 

1320
00:52:45,560 --> 00:52:45,920
PARTNERSHIPS. 

1321
00:52:45,920 --> 00:52:47,960
ACROSS AREAS OF CONCERN, THERE 

1322
00:52:47,960 --> 00:52:50,080
WERE CROSS-CUTTING THEMES THAT 

1323
00:52:50,080 --> 00:52:53,960
FOCUSED IN IMPLEMENTING DEI AND 

1324
00:52:53,960 --> 00:52:56,400
MAINLY OPERATIONALIZED DEI 

1325
00:52:56,400 --> 00:52:58,400
METRICS TO IMPROVE COMMUNICATION

1326
00:52:58,400 --> 00:53:01,680
AND OUTREACH AND TO ACKNOWLEDGE 

1327
00:53:01,680 --> 00:53:03,720
IMPACT OF STRUCTURAL RACISM.  

1328
00:53:03,720 --> 00:53:06,640
SO, STRATEGY WAS THREE FOLD TO 

1329
00:53:06,640 --> 00:53:10,080
FOCUS IN THREE OBJECTIVES 

1330
00:53:10,080 --> 00:53:11,920
ASSOCIATED WITH RESEARCH AREAS 

1331
00:53:11,920 --> 00:53:14,240
THAT WERE A BASIC FOUNDATIONAL 

1332
00:53:14,240 --> 00:53:15,760
SCIENCE AND IN DISEASE 

1333
00:53:15,760 --> 00:53:18,240
PREVENTION AND HEALTH PROMOTION 

1334
00:53:18,240 --> 00:53:19,520
AND TREATMENT INTERVENTION AND 

1335
00:53:19,520 --> 00:53:21,360
CURES AND RESEARCH CAPACITY AND 

1336
00:53:21,360 --> 00:53:24,080
WORKFORCE AND IN HOW WE DO THE 

1337
00:53:24,080 --> 00:53:25,560
RESEARCH.  

1338
00:53:25,560 --> 00:53:26,920
NOW, THE OTHER THING HERE WAS 

1339
00:53:26,920 --> 00:53:31,600
THAT IT REALLY FOCUSED AND WAS 

1340
00:53:31,600 --> 00:53:33,320
GREAT FOR CROSS-CUTTING THINGS 

1341
00:53:33,320 --> 00:53:35,760
THAT HIT EVERY AREA OF DENTAL 

1342
00:53:35,760 --> 00:53:37,040
RESEARCH INCLUDING MINORITY 

1343
00:53:37,040 --> 00:53:39,640
HEALTH AND HEALTH DISPARITIES, 

1344
00:53:39,640 --> 00:53:42,760
WOMEN'S HEALTH, PUBLIC HEALTH 

1345
00:53:42,760 --> 00:53:44,760
CHALLENGES ACROSS THE LIFESPAN 

1346
00:53:44,760 --> 00:53:46,080
AND COLLABORATIVE DATA SCIENCE 

1347
00:53:46,080 --> 00:53:48,440
AND ALL THAT IS US.  ONE PROGRAM

1348
00:53:48,440 --> 00:53:50,760
THAT HAS BEEN ENABLED THAT HAS 

1349
00:53:50,760 --> 00:53:54,120
BEEN ENABLED IS REALLY LIKE JUST

1350
00:53:54,120 --> 00:53:56,160
THERE IS NEVER ANYTHING LIKE 

1351
00:53:56,160 --> 00:53:57,960
THIS.  WHERE THE COMMUNITY IS 

1352
00:53:57,960 --> 00:54:01,840
ACTUALLY DRIVING THE RESEARCH.  

1353
00:54:01,840 --> 00:54:04,160
AND THIS IS THE PROGRAM THAT 

1354
00:54:04,160 --> 00:54:06,360
STANDS FOR COMMUNITY 

1355
00:54:06,360 --> 00:54:08,040
PARTNERSHIPS TO ADVANCE SCIENCE 

1356
00:54:08,040 --> 00:54:11,920
FOR SEW SIGH THAT IS COMPASS AND

1357
00:54:11,920 --> 00:54:13,840
IS COMMUNITY LED HEALTH 

1358
00:54:13,840 --> 00:54:15,640
STRUCTURAL -- THAT LEVERAGES 

1359
00:54:15,640 --> 00:54:17,520
PARTNERSHIPS ACROSS A BUNCH OF 

1360
00:54:17,520 --> 00:54:18,880
SECTORS AND GRANTS ARE PHASED 

1361
00:54:18,880 --> 00:54:21,280
WITH PLANNING PHASE AND 

1362
00:54:21,280 --> 00:54:22,720
IMPLEMENTATION AND DISSEMINATION

1363
00:54:22,720 --> 00:54:25,720
PHASE AND THEY ARE 10 YEARS LONG

1364
00:54:25,720 --> 00:54:28,000
AND HAVE A VERY DIFFERENT REVIEW

1365
00:54:28,000 --> 00:54:30,560
CRITERIA.  THIS IS SO NEW.  THE 

1366
00:54:30,560 --> 00:54:32,560
OTHER THING PUT INTO PLACE WAS 

1367
00:54:32,560 --> 00:54:34,760
TO BUILD A SET OF COMMITTEES AND

1368
00:54:34,760 --> 00:54:38,200
OF FIVE COMMITTEES WHO HAVE 

1369
00:54:38,200 --> 00:54:41,800
COORDINATED OBJECTIVES TO REALLY

1370
00:54:41,800 --> 00:54:45,120
FOCUSING IN ON RACIAL INEQUITY. 

1371
00:54:45,120 --> 00:54:47,960
THIS IS UNIT YOU HEARD A LITTLE 

1372
00:54:47,960 --> 00:54:49,680
ABOUT FROM RENA JUST A MOMENT 

1373
00:54:49,680 --> 00:54:52,680
AGO.  SO, ACTUALLY RENA IS PART 

1374
00:54:52,680 --> 00:54:56,960
OF THE E COMMITTEE AND KELLY 

1375
00:54:56,960 --> 00:54:59,800
HAIGEN WAS AN INTRAMURAL 

1376
00:54:59,800 --> 00:55:02,120
SCIENTIST PART OF UNITE 

1377
00:55:02,120 --> 00:55:02,760
COMMUNITY AND UNDERSTANDING 

1378
00:55:02,760 --> 00:55:04,880
THROUGH STAKEHOLDERS THROUGH 

1379
00:55:04,880 --> 00:55:06,760
LISTENING AND STANDS IN NEW 

1380
00:55:06,760 --> 00:55:08,280
RESEARCH HEALTH DISPARITIES AREA

1381
00:55:08,280 --> 00:55:10,560
AND I IS FOCUSED ON INCLUSION 

1382
00:55:10,560 --> 00:55:14,800
HERE AT NIH.  T IS FOCUSING ON 

1383
00:55:14,800 --> 00:55:16,400
TRANSPARENCY AND ACCOUNTABILITY 

1384
00:55:16,400 --> 00:55:19,240
AND E IS PROMOTING DIVERSITY AND

1385
00:55:19,240 --> 00:55:21,480
INCLUSION IN EXTRAMURAL 

1386
00:55:21,480 --> 00:55:22,080
RESEARCH. 

1387
00:55:22,080 --> 00:55:22,760
OKAY?  

1388
00:55:22,760 --> 00:55:25,320
SO, TODAY I WILL FOCUS ON FOUR 

1389
00:55:25,320 --> 00:55:28,080
AREAS THAT ARE RELATED TO THIS 

1390
00:55:28,080 --> 00:55:29,920
UMBRELLA TOPIC STARTING WITH 

1391
00:55:29,920 --> 00:55:33,160
PROMOTING EQUITY IN INTERNAL NIH

1392
00:55:33,160 --> 00:55:33,480
WORKFORCE. 

1393
00:55:33,480 --> 00:55:35,280
THE WAY THAT I HAVE LAID THIS 

1394
00:55:35,280 --> 00:55:37,320
OUT.  FIRST, I WILL SHARE WHAT 

1395
00:55:37,320 --> 00:55:39,840
IS HAPPENING AT NIH AND WHAT WE 

1396
00:55:39,840 --> 00:55:44,000
ARE DOING AT NIDCR.  PROMOTING 

1397
00:55:44,000 --> 00:55:47,400
EQUITY IN INTERNAL NIH 

1398
00:55:47,400 --> 00:55:49,320
WORKFORCE, THERE HAS BEEN 

1399
00:55:49,320 --> 00:55:52,040
ESTABLISHED AN NIHWIDE 

1400
00:55:52,040 --> 00:55:52,640
ANTIRACISM COMMITTEE AND ALSO 

1401
00:55:52,640 --> 00:55:56,880
THEY ARE WORKING TO ENHANCE 

1402
00:55:56,880 --> 00:55:58,560
OUTREACH TO ENSURE THAT EVERYONE

1403
00:55:58,560 --> 00:56:00,440
HAS AN OPPORTUNITY TO APPLY.  

1404
00:56:00,440 --> 00:56:03,520
AND ENSURE THAT THERE IS A BROAD

1405
00:56:03,520 --> 00:56:05,920
RANGE IN DIVERSITY OF 

1406
00:56:05,920 --> 00:56:06,240
APPLICANTS. 

1407
00:56:06,240 --> 00:56:10,680
OTHER THING IS DEVELOPMENT OF 

1408
00:56:10,680 --> 00:56:11,960
INSTITUTE-LEVEL RACIAL AND 

1409
00:56:11,960 --> 00:56:13,760
ETHNIC EQUITY PLANS. 

1410
00:56:13,760 --> 00:56:15,000
OKAY?  

1411
00:56:15,000 --> 00:56:16,840
DATA THAT WAS NEVER PUBLISHED 

1412
00:56:16,840 --> 00:56:19,800
BEFORE HAS NOW BEEN PUBLISHED ON

1413
00:56:19,800 --> 00:56:22,000
DEMOGRAPHIC COMPOSITION AND 

1414
00:56:22,000 --> 00:56:25,360
PROFILES OF NIH WORKFORCE THAT 

1415
00:56:25,360 --> 00:56:27,240
WAS VERY IMPORTANT AND 

1416
00:56:27,240 --> 00:56:27,960
ILLUMINATED.  YOU COULD SEE 

1417
00:56:27,960 --> 00:56:32,840
CERTAIN GROUPS WERE NOT ABLE TO 

1418
00:56:32,840 --> 00:56:34,720
ASCEND TO LEADERSHIP AND 

1419
00:56:34,720 --> 00:56:37,160
ESTABLISHED AND LOOKED REALLY AT

1420
00:56:37,160 --> 00:56:39,680
THE AWARDS AND THEY HAVE NOW 

1421
00:56:39,680 --> 00:56:40,800
DEVELOPED A TASKFORCE TO 

1422
00:56:40,800 --> 00:56:43,840
RECOMMEND CHANGES TO DIRECTORS 

1423
00:56:43,840 --> 00:56:45,920
AWARDS AND ALSO REALLY HAVE 

1424
00:56:45,920 --> 00:56:47,280
SPEARHEADED AN ART PROJECT THAT 

1425
00:56:47,280 --> 00:56:50,960
IS CALLED INCLUSIVE WORKPLACE 

1426
00:56:50,960 --> 00:56:52,480
RECOGNITION SO THAT YOU SEE 

1427
00:56:52,480 --> 00:56:53,680
EVERYBODY.  OKAY?  

1428
00:56:53,680 --> 00:56:56,320
YOU CAN SEE HETEROGENEITY OF 

1429
00:56:56,320 --> 00:56:59,640
PEOPLE HERE MAKING NIH WORK 

1430
00:56:59,640 --> 00:57:02,040
VERSUS HOMOGENOUS IMAGES WE 

1431
00:57:02,040 --> 00:57:04,280
RECEIVED BEFORE AND FINALLY TO 

1432
00:57:04,280 --> 00:57:05,480
PROVIDE SKILL DEVELOPMENT AND 

1433
00:57:05,480 --> 00:57:06,760
OPPORTUNITIES THEY ARE 

1434
00:57:06,760 --> 00:57:10,000
DEVELOPING CAREER DEVELOPMENT 

1435
00:57:10,000 --> 00:57:10,840
PROGRAM OPPORTUNITIES FOR THOSE 

1436
00:57:10,840 --> 00:57:13,320
IN GRADES UP TO 11.  

1437
00:57:13,320 --> 00:57:18,120
HERE IS A EXAMPLE OF SOME OF THE

1438
00:57:18,120 --> 00:57:20,680
ART WORK THAT IS BEING SHARED 

1439
00:57:20,680 --> 00:57:24,080
ACROSS NIH TO BOLSTER CULTURE OF

1440
00:57:24,080 --> 00:57:26,800
INCLUSIVE EXCELLENCE.  WE HAVE 

1441
00:57:26,800 --> 00:57:29,520
HERE OUR OWN JIMMY DOUGH ACTING 

1442
00:57:29,520 --> 00:57:33,720
EO HIGHLIGHTED WITHIN THIS 

1443
00:57:33,720 --> 00:57:35,960
ARTWORK.  UNITE I XHOO COMMITTEE

1444
00:57:35,960 --> 00:57:40,040
REACHED OUT ACROSS ALL ICS 

1445
00:57:40,040 --> 00:57:42,760
DEVELOPING A REACH COMMUNITY 

1446
00:57:42,760 --> 00:57:46,760
PRACTICE IT STANDS FOR RACIAL 

1447
00:57:46,760 --> 00:57:50,440
AND EQUITY PLAN AND OUR RIC 

1448
00:57:50,440 --> 00:57:53,240
DECIDED TO USE REEP AS A 

1449
00:57:53,240 --> 00:57:55,160
FOUNDATION TO CREATE A MORE 

1450
00:57:55,160 --> 00:57:55,960
COMPREHENSIVE PLAN FOR 

1451
00:57:55,960 --> 00:57:59,440
BELONGING.  WE WANTED TO REALLY 

1452
00:57:59,440 --> 00:58:07,840
ATTACK ALL OF THE -ISMS AND 

1453
00:58:07,840 --> 00:58:09,080
ENSURE EVERYONE BELONGED.  WHY? 

1454
00:58:09,080 --> 00:58:10,760
DIVERSITY ONLY ASKS WHO IS 

1455
00:58:10,760 --> 00:58:13,280
THERE.  OKAY?  EQUITY ASKS, 

1456
00:58:13,280 --> 00:58:15,160
WELL, WHY IS THIS PERSON NO THE 

1457
00:58:15,160 --> 00:58:16,800
IN THE ROOM AND WHAT ARE THE 

1458
00:58:16,800 --> 00:58:19,720
BARRIERS? IN COLLUSION ASKS, 

1459
00:58:19,720 --> 00:58:21,400
WELL, BECAUSE EVERYBODY'S IDEA 

1460
00:58:21,400 --> 00:58:24,560
HAS BEEN HEARD AND RESPECTED AND

1461
00:58:24,560 --> 00:58:26,280
UNDERSTOOD.  BELONGING WHICH IS 

1462
00:58:26,280 --> 00:58:28,840
WHAT WE ARE STRIVING FOR ASKS IS

1463
00:58:28,840 --> 00:58:31,040
EVERYONE FEELING VALUED THROUGH 

1464
00:58:31,040 --> 00:58:34,200
CONNECTIONS THAT ARE POSITIVE 

1465
00:58:34,200 --> 00:58:35,480
WITH OTHERS?  

1466
00:58:35,480 --> 00:58:37,680
IS THIS A SPACE TO ACTUALLY 

1467
00:58:37,680 --> 00:58:39,880
BRING YOUR AUTHENTIC SELF TO 

1468
00:58:39,880 --> 00:58:41,760
WORK?  THAT IS WHAT WE STRIVE 

1469
00:58:41,760 --> 00:58:44,400
FOR HERE IN BUILDING AT NIDCR.  

1470
00:58:44,400 --> 00:58:47,080
HERE, WE ARE REALLY WORKING 

1471
00:58:47,080 --> 00:58:50,280
ACROSS SEVERAL ELEMENTS 

1472
00:58:50,280 --> 00:58:51,920
ACCEPTING DIFFERENCES IN 

1473
00:58:51,920 --> 00:58:53,800
CULTURAL APPRECIATION AND 

1474
00:58:53,800 --> 00:58:54,880
FOSTERING TRANSPARENCY AND 

1475
00:58:54,880 --> 00:58:56,560
STREAMLINING ACTUAL WORK THAT WE

1476
00:58:56,560 --> 00:58:58,360
DO, THE PROCESSES.  

1477
00:58:58,360 --> 00:59:00,440
ENSURING THAT THERE IS IMPROVED 

1478
00:59:00,440 --> 00:59:02,480
ACCESS TO LEADERSHIP AND WORKING

1479
00:59:02,480 --> 00:59:06,480
TOWARDS CAREER DEVELOPMENT AND 

1480
00:59:06,480 --> 00:59:08,800
GROWTH.  FINALLY, IMPROVING 

1481
00:59:08,800 --> 00:59:10,080
COMMUNICATION AND INTERACTIONS 

1482
00:59:10,080 --> 00:59:12,560
WITHIN AND OUTSIDE OF NIDCR. 

1483
00:59:12,560 --> 00:59:15,160
SO, HOW ARE WE DOING THAT?  

1484
00:59:15,160 --> 00:59:18,000
WE ARE NOW HAVING MONTHLY ALL 

1485
00:59:18,000 --> 00:59:20,960
STAFF MEETINGS.  WE ARE 

1486
00:59:20,960 --> 00:59:21,600
PROMOTING ADDITIONAL STAFF 

1487
00:59:21,600 --> 00:59:23,320
TRAINING AND DEVELOPMENT.  WE 

1488
00:59:23,320 --> 00:59:25,160
HAVE A CAREER DEVELOPMENT 

1489
00:59:25,160 --> 00:59:28,360
PROGRAM THAT IS SPECIFIC TO 

1490
00:59:28,360 --> 00:59:30,760
NIDCR.  ALSO, A SUPERVISOR 

1491
00:59:30,760 --> 00:59:32,800
TRAINING PROGRAM AT NIDCR THAT 

1492
00:59:32,800 --> 00:59:35,520
IS BEING DEVELOPED AND WE HAVE A

1493
00:59:35,520 --> 00:59:36,680
DIGITAL TRANSFORMATION 

1494
00:59:36,680 --> 00:59:38,360
INITIATIVE ALLOWING US TO GO 

1495
00:59:38,360 --> 00:59:39,840
BACK AND LOOK AT EVERYTHING WE 

1496
00:59:39,840 --> 00:59:42,720
DO AND DIGITIZE IT SO THAT WE 

1497
00:59:42,720 --> 00:59:44,640
CAN PROVIDE OBJECTIVITY WITHIN 

1498
00:59:44,640 --> 00:59:46,760
THE PROCESS AND TRANSPARENCY AND

1499
00:59:46,760 --> 00:59:49,560
ALSO BE ABLE TO DO THINGS MORE 

1500
00:59:49,560 --> 00:59:51,160
EFFICIENTLY.  WE WILL HAVE 

1501
00:59:51,160 --> 00:59:53,920
VIRTUAL AND IN-PERSON CHATS WITH

1502
00:59:53,920 --> 00:59:57,920
LEADERSHIP AND DIVISION-BASED 

1503
00:59:57,920 --> 00:59:59,920
CELEBRATIONS OF ALL OF OUR 

1504
00:59:59,920 --> 01:00:02,240
SPECIAL EMPHASIS GROUPS HERE AT 

1505
01:00:02,240 --> 01:00:02,440
NIH. 

1506
01:00:02,440 --> 01:00:05,040
HERE IS A EXAMPLE OF THE LANDING

1507
01:00:05,040 --> 01:00:07,960
PAGE.  THIS IS OUR WEBSITE AND 

1508
01:00:07,960 --> 01:00:10,400
INTERNET SITE IT THAT HOUSES A 

1509
01:00:10,400 --> 01:00:11,200
WEALTH OF INFORMATION ON 

1510
01:00:11,200 --> 01:00:13,240
WELLNESS IT THAT IS CRITICAL ON 

1511
01:00:13,240 --> 01:00:14,800
DIGITAL TRANSFORMATION 

1512
01:00:14,800 --> 01:00:16,280
INITIATIVE I JUST SHARED WITH 

1513
01:00:16,280 --> 01:00:18,360
YOU AND WE HAVE A LENDING 

1514
01:00:18,360 --> 01:00:21,000
LIBRARY THAT IS DEI FOCUSED AND 

1515
01:00:21,000 --> 01:00:24,200
PLAN IS HERE AS WELL AS ALL OF 

1516
01:00:24,200 --> 01:00:26,680
THE SURVEY RESULTS FROM SURVEYS 

1517
01:00:26,680 --> 01:00:29,480
WE ARE DOING SO THAT PEOPLE CAN 

1518
01:00:29,480 --> 01:00:31,520
SEE AND ON INFORMATION ON THINGS

1519
01:00:31,520 --> 01:00:34,360
HAPPENING ELSEWHERE ON THE 

1520
01:00:34,360 --> 01:00:35,960
CAMPUS.  THE BRIDGE PROGRAM IS 

1521
01:00:35,960 --> 01:00:38,800
CAREER DEVELOPMENT PROGRAM I 

1522
01:00:38,800 --> 01:00:42,520
ELUDED TO AND HERE AT NIDCR WE 

1523
01:00:42,520 --> 01:00:44,120
PROVIDE TOOLS AND NETWORK 

1524
01:00:44,120 --> 01:00:45,440
OPPORTUNITIES SO STAFF COULD 

1525
01:00:45,440 --> 01:00:48,000
ACHIEVE OWN CAR EAR GOALS AND 

1526
01:00:48,000 --> 01:00:50,120
REALLY RAISE AWARENESS OF 

1527
01:00:50,120 --> 01:00:50,840
INDIVIDUAL STRENGTHS. 

1528
01:00:50,840 --> 01:00:53,240
BASED ON THAT TO ENSURE THAT WE 

1529
01:00:53,240 --> 01:00:55,760
CAN ALSO BUILD FOUNDATIONAL 

1530
01:00:55,760 --> 01:00:57,080
COMPETENCIES SO THEY CAN GROW IN

1531
01:00:57,080 --> 01:00:59,800
A WAY THAT THEY WOULD LIKE TO.  

1532
01:00:59,800 --> 01:01:01,760
MENTORSHIP IS ALSO PROVIDED AND 

1533
01:01:01,760 --> 01:01:07,080
FOR US AT NIDCR THIS GOES UP TO 

1534
01:01:07,080 --> 01:01:11,040
GS-13.  WE ACTUALLY START 

1535
01:01:11,040 --> 01:01:11,960
TOMORROW.  IT IS THE FIRST 

1536
01:01:11,960 --> 01:01:12,200
SESSION. 

1537
01:01:12,200 --> 01:01:13,400
I'M VERY EXCITED AND IT THIS IS 

1538
01:01:13,400 --> 01:01:15,920
SOMETHING WE HAVE TO DO AS A 

1539
01:01:15,920 --> 01:01:18,480
COMMUNITY.  BELONGING HERE AT 

1540
01:01:18,480 --> 01:01:20,880
NIDCR ENCOMPASSES ALL OF US AND 

1541
01:01:20,880 --> 01:01:22,560
CHALLENGES ALL OF US HERE AND 

1542
01:01:22,560 --> 01:01:24,200
REQUIRES ALL OF US.  IT ALSO 

1543
01:01:24,200 --> 01:01:26,600
REQUIRES ALL OF YOU WHO ARE IN 

1544
01:01:26,600 --> 01:01:28,360
THE EXTRAMURAL COMMUNITY.  

1545
01:01:28,360 --> 01:01:30,640
WE WANTED TO ENSURE THAT 

1546
01:01:30,640 --> 01:01:32,680
EVERYONE HAD OPPORTUNITIES TO 

1547
01:01:32,680 --> 01:01:34,440
PROVIDE INPUT AND ONE EXAMPLE IS

1548
01:01:34,440 --> 01:01:37,880
OUR NEW RESPECT INDIGNITY SOP 

1549
01:01:37,880 --> 01:01:39,400
THAT EVERYBODY COULD WEIGH IN ON

1550
01:01:39,400 --> 01:01:41,280
AND IN A NUMBER OF SURVEYS IT 

1551
01:01:41,280 --> 01:01:43,000
THAT OCCUR ALL THE TIME.  WE CAN

1552
01:01:43,000 --> 01:01:44,960
KIND OF KEEP OUR FINGER ON THE 

1553
01:01:44,960 --> 01:01:47,040
PULSE OF WHAT WE ARE DOING AND 

1554
01:01:47,040 --> 01:01:48,600
WHETHER WE NEED TO MODIFY IT.  

1555
01:01:48,600 --> 01:01:50,320
IS IT WORKING?  

1556
01:01:50,320 --> 01:01:54,800
WE JUST HIRED OUR NIDCR CHIEF 

1557
01:01:54,800 --> 01:01:58,600
DIVERSITY OFFICER DETAIL LEAD 

1558
01:01:58,600 --> 01:02:00,560
JOY PASTEL THAT RENA ELUDED TO 

1559
01:02:00,560 --> 01:02:02,640
EARLIER ON.  SHE IS FACILITATING

1560
01:02:02,640 --> 01:02:04,680
BELONGING HERE AND IS WONDERFUL 

1561
01:02:04,680 --> 01:02:07,040
TO HAVE HER.  THE SECOND FOCUS 

1562
01:02:07,040 --> 01:02:10,760
AREA IS PROMOTING EQUITY IN NIH 

1563
01:02:10,760 --> 01:02:14,120
AND NIDCR-SUPPORTED ECOSYSTEM 

1564
01:02:14,120 --> 01:02:16,320
THAT IS EXTRAMURAL.  IN TRUTH, 

1565
01:02:16,320 --> 01:02:18,880
IF WE ARE WORKING TO BECOME 

1566
01:02:18,880 --> 01:02:20,760
FUNCTIONAL MULTICULTURAL 

1567
01:02:20,760 --> 01:02:22,360
LEARNING ENVIRONMENTS THERE IS A

1568
01:02:22,360 --> 01:02:24,400
BODY OF EMPIRICAL INFORMATION TO

1569
01:02:24,400 --> 01:02:26,640
HELP GUIDE OWE US TO UTILIZE SO 

1570
01:02:26,640 --> 01:02:29,440
WE CAN MOVE FORWARD IN AN 

1571
01:02:29,440 --> 01:02:32,040
EVIDENCE-BASED WAY.  HOW IS NIH 

1572
01:02:32,040 --> 01:02:35,000
PROMOTING THIS EQUITY?  

1573
01:02:35,000 --> 01:02:37,080
ONE, THEY LAUNCHED THE FIRST 

1574
01:02:37,080 --> 01:02:39,880
PROGRAM THAT NIDCR IS SIGNED ON 

1575
01:02:39,880 --> 01:02:42,040
TO AND STANDS FOR FACULTY 

1576
01:02:42,040 --> 01:02:44,760
INSTITUTIONAL RECRUITMENT FOR 

1577
01:02:44,760 --> 01:02:46,520
SUSTAINABLE TRANSFORMATION AND 

1578
01:02:46,520 --> 01:02:48,560
GROUP HIRES THAT ALSO EXPANDED 

1579
01:02:48,560 --> 01:02:50,440
THE SCIENCE EDUCATION 

1580
01:02:50,440 --> 01:02:52,880
PARTNERSHIP AWARDS AND NIDCR IS 

1581
01:02:52,880 --> 01:02:54,560
ALSO SIGNING ON FOR THAT.  THEY 

1582
01:02:54,560 --> 01:02:58,480
HAVE A PLAN AND SOLICITED PUBLIC

1583
01:02:58,480 --> 01:03:02,320
COMMENT AND HAVE FIRST SET OF 

1584
01:03:02,320 --> 01:03:02,960
AWARDEES FOR INSTITUTIONAL 

1585
01:03:02,960 --> 01:03:05,600
EXCELLENCE IN DEIA. 

1586
01:03:05,600 --> 01:03:08,160
THEY HAVE CREATED SEVERAL OTHER 

1587
01:03:08,160 --> 01:03:09,760
INITIATIVES TO SUPPORT 

1588
01:03:09,760 --> 01:03:12,120
EXTRAMURAL DEIA EFFORTS AND ARE 

1589
01:03:12,120 --> 01:03:15,200
EVEN SUPPORTING INSTITUTIONS TO 

1590
01:03:15,200 --> 01:03:17,320
CONDUCT CLIMATE ASSESSMENTS AND 

1591
01:03:17,320 --> 01:03:18,720
NEEDS ASSESSMENTS AND THAT KIND 

1592
01:03:18,720 --> 01:03:20,280
OF STUFF WAS NOT HAPPENING FROM 

1593
01:03:20,280 --> 01:03:22,360
NIH BEFORE.  OKAY?  

1594
01:03:22,360 --> 01:03:24,720
SO, WHAT DOES THE FRAMEWORK LOOK

1595
01:03:24,720 --> 01:03:26,640
LIKE FOR EXTRAMURAL?  

1596
01:03:26,640 --> 01:03:30,800
AT THE CENTER IS EVAL YAITION IN

1597
01:03:30,800 --> 01:03:33,360
STAKEHOLDER ENGAGEMENT AND 

1598
01:03:33,360 --> 01:03:34,720
ENSURING THAT IMMEDIATE ACTION 

1599
01:03:34,720 --> 01:03:38,160
IS TAKEN AND ONE TO BE PROMOTING

1600
01:03:38,160 --> 01:03:39,640
EQUITY AT EXTRAMURAL 

1601
01:03:39,640 --> 01:03:42,520
INSTITUTIONS IS IMPROVING 

1602
01:03:42,520 --> 01:03:44,120
ENVIRONMENT IN CULTURE WHERE 

1603
01:03:44,120 --> 01:03:45,240
CLIMATE ASSESSMENTS WILL OCCUR 

1604
01:03:45,240 --> 01:03:46,720
AND WE HAVE TO PROMOTE EQUITY 

1605
01:03:46,720 --> 01:03:48,880
HAD HERE AT NIH THROUGH POLICIES

1606
01:03:48,880 --> 01:03:51,880
AND PROCEDURES THAT WILL IMPACT 

1607
01:03:51,880 --> 01:03:53,880
THE EXTRAMURAL COMMUNITY AND TO 

1608
01:03:53,880 --> 01:03:55,280
ENSURE THAT THERE ARE CAREER 

1609
01:03:55,280 --> 01:03:56,960
PATHWAYS IN TERMS OF GROWTH AND 

1610
01:03:56,960 --> 01:04:00,840
THAT THERE IS RESOURCES AND 

1611
01:04:00,840 --> 01:04:04,040
CAPACITY NOT ONLY AT MAJORITY 

1612
01:04:04,040 --> 01:04:06,800
INSTITUTIONS BUT ALSO AT 

1613
01:04:06,800 --> 01:04:08,160
MINORITY-SERVING INSTITUTIONS. 

1614
01:04:08,160 --> 01:04:11,320
IF THERE ARE PROBLEMS LIKE 

1615
01:04:11,320 --> 01:04:13,760
HARASSMENT AND DISCRIMINATION, 

1616
01:04:13,760 --> 01:04:15,440
NIH WANTS TO KNOW ABOUT IT, 

1617
01:04:15,440 --> 01:04:17,440
PARTICULARLY IF IT IS 

1618
01:04:17,440 --> 01:04:20,600
CONTRIBUTING TO AN UNSAFE OR 

1619
01:04:20,600 --> 01:04:22,400
HOSTILE WORK ENVIRONMENT 

1620
01:04:22,400 --> 01:04:24,760
EFFECTING AN NIH-FUNDED PROJECT 

1621
01:04:24,760 --> 01:04:26,760
AT A GRANTEE INSTITUTION THAT 

1622
01:04:26,760 --> 01:04:29,520
INCLUDES SEXUAL HARASSMENT AND 

1623
01:04:29,520 --> 01:04:30,000
RACIAL DISCRIMINATION. 

1624
01:04:30,000 --> 01:04:34,400
WHAT YOU DO IS GO TO ERA AND YOU

1625
01:04:34,400 --> 01:04:36,680
CAN FILL THIS FORM OUT.  SOMEONE

1626
01:04:36,680 --> 01:04:39,320
WILL BE BACK IN TOUCH WITH YOU. 

1627
01:04:39,320 --> 01:04:41,440
THIS IS ABSOLUTELY PRIVACY THAT 

1628
01:04:41,440 --> 01:04:44,440
IS AROUND THE REPORTING AND IS 

1629
01:04:44,440 --> 01:04:45,960
AN OPPORTUNITY THAT DID NOT 

1630
01:04:45,960 --> 01:04:48,120
EXIST BEFORE.  IT HELPS TO LEVEL

1631
01:04:48,120 --> 01:04:50,320
THE PLAYING FIELD.  

1632
01:04:50,320 --> 01:04:54,080
AGAIN, THE AWARD FOR 

1633
01:04:54,080 --> 01:04:55,000
INSTITUTIONAL EXCELLENCE HAS 

1634
01:04:55,000 --> 01:04:57,320
ACTUALLY -- IT WAS ACTUALLY 

1635
01:04:57,320 --> 01:04:58,320
AWARDED IN THE NEXT DUE DATE 

1636
01:04:58,320 --> 01:05:00,600
THAT IS COMING UP.  IT IS JUST 

1637
01:05:00,600 --> 01:05:04,480
LESS THAN A MONTH AWAY.  IF YOU 

1638
01:05:04,480 --> 01:05:08,080
FEEL THAT YOUR INSTITUTION IS 

1639
01:05:08,080 --> 01:05:10,800
MOVING TOWARDS A TRANSFORMATIVE 

1640
01:05:10,800 --> 01:05:13,600
CULTURE THAT HAS ACHIEVED 

1641
01:05:13,600 --> 01:05:15,680
INCLUSIVE EXCELLENCE, PLEASE 

1642
01:05:15,680 --> 01:05:17,720
FEEL FREE TO APPLY FEBRUARY 

1643
01:05:17,720 --> 01:05:21,280
17TH.  HERE AT NIH, WE ARE ALSO 

1644
01:05:21,280 --> 01:05:23,680
PROMOTING EQUITY IN BIOMEDICAL 

1645
01:05:23,680 --> 01:05:26,000
RESEARCH ECOSYSTEM.  WE HAVE 

1646
01:05:26,000 --> 01:05:27,920
POST DOCTORAL TRAINING 

1647
01:05:27,920 --> 01:05:30,920
FELLOWSHIPS WITH INTRAMURAL.  

1648
01:05:30,920 --> 01:05:34,640
ALSO, FOR POST BACCALAUREATE 

1649
01:05:34,640 --> 01:05:39,040
TRAINING.  THIS IS JASON THERE. 

1650
01:05:39,040 --> 01:05:42,800
EXTRAMURALLY THERE IS AAODC 

1651
01:05:42,800 --> 01:05:44,800
PROGRAM THEY ARE IN THE THIRD 

1652
01:05:44,800 --> 01:05:47,040
COHORT THIS IS WHO COHORT IS AT 

1653
01:05:47,040 --> 01:05:48,120
THIS TIME AND WE ARE WORKING 

1654
01:05:48,120 --> 01:05:50,800
WITH FOUNDATION OF NATIONAL 

1655
01:05:50,800 --> 01:05:53,760
INSTITUTES OF HEALTH TO BUILD 

1656
01:05:53,760 --> 01:05:54,640
PUBLIC/PRIVATE PARTNERSHIPS TO 

1657
01:05:54,640 --> 01:05:56,880
HELP IN A VERY MEANINGFUL WAY TO

1658
01:05:56,880 --> 01:05:59,480
PROMOTE ORAL HEALTH WORKFORCE 

1659
01:05:59,480 --> 01:06:00,680
DIVERSITY AND REALLY BRINGING IN

1660
01:06:00,680 --> 01:06:03,880
THE VILLAGE TO HELP US SOLVE THE

1661
01:06:03,880 --> 01:06:05,200
PROBLEM.  THE OTHER THING THAT 

1662
01:06:05,200 --> 01:06:08,080
IS -- ONE OTHER THING TO MAKE 

1663
01:06:08,080 --> 01:06:12,720
YOU AWARE OF IS THE PROGRAM 

1664
01:06:12,720 --> 01:06:15,720
GENDER, WHICH GALVANIZES HEALTH 

1665
01:06:15,720 --> 01:06:17,560
EQUITY THROUGH NOVEL AND DIVERSE

1666
01:06:17,560 --> 01:06:19,760
EDUCATIONAL RESOURCES FOCUSED ON

1667
01:06:19,760 --> 01:06:21,640
INFORMATION THAT IS AROUND SEX 

1668
01:06:21,640 --> 01:06:24,280
AS A BIOLOGICAL VARIABLE AND 

1669
01:06:24,280 --> 01:06:26,680
CURRICULA AND METHODS 

1670
01:06:26,680 --> 01:06:27,800
DEVELOPMENT TO ADVANCE 

1671
01:06:27,800 --> 01:06:29,880
UNDERSTANDING OF SEX AND GENDER 

1672
01:06:29,880 --> 01:06:31,960
INFLUENCES ON HEALTH AND ORAL 

1673
01:06:31,960 --> 01:06:32,200
HEALTH. 

1674
01:06:32,200 --> 01:06:34,640
IF YOU ARE INTERESTED IN THAT, 

1675
01:06:34,640 --> 01:06:38,440
YOU CAN REACH OUT TO ANISA, OUR 

1676
01:06:38,440 --> 01:06:39,320
PROGRAM OFFICER. 

1677
01:06:39,320 --> 01:06:41,720
WE ARE REALLY WORKING TOWARDS 

1678
01:06:41,720 --> 01:06:43,360
PARTNERING AND REALLY THINKING 

1679
01:06:43,360 --> 01:06:45,640
ABOUT THE FULL PATHWAY FROM 

1680
01:06:45,640 --> 01:06:47,560
UNDERGRADS WHERE WE ARE LOOKING 

1681
01:06:47,560 --> 01:06:49,160
INTO ONLINE OPPORTUNITIES TO 

1682
01:06:49,160 --> 01:06:50,960
REACH OUT THROUGH THE COMMUNITY 

1683
01:06:50,960 --> 01:06:56,160
AND TO LEVERAGE EXISTING STEM 

1684
01:06:56,160 --> 01:06:58,320
PROGRAMS FOR UNDERGRAD AND LET 

1685
01:06:58,320 --> 01:07:01,480
THEM KNOW ABOUT DENTISTRY TO DO 

1686
01:07:01,480 --> 01:07:04,000
PUBLIC/PRIVATE PARTNERSHIPS WE 

1687
01:07:04,000 --> 01:07:05,840
TALKED ABOUT AND PARTNERING WITH

1688
01:07:05,840 --> 01:07:07,880
OTHER ORGANIZATIONS LIKE IDEA 

1689
01:07:07,880 --> 01:07:10,240
WHERE WE WORK ON AN ACADEMIC 

1690
01:07:10,240 --> 01:07:12,680
CAREER TRACK WITH THEM AND IN 

1691
01:07:12,680 --> 01:07:16,040
THE STUDENT DIVERSITY LEADERSHIP

1692
01:07:16,040 --> 01:07:16,440
PROGRAM. 

1693
01:07:16,440 --> 01:07:18,760
FOR THOSE OF YOU WHO RENA JUST 

1694
01:07:18,760 --> 01:07:21,240
SHARED ABOUT THE DENTAL 

1695
01:07:21,240 --> 01:07:22,720
SCHOOL-BASED PBRN. 

1696
01:07:22,720 --> 01:07:24,920
THIS WILL BE A SIGNIFICANT 

1697
01:07:24,920 --> 01:07:26,800
OPPORTUNITY TO EXPOSE PEOPLE TO 

1698
01:07:26,800 --> 01:07:31,560
RESEARCH AND BUILD THAT CULTURE.

1699
01:07:31,560 --> 01:07:33,440
SO, IF THERE ARE QUESTIONS ABOUT

1700
01:07:33,440 --> 01:07:34,880
RESEARCH TRAINING AND CAREER 

1701
01:07:34,880 --> 01:07:38,360
DEVELOPMENT IT THAT IS BOTH IN 

1702
01:07:38,360 --> 01:07:39,520
THE EXTRAMURAL COMMUNITY AND 

1703
01:07:39,520 --> 01:07:42,040
ABOUT WHAT IS HAPPENING IN THE 

1704
01:07:42,040 --> 01:07:43,800
INTRAMURAL OFFICE, FEEL FREE TO 

1705
01:07:43,800 --> 01:07:49,160
REACH OUT TO ANISA BROWN AND TO 

1706
01:07:49,160 --> 01:07:51,120
BELINDA HAUSER. 

1707
01:07:51,120 --> 01:07:53,480
OUR THIRD FOCUS AREA IS 

1708
01:07:53,480 --> 01:07:56,200
ELEVATING HEALTH DISPARITIES AND

1709
01:07:56,200 --> 01:07:58,480
MINORITY HEALTH RESEARCH BOTH AT

1710
01:07:58,480 --> 01:08:03,440
NIH AND HERE AT NIDCR. 

1711
01:08:03,440 --> 01:08:06,040
NOW, STRUCTURAL RACISM CREATES 

1712
01:08:06,040 --> 01:08:07,560
HEALTH INEQUITY. 

1713
01:08:07,560 --> 01:08:09,840
THERE IS SOMETIMES CIRCUMSTANCES

1714
01:08:09,840 --> 01:08:11,840
THAT ARE BEYOND OUR CONTROL LIKE

1715
01:08:11,840 --> 01:08:14,120
WHERE WE GREW UP.  WHERE WE 

1716
01:08:14,120 --> 01:08:16,480
LIVE.  AND OTHER SYSTEMIC ISSUES

1717
01:08:16,480 --> 01:08:18,760
THAT CAN PREVENT PEOPLE FROM 

1718
01:08:18,760 --> 01:08:21,600
HAVING THE SAME PRIVILEGE AS 

1719
01:08:21,600 --> 01:08:22,720
OTHERS. 

1720
01:08:22,720 --> 01:08:25,600
AND REALLY PREDISPOSE THEM TO 

1721
01:08:25,600 --> 01:08:26,760
DISEASE.  OKAY?  

1722
01:08:26,760 --> 01:08:29,360
SO, WHAT IS NIH DOING IN THIS 

1723
01:08:29,360 --> 01:08:30,440
SPACE?  

1724
01:08:30,440 --> 01:08:31,080
OKAY?  

1725
01:08:31,080 --> 01:08:33,640
THEY ARE INCREASED FUNDING TO 

1726
01:08:33,640 --> 01:08:35,720
THIS TYPE OF RESEARCH AND 

1727
01:08:35,720 --> 01:08:37,760
RELEASE -- THEY ARE RELEASING 

1728
01:08:37,760 --> 01:08:40,840
MORE AND MORE FOAS AND I WILL 

1729
01:08:40,840 --> 01:08:43,600
SHOW YOU DATA IN A MOMENT.  TO 

1730
01:08:43,600 --> 01:08:46,320
IMPROVE NIH TRANSPARENCY AND 

1731
01:08:46,320 --> 01:08:49,200
MOVE TOWARDS SUSTAINABILITY AND 

1732
01:08:49,200 --> 01:08:50,760
AUTOMATED METHODS HAVE BEEN 

1733
01:08:50,760 --> 01:08:53,000
DEVELOPED TO MORE PRECISELY 

1734
01:08:53,000 --> 01:08:54,680
CHARACTERIZE, ANALYZE AND TRACK 

1735
01:08:54,680 --> 01:08:57,280
THESE PORTFOLIOS AND THEY HAVE 

1736
01:08:57,280 --> 01:08:59,600
EXPANDED MESH TERMS RELATED TO 

1737
01:08:59,600 --> 01:09:02,760
SOCIAL DETERMINANTS OF HEALTH. 

1738
01:09:02,760 --> 01:09:04,840
THERE IS ALSO THE PROGRAM THAT I

1739
01:09:04,840 --> 01:09:06,440
MENTIONED EARLIER ON.  

1740
01:09:06,440 --> 01:09:09,760
NOW, LOOK AT HOW MANY FOAS THERE

1741
01:09:09,760 --> 01:09:13,520
ARE NOW OR WITH 2022, 115 THAT 

1742
01:09:13,520 --> 01:09:16,440
ARE ACROSS NIH THAT ARE RELATED 

1743
01:09:16,440 --> 01:09:19,200
TO HEALTH DISPARITIES VERSUS 

1744
01:09:19,200 --> 01:09:23,080
ONLY 18 THAT ARE ABOUT FIVE 

1745
01:09:23,080 --> 01:09:24,240
YEARS AGO.  

1746
01:09:24,240 --> 01:09:27,200
PROUD TO SAY NIDCR IS A LEADER 

1747
01:09:27,200 --> 01:09:30,040
IN THIS SPACE HAVING ORAL HEALTH

1748
01:09:30,040 --> 01:09:34,600
DISPARITY CENTERS BACK IN THE 

1749
01:09:34,600 --> 01:09:34,800
90S. 

1750
01:09:34,800 --> 01:09:36,160
OKAY?  

1751
01:09:36,160 --> 01:09:41,400
THERE ARE CROSS-CUTTING 

1752
01:09:41,400 --> 01:09:41,800
INITIATIVES. 

1753
01:09:41,800 --> 01:09:46,320
THEY FOCUS ON REDUCING HEALTH 

1754
01:09:46,320 --> 01:09:46,960
DISPARITY AND UNDERSTAND THE 

1755
01:09:46,960 --> 01:09:49,120
ROLE OF SOCIAL DETERMINANTS AND 

1756
01:09:49,120 --> 01:09:52,000
ENSURING YOU ARE ENGAGING IN THE

1757
01:09:52,000 --> 01:09:54,040
EFFECTIVE COMMUNITY AND 

1758
01:09:54,040 --> 01:09:55,800
MULTILEVEL INTERVENTIONS AND 

1759
01:09:55,800 --> 01:09:57,680
RECRUITMENT AND, YOU KNOW, 

1760
01:09:57,680 --> 01:09:59,320
ENSURING THAT WHEN WE DO OUR 

1761
01:09:59,320 --> 01:10:01,680
STUDIES THAT OUR STUDIES LOOK 

1762
01:10:01,680 --> 01:10:03,680
LIKE THE EFFECTED POPULATION.  

1763
01:10:03,680 --> 01:10:06,040
IT THAT MAY INCLUDE PEOPLE WHO 

1764
01:10:06,040 --> 01:10:09,560
ARE EXPERIENCING HEALTH 

1765
01:10:09,560 --> 01:10:09,960
DISPARITIES. 

1766
01:10:09,960 --> 01:10:15,440
SOME EXAMPLES OF FOAS ARE THE 

1767
01:10:15,440 --> 01:10:17,440
SUBSTANCE USE AND ADDICTION 

1768
01:10:17,440 --> 01:10:23,120
OUTCOMES RFA.  FOCUS ON HEAL AND

1769
01:10:23,120 --> 01:10:25,880
PREVENTION AND MANAGEMENT 

1770
01:10:25,880 --> 01:10:26,880
CHRONIC PAIN PARTICULARLY IN 

1771
01:10:26,880 --> 01:10:30,200
RURAL POPULATIONS AND LOOKING AT

1772
01:10:30,200 --> 01:10:31,520
EVIDENCE-BASED SCREENING AND 

1773
01:10:31,520 --> 01:10:33,960
DIVERSE POPULATION AS CROSS THE 

1774
01:10:33,960 --> 01:10:35,640
LIFESPAN.  LOOKING AT 

1775
01:10:35,640 --> 01:10:37,760
MISINFORMATION AND POPULATIONS 

1776
01:10:37,760 --> 01:10:39,400
EXPERIENCING HEALTH DISPARITY 

1777
01:10:39,400 --> 01:10:40,960
HIGHLIGHTING THOSE THAT I 

1778
01:10:40,960 --> 01:10:45,520
BELIEVE ARE VERY RELEVANT TO OUR

1779
01:10:45,520 --> 01:10:45,800
COMMUNITY. 

1780
01:10:45,800 --> 01:10:47,080
NOW, WHEN WE LOOK AT EQUALITY 

1781
01:10:47,080 --> 01:10:49,640
AND EQUITY, WE CAN SEE VERY 

1782
01:10:49,640 --> 01:10:51,320
CLEARLY THAT EQUALITY IS NOT 

1783
01:10:51,320 --> 01:10:52,440
ENOUGH.  WHY?  

1784
01:10:52,440 --> 01:10:54,760
WE ARE DIFFERENT.  OKAY?  

1785
01:10:54,760 --> 01:10:56,440
WE -- THERE ARE BARRIERS THAT 

1786
01:10:56,440 --> 01:10:58,760
ARE IN PLACE.  IF WE ARE ALL 

1787
01:10:58,760 --> 01:11:02,360
GETTING IN THE SAME, SOME OF US 

1788
01:11:02,360 --> 01:11:05,320
ARE UNABLE TO SURPASS THE 

1789
01:11:05,320 --> 01:11:05,560
BARRIER. 

1790
01:11:05,560 --> 01:11:07,160
EQUITY MAKES A DIFFERENCE.  WHAT

1791
01:11:07,160 --> 01:11:09,120
IS BEST IS NOT TO HAVE ANY 

1792
01:11:09,120 --> 01:11:12,960
BARRIERS AT ALL.  THAT IS WHAT 

1793
01:11:12,960 --> 01:11:13,960
JUSTICE IS.  

1794
01:11:13,960 --> 01:11:15,240
LET'S LOOK AT REALITY OVER HERE 

1795
01:11:15,240 --> 01:11:17,600
ON THE LEFT.  REALITY IS SOME OF

1796
01:11:17,600 --> 01:11:19,520
US HAVE WAY MORE THAN WHAT WE 

1797
01:11:19,520 --> 01:11:21,440
NEED.  OKAY?  

1798
01:11:21,440 --> 01:11:24,040
SOME OF US HAVE JUST ENOUGH.  

1799
01:11:24,040 --> 01:11:28,040
SOME OF US HAVE WAY LESS.  IN 

1800
01:11:28,040 --> 01:11:30,040
FACT, THERE IS SOCIAL AND 

1801
01:11:30,040 --> 01:11:30,760
COMMERCIAL DETERMINANTS. 

1802
01:11:30,760 --> 01:11:33,240
THIS IS AN IMAGE IT THAT I 

1803
01:11:33,240 --> 01:11:35,840
BORROWED FROM THE NORTH CAROLINA

1804
01:11:35,840 --> 01:11:38,040
ORAL HEALTH COLLABORATIVE.  

1805
01:11:38,040 --> 01:11:39,920
THOSE SOCIAL AND COMMERCIAL 

1806
01:11:39,920 --> 01:11:41,480
DETERMINANTS CAN EVEN WORSEN 

1807
01:11:41,480 --> 01:11:45,560
THIS DISPARITY DIGGING AN EVEN 

1808
01:11:45,560 --> 01:11:47,120
DEEPER HOLE FOR THESE PEOPLE.  

1809
01:11:47,120 --> 01:11:49,360
WE, ORAL HEALTH, WE NEED TO BE 

1810
01:11:49,360 --> 01:11:52,640
MOVING ACROSS TO JUSTICE. 

1811
01:11:52,640 --> 01:11:55,200
NOT ONLY HERE IN THE US BUT 

1812
01:11:55,200 --> 01:11:58,680
ACROSS THE GLOBE.  THE WORLD'S 

1813
01:11:58,680 --> 01:12:02,240
MOST COMMON NONCONTAGIOUS 

1814
01:12:02,240 --> 01:12:04,560
DISEASE IS TOOTH DECAY AND MORE 

1815
01:12:04,560 --> 01:12:07,240
THAN 90% OF THE ENTIRE WORLD 

1816
01:12:07,240 --> 01:12:09,240
POPULATION WILL SUCCUMB TO 

1817
01:12:09,240 --> 01:12:11,160
DENTAL DISEASE LOOKING ACROSS 

1818
01:12:11,160 --> 01:12:14,760
THE WORLD AT PEOPLE BETWEEN 65 

1819
01:12:14,760 --> 01:12:19,040
AND 74, 35% OF THEM DON'T HAVE 

1820
01:12:19,040 --> 01:12:21,160
TEAM AND IT THAT CAN HELP 

1821
01:12:21,160 --> 01:12:22,760
SOMEONE'S QUALITY OF LIFE AND 

1822
01:12:22,760 --> 01:12:25,080
LOOKING AT ORAL CANCER THIRD 

1823
01:12:25,080 --> 01:12:27,720
MOST COMMON CANCER IF IN ASIA 

1824
01:12:27,720 --> 01:12:30,560
AND 6TH MOST COMMON IN THE US.  

1825
01:12:30,560 --> 01:12:32,880
WE KNOW THERE ARE DISPARITIES 

1826
01:12:32,880 --> 01:12:35,120
WITH SIGNIFICANTLY HIGHER LEVELS

1827
01:12:35,120 --> 01:12:38,360
OF ORAL CANCER IN MEN AND IN 

1828
01:12:38,360 --> 01:12:40,200
WOMEN.  AGAIN, ORAL DISEASES ARE

1829
01:12:40,200 --> 01:12:44,280
THE MOST COMMON DISEASES THAT 

1830
01:12:44,280 --> 01:12:47,800
ARE EFFECTING 3.5 BILLION PEOPLE

1831
01:12:47,800 --> 01:12:53,120
IN THIS WORLD.  REMINDER HERE 

1832
01:12:53,120 --> 01:12:55,440
THAT CLEFT LIP HAPPENS IN 1 IN 

1833
01:12:55,440 --> 01:12:57,840
700 AND BURDEN OF ORAL DISEASE 

1834
01:12:57,840 --> 01:13:01,160
MUCH OF IT PREVENTABLE, $500 

1835
01:13:01,160 --> 01:13:03,120
BILLION.  WE HAVE WORK TO DO.  

1836
01:13:03,120 --> 01:13:04,680
OKAY?  

1837
01:13:04,680 --> 01:13:07,240
IF WE LOOK IN CHILDREN AND IN 

1838
01:13:07,240 --> 01:13:08,880
ADOLESCENCE, AND HERE IS DATA 

1839
01:13:08,880 --> 01:13:10,240
FROM LONDON.  

1840
01:13:10,240 --> 01:13:14,120
WHAT YOU SEE IS THE POORER KIDS 

1841
01:13:14,120 --> 01:13:15,600
HAVE THEIR TEETH EXTRACTED FOUR 

1842
01:13:15,600 --> 01:13:18,600
TIMES MORE FREQUENTLY THAN 

1843
01:13:18,600 --> 01:13:21,040
CHILDREN WHO ARE LESS DEPRIVED 

1844
01:13:21,040 --> 01:13:22,800
AND LOOKING HERE AT THE UNITED 

1845
01:13:22,800 --> 01:13:26,760
STATES, WE SEE NON-HISPANIC 

1846
01:13:26,760 --> 01:13:28,120
WHITE CHILDREN ARE ALREADY 

1847
01:13:28,120 --> 01:13:34,760
GETTING CARRIES, 25%.  AMERICAN,

1848
01:13:34,760 --> 01:13:38,800
INDIAN ANDAL ALASKA NATIVES 3 

1849
01:13:38,800 --> 01:13:41,760
TIMES MORE LIKELY TO HAVE 

1850
01:13:41,760 --> 01:13:43,120
CHILDREN CARRIES AND ADOLESCENCE

1851
01:13:43,120 --> 01:13:46,400
YOU SEE 2.5 TIMES HIGHER LEVELS 

1852
01:13:46,400 --> 01:13:49,240
OF CARRIES IN NON-HISPANIC 

1853
01:13:49,240 --> 01:13:51,720
BLACKS AND NON-HISPANIC WHITES 

1854
01:13:51,720 --> 01:13:56,400
AND TWICE AS MANY CARIES IN 

1855
01:13:56,400 --> 01:13:57,600
ADOLESCENTS THAT ARE POOR 

1856
01:13:57,600 --> 01:13:58,760
COMPARED TO THOSE WHO ARE NOT.  

1857
01:13:58,760 --> 01:14:02,760
WE HAVE WORK TO DO.  OKAY?  

1858
01:14:02,760 --> 01:14:05,720
NIDCR IS ELEVATING HEALTH 

1859
01:14:05,720 --> 01:14:09,200
DISPARITIES AND MINORITY HEALTH 

1860
01:14:09,200 --> 01:14:11,440
GROUP THROUGH MECHANISMS AND 

1861
01:14:11,440 --> 01:14:13,640
SEVERAL PROJECTSLY SHARE WITH 

1862
01:14:13,640 --> 01:14:15,280
YOU.  JAIN IS LEADING AND 

1863
01:14:15,280 --> 01:14:17,480
LOOKING AT ORAL HEALTH 

1864
01:14:17,480 --> 01:14:19,040
CONDITIONS AMONG OLDER ADULTS 

1865
01:14:19,040 --> 01:14:21,400
USING ALL OF US.  

1866
01:14:21,400 --> 01:14:25,400
THERE IS A STUDY BY MARY M. WHO 

1867
01:14:25,400 --> 01:14:32,320
IS LOOKING AT ORAL CLEFT TRIOS. 

1868
01:14:32,320 --> 01:14:35,520
TAMARA IS USING DATA TO LOOK AT 

1869
01:14:35,520 --> 01:14:39,440
ACCURACY OF EEHRS IN BIG MOUTH 

1870
01:14:39,440 --> 01:14:40,560
REPOSITORY.  WE ARE TALKING 

1871
01:14:40,560 --> 01:14:43,920
ADVANTAGE OF ALL OF US, WHICH IS

1872
01:14:43,920 --> 01:14:46,440
GREAT.  AGAIN, RENA ACTUALLY 

1873
01:14:46,440 --> 01:14:47,840
SHOWED THIS ONE.  OTHER WAYS 

1874
01:14:47,840 --> 01:14:50,680
THAT NIDCR IS ELEVATING THROUGH 

1875
01:14:50,680 --> 01:14:56,720
WORK BEING DONE DEMONSTRATING IN

1876
01:14:56,720 --> 01:14:58,800
60,000 US BLACK WOMEN 

1877
01:14:58,800 --> 01:15:00,480
RELATIONSHIPS BETWEEN RACISM AND

1878
01:15:00,480 --> 01:15:08,800
DENTAL FEAR AND LOOKING AT ORAL 

1879
01:15:08,800 --> 01:15:14,560
HYGIENE AND AUTISTIC VERSUS 

1880
01:15:14,560 --> 01:15:16,720
NONAUTISTIC AND WOMEN'S HEALTH 

1881
01:15:16,720 --> 01:15:18,520
ISSUE FOCUS ON OFFICE OF 

1882
01:15:18,520 --> 01:15:20,240
RESEARCH ON WOMEN'S HEALTH AND 

1883
01:15:20,240 --> 01:15:22,840
TALKED ABOUT ORAL HEALTH AND 

1884
01:15:22,840 --> 01:15:29,680
ORAL HEALTH DISPARITIES AND 

1885
01:15:29,680 --> 01:15:31,680
CHALLENGES IN THE WORKWORKFORCE 

1886
01:15:31,680 --> 01:15:33,320
WITHIN AN ISSUE JUST RELEASED 

1887
01:15:33,320 --> 01:15:36,080
LAST QUARTER.  THERE WAS ORAL 

1888
01:15:36,080 --> 01:15:39,480
HEALTH DISPARITIES THINK TANK 

1889
01:15:39,480 --> 01:15:45,400
LED BY DR. HEROKO AIDA.  WE ARE 

1890
01:15:45,400 --> 01:15:47,800
IN THE MIDDLE OF IT SECOND HALF 

1891
01:15:47,800 --> 01:15:51,040
DONE FEBRUARY 9TH AND INVOLVED 

1892
01:15:51,040 --> 01:15:53,200
IN AGENCY AND CROSS-AGENCY 

1893
01:15:53,200 --> 01:15:54,800
ACTIVITIES TOWARDS DIMINISHING 

1894
01:15:54,800 --> 01:15:56,480
ORAL HEALTH DISPARITIES. 

1895
01:15:56,480 --> 01:15:58,680
DOWN THE ROAD I WANTED TO SHARE 

1896
01:15:58,680 --> 01:16:01,720
THERE IS AN NIH-LEVEL 

1897
01:16:01,720 --> 01:16:04,920
DISCUSSION.  WE HAVE BEGUN SOME 

1898
01:16:04,920 --> 01:16:06,760
DISCUSSIONS HERE AROUND GRANT 

1899
01:16:06,760 --> 01:16:10,640
REVIEW AND CONSIDERING DIVERSITY

1900
01:16:10,640 --> 01:16:13,400
EQUITY INCLUSION IN THE CONTEXT 

1901
01:16:13,400 --> 01:16:16,600
OF THE PROJECTS BEING PROPOSED 

1902
01:16:16,600 --> 01:16:18,200
AND REVIEWED.  OKAY?  

1903
01:16:18,200 --> 01:16:20,000
ONE OTHER THING WE ARE DOING AS 

1904
01:16:20,000 --> 01:16:23,560
YOU ALL KNOW, WE ARE NOT -- OUR 

1905
01:16:23,560 --> 01:16:27,840
FIELD HAS NOT HAD LARGE 

1906
01:16:27,840 --> 01:16:28,720
MULTI-SITE CLINICAL TRIALS TO 

1907
01:16:28,720 --> 01:16:30,040
GENERATE EVIDENCE WE IF NEED TO 

1908
01:16:30,040 --> 01:16:32,920
BE ABLE TO MOVE THE FIELD 

1909
01:16:32,920 --> 01:16:33,240
FORWARD. 

1910
01:16:33,240 --> 01:16:35,560
ONE THING WE ARE DOING IS WE ARE

1911
01:16:35,560 --> 01:16:38,120
WORKING IN CONSULTATION WITH 

1912
01:16:38,120 --> 01:16:42,080
SEVERAL GROUPS SO THAT WE CAN 

1913
01:16:42,080 --> 01:16:45,360
OBTAIN MERGED MEDICAL DATA OR 

1914
01:16:45,360 --> 01:16:48,080
MEDICAL DENTALE DATA THAT HAVE 

1915
01:16:48,080 --> 01:16:49,320
SOCIAL DETERMINANTS INFORMATION.

1916
01:16:49,320 --> 01:16:56,200
WE ARE WORKING WITH REZDAK TO 

1917
01:16:56,200 --> 01:16:58,480
OBTAIN INFORMATION TO DATA WITH 

1918
01:16:58,480 --> 01:17:00,040
ALL STATES AND MEDICAL AND 

1919
01:17:00,040 --> 01:17:02,480
DENTAL DATA THAT INCLUDES 

1920
01:17:02,480 --> 01:17:04,080
FEDERALLY QUALIFIED HEALTH CARE 

1921
01:17:04,080 --> 01:17:06,960
CENTERS AND WORKING WITH THE 

1922
01:17:06,960 --> 01:17:08,600
WISCONSIN COLLABORATIVE 

1923
01:17:08,600 --> 01:17:10,440
INCLUDING 35 HEALTH SYSTEMS IN 

1924
01:17:10,440 --> 01:17:14,400
THE MIDWEST INCLUDING 150 DENTAL

1925
01:17:14,400 --> 01:17:16,640
PRACTICES AND 325 MEDICAL 

1926
01:17:16,640 --> 01:17:18,960
CLINICS THAT HAVE INTEGRATED 

1927
01:17:18,960 --> 01:17:22,760
DATA AND ULCHIN BASED IN 

1928
01:17:22,760 --> 01:17:25,840
PORTLAND INCLUDING MORE THAN 6 

1929
01:17:25,840 --> 01:17:28,520
MILLION PATIENTS COVERING 45 

1930
01:17:28,520 --> 01:17:30,040
STATES CAPTURING SOCIAL 

1931
01:17:30,040 --> 01:17:31,840
DETERMINANTS ACROSS THIS VERY 

1932
01:17:31,840 --> 01:17:33,560
DIVERSE PAYER MIX AND WE ARE 

1933
01:17:33,560 --> 01:17:36,040
HOPING BY PROVIDING TYPES OF 

1934
01:17:36,040 --> 01:17:38,480
RESOURCES TO THE FIELD TO ASK 

1935
01:17:38,480 --> 01:17:41,480
QUESTIONS THAT ARE INCLUDING 

1936
01:17:41,480 --> 01:17:43,880
QUESTIONS THAT ARE AROUND ORAL 

1937
01:17:43,880 --> 01:17:47,200
HEALTH DISPARITIES.  WE WILL 

1938
01:17:47,200 --> 01:17:49,200
THEN HAVE THE OPPORTUNITY TO 

1939
01:17:49,200 --> 01:17:50,720
MOVE PRACTICE AND GUIDELINES IN 

1940
01:17:50,720 --> 01:17:53,240
A WAY THAT WE HAVE NOT BEEN ABLE

1941
01:17:53,240 --> 01:17:54,040
TO DO BEFORE. 

1942
01:17:54,040 --> 01:17:57,880
THE LAST FOCUS AREA IS IMPROVING

1943
01:17:57,880 --> 01:17:59,560
ACCURACY AND TRANSPARENCY OF 

1944
01:17:59,560 --> 01:18:02,040
RACIAL AND ETHNIC EQUITY DATA. 

1945
01:18:02,040 --> 01:18:06,520
WHAT IS HAPPENING HERE AT NIH IS

1946
01:18:06,520 --> 01:18:09,120
TO GET TOGETHER RECENT BASELINE 

1947
01:18:09,120 --> 01:18:11,040
DATA THAT HAVE BEEN -- THERE WAS

1948
01:18:11,040 --> 01:18:13,880
AN RFI THAT WAS RELEASED.  

1949
01:18:13,880 --> 01:18:17,200
THERE WERE OVER 1,000 RESPONSES.

1950
01:18:17,200 --> 01:18:19,200
THERE HAVE BEEN 14 LISTENING 

1951
01:18:19,200 --> 01:18:21,920
SESSIONS WITH THE EXTRAMURAL 

1952
01:18:21,920 --> 01:18:25,360
COMMUNITY.  THIS WAS OVER IT 

1953
01:18:25,360 --> 01:18:25,760
1300 ATTENDEES. 

1954
01:18:25,760 --> 01:18:28,960
THE OTHER PIECE IS TO IMPROVE 

1955
01:18:28,960 --> 01:18:31,480
TRANSPARENCY AND ACCOUNTABILITY.

1956
01:18:31,480 --> 01:18:34,520
TOWARDS THIS END, A PUBLIC 

1957
01:18:34,520 --> 01:18:35,960
FACING DATA DASHBOARD THAT HAS 

1958
01:18:35,960 --> 01:18:38,640
BEEN DEVELOPED THAT ANYONE CAN 

1959
01:18:38,640 --> 01:18:39,360
ACCESS. 

1960
01:18:39,360 --> 01:18:44,680
THERE IS A UNITE LINKED IN PAGE 

1961
01:18:44,680 --> 01:18:47,080
AND ENDING STRUCTURAL RACISM WEB

1962
01:18:47,080 --> 01:18:48,680
SITE AND INTRANET SO THAT 

1963
01:18:48,680 --> 01:18:50,680
EVERYONE CAN SEE WHERE WE ARE 

1964
01:18:50,680 --> 01:18:54,320
AND WHERE WE ARE WITH THIS DATA.

1965
01:18:54,320 --> 01:18:56,560
WHAT WILL IT TAKE?  

1966
01:18:56,560 --> 01:19:00,600
THIS IS JUST MY PERSPECTIVE TO 

1967
01:19:00,600 --> 01:19:02,160
AMELIORATE ORAL HEALTH 

1968
01:19:02,160 --> 01:19:04,160
DISPARITIES WE HAVE TO WORK 

1969
01:19:04,160 --> 01:19:06,080
TOGETHER TOWARDS WORK EXPANSION 

1970
01:19:06,080 --> 01:19:07,560
AND SCIENTIFIC EXCELLENCE 

1971
01:19:07,560 --> 01:19:10,200
EMBRACING DIVERSE PEOPLE, 

1972
01:19:10,200 --> 01:19:11,840
DIVERSE NEEDS AND DIVERSE 

1973
01:19:11,840 --> 01:19:13,040
PERSPECTIVES AND WE HAVE TO 

1974
01:19:13,040 --> 01:19:14,800
BUILD AN ENVIRONMENT AND 

1975
01:19:14,800 --> 01:19:17,240
COMMUNITY AND FIELD AND OUR 

1976
01:19:17,240 --> 01:19:18,480
FIELD THAT WILL ALL BELONG. 

1977
01:19:18,480 --> 01:19:21,480
THIS IS SO CRITICAL AS WE 

1978
01:19:21,480 --> 01:19:22,600
COLLECTIVELY STRIVE TO MEET OUR 

1979
01:19:22,600 --> 01:19:27,680
MISSION OF ORAL HEALTH FOR ALL. 

1980
01:19:27,680 --> 01:19:29,840
I WILL END THERE.  THANKS FOR 

1981
01:19:29,840 --> 01:19:33,240
YOUR ATTENTION AND HAPPY TO TAKE

1982
01:19:33,240 --> 01:19:35,440
ANY QUESTIONS. 

1983
01:19:35,440 --> 01:19:41,400
>>WE HAVE 10 MINUTES OR
SO FOR 

1984
01:19:41,400 --> 01:19:44,680
QUESTIONS FOR DR. 

1985
01:19:44,680 --> 01:19:50,360
WEBSTER-CYRIAQUE.  SO, PLEASE.  

1986
01:19:50,360 --> 01:19:52,880
>>I MUST HAVE BEEN CLEAR.
I 

1987
01:19:52,880 --> 01:19:54,080
HOPE SO. 

1988
01:19:54,080 --> 01:19:56,520
>>RAUL. 

1989
01:19:56,520 --> 01:20:02,000
>>HI.  THANK YOU, DR. 

1990
01:20:02,000 --> 01:20:03,520
WEBSTER-CYRIAQUE FOR FANTASTIC 

1991
01:20:03,520 --> 01:20:05,600
PRESENTATION AND ENCOURAGING TO 

1992
01:20:05,600 --> 01:20:08,680
SEE PROGRESS MADE BY NIH AND 

1993
01:20:08,680 --> 01:20:11,040
NICDR IN THE LAST HANDFUL OF 

1994
01:20:11,040 --> 01:20:12,640
YEARS IN PRESENTING THIS 

1995
01:20:12,640 --> 01:20:14,600
CHALLENGING ISSUE OF RACE AND 

1996
01:20:14,600 --> 01:20:16,600
RACISM IN REGARDS TO HEALTH 

1997
01:20:16,600 --> 01:20:19,680
OUTCOMES AND IN REGARDS TO 

1998
01:20:19,680 --> 01:20:22,760
HEALTH RESEARCH WORKFORCE AND 

1999
01:20:22,760 --> 01:20:24,680
TREMENDOUS PROGRESS AND KUDOS TO

2000
01:20:24,680 --> 01:20:26,240
YOU AND YOUR TEAM AND WHAT YOU 

2001
01:20:26,240 --> 01:20:28,320
ARE DOING AND PLEASE TOTD SEE 

2002
01:20:28,320 --> 01:20:29,200
THE CONSIDERATION OF THE 

2003
01:20:29,200 --> 01:20:30,480
IMPORTANCIN COLLUSION OF DIVERSE

2004
01:20:30,480 --> 01:20:31,920
COMMUNITIES AND RESEARCH PROJECT

2005
01:20:31,920 --> 01:20:34,760
AS WELL AS FOCUS OF ACTUAL 

2006
01:20:34,760 --> 01:20:36,360
RESEARCH EFFORTS IN DEALING WITH

2007
01:20:36,360 --> 01:20:39,360
ISSUES OF RACE AND RACISM AND 

2008
01:20:39,360 --> 01:20:40,080
PROJECT YOU MENTIONED INCLUDING 

2009
01:20:40,080 --> 01:20:42,040
WORK BY COLLEAGUES AT BOSTON 

2010
01:20:42,040 --> 01:20:48,040
HEALTH UNIVERSITY AND WOMEN'S 

2011
01:20:48,040 --> 01:20:50,640
BLACK HISTORY AND LED BY BRENDA 

2012
01:20:50,640 --> 01:20:52,960
HOOETON AND FANTASTIC PROGRESS 

2013
01:20:52,960 --> 01:20:54,200
AND THANK YOU FOR THE 

2014
01:20:54,200 --> 01:20:56,480
OPPORTUNITY TO SHARE IN THIS 

2015
01:20:56,480 --> 01:20:57,760
WONDERFUL PROGRESS BEING MADE.  

2016
01:20:57,760 --> 01:20:58,120
THANK YOU. 

2017
01:20:58,120 --> 01:21:00,080
>>THANK YOU FOR THAT
COMMENT.  

2018
01:21:00,080 --> 01:21:04,280
MOST IMPORTANTLY, IT REALLY IS 

2019
01:21:04,280 --> 01:21:07,560
NOT A NICHE THING.  IT REALLY 

2020
01:21:07,560 --> 01:21:09,840
TAKES OUR ENTIRE COMMUNITY TO 

2021
01:21:09,840 --> 01:21:11,400
OPTIMIZE ORAL HEALTH FOR ALL OF 

2022
01:21:11,400 --> 01:21:12,000
US. 

2023
01:21:12,000 --> 01:21:14,640
SO, FOR THIS TO WORK, FOR THESE 

2024
01:21:14,640 --> 01:21:17,680
THINGS THAT NIH IS DOING, IT 

2025
01:21:17,680 --> 01:21:19,600
WILL REALLY TAKE BUY-IN FROM 

2026
01:21:19,600 --> 01:21:21,400
EVERYBODY, BOTH IN THE 

2027
01:21:21,400 --> 01:21:26,240
EXTRAMURAL SPACE AND INTRAMURAL.

2028
01:21:26,240 --> 01:21:28,720
>>YEAH.  WE HEAR FROM THE

2029
01:21:28,720 --> 01:21:30,440
EXTRAMURAL FOLKS, YOU ON 

2030
01:21:30,440 --> 01:21:32,080
COUNCIL, AS TO HOW THINGS ARE 

2031
01:21:32,080 --> 01:21:35,680
MOVING FOR YOU IF IN TERMS OF 

2032
01:21:35,680 --> 01:21:37,480
CULTURE CHANGES. 

2033
01:21:37,480 --> 01:21:38,600
CHECKING BOXES DOESN'T ALWAYS 

2034
01:21:38,600 --> 01:21:41,400
SOLVE THE PROBLEM.  YOU CAN HIRE

2035
01:21:41,400 --> 01:21:42,880
-- ONLY PERSON WHO DOESN'T LOOK 

2036
01:21:42,880 --> 01:21:45,040
LIKE THE OTHER PERSON INTO THE 

2037
01:21:45,040 --> 01:21:46,280
COMMUNITY WHO DOESN'T FEEL 

2038
01:21:46,280 --> 01:21:47,440
INCLUDED OR THAT SENSE OF 

2039
01:21:47,440 --> 01:21:51,040
BELONGING.  THERE IS MANY, MANY 

2040
01:21:51,040 --> 01:21:54,040
ASPECTS FOR TRANSFORMING THAT 

2041
01:21:54,040 --> 01:21:55,800
CULTURE MAINTAINING THE VALUE 

2042
01:21:55,800 --> 01:21:57,400
FOR EVERY INDIVIDUAL AND WONDER 

2043
01:21:57,400 --> 01:22:00,040
HOW YOU ARE DOG AND JACK IN 

2044
01:22:00,040 --> 01:22:01,480
MICHIGAN HAS ALWAYS LED THE WAY 

2045
01:22:01,480 --> 01:22:05,400
AND IN MANY WAYS AND LEE IN YOUR

2046
01:22:05,400 --> 01:22:08,280
INSTITUTION AND OF COURSE MORE 

2047
01:22:08,280 --> 01:22:10,760
OF YOU FOR [INDISCERNIBLE] IN 

2048
01:22:10,760 --> 01:22:13,200
THE BOSTON AREA AND JOEL AS 

2049
01:22:13,200 --> 01:22:14,120
WELL. 

2050
01:22:14,120 --> 01:22:17,880
>>YEAH.  SO, I THINK THAT

2051
01:22:17,880 --> 01:22:20,360
ESTHER HERE HAS DONE A WONDERFUL

2052
01:22:20,360 --> 01:22:23,600
JOB IN MICHIGAN IN REALLY 

2053
01:22:23,600 --> 01:22:26,040
FOSTERING DEI FOR MANY YEARS AND

2054
01:22:26,040 --> 01:22:28,600
THINK ONE OF THE KEY ASPECTS IS 

2055
01:22:28,600 --> 01:22:30,800
RECRUITING EARLY IN TERMS OF 

2056
01:22:30,800 --> 01:22:31,240
WORKFORCE. 

2057
01:22:31,240 --> 01:22:35,200
SO, I WAS WONDERING, JENNIFER, 

2058
01:22:35,200 --> 01:22:36,280
IF YOU COULD EXPAND A LITTLE BIT

2059
01:22:36,280 --> 01:22:40,480
ON EFFORTS FROM THE NIH AND 

2060
01:22:40,480 --> 01:22:45,720
NIDCR ON EARLY RECRUITMENT OF 

2061
01:22:45,720 --> 01:22:46,760
HIGH SCHOOL STUDENTS MAYBE OR 

2062
01:22:46,760 --> 01:22:47,920
COLLEGE STUDENTS THAT ARE INTO 

2063
01:22:47,920 --> 01:22:50,720
THE WORKFORCE AND WHAT ARE IDEAS

2064
01:22:50,720 --> 01:22:53,600
IN -- WHAT TYPE OF SUPPORT, 

2065
01:22:53,600 --> 01:22:55,760
PERHAPS THAT WE CAN -- OR HOW 

2066
01:22:55,760 --> 01:22:59,240
CAN WE BEST WORK TOGETHER TO 

2067
01:22:59,240 --> 01:22:59,840
ACHIEVE THIS GOAL?  

2068
01:22:59,840 --> 01:23:02,800
>>SO, THANK YOU FOR THAT.
AT 

2069
01:23:02,800 --> 01:23:04,600
THE HIGH SCHOOL LEVEL, ONE THING

2070
01:23:04,600 --> 01:23:06,760
WE HAVE REALLY THOUGHT HARD 

2071
01:23:06,760 --> 01:23:09,280
ABOUT IS THERE ARE CERTAINLY 

2072
01:23:09,280 --> 01:23:10,040
INDIVIDUAL -- INDIVIDUAL 

2073
01:23:10,040 --> 01:23:13,640
OPPORTUNITIES TO GO TO THE HIGH 

2074
01:23:13,640 --> 01:23:15,400
SCHOOLS AND PROVIDE EXPOSURES. 

2075
01:23:15,400 --> 01:23:17,400
ONE THING WE HAVE BEEN DOING IS 

2076
01:23:17,400 --> 01:23:19,440
WORKING WITH A COMPANY THAT IS 

2077
01:23:19,440 --> 01:23:21,720
ACTUALLY HIGHLIGHTING ONE OF OUR

2078
01:23:21,720 --> 01:23:26,360
NIDCR RESEARCHERS, AMBER D'SOUZA

2079
01:23:26,360 --> 01:23:28,520
AND THIS COMPANY, WE ARE IN THE 

2080
01:23:28,520 --> 01:23:31,760
MIDDLE OF IT THIS RIGHT NOW.  

2081
01:23:31,760 --> 01:23:33,000
PROVIDES OPPORTUNITIES FOR 

2082
01:23:33,000 --> 01:23:36,680
LESSON PLANS AND ANIMATIONS AND 

2083
01:23:36,680 --> 01:23:38,160
PODCASTS FOR THE STUDENTS TO 

2084
01:23:38,160 --> 01:23:40,280
QUESTION, I WOULD LIKE TO BE AN 

2085
01:23:40,280 --> 01:23:41,880
X.  YOU KNOW WHAT THEY DON'T 

2086
01:23:41,880 --> 01:23:44,880
HAVE UP THERE, DENTAL, ANY 

2087
01:23:44,880 --> 01:23:45,480
PLACE. 

2088
01:23:45,480 --> 01:23:49,040
SO, WHAT WE ARE WORKING TOWARDS 

2089
01:23:49,040 --> 01:23:54,040
IS A SITUATION WHERE WE CAN 

2090
01:23:54,040 --> 01:23:54,600
HIGHLIGHT TRANSLATIONAL 

2091
01:23:54,600 --> 01:23:58,360
RESEARCH, FOUNDATIONAL RESEARCH.

2092
01:23:58,360 --> 01:24:01,280
JUST GETTING STRAIGHT DENTAL AND

2093
01:24:01,280 --> 01:24:02,640
CLINICAL RESEARCH AND PROVIDE 

2094
01:24:02,640 --> 01:24:05,200
THIS OPPORTUNITY FOR TEACHERS TO

2095
01:24:05,200 --> 01:24:07,440
UTILIZE THIS INFORMATION IN THE 

2096
01:24:07,440 --> 01:24:10,000
CLASSROOM AND FOR STUDENTS TO 

2097
01:24:10,000 --> 01:24:11,480
COME TO IT THEMSELVES. 

2098
01:24:11,480 --> 01:24:13,640
NOW, IT HAS BEEN VERY, VERY 

2099
01:24:13,640 --> 01:24:14,760
EFFECTIVE IN OTHER FIELDS WITH 

2100
01:24:14,760 --> 01:24:19,040
THEM GETTING LIKE, YOU KNOW, 

2101
01:24:19,040 --> 01:24:20,880
20,000 MEDIUM IMPRESSIONS A 

2102
01:24:20,880 --> 01:24:23,440
MONTH AND WHAT HAVE YOU AND 

2103
01:24:23,440 --> 01:24:25,400
FACEBOOK AND LIVENG THE IN AND 

2104
01:24:25,400 --> 01:24:27,240
ALL THIS OTHER STUFF I'M 

2105
01:24:27,240 --> 01:24:28,880
PERSONALLY NOT GOOD AT BUT 

2106
01:24:28,880 --> 01:24:30,760
RECOGNIZE THAT, THAT IS HOW 

2107
01:24:30,760 --> 01:24:32,640
FOLKS COMMUNITY AND OTHER THING 

2108
01:24:32,640 --> 01:24:33,960
TO RECOGNIZE I THINK AND I'M 

2109
01:24:33,960 --> 01:24:36,760
LEARNING IS THERE IS MANY, MANY 

2110
01:24:36,760 --> 01:24:39,560
STEM EFFORTS.  OKAY?  

2111
01:24:39,560 --> 01:24:41,520
MANY STEM EFFORTS.  WE NEED TO 

2112
01:24:41,520 --> 01:24:42,640
INTERFACE WITH THOSE -- DO WE 

2113
01:24:42,640 --> 01:24:45,840
HAVE TO START A DENTAL-SPECIFIC 

2114
01:24:45,840 --> 01:24:46,160
PROGRAM?  

2115
01:24:46,160 --> 01:24:48,000
SOME OF THOSE ARE FINE.  OUR 

2116
01:24:48,000 --> 01:24:50,520
REACH WILL BE SO MUCH BROADER IF

2117
01:24:50,520 --> 01:24:52,280
WE CAN GET TO THOSE STEM 

2118
01:24:52,280 --> 01:24:54,400
PROGRAMS AND SAY CAN WE PROVIDE 

2119
01:24:54,400 --> 01:24:56,600
A SESSION ON DENTAL; RIGHT?  

2120
01:24:56,600 --> 01:24:57,240
>>THAT'S RIGHT. 

2121
01:24:57,240 --> 01:24:59,040
>>CAN WE PROVIDE A
SESSION ON 

2122
01:24:59,040 --> 01:25:00,720
DENTAL?  WE ARE WORKING NOW 

2123
01:25:00,720 --> 01:25:02,640
ACROSS SOME OTHER INSTITUTES 

2124
01:25:02,640 --> 01:25:06,560
HERE LIKE NIGMS IN HOPING THAT 

2125
01:25:06,560 --> 01:25:09,320
WE CAN WORK, FOR INSTANCE, WITH 

2126
01:25:09,320 --> 01:25:10,960
THE MARK PROGRAM AND THERE IS 

2127
01:25:10,960 --> 01:25:12,400
[INDISCERNIBLE] WHICH IS NOT NIH

2128
01:25:12,400 --> 01:25:17,880
BUT THINK IT IS ASM.  THEIR 

2129
01:25:17,880 --> 01:25:20,840
SADNESS AND WHAT IS THE OTHER 

2130
01:25:20,840 --> 01:25:24,080
ONE?  THEIR SACKNESS IT THAT 

2131
01:25:24,080 --> 01:25:27,120
TARNISHED CHICANO -- LET ME JUST

2132
01:25:27,120 --> 01:25:32,120
THINK.  AMOCOMS.  ANYWAY, LARGE 

2133
01:25:32,120 --> 01:25:33,600
PROGRAMS WITH THOUSANDS OF 

2134
01:25:33,600 --> 01:25:34,600
UNDERGRADS COMING IN WHO HAVE 

2135
01:25:34,600 --> 01:25:36,360
SAID I WILL BE A SCIENTIST.  

2136
01:25:36,360 --> 01:25:38,040
WELL, WHAT NEEDS TO HAPPEN IS 

2137
01:25:38,040 --> 01:25:40,560
THEY NEED TO SAY, I WILL BE A 

2138
01:25:40,560 --> 01:25:43,560
DENTAL SCIENTIST.  I NEVER 

2139
01:25:43,560 --> 01:25:45,240
THOUGHT ABOUT THAT BEFORE.  WHAT

2140
01:25:45,240 --> 01:25:48,360
ARE WE DOING?  WE ARE AT 

2141
01:25:48,360 --> 01:25:50,360
MEETINGS AND AT BOOTHS AND SO 

2142
01:25:50,360 --> 01:25:51,640
MANY BOOTHS AND SOMEBODY MIGHT 

2143
01:25:51,640 --> 01:25:53,040
WALK BY AND MAYBE THEY WON'T.  

2144
01:25:53,040 --> 01:25:55,400
IF WE ARE HIGHLIGHTED ON THE 

2145
01:25:55,400 --> 01:25:56,520
PROGRAM AND WE HAVE THE STAGE 

2146
01:25:56,520 --> 01:25:58,280
AND OPPORTUNITY TO SAY THIS IS 

2147
01:25:58,280 --> 01:26:00,080
WHY THIS IS IMPORTANT FROM THE 

2148
01:26:00,080 --> 01:26:04,120
EXTRAMURAL SIDE, IT WOULD BE 

2149
01:26:04,120 --> 01:26:08,400
AWESOME.  SO MANY OF US ARE 

2150
01:26:08,400 --> 01:26:09,920
INVOLVED IN MEETINGS THAT ARE 

2151
01:26:09,920 --> 01:26:11,760
NOT JUST DENTAL.  I WON'T SAY 

2152
01:26:11,760 --> 01:26:13,960
DENTAL.  LOOK.  YOU ARE A CANCER

2153
01:26:13,960 --> 01:26:16,160
GUY FOR INSTANCE.  RIGHT?  YOU 

2154
01:26:16,160 --> 01:26:18,520
AT THE CANCER MEETING COULD TALK

2155
01:26:18,520 --> 01:26:20,240
ABOUT DENTAL RESEARCH AND 

2156
01:26:20,240 --> 01:26:22,000
CANCER.  WE CAN ALL TAKE UP THE 

2157
01:26:22,000 --> 01:26:24,640
BANNER IN OUR VARIOUS -- IN OUR 

2158
01:26:24,640 --> 01:26:26,120
VARIOUS FIELDS TO SAY WHY THIS 

2159
01:26:26,120 --> 01:26:28,200
IS SOMETHING THAT YOU SHOULD 

2160
01:26:28,200 --> 01:26:28,920
THINK ABOUT.  

2161
01:26:28,920 --> 01:26:29,440
RIGHT?  

2162
01:26:29,440 --> 01:26:29,920
>>UH-HUH. 

2163
01:26:29,920 --> 01:26:33,240
>>I COULD DO THAT.  NIDCR
FUNDS

2164
01:26:33,240 --> 01:26:35,920
A WHOLE LOT OF VIROLOGY 

2165
01:26:35,920 --> 01:26:37,320
RESEARCH.  DOES THE VIROLOGY 

2166
01:26:37,320 --> 01:26:38,680
COMMUNITY RECOGNIZE THIS IS THE 

2167
01:26:38,680 --> 01:26:40,000
ORAL STUFF THAT IS ACTUALLY 

2168
01:26:40,000 --> 01:26:42,040
DRIVING ALL OF THE DISCOVERIES? 

2169
01:26:42,040 --> 01:26:42,720
NO.  

2170
01:26:42,720 --> 01:26:44,440
SO, I THINK THAT IS ANOTHER 

2171
01:26:44,440 --> 01:26:47,760
OPPORTUNITY FOR US IN TERMS OF 

2172
01:26:47,760 --> 01:26:49,920
UNDERGRADS.  THERE IS ALSO OTHER

2173
01:26:49,920 --> 01:26:53,400
PROGRAMS THAT ARE ALREADY 

2174
01:26:53,400 --> 01:26:55,680
EXISTING.  FOR INSTANCE 

2175
01:26:55,680 --> 01:26:58,040
INCREASING DIVERSITY AND DENTAL 

2176
01:26:58,040 --> 01:26:59,240
PROGRAM.  THERE ARE PEOPLE WHO 

2177
01:26:59,240 --> 01:27:03,040
WANT TO BE DENTISTS IN THE 

2178
01:27:03,040 --> 01:27:05,280
UNDERGRAD ASDA PROGRAM OR 

2179
01:27:05,280 --> 01:27:07,840
UNDERGRAD HISPANIC DENTAL 

2180
01:27:07,840 --> 01:27:09,200
ASSOCIATION OR UNDERGRAD -- 

2181
01:27:09,200 --> 01:27:11,120
THESE ARE ALL OPPORTUNITIES FOR 

2182
01:27:11,120 --> 01:27:11,720
US.  

2183
01:27:11,720 --> 01:27:13,840
THEY ARE TO MAKE SURE WE ARE 

2184
01:27:13,840 --> 01:27:16,120
ENGAGING THEM AND HAVING THEM 

2185
01:27:16,120 --> 01:27:18,480
THINK ABOUT DENTISTRY.  THAT IS 

2186
01:27:18,480 --> 01:27:20,560
JUST NOT KNOWING.  THAT IS MINE.

2187
01:27:20,560 --> 01:27:23,800
I DIDN'T REALLY THINK ABOUT 

2188
01:27:23,800 --> 01:27:27,000
DENTISTRY UNTIL I WAS EXPOSED 

2189
01:27:27,000 --> 01:27:29,000
LATER ON.  IF WE AS A COMMUNITY 

2190
01:27:29,000 --> 01:27:31,040
CAN WORK TOWARDS PROVIDING 

2191
01:27:31,040 --> 01:27:32,440
ADDITIONAL EXPOSURES WHILE WE 

2192
01:27:32,440 --> 01:27:34,480
HAVE OTHER HATS ON IS A VERY 

2193
01:27:34,480 --> 01:27:35,720
GOOD WAY TO BRING THEM IN. 

2194
01:27:35,720 --> 01:27:37,880
>>YEAH.  THERE IS ALSO A 

2195
01:27:37,880 --> 01:27:39,440
STRATEGIC WAY TO APPROACH IT 

2196
01:27:39,440 --> 01:27:44,320
THAT WOULD SAY -- THAT IS 

2197
01:27:44,320 --> 01:27:44,960
MULTIDIRECTIONAL.  BECAUSE THERE

2198
01:27:44,960 --> 01:27:47,760
IS SOLE RELIANCE AND RESPONSIBLE

2199
01:27:47,760 --> 01:27:49,480
[INDISCERNIBLE] OF THE HEALTH 

2200
01:27:49,480 --> 01:27:51,000
PROFESSION WE ARE THE ONLY 

2201
01:27:51,000 --> 01:27:52,160
INSTITUTE THAT HAS THAT 

2202
01:27:52,160 --> 01:27:53,360
RESPONSIBILITY OF THE 

2203
01:27:53,360 --> 01:27:55,160
EDUCATIONAL AND CLINICAL SECTORS

2204
01:27:55,160 --> 01:27:57,160
THAT ARE BEING GUIDE THE TOWARDS

2205
01:27:57,160 --> 01:27:58,480
QUALITY DISCOVERIES. 

2206
01:27:58,480 --> 01:28:01,720
I WOULD SAY RAUL, WHEN YOU WOULD

2207
01:28:01,720 --> 01:28:03,200
REMEMBER THE FIRST COUNCIL 

2208
01:28:03,200 --> 01:28:05,520
MEETING WHEN I -- WHEN WE TALK 

2209
01:28:05,520 --> 01:28:07,800
THE ABOUT THAT PUBLIC/PRIVATE 

2210
01:28:07,800 --> 01:28:09,400
PARTNERSHIP. 

2211
01:28:09,400 --> 01:28:10,640
>>WE TALKED ABOUT. 

2212
01:28:10,640 --> 01:28:14,760
>>ALL ARE WORKING FROM
VARIOUS 

2213
01:28:14,760 --> 01:28:15,800
ECOSYSTEMS TO FERTILIZE THEIR 

2214
01:28:15,800 --> 01:28:17,760
FIELDS BUT WE WOULD COME IN AND 

2215
01:28:17,760 --> 01:28:19,520
DIRECT THAT TOWARDS BIOMEDICAL 

2216
01:28:19,520 --> 01:28:22,200
RESEARCH.  WE DO NEED THAT.  WE 

2217
01:28:22,200 --> 01:28:25,280
CAN'T HAVE 2.4% OF DENTISTS IN 

2218
01:28:25,280 --> 01:28:27,440
THE COUNTRY AFRICAN-AMERICAN AND

2219
01:28:27,440 --> 01:28:29,880
ADMISSIONS INTO DENTAL SCHOOLS 

2220
01:28:29,880 --> 01:28:32,800
LESS THAN 5% FOR ALL 

2221
01:28:32,800 --> 01:28:34,160
UNDER-REPRESENTED GROUPS EXCEPT 

2222
01:28:34,160 --> 01:28:36,120
ASIAN AMERICANS HISPANICS ARE 

2223
01:28:36,120 --> 01:28:39,440
DOING A LITTLE BETTER INCLUDING 

2224
01:28:39,440 --> 01:28:41,400
INVESTMENT CRITERIA AND 

2225
01:28:41,400 --> 01:28:43,840
INVESTMENTS AND PARTNERSHIPS 

2226
01:28:43,840 --> 01:28:45,600
WORKING TOGETHER WITH ALL THESE 

2227
01:28:45,600 --> 01:28:45,920
STAKEHOLDERS. 

2228
01:28:45,920 --> 01:28:47,560
>>YES.  SHARING
EXPERIENCE 

2229
01:28:47,560 --> 01:28:49,040
PIPELINE IS VERY IMPORTANT.  ON 

2230
01:28:49,040 --> 01:28:51,880
OTHER HAND WHEN YOU LOOK AT SOME

2231
01:28:51,880 --> 01:28:54,760
ECOSYSTEM DENTAL SCHOOL WHETHER 

2232
01:28:54,760 --> 01:28:57,320
HOWARD OR UNIVERSITY OF 

2233
01:28:57,320 --> 01:29:00,360
MISSOURI, THEY HAVE ALREADY A 

2234
01:29:00,360 --> 01:29:02,760
HUGE NUMBER OF, YOU KNOW, 

2235
01:29:02,760 --> 01:29:04,480
MINORITY STUDENTS. 

2236
01:29:04,480 --> 01:29:06,080
QUESTION IS OVERALL PERCENTAGES 

2237
01:29:06,080 --> 01:29:08,080
ARE LOW.  THERE IS LOT OF THE, 

2238
01:29:08,080 --> 01:29:10,200
YOU KNOW, MINORITY STUDENTS 

2239
01:29:10,200 --> 01:29:13,360
ALREADY IN THE SCHOOL.  USUALLY 

2240
01:29:13,360 --> 01:29:16,000
SCHOOLS MAY NOT HAVE A STRONG 

2241
01:29:16,000 --> 01:29:18,760
PROGRAM AND SOLUTING NIH IS NOT 

2242
01:29:18,760 --> 01:29:20,840
DEVELOPING MORE MECHANISM.  

2243
01:29:20,840 --> 01:29:24,240
RECENTLY, YOU KNOW, FOR SIZE FOR

2244
01:29:24,240 --> 01:29:26,600
EXAMPLE APPLYING THIS RICH 

2245
01:29:26,600 --> 01:29:27,400
APPLICATION AND THAT WOULD 

2246
01:29:27,400 --> 01:29:29,280
DEMAND TO YOU YOU HAVE TO HAVE 

2247
01:29:29,280 --> 01:29:32,520
YOU KNOW MINORITY PARTNER.  WE 

2248
01:29:32,520 --> 01:29:34,760
WRITE TO 10 DENTAL SCHOOLS AND 

2249
01:29:34,760 --> 01:29:36,600
EVERY ONE OF THEM RESPONDS 

2250
01:29:36,600 --> 01:29:37,840
POSITIVELY.  THEY REALLY HELP US

2251
01:29:37,840 --> 01:29:41,600
TO TAKE A LOT.  IF I WAS 

2252
01:29:41,600 --> 01:29:44,560
WONDERING FROM NIDCR POINT OF 

2253
01:29:44,560 --> 01:29:47,080
VIEW IF WE DEMAND ONE TYPE OF 

2254
01:29:47,080 --> 01:29:49,280
RO1, YOU HAVE TO HAVE SOMEBODY, 

2255
01:29:49,280 --> 01:29:51,120
YOU KNOW?  

2256
01:29:51,120 --> 01:29:54,360
YOU CAN SOLVE DIVERSITY ISSUE 

2257
01:29:54,360 --> 01:29:56,840
AND THAT WOULD BE GETTING MORE 

2258
01:29:56,840 --> 01:29:58,320
PEOPLE IN DENTAL FIELD ALREADY. 

2259
01:29:58,320 --> 01:30:00,120
THEY ARE PUSHING THEM GETTING 

2260
01:30:00,120 --> 01:30:01,400
THEM TO ROOET SEARCH. 

2261
01:30:01,400 --> 01:30:03,920
>>YEAH.  I APPRECIATE
THAT 

2262
01:30:03,920 --> 01:30:06,760
COMMENT.  ONE THING THAT IS 

2263
01:30:06,760 --> 01:30:10,760
HAPPENING TOO IS THERE ARE 

2264
01:30:10,760 --> 01:30:12,360
TARGETED INITIATIVES TO HELP 

2265
01:30:12,360 --> 01:30:15,520
BUILD CAPACITY AT THOSE 

2266
01:30:15,520 --> 01:30:16,320
INSTITUTIONS. 

2267
01:30:16,320 --> 01:30:19,240
RIGHT NOW, THERE IS TWO, TWO FOR

2268
01:30:19,240 --> 01:30:22,760
DENTAL.  AND IT THAT IS JUST -- 

2269
01:30:22,760 --> 01:30:25,000
THEY HAVE REALLY BEEN PROVIDING 

2270
01:30:25,000 --> 01:30:26,680
MAJORITY OF DENTISTS THAT GO 

2271
01:30:26,680 --> 01:30:30,640
INTO THE COMMUNITIES THAT IS 

2272
01:30:30,640 --> 01:30:32,840
JUST NOT ENOUGH IN TERMS OF WHO 

2273
01:30:32,840 --> 01:30:34,680
ARE DISEASES AND BURDEN OF 

2274
01:30:34,680 --> 01:30:36,120
DISEASE AND THINK THAT AS 

2275
01:30:36,120 --> 01:30:38,760
RESEARCH CAPACITY IMPROVES AND 

2276
01:30:38,760 --> 01:30:45,920
AS WE WRITE TARGETED 

2277
01:30:45,920 --> 01:30:46,800
MECHANISMSES AND BEING 

2278
01:30:46,800 --> 01:30:48,240
THOUGHTFUL IN THAT WAY COULD 

2279
01:30:48,240 --> 01:30:49,600
CERTAINLY HELP, I AGREE WITH 

2280
01:30:49,600 --> 01:30:52,000
YOU.  AND TO ENSURE THAT THOSE 

2281
01:30:52,000 --> 01:30:54,000
FOLKS HAVE ALSO OPPORTUNITIES TO

2282
01:30:54,000 --> 01:30:56,520
DO RESEARCH.  OFTEN TIMES THEIR 

2283
01:30:56,520 --> 01:31:01,080
SCHOOLS MAY NOT HAVE OPTIMAL 

2284
01:31:01,080 --> 01:31:01,680
INFRASTRUCTURE.  

2285
01:31:01,680 --> 01:31:04,680
>>YEAH.  I WAS FEELING
MORE 

2286
01:31:04,680 --> 01:31:05,360
[INDISCERNIBLE].  IF YOU LOOK AT

2287
01:31:05,360 --> 01:31:07,640
ADMISSION CRITERIA FOR SCHOOLS 

2288
01:31:07,640 --> 01:31:10,200
IT THAT YOU SEE THAT HAVE LARGE 

2289
01:31:10,200 --> 01:31:11,000
UNDER-REPRESENTED GROUPS, 

2290
01:31:11,000 --> 01:31:14,480
RESEARCH IS NOT PART OF IT, 

2291
01:31:14,480 --> 01:31:15,920
GUARANTEED.  THEY MAY SAY IT IN 

2292
01:31:15,920 --> 01:31:17,360
STATEMENT OR MENTIONED IN 

2293
01:31:17,360 --> 01:31:20,160
INTERVIEW BUT IS CERTAINLY NOT 

2294
01:31:20,160 --> 01:31:21,600
SELECTION CRITERIA THAT IS 

2295
01:31:21,600 --> 01:31:23,360
COMMONLY USED BY DENTAL SCHOOLS.

2296
01:31:23,360 --> 01:31:25,280
>>I HATE TO INTERRUPT. 

2297
01:31:25,280 --> 01:31:26,040
>>I KNOW. 

2298
01:31:26,040 --> 01:31:27,760
>>WE CAN GET INTO THIS. 

2299
01:31:27,760 --> 01:31:28,560
>>YEAH. 

2300
01:31:28,560 --> 01:31:30,760
>>THIS IS A VERY RICH 

2301
01:31:30,760 --> 01:31:31,760
DISCUSSION.  UNFORTUNATELY, WE 

2302
01:31:31,760 --> 01:31:34,080
HAVE TO MOVE ON TO THE NEXT 

2303
01:31:34,080 --> 01:31:34,360
SPEAKER. 

2304
01:31:34,360 --> 01:31:34,640
>>YEAH. 

2305
01:31:34,640 --> 01:31:36,080
>>I THINK THIS IS
SOMETHING WE 

2306
01:31:36,080 --> 01:31:38,800
CAN CONTINUE IN A COUNCIL 

2307
01:31:38,800 --> 01:31:40,480
DISCUSSION THIS AFTERNOON TO 

2308
01:31:40,480 --> 01:31:42,160
RENA AND COUNCIL MEMBERS. 

2309
01:31:42,160 --> 01:31:44,600
WE HAVE SOME TIME. 

2310
01:31:44,600 --> 01:31:47,760
>>ABSOLUTELY.  

2311
01:31:47,760 --> 01:31:52,240
>>NEXT SPEAKER WE HAVE IS
FIRST

2312
01:31:52,240 --> 01:32:02,760
GUEST SPEAKER FOR TODAY.  NIHOW 

2313
01:32:02,760 --> 01:32:05,480
BONNET -- 

2314
01:32:05,480 --> 01:32:09,880
>>THANK YOU SO MUCH FOR
THE 

2315
01:32:09,880 --> 01:32:11,960
INVITATION.  AND I WILL STOP MY 

2316
01:32:11,960 --> 01:32:16,680
PRESENTATION.  

2317
01:32:16,680 --> 01:32:22,640
SO, MY NAME IS NIHAL BONNET.  I 

2318
01:32:22,640 --> 01:32:24,560
WILL PRESENT TO YOU TODAY RECENT

2319
01:32:24,560 --> 01:32:28,800
WORK WE REPORTED SHOWING ANTERIC

2320
01:32:28,800 --> 01:32:34,240
VIRUSES NORRO VIRUS AND ROTO 

2321
01:32:34,240 --> 01:32:35,840
VIRUS REPLICATE IN SALIVARY 

2322
01:32:35,840 --> 01:32:37,840
GLANDS AND TRANSMIT THROUGH 

2323
01:32:37,840 --> 01:32:39,880
SALIVA TO OTHER INDIVIDUALS AND 

2324
01:32:39,880 --> 01:32:43,240
STARTING OUT BY ACKNOWLEDGING MY

2325
01:32:43,240 --> 01:32:46,680
LAB DID THIS WORK AND ALSO OUR 

2326
01:32:46,680 --> 01:32:49,880
COLLABORATORS MATTHEW HOFFMAN 

2327
01:32:49,880 --> 01:32:56,600
AND JH UREVENI WITHOUT WHOSE 

2328
01:32:56,600 --> 01:33:03,040
GUIDANCE AND RESOURCES NONE OF 

2329
01:33:03,040 --> 01:33:07,640
THIS WORK WOULD BE POSSIBLE AND 

2330
01:33:07,640 --> 01:33:09,640
SHOUTOUT TO THEM AND THEIR LABS 

2331
01:33:09,640 --> 01:33:11,360
FOR THIS WORK AND QUICK 

2332
01:33:11,360 --> 01:33:14,760
INTRODUCTION TO YOU ABOUT MY LAB

2333
01:33:14,760 --> 01:33:20,760
AND I'M AT A LAB AND OVERALL 

2334
01:33:20,760 --> 01:33:22,760
THEME OF LAB IS UNDERSTANDING 

2335
01:33:22,760 --> 01:33:26,760
WHAT VIRUSES DO TO INFECT YOU 

2336
01:33:26,760 --> 01:33:28,600
AND STRATEGIES THEY USE TO 

2337
01:33:28,600 --> 01:33:30,000
INFECT YOU AND THIS WORK WE HAVE

2338
01:33:30,000 --> 01:33:32,800
BEEN USING MY LAB IS 

2339
01:33:32,800 --> 01:33:34,440
MULTI-DISCIPLINARY AND WE USE 

2340
01:33:34,440 --> 01:33:37,160
TOOLS AND INFORMATION FROM CELL 

2341
01:33:37,160 --> 01:33:38,960
BIOLOGY AND VIROLOGY AND 

2342
01:33:38,960 --> 01:33:41,880
IMMUNOLOGY AND PUBLIC HEALTH AND

2343
01:33:41,880 --> 01:33:44,040
ENVIRONMENTAL ENGINEERING.  IN 

2344
01:33:44,040 --> 01:33:46,080
MY LAB YOU HAVE REPRESENTATIVES 

2345
01:33:46,080 --> 01:33:48,120
FROM AREAS WHO ARE WORKING AT 

2346
01:33:48,120 --> 01:33:53,680
ANY GIVEN TIME IN A 

2347
01:33:53,680 --> 01:33:54,760
COLLABORATIVE INTERDISCIPLINARY 

2348
01:33:54,760 --> 01:33:57,120
MAN

2349
01:33:57,120 --> 01:33:57,320
MANNER. 

2350
01:33:57,320 --> 01:34:00,120
LOOKING AT VIRAL STRATEGIES USE 

2351
01:34:00,120 --> 01:34:02,240
THE FOR TRANSMISSION, WE LOOK AT

2352
01:34:02,240 --> 01:34:05,360
IT IN TWO LEVELS ONE IS 

2353
01:34:05,360 --> 01:34:07,600
INTRACELLULAR FROM CELL TO CELL 

2354
01:34:07,600 --> 01:34:08,680
HOW VIRUSES EGRESS AND WHAT THEY

2355
01:34:08,680 --> 01:34:13,200
HAVE TO DO TO SUCCESSFULLY 

2356
01:34:13,200 --> 01:34:17,920
INFECT ANOTHER CELL AND 

2357
01:34:17,920 --> 01:34:18,760
INTERORGANIZIS MAL WHAT 

2358
01:34:18,760 --> 01:34:20,600
STRATEGIES AND VIRUSES ARE USE 

2359
01:34:20,600 --> 01:34:23,640
TODAY TRANSMIT THEMSELVES 

2360
01:34:23,640 --> 01:34:26,040
EFFICIENT IN POPULATION AND 

2361
01:34:26,040 --> 01:34:28,440
TODAY'S TALK WILL FOCUS ON 

2362
01:34:28,440 --> 01:34:30,480
LATTER.  THE VIRUSES FOR THOSE 

2363
01:34:30,480 --> 01:34:33,760
WHO MAY NOT BE FAMILIAR ARE RNA 

2364
01:34:33,760 --> 01:34:35,320
VIRUSES INFECTING NOT ONLY 

2365
01:34:35,320 --> 01:34:39,200
HUMANS BUT ANIMALS IN PARTICULAR

2366
01:34:39,200 --> 01:34:41,600
LIVESTOCK.  COMBINED THESE THREE

2367
01:34:41,600 --> 01:34:44,440
VIRUSES ARE ANTERIC VIRUSES THAT

2368
01:34:44,440 --> 01:34:47,640
EFFECT GLOBALLY 1.5 BILLION 

2369
01:34:47,640 --> 01:34:50,760
HUMANS PER YEAR AND PROPORTION 

2370
01:34:50,760 --> 01:34:54,480
OF INFECTIONS ARE LARGE IS 

2371
01:34:54,480 --> 01:34:58,080
REPRESENTED IN THIS BAR GRAPH OR

2372
01:34:58,080 --> 01:35:01,320
EXCUSE ME.  THIS PIE GRAPH IN MY

2373
01:35:01,320 --> 01:35:03,520
POINTER AND NORRO VIRUS MAKES UP

2374
01:35:03,520 --> 01:35:07,880
MAJORITY OF INFECTIONS OF 750 

2375
01:35:07,880 --> 01:35:09,640
MILLION PEOPLE A YEAR GET 

2376
01:35:09,640 --> 01:35:13,200
INFECTED WITH NORRO VIRUS AND 

2377
01:35:13,200 --> 01:35:17,000
THE REST IS SPLIT BETWEEN ROTA 

2378
01:35:17,000 --> 01:35:21,240
VIRUS AND ASTO VIRUS AND THESE 

2379
01:35:21,240 --> 01:35:25,080
ARE MORBIDITY ASSOCIATED WITH 

2380
01:35:25,080 --> 01:35:26,720
ENTERIC DISEASE AND WITH YOUNG 

2381
01:35:26,720 --> 01:35:28,240
CHILDREN AGE OF 5 AND ELDERLY 

2382
01:35:28,240 --> 01:35:30,920
AND IN ADDITION THEY INCUR LOTS 

2383
01:35:30,920 --> 01:35:34,120
OF ECONOMIC COSTS DUE TO 

2384
01:35:34,120 --> 01:35:35,680
LIVESTOCK INFECTIONS AND PEOPLE 

2385
01:35:35,680 --> 01:35:37,120
MISSING WORK BECAUSE OF 

2386
01:35:37,120 --> 01:35:40,200
SIGNIFICANT DIARRHEA SYMPTOMS 

2387
01:35:40,200 --> 01:35:41,160
ASSOCIATED WITH DISEASES. 

2388
01:35:41,160 --> 01:35:43,680
THESE VIRUSES HAVE ALL BEEN 

2389
01:35:43,680 --> 01:35:48,120
ASSUMED AND DEMONSTRATED TO 

2390
01:35:48,120 --> 01:35:50,080
REPLICATE IN INTESTINES OF 

2391
01:35:50,080 --> 01:35:52,640
HUMANS AND ANIMALS AND SHED INTO

2392
01:35:52,640 --> 01:35:56,360
FECES TRANSMITTED BY FECAL ORAL 

2393
01:35:56,360 --> 01:36:01,880
ROUTE TO OTHER HOSTS VIA FECAL 

2394
01:36:01,880 --> 01:36:05,240
CONTAMINATION OF HANDS AND WATER

2395
01:36:05,240 --> 01:36:08,440
AND PUBLIC HEALTH PRACTICES USED

2396
01:36:08,440 --> 01:36:12,560
ACROSS THE GLOBE LIMIT FECAL 

2397
01:36:12,560 --> 01:36:14,000
ORAL ROUTE OF TRANSMISSION OF 

2398
01:36:14,000 --> 01:36:14,520
THE VIRUSES. 

2399
01:36:14,520 --> 01:36:18,800
IN MANY I LAB WE HAVE BEEN 

2400
01:36:18,800 --> 01:36:22,640
STUDYING ANTERIC VIRUSES FOR 

2401
01:36:22,640 --> 01:36:23,280
MANY YEARS. 

2402
01:36:23,280 --> 01:36:26,760
MOSTLY THERE HAVE BEEN MOSTLY 

2403
01:36:26,760 --> 01:36:29,080
EX-VIVO AND IN VIVO STUDIES AND 

2404
01:36:29,080 --> 01:36:31,480
RECENTLY SWITCH THE TO ANIMAL 

2405
01:36:31,480 --> 01:36:34,280
MODELS TO LOOK AT INFECTION AND 

2406
01:36:34,280 --> 01:36:35,360
PATHOGEN ESIS AND TRANSMISSION 

2407
01:36:35,360 --> 01:36:38,200
OF VIRUSES AND CURRENTLY MAIN 

2408
01:36:38,200 --> 01:36:40,840
INFECTION MODEL USED FOR THESE 

2409
01:36:40,840 --> 01:36:44,200
OR TO STUDY VIRUSES ACROSS THE 

2410
01:36:44,200 --> 01:36:46,760
WORLD IS SUPPLING PUP ANIMAL 

2411
01:36:46,760 --> 01:36:48,960
MODEL INFECTION.  THIS IS VERY 

2412
01:36:48,960 --> 01:36:51,880
YOUNG PUPS THAT ARE ABOUT 10 

2413
01:36:51,880 --> 01:36:54,040
DAYS OLD OR LESS WHO HAVE 

2414
01:36:54,040 --> 01:36:55,160
SUCKLING FROM THEIR MOTHER AND 

2415
01:36:55,160 --> 01:37:00,120
ARE ORALLY INOCULATED WITH 

2416
01:37:00,120 --> 01:37:03,440
ANTERIC VIRUSES THAT VIRUSES 

2417
01:37:03,440 --> 01:37:06,880
DROPPED INTO MOUTH AND ANIMALS 

2418
01:37:06,880 --> 01:37:09,440
SWALLOW VIRUSES AND PUT BACK ON 

2419
01:37:09,440 --> 01:37:11,880
MOTHERS TO SUCKLE THEY ARE AT 

2420
01:37:11,880 --> 01:37:13,120
VERY YOUNG AGE AND PRIMIARY 

2421
01:37:13,120 --> 01:37:18,000
REASON WE USE THIS MODEL SYSTEM 

2422
01:37:18,000 --> 01:37:21,360
IS PUPS HAVE VERY IMMATURE 

2423
01:37:21,360 --> 01:37:24,520
IMMUNE AND DIGESTIVE SYSTEMS AND

2424
01:37:24,520 --> 01:37:26,760
ARE PRONE TO INFECTION MUCH LIKE

2425
01:37:26,760 --> 01:37:30,120
IN HUMANS VERY YOUNG IS 

2426
01:37:30,120 --> 01:37:32,600
ESPECIALLY VULNERABLE TO THESE 

2427
01:37:32,600 --> 01:37:33,560
INFECTIONS. 

2428
01:37:33,560 --> 01:37:37,120
WHAT YOU SEE IS AFTER YOU DO 

2429
01:37:37,120 --> 01:37:38,760
THIS EXPERIMENT AND INOCULATE 

2430
01:37:38,760 --> 01:37:41,360
PUPS ORALLY WITH THE VIRUSES IS 

2431
01:37:41,360 --> 01:37:43,640
WITHIN THREE DAYS YOU GET 

2432
01:37:43,640 --> 01:37:45,240
MASSIVE INTESTINAL INFECTION 

2433
01:37:45,240 --> 01:37:47,800
WITH THE VIRUSES ON LEFT IN THE 

2434
01:37:47,800 --> 01:37:50,880
BLUE IS QUANTITY FICTION OF THE 

2435
01:37:50,880 --> 01:37:54,760
VIRAL LOAD IN THE INTESTINE AND 

2436
01:37:54,760 --> 01:37:57,800
ORAL INOCULATION AT TIME 0 AND 

2437
01:37:57,800 --> 01:38:00,560
ON THE RIGHT IS INTESTINAL LODE 

2438
01:38:00,560 --> 01:38:06,040
OF ROTA VIRUS AT INOCULATION AND

2439
01:38:06,040 --> 01:38:07,760
SHARP RISE IN VIRAL REPLICATION 

2440
01:38:07,760 --> 01:38:11,800
AND LOAD IN THE ININDICATING 

2441
01:38:11,800 --> 01:38:14,760
INFECTION.  THIS INFECTION 

2442
01:38:14,760 --> 01:38:17,760
EVENTUALLY CLEARS SO BOTH IN 

2443
01:38:17,760 --> 01:38:21,880
NORRO VIRUS INOCULATED PUBS AND 

2444
01:38:21,880 --> 01:38:24,120
ROTA VIRUS INOCULATED PUPS YOU 

2445
01:38:24,120 --> 01:38:29,040
SEE AFTER 5 DAYS THIS VIRUS 

2446
01:38:29,040 --> 01:38:31,520
DECREASES IN ANIMALS AND LOOKING

2447
01:38:31,520 --> 01:38:32,880
AT INTESTINES OF THE PUPS TO SEE

2448
01:38:32,880 --> 01:38:35,280
WHAT IS THERE IN ADDITION TO 

2449
01:38:35,280 --> 01:38:39,520
VIRUS WE SEE A RISE IN 

2450
01:38:39,520 --> 01:38:41,840
INTESTINAL SEC RECEIPTORY IGA 

2451
01:38:41,840 --> 01:38:46,760
LOAD IN THE INTESTINE OF THE 

2452
01:38:46,760 --> 01:38:51,400
PUPS SIGA IS IMPORTANT ANTIBODY 

2453
01:38:51,400 --> 01:38:55,320
IT THAT IS IN THE PUPS AND IS 

2454
01:38:55,320 --> 01:38:59,040
ABUNDANT IN SALIVA AND ROLE IS 

2455
01:38:59,040 --> 01:39:04,240
TO HELP TO CLEAR INFECTIONS OR 

2456
01:39:04,240 --> 01:39:05,720
BACTERIAL OR VIRAL INFECTIONS. 

2457
01:39:05,720 --> 01:39:09,200
WE SEE CORRELATING WITH TIME OF 

2458
01:39:09,200 --> 01:39:11,960
CLEARANCE OF INFECTION FROM PUPS

2459
01:39:11,960 --> 01:39:14,440
INTESTINES WE SEE A RAPID RISE 

2460
01:39:14,440 --> 01:39:16,800
IN IGA LEVELS. 

2461
01:39:16,800 --> 01:39:18,440
PUPS THAT I MENTIONED EARLIER 

2462
01:39:18,440 --> 01:39:22,080
HAVE VERY IMMATURE IMMUNE 

2463
01:39:22,080 --> 01:39:22,600
SYSTEMS. 

2464
01:39:22,600 --> 01:39:24,760
THEY CAN'T MAKE THEIR OWN IGA 

2465
01:39:24,760 --> 01:39:26,920
YET BECAUSE OF THEIR AGE.  IGA 

2466
01:39:26,920 --> 01:39:30,840
IT THAT WE SEE IN LUMIN OF THE 

2467
01:39:30,840 --> 01:39:33,760
INTESTINES COMES FROM THE 

2468
01:39:33,760 --> 01:39:35,720
MOTHER'S MILK.  IF WE TAKE MILK 

2469
01:39:35,720 --> 01:39:37,360
FROM MOTHERS BREASTFEEDING THE 

2470
01:39:37,360 --> 01:39:41,920
PUPS WE SEE A SIMILAR RAPID RISE

2471
01:39:41,920 --> 01:39:45,400
IN MOTHER'S IGA LOAD IN HER MILK

2472
01:39:45,400 --> 01:39:47,400
IN RESPONSE TO HER PUP'S 

2473
01:39:47,400 --> 01:39:48,800
INFECTION AND BLUE AND ORANGE 

2474
01:39:48,800 --> 01:39:50,760
BARS HERE ARE SIMPLY JUST 

2475
01:39:50,760 --> 01:39:51,840
QUANTITY FICTION OF THE MILK 

2476
01:39:51,840 --> 01:39:54,760
FROM THE P MOTHERS WHO WERE 

2477
01:39:54,760 --> 01:39:58,760
EITHER BREASTFEEDING THE NORRO 

2478
01:39:58,760 --> 01:40:01,520
VIRUS INOCULATED PUPS IN BLUE OR

2479
01:40:01,520 --> 01:40:04,240
ROTA VIRUS INOCULATED PUPS IT 

2480
01:40:04,240 --> 01:40:07,200
THAT ARE IN ORANGE.  

2481
01:40:07,200 --> 01:40:11,360
NOW, THIS RAPID RISE OR RISE IN 

2482
01:40:11,360 --> 01:40:14,160
HER ANTIBODY LOAD IN HER MILK 

2483
01:40:14,160 --> 01:40:16,760
WAS VERY INTERESTING TO US.  

2484
01:40:16,760 --> 01:40:21,400
THESE MOTHERS HAD NEVER SEEN A 

2485
01:40:21,400 --> 01:40:23,760
ROTA VIRUS OR NORRO VIRUS BEFORE

2486
01:40:23,760 --> 01:40:26,760
THEY WERE 0 FOR THESE VIRUSES 

2487
01:40:26,760 --> 01:40:28,680
THEMSELVES BUT RATE AT WHICH 

2488
01:40:28,680 --> 01:40:31,400
THEY BUMPED UP IGA PRODUCTION IN

2489
01:40:31,400 --> 01:40:34,280
RELEASE INTO THEIR MILK WAS 

2490
01:40:34,280 --> 01:40:36,160
SUPER FAST AS IF THEY HAD SEEN 

2491
01:40:36,160 --> 01:40:38,600
IT BEFORE.  THEY HAD NOT.  WE 

2492
01:40:38,600 --> 01:40:41,160
HAD TESTED THESE AND SOMEHOW 

2493
01:40:41,160 --> 01:40:46,480
THEY WERE SENSING INFECTION IN 

2494
01:40:46,480 --> 01:40:47,280
THEIR PUP IN RESPONSE. 

2495
01:40:47,280 --> 01:40:47,920
>>[INDISCERNIBLE]. 

2496
01:40:47,920 --> 01:40:49,920
>>OKAY.  OKAY.  GOOD.  

2497
01:40:49,920 --> 01:40:52,640
>>AND SO WE DECIDED TO
SORT OF 

2498
01:40:52,640 --> 01:40:53,840
DELVE INTO THIS AND TRY TO 

2499
01:40:53,840 --> 01:40:56,440
UNDERSTAND WHAT COULD BE MAKING 

2500
01:40:56,440 --> 01:41:00,480
THE MOTHER ENHANCE THE -- HER 

2501
01:41:00,480 --> 01:41:03,240
IGA PRODUCTION TO HELP CLEAR THE

2502
01:41:03,240 --> 01:41:05,920
VIRUS FROM HER PUPS?  

2503
01:41:05,920 --> 01:41:09,920
WE EXTRACTED MAMMARY GLANDS FROM

2504
01:41:09,920 --> 01:41:12,160
THE MOTHERS AND LOOKING INTO 

2505
01:41:12,160 --> 01:41:14,320
THEM WE SAW VIRAL INFECTION WITH

2506
01:41:14,320 --> 01:41:18,360
VERY SAME VIRUSES. 

2507
01:41:18,360 --> 01:41:22,800
NORA VIRUS IN THIS CASE AND IN 

2508
01:41:22,800 --> 01:41:25,200
MILK DUCT EPITHELIAL CELLS AND 

2509
01:41:25,200 --> 01:41:31,000
PLASMA CELLS AND WE SAW ROETA 

2510
01:41:31,000 --> 01:41:34,280
VIRUS IN HER AND THIS WAS A 

2511
01:41:34,280 --> 01:41:36,240
SURPRISE TO US.  UP TO THIS 

2512
01:41:36,240 --> 01:41:38,480
POINT ONLY INTESTINES WERE KNOWN

2513
01:41:38,480 --> 01:41:40,560
TO BE SITES OF REPLICATION AND 

2514
01:41:40,560 --> 01:41:43,280
INFECTION IN THE VIRUSES AND 

2515
01:41:43,280 --> 01:41:44,720
SEEING IN MOTHER'S MAMMARY 

2516
01:41:44,720 --> 01:41:46,560
GLANDS AND VIRUSES AND IS 

2517
01:41:46,560 --> 01:41:48,480
QUANTITY FICTION OF THE LEVEL OF

2518
01:41:48,480 --> 01:41:53,080
VIRUSES IN THE MOTHER'S MAMMARY 

2519
01:41:53,080 --> 01:41:53,680
GLANDS INDICATING ITS VERY 

2520
01:41:53,680 --> 01:41:55,600
SIGNIFICANT RISE.  HOW DID THE 

2521
01:41:55,600 --> 01:41:59,480
VIRUS GET TO THE MOM'S MAMMARY? 

2522
01:41:59,480 --> 01:42:01,440
THIS WAS THE BIG QUESTION AND 

2523
01:42:01,440 --> 01:42:03,440
VIRUS GETTING INTO MOM'S MAMMARY

2524
01:42:03,440 --> 01:42:07,360
WAS TRIGGERING IGA RESPONSE AND 

2525
01:42:07,360 --> 01:42:12,080
LEADING TO IGA TO FLOW INTO HER 

2526
01:42:12,080 --> 01:42:14,600
PUPS WITH BOUND 2 VIRUSES AS 

2527
01:42:14,600 --> 01:42:17,800
WELL FROM HER MILK HELPING TO 

2528
01:42:17,800 --> 01:42:18,240
CLEAR INFECTION. 

2529
01:42:18,240 --> 01:42:20,440
SO WE WANTED TO FIRST RULE OUT 

2530
01:42:20,440 --> 01:42:23,760
WHETHER THE VIRUS GOT TO THE 

2531
01:42:23,760 --> 01:42:25,440
MOTHER'S BREAST THROUGH THE 

2532
01:42:25,440 --> 01:42:26,840
CONVENTIONAL WAY MEANING WHAT IF

2533
01:42:26,840 --> 01:42:29,400
MOTHERS INGESTED SOME OF THE 

2534
01:42:29,400 --> 01:42:31,600
FECAL MATTER OF PUPS THAT HAD 

2535
01:42:31,600 --> 01:42:33,960
BEEN SICK AND GOT INFECTED IN 

2536
01:42:33,960 --> 01:42:36,160
THEIR INTESTINE AND FROM THE 

2537
01:42:36,160 --> 01:42:37,720
INTESTINE THE VIRUS TRANSFERRED 

2538
01:42:37,720 --> 01:42:40,040
TO THE BREAST AND TO RAUL THIS 

2539
01:42:40,040 --> 01:42:42,120
OUT WE DIDN'T EXPERIMENT BUT 

2540
01:42:42,120 --> 01:42:43,680
DIRECTLY INOCULATED MOTHERS 

2541
01:42:43,680 --> 01:42:45,280
ORALLY WITH VIRUSES AND LOOKED 

2542
01:42:45,280 --> 01:42:47,600
TO SEE IF THERE WOULD BE 

2543
01:42:47,600 --> 01:42:50,680
INFECTION IN THEIR MAMMARY 

2544
01:42:50,680 --> 01:42:54,760
GLANDS ANSWER WAS NOW WHILE 

2545
01:42:54,760 --> 01:42:56,120
INTESTINES WERE INFECTED MAMMARY

2546
01:42:56,120 --> 01:42:58,560
GLANDS WERE NOT INFECTED WITH 

2547
01:42:58,560 --> 01:43:02,240
THIS VIRUS AND BREAST MILK IGA 

2548
01:43:02,240 --> 01:43:05,040
LEVELS NO CHANGE IN BREAST MILK 

2549
01:43:05,040 --> 01:43:09,840
IGA OR RAPPING UP IGA.  IS IT 

2550
01:43:09,840 --> 01:43:12,120
THROUGH SALIVA AND PUPS THAT ARE

2551
01:43:12,120 --> 01:43:14,360
INFECTED BE SENDING A VIRAL 

2552
01:43:14,360 --> 01:43:18,120
SIGNAL OR ANOTHER SIGNAL FROM 

2553
01:43:18,120 --> 01:43:19,920
THEIR SALIVA AS THEY ARE 

2554
01:43:19,920 --> 01:43:21,640
BREADBREASTFEEDING IT THAT IS 

2555
01:43:21,640 --> 01:43:23,720
TRANSFERRING VIRUS TO MOTHER'S 

2556
01:43:23,720 --> 01:43:27,560
BREAST AND PROMPTING MOTHER TO 

2557
01:43:27,560 --> 01:43:31,680
RAPIDLY MAKE SEC RECEIPTARY IGA 

2558
01:43:31,680 --> 01:43:33,800
IN HIR MILK THIS DIDN'T KONL OUT

2559
01:43:33,800 --> 01:43:36,760
COMPLETELY OUT OF THE BLUE IN 

2560
01:43:36,760 --> 01:43:38,800
HUMANS IT IS VERY CONTROVERSIAL 

2561
01:43:38,800 --> 01:43:42,160
BUT IDEA WHEN HUMANS BREASTFEED 

2562
01:43:42,160 --> 01:43:44,960
SIGNALS ARE SENT FROM BRAEFLT 

2563
01:43:44,960 --> 01:43:46,360
FEEDING INFANT TO THE MOTHER'S 

2564
01:43:46,360 --> 01:43:49,480
BREAST ALLOWING MOTHER TO MAKE A

2565
01:43:49,480 --> 01:43:50,680
RAPID IMMUNE RESPONSE TO 

2566
01:43:50,680 --> 01:43:52,680
WHATEVER THE BABY IS SUFFERING 

2567
01:43:52,680 --> 01:43:54,000
FROM OR WHATEVER THE INFECTION 

2568
01:43:54,000 --> 01:43:54,360
IS.  

2569
01:43:54,360 --> 01:44:00,160
AND IT THIS IS CONTROVERSIAL.  

2570
01:44:00,160 --> 01:44:02,760
THERE IS REALLY GOOD DIRECT 

2571
01:44:02,760 --> 01:44:04,360
EVIDENCE FOR THIS.  IN VIRUSES 

2572
01:44:04,360 --> 01:44:06,480
PEOPLE HAVE USED TO STUDY THIS 

2573
01:44:06,480 --> 01:44:08,720
HAVE BEEN TYPICALLY RESPIRATORY 

2574
01:44:08,720 --> 01:44:11,080
VIRUSES OF BABIES WHERE MOTHERS 

2575
01:44:11,080 --> 01:44:14,360
SUDDENLY MAKE ANTIBODIES TO 

2576
01:44:14,360 --> 01:44:16,040
RESPIRATORY VIRUS AND CAVEAT OF 

2577
01:44:16,040 --> 01:44:17,720
EXPERIMENTS HAS BEEN BECAUSE IT 

2578
01:44:17,720 --> 01:44:20,880
IS A RESPIRATORY VIRUS IT COULD 

2579
01:44:20,880 --> 01:44:22,520
EASILY BE THAT THE MOTHER INHALE

2580
01:44:22,520 --> 01:44:24,720
THE PATHOGENS FROM THE BABY 

2581
01:44:24,720 --> 01:44:27,520
BECAUSE IT IS A CLOSE CONTACT 

2582
01:44:27,520 --> 01:44:30,120
SITUATION AS YOU BREASTFEED AND 

2583
01:44:30,120 --> 01:44:34,760
THEREFORE MAKE ANTIBODIES AFTER 

2584
01:44:34,760 --> 01:44:38,760
INHALING VIRUS HERSELF RATHER 

2585
01:44:38,760 --> 01:44:41,640
THAN IT COMING FROM ACT OF 

2586
01:44:41,640 --> 01:44:42,800
BREASTFEEDING INTO HER BREAST 

2587
01:44:42,800 --> 01:44:46,280
AND PEOPLE HAVE LOOKED AT 

2588
01:44:46,280 --> 01:44:47,800
ULTRASOUND STUDIES ON 

2589
01:44:47,800 --> 01:44:49,240
BREASTFEEDING PROCESS AND IN 

2590
01:44:49,240 --> 01:44:52,960
HUMANS THEY SEE IN MILK 

2591
01:44:52,960 --> 01:44:55,440
INJECTION MILK PRESSURE 

2592
01:44:55,440 --> 01:44:57,680
INCREASES THAT IS IN THIS MILK 

2593
01:44:57,680 --> 01:45:01,200
DUCT HERE IN THE UPRISE AND MILK

2594
01:45:01,200 --> 01:45:05,440
FLOWS TOWARDS NIPPLES AND BABY'S

2595
01:45:05,440 --> 01:45:09,560
HOUSE OXYTOCIN WEARS OFF MILK 

2596
01:45:09,560 --> 01:45:10,760
PRODUCTION DECREASES AND -- AND 

2597
01:45:10,760 --> 01:45:12,720
IT HAS BEEN PROPOSE THE MILK 

2598
01:45:12,720 --> 01:45:15,040
FLOW BACKWARDS WILL LIKELY BRING

2599
01:45:15,040 --> 01:45:17,600
TOGETHER WITH IT ANY SALIVA FROM

2600
01:45:17,600 --> 01:45:20,040
THE BABY'S MOUTH THAT IS IN THE 

2601
01:45:20,040 --> 01:45:23,320
NIPPLE AREA.  WITH THAT IN MIND 

2602
01:45:23,320 --> 01:45:25,080
WE THOUGHT REASONABLE HYPOTHESIS

2603
01:45:25,080 --> 01:45:28,800
LET'S SEE IF ANY VIRUSES ARE IN 

2604
01:45:28,800 --> 01:45:30,760
THE SALIVA OF THEM.  WHEN WE 

2605
01:45:30,760 --> 01:45:34,240
COLLECTED SALIVA FROM ANIMALS WE

2606
01:45:34,240 --> 01:45:35,920
INDEED COPIOUS AMOUNTS OF VIRUS 

2607
01:45:35,920 --> 01:45:38,360
IN THE SALIVA OF THE ANIMALS 

2608
01:45:38,360 --> 01:45:40,680
THAT HAD BEEN INOCULATED AND DID

2609
01:45:40,680 --> 01:45:42,440
A FOLLOW UP EXPERIMENT TO REALLY

2610
01:45:42,440 --> 01:45:46,240
TEST THIS IDEA OF SALIVA AND PO 

2611
01:45:46,240 --> 01:45:47,480
POSSIBLY MILK SPREADING 

2612
01:45:47,480 --> 01:45:48,720
INFECTION BETWEEN MOTHERS AND 

2613
01:45:48,720 --> 01:45:50,680
PUPS BY TAKING TWO SETS OF 

2614
01:45:50,680 --> 01:45:52,640
MOTHERS IN SEPARATE CAGES WHERE 

2615
01:45:52,640 --> 01:45:54,760
ONE SET OF PUPS OF ONE MOTHER 

2616
01:45:54,760 --> 01:45:58,240
WERE ORALLY INOCULATED WITH ROTO

2617
01:45:58,240 --> 01:46:00,160
VIRUS IN THIS CASE AND PUT BACK 

2618
01:46:00,160 --> 01:46:03,080
ON TO THEIR MOTHERS AND 24 HOURS

2619
01:46:03,080 --> 01:46:04,880
LATER TWO MOTHERS WERE SWAPPED 

2620
01:46:04,880 --> 01:46:07,520
AND THEN TWO DAYS LATER ALL 

2621
01:46:07,520 --> 01:46:09,080
TISSUES WERE HARVESTED FROM BOTH

2622
01:46:09,080 --> 01:46:11,800
SETS OF PUPS AND BOTH SETS OF 

2623
01:46:11,800 --> 01:46:14,120
MOTHERS AND WE SAW WIDESPREAD 

2624
01:46:14,120 --> 01:46:16,240
DISSEMINATION OF THE VIRUSES 

2625
01:46:16,240 --> 01:46:17,840
FROM BETWEEN BOTH MAMMARY GLANDS

2626
01:46:17,840 --> 01:46:20,760
OF BOTH MOTHERS TO INTESTINES OF

2627
01:46:20,760 --> 01:46:23,960
THE PUPS REALLY SUGGESTING 

2628
01:46:23,960 --> 01:46:27,680
COMBINATION OF SALIVA AND MILK 

2629
01:46:27,680 --> 01:46:30,880
COULD SPREAD ENTERIC VIRUSES 

2630
01:46:30,880 --> 01:46:33,280
AMONG MOTHERS AND INFANTS.  WHEN

2631
01:46:33,280 --> 01:46:37,480
WE SAW SALIVA OF THE PUPS WE 

2632
01:46:37,480 --> 01:46:40,960
WANTED TO KNOW IF SALIVARY GLAND

2633
01:46:40,960 --> 01:46:45,520
WAS REPLICATING THE VIRUS AND --

2634
01:46:45,520 --> 01:46:50,360
INOCULATED WITH NORRO VIRUS ROTA

2635
01:46:50,360 --> 01:46:52,160
VIRUS AND LEVELS OF REPLICATION 

2636
01:46:52,160 --> 01:46:56,400
OF EACH OF THE VIRUSS IN THE 

2637
01:46:56,400 --> 01:47:01,040
SALIVARY GLANDS WAS ON PAR WITH 

2638
01:47:01,040 --> 01:47:02,560
REPLICATION OBSERVED IN COLON 

2639
01:47:02,560 --> 01:47:04,480
AND SMALL INTESTINE POUND FOR 

2640
01:47:04,480 --> 01:47:06,120
POUND AND MOREOVER WHEN WE LOOK 

2641
01:47:06,120 --> 01:47:10,600
THE AT REPLICATION OF THE MORE 

2642
01:47:10,600 --> 01:47:12,880
PERSISTENT STRAINS OF NORRO 

2643
01:47:12,880 --> 01:47:14,920
VIRUSES SUCH AS MMB3 WE FOUND 

2644
01:47:14,920 --> 01:47:18,080
THEY WERE EQUALLY AS PERSISTENT 

2645
01:47:18,080 --> 01:47:20,040
IN THE SALIVARY GLAND AS THEY 

2646
01:47:20,040 --> 01:47:22,600
WERE IN THE COLON AND SIMILARLY 

2647
01:47:22,600 --> 01:47:24,320
EQUALLY AS PERSISTENT BEING SHED

2648
01:47:24,320 --> 01:47:26,760
INTO THE SALIVA AS THEY WERE 

2649
01:47:26,760 --> 01:47:34,760
INTO THE FECES.  THEY WERE THREE

2650
01:47:34,760 --> 01:47:39,320
SEPARATE PERSISTED NORRO VIRUS 

2651
01:47:39,320 --> 01:47:39,600
STRAINS. 

2652
01:47:39,600 --> 01:47:44,120
LOOKING AT TISSUE IN THESE 

2653
01:47:44,120 --> 01:47:48,160
ANIMALS NORRO VIRUSES 

2654
01:47:48,160 --> 01:47:50,800
PERSISTENTLY REPLICATE -- ASTO 

2655
01:47:50,800 --> 01:47:53,560
VIRUSES WE HAVE NOT STUDIED THIS

2656
01:47:53,560 --> 01:47:55,160
YET.  FINALLY, FROM THE WORK, WE

2657
01:47:55,160 --> 01:47:58,600
STARTED TO THINK ABOUT HOW WE 

2658
01:47:58,600 --> 01:48:02,160
COULD USE SALARY CELLS AND 

2659
01:48:02,160 --> 01:48:07,280
ORGANOIDS TO GROW VIRUSES 

2660
01:48:07,280 --> 01:48:10,760
EX-VIVO.  THE NORRO VIRUSES AND 

2661
01:48:10,760 --> 01:48:12,920
ROTA VIRUSES HAVE BEEN EXTREMELY

2662
01:48:12,920 --> 01:48:16,080
DIFFICULT TO GROW EX-VIVO.  WE 

2663
01:48:16,080 --> 01:48:18,760
USED MATT HOFFMAN'S GROUPS 

2664
01:48:18,760 --> 01:48:19,960
DEVELOPED SPHEROID ORGANOID 

2665
01:48:19,960 --> 01:48:26,360
SYSTEM TO SEE IF WE COULD GROW 

2666
01:48:26,360 --> 01:48:32,320
NORRO VIRUS AND ROTA VIRUS AND 

2667
01:48:32,320 --> 01:48:34,800
-- EX-VIVO IN ANYTHING OTHER 

2668
01:48:34,800 --> 01:48:36,280
THAN HUMAN INTESTINAL 

2669
01:48:36,280 --> 01:48:38,800
[INDISCERNIBLE] AND IDENTIFIED 

2670
01:48:38,800 --> 01:48:42,080
HUMAN SALIVARY SELL LINE AND 

2671
01:48:42,080 --> 01:48:45,760
TEAR CELL LINE THAT COULD 

2672
01:48:45,760 --> 01:48:50,160
EFFICIENTLY REPLICATE HUMAN 

2673
01:48:50,160 --> 01:48:51,600
NORRO VIRUS WITH ADVANTAGE THIS 

2674
01:48:51,600 --> 01:48:54,240
IS A SIMPLE CELL CULTURE SYSTEM 

2675
01:48:54,240 --> 01:48:58,520
EASY TO POPPOGATE AND IS QUITE 

2676
01:48:58,520 --> 01:49:00,680
INEXPENSIVE.  TAKE-HOME MESSAGES

2677
01:49:00,680 --> 01:49:02,760
FROM THE TALK ARE IT THAT 

2678
01:49:02,760 --> 01:49:05,400
SALIVARY GLANDS ARE AN IMPORTANT

2679
01:49:05,400 --> 01:49:10,360
REPLICATION SITE FOR ENTERIC 

2680
01:49:10,360 --> 01:49:18,160
VIRUSES NORRO VIRUS ASTO VIRUS 

2681
01:49:18,160 --> 01:49:21,200
AND ROTA VIRUS AND THEY ARE 

2682
01:49:21,200 --> 01:49:23,000
ENTERIC VIRUSES AND IT MAKES IT 

2683
01:49:23,000 --> 01:49:24,840
REALLY INTERESTING THAT THESE 

2684
01:49:24,840 --> 01:49:26,960
VIRUSES CAN ALSO BE FOUND IN 

2685
01:49:26,960 --> 01:49:29,720
SALIVA AND REPLICATING SALIVARY 

2686
01:49:29,720 --> 01:49:32,720
GLANDS AND SUCKLING INFECTED 

2687
01:49:32,720 --> 01:49:34,360
INFANTDS THROUGH SALIVA BACKWASH

2688
01:49:34,360 --> 01:49:37,160
WE HAVE SHOWN CAN TRANSFER 

2689
01:49:37,160 --> 01:49:41,160
ENTERIC VIRUSES TO MOTHER'S 

2690
01:49:41,160 --> 01:49:44,760
MAMMARY GLANDS AND -- INFECTION,

2691
01:49:44,760 --> 01:49:47,680
THIS IS REALLY THE ENTERIC 

2692
01:49:47,680 --> 01:49:49,760
VIRUSES OUR STUDIES GIVE MORE 

2693
01:49:49,760 --> 01:49:52,480
CREDENCE TO THIS IDEA IN HUMANS 

2694
01:49:52,480 --> 01:49:56,520
THAT THERE IS BACKWASH, SALIVARY

2695
01:49:56,520 --> 01:49:58,400
BACKWASH MIGHT SIGNAL TO THE 

2696
01:49:58,400 --> 01:50:00,160
MOTHER AND FIRST TIME VIRUS HAS 

2697
01:50:00,160 --> 01:50:02,720
BEEN USED THAT IS NOT 

2698
01:50:02,720 --> 01:50:05,160
RESPIRATORY AND THUS IS IMMUNE 

2699
01:50:05,160 --> 01:50:10,560
FROM SOME CAVEATS THAT WERE 

2700
01:50:10,560 --> 01:50:13,760
AGAINST SALIVARY BACKWASH IDEA 

2701
01:50:13,760 --> 01:50:16,200
AND FINALLY EX-VIVO SALIVARY 

2702
01:50:16,200 --> 01:50:17,720
ORGANOIDS AND CELL LINES ARE 

2703
01:50:17,720 --> 01:50:19,240
REALLY WE THINK THEY ARE REALLY 

2704
01:50:19,240 --> 01:50:21,640
IMPORTANT AND WILL HELP A LOT OF

2705
01:50:21,640 --> 01:50:25,600
PEOPLE TO PROPAGATE ENTERIC 

2706
01:50:25,600 --> 01:50:28,080
VIRUSES IN CULTURE AND USE THEM 

2707
01:50:28,080 --> 01:50:30,160
ESPECIALLY CELL LINES USE THEM 

2708
01:50:30,160 --> 01:50:32,720
FOR VACCINE DEVELOPMENT AND 

2709
01:50:32,720 --> 01:50:36,160
ANTIVIRAL DEVELOPMENT AND NOW 

2710
01:50:36,160 --> 01:50:41,800
FOR NORRO VIRUS THERE IS NO -- 

2711
01:50:41,800 --> 01:50:43,120
WE BELIEVE THEY WILL BE 

2712
01:50:43,120 --> 01:50:45,200
IMPORTANT CULTURE SYSTEMS FOR 

2713
01:50:45,200 --> 01:50:46,800
DEVELOPMENT OF THERAPEUTICS. 

2714
01:50:46,800 --> 01:50:49,200
SO, I WANT TO LEAVE YOU WITH 

2715
01:50:49,200 --> 01:50:50,200
OPEN QUESTIONS. 

2716
01:50:50,200 --> 01:50:53,480
SO, WHAT ABOUT ENTERIC VIRUS 

2717
01:50:53,480 --> 01:50:55,320
TRANSMISSION AMONG HUMANS?  

2718
01:50:55,320 --> 01:50:57,680
SOMETHING THAT WE ARE FOCUSING 

2719
01:50:57,680 --> 01:51:00,000
ON NOW AND ARE DOING EXPERIMENTS

2720
01:51:00,000 --> 01:51:03,840
WITH OVERSEAS GROUP THAT HAS 

2721
01:51:03,840 --> 01:51:05,840
AUTOPSY SAMPLES FROM CHILDREN 

2722
01:51:05,840 --> 01:51:07,880
AND SALIVARY GLANDS THAT HAVE 

2723
01:51:07,880 --> 01:51:10,480
DIED FROM NORRO VIRUS AND I'M 

2724
01:51:10,480 --> 01:51:11,480
HAPPY TO REPORT THAT JUST 

2725
01:51:11,480 --> 01:51:13,560
YESTERDAY WE GOT DATA FROM THEM 

2726
01:51:13,560 --> 01:51:16,160
SHOWING THEY ARE ACTUALLY 

2727
01:51:16,160 --> 01:51:17,720
POSITIVE FOR NORRO VIRUS. 

2728
01:51:17,720 --> 01:51:19,720
THERE IS ACTUALLY SALIVARY IN 

2729
01:51:19,720 --> 01:51:21,800
THE HUMAN NORRO VIRUS ABTD 

2730
01:51:21,800 --> 01:51:24,080
SALIVARY GLANDS OF CHILDREN WHO 

2731
01:51:24,080 --> 01:51:26,440
HAVE PASSED AWAY FROM IT.  THIS 

2732
01:51:26,440 --> 01:51:28,040
IS REALLY IMPORTANT.  MORE DATA 

2733
01:51:28,040 --> 01:51:30,160
LIKE THIS WILL POTENTIALLY 

2734
01:51:30,160 --> 01:51:32,800
REVISE PUBLIC HEALTH PRACTICES 

2735
01:51:32,800 --> 01:51:34,240
THAT ARE BEING USED. 

2736
01:51:34,240 --> 01:51:36,680
I JUST WANT TO THROW IT OUT 

2737
01:51:36,680 --> 01:51:40,040
THERE THAT, NORRO VIRUS AND ROTA

2738
01:51:40,040 --> 01:51:42,760
VIRUS HAVE FREQUENTLY BEEN FOUND

2739
01:51:42,760 --> 01:51:45,480
IN SALIVA.  IT HAS ALWAYS BEEN 

2740
01:51:45,480 --> 01:51:48,280
CHALKED UP TO CONTAMINATION FROM

2741
01:51:48,280 --> 01:51:50,720
GUT VIA VOMITING AND RECENT 

2742
01:51:50,720 --> 01:51:54,000
RESULTS WE GOT FROM HUMAN 

2743
01:51:54,000 --> 01:51:56,800
SALIVARY GLANDS FROM AUTOPSY 

2744
01:51:56,800 --> 01:51:58,000
PATIENTS HAVE REALLY SPECIAL 

2745
01:51:58,000 --> 01:52:00,120
VALUE BECAUSE THEY ARE NOT 

2746
01:52:00,120 --> 01:52:08,280
SALIVA DIAGNOSTIC BUT PER ACTUAL

2747
01:52:08,280 --> 01:52:10,720
TISSUE EVIDENCE OF VIRAL 

2748
01:52:10,720 --> 01:52:12,160
REPLICATION TAKING PLACE AND 

2749
01:52:12,160 --> 01:52:13,600
THIS IS SOMETHING THAT WE ARE 

2750
01:52:13,600 --> 01:52:15,600
VERY INTERESTED IN FOLLOWING UP 

2751
01:52:15,600 --> 01:52:17,760
ON AND WE HAVE PRELIMINARY 

2752
01:52:17,760 --> 01:52:19,880
EVIDENCE THAT WE REPORTED WHERE 

2753
01:52:19,880 --> 01:52:24,880
WE REMOVED PARTIALLY SALIVARY 

2754
01:52:24,880 --> 01:52:26,880
GLANDS FROM MICE PRIOR TO 

2755
01:52:26,880 --> 01:52:29,560
INOCULATING THEM WITH NORRO 

2756
01:52:29,560 --> 01:52:31,120
VIRUS FINDING INTESTINAL INTECHS

2757
01:52:31,120 --> 01:52:33,920
CLEARED FASTER THIS IS NOT TOTAL

2758
01:52:33,920 --> 01:52:37,880
REMOVAL OF SALIVARY GLANDS BUT 

2759
01:52:37,880 --> 01:52:39,480
SUBMANDIBULAR GLANDS TAKEN OUT 

2760
01:52:39,480 --> 01:52:42,120
AND IN PINK HERE COURSE OF 

2761
01:52:42,120 --> 01:52:44,480
INFECTION IN INTESTINE OF 

2762
01:52:44,480 --> 01:52:45,880
ANIMALS WHERE SALIVARY GLAND HAS

2763
01:52:45,880 --> 01:52:48,760
BEEN REMOVED AND IN BLUE IS 

2764
01:52:48,760 --> 01:52:52,280
COURSE OF INFECTION IN INTESTINE

2765
01:52:52,280 --> 01:52:54,160
WHERE SALIVARY GLAND IS IN TACT 

2766
01:52:54,160 --> 01:52:58,360
WITH ANIMALS THERE IS A FASTER 

2767
01:52:58,360 --> 01:53:01,720
DECREASE OF VIRAL LOAD FROM 

2768
01:53:01,720 --> 01:53:03,200
INTESTINE AND WHEN SALIVARY 

2769
01:53:03,200 --> 01:53:07,640
GLAND IS INFECTED AND ONE 

2770
01:53:07,640 --> 01:53:08,840
SWALLOWS SALIVA.  INFECTION 

2771
01:53:08,840 --> 01:53:12,120
TRYING TO BE CLEARED FROM 

2772
01:53:12,120 --> 01:53:17,680
INTESTINES SALIVA COMING DOWN 

2773
01:53:17,680 --> 01:53:18,160
REPOPULATES GUT AND 

2774
01:53:18,160 --> 01:53:21,720
REESTABLISHES INFECTION AND 

2775
01:53:21,720 --> 01:53:22,760
CLEARS FASTER WHEN SALIVARY 

2776
01:53:22,760 --> 01:53:25,560
GLAND IS EXTRACTED AND CAN THEY 

2777
01:53:25,560 --> 01:53:29,200
BE SHED IN SALIVA ASIM TOMORROW 

2778
01:53:29,200 --> 01:53:32,000
ATICALLY AND RABIES FOR INSTANCE

2779
01:53:32,000 --> 01:53:33,640
SALIVA COULD HAVE RABIES VIRUS 

2780
01:53:33,640 --> 01:53:35,520
UP TO TWO WEEKS BEFORE ANY 

2781
01:53:35,520 --> 01:53:38,000
CLINICAL SYSTEMS THAT APPEAR IN 

2782
01:53:38,000 --> 01:53:39,640
THE INDIVIDUAL.  IT WILL BE VERY

2783
01:53:39,640 --> 01:53:42,760
INTERESTING TO KNOW IF THERE ARE

2784
01:53:42,760 --> 01:53:46,760
VIRAL SHEDDING IN SALIVA BEFORE 

2785
01:53:46,760 --> 01:53:49,000
ANY REAL DIARRHEA SYMPTOMS 

2786
01:53:49,000 --> 01:53:52,360
APPEAR AND RELATE THE TO THIS 

2787
01:53:52,360 --> 01:53:54,240
POTENTIALLY SALIVA COULD BE NICE

2788
01:53:54,240 --> 01:53:57,760
DIAGNOSTIC TOOL FOR ENTERIC 

2789
01:53:57,760 --> 01:53:59,600
VIRUSES NOW BUT IS THROUGH FECAL

2790
01:53:59,600 --> 01:54:01,040
TESTING THAT IS LABORIOUS AND 

2791
01:54:01,040 --> 01:54:04,640
NOT MANY PEOPLE WANT TO DO IT.  

2792
01:54:04,640 --> 01:54:09,000
SALIVA COULD BE AN EASIER 

2793
01:54:09,000 --> 01:54:10,000
DIAGNOSTIC TOOL. 

2794
01:54:10,000 --> 01:54:11,560
I WANT TO END THERE AND TAKE 

2795
01:54:11,560 --> 01:54:13,240
QUESTIONS YOU HAVE.  THANKS SO 

2796
01:54:13,240 --> 01:54:14,640
MUCH FOR YOUR TIME. 

2797
01:54:14,640 --> 01:54:16,520
>>THANK YOU SO MUCH FOR
YOUR 

2798
01:54:16,520 --> 01:54:19,720
PRESENTATION AND ARE TWL ANY 

2799
01:54:19,720 --> 01:54:20,680
QUESTIONS?  

2800
01:54:20,680 --> 01:54:25,160
>>YEAH.  VERY EXCITING.  

2801
01:54:25,160 --> 01:54:30,720
AS YOU KNOW ONLY FDA-APPROVED 

2802
01:54:30,720 --> 01:54:33,360
PRODUCT FOR SALIVA DIAGNOSTICS 

2803
01:54:33,360 --> 01:54:36,760
PREVIOUSLY HAVE HIV TEST FROM 

2804
01:54:36,760 --> 01:54:38,760
[INDISCERNIBLE] AND FROM RED X 

2805
01:54:38,760 --> 01:54:41,000
PROGRAM NOW 20-SOME YOU KNOW 

2806
01:54:41,000 --> 01:54:45,400
APPROVED PRODUCT FOR COVID-19 

2807
01:54:45,400 --> 01:54:49,160
TEST.  ALL THOSE TECHNOLOGY ARE 

2808
01:54:49,160 --> 01:54:52,200
VARIABLE DETECTING VIRUSES 

2809
01:54:52,200 --> 01:54:55,640
SALIVA AND TO DO THAT.  THIS IS 

2810
01:54:55,640 --> 01:54:57,840
BESIDES HPD, YOUR STUDY IS 

2811
01:54:57,840 --> 01:55:01,840
ADDING MORE, YOU KNOW, THOSE 

2812
01:55:01,840 --> 01:55:04,280
BIOMARKERS WHO HAVE IMMEDIATE 

2813
01:55:04,280 --> 01:55:06,520
VALUE FOR SALIVA DIAGNOSTICS. 

2814
01:55:06,520 --> 01:55:09,760
VERY EXCITING AND WE WILL REACH 

2815
01:55:09,760 --> 01:55:11,840
OUT TO YOU MORE IN THE CHAT 

2816
01:55:11,840 --> 01:55:14,680
ABOUT THAT. 

2817
01:55:14,680 --> 01:55:16,000
>>THANKS SO MUCH. 

2818
01:55:16,000 --> 01:55:18,760
>>JENNIFER. 

2819
01:55:18,760 --> 01:55:20,440
>>THANKS FOR A GREAT TALK
HAVE 

2820
01:55:20,440 --> 01:55:29,360
YOU LOOKED AT ORAL  MIKE CUESAL 

2821
01:55:29,360 --> 01:55:30,720
RESPONSES AND THIS MIGHT BE 

2822
01:55:30,720 --> 01:55:33,160
DIFFERENT AND CHALLENGE STUDY TO

2823
01:55:33,160 --> 01:55:35,520
THOSE PEOPLE MORE SUSCEPTIBLE TO

2824
01:55:35,520 --> 01:55:38,440
INFECTION BASED ON EXISTING 

2825
01:55:38,440 --> 01:55:39,600
IMMUNITY?  SFWL GREAT QUESTIONS 

2826
01:55:39,600 --> 01:55:40,760
AND FIRST PART OF QUESTION IS WE

2827
01:55:40,760 --> 01:55:42,760
ARE ACTUALLY DOING THOSE 

2828
01:55:42,760 --> 01:55:44,840
EXPERIMENTS RIGHT NOW AND ARE 

2829
01:55:44,840 --> 01:55:46,800
LOOKING AT SALIVARY GLANDS AND 

2830
01:55:46,800 --> 01:55:50,560
ANIMAL MODELS DOING IMMUNE 

2831
01:55:50,560 --> 01:55:53,440
PROFILING OF CYTOKINE CHEMOKIND 

2832
01:55:53,440 --> 01:55:54,640
PRODUCTION IMMUNE CELL 

2833
01:55:54,640 --> 01:55:56,040
POPULATIONS AND ONE THING WE 

2834
01:55:56,040 --> 01:55:57,920
NOTICED REALLY SURPRISING TO US 

2835
01:55:57,920 --> 01:56:00,440
IF IN THE SAME ANIMAL WHERE 

2836
01:56:00,440 --> 01:56:04,080
INFECTION IS TAKING PLACE.  THE 

2837
01:56:04,080 --> 01:56:05,720
INTESTINES JUST LOOK LIKE A 

2838
01:56:05,720 --> 01:56:06,080
MESS. 

2839
01:56:06,080 --> 01:56:08,400
SALIVARY GLANDS, YOU WOULD NOT 

2840
01:56:08,400 --> 01:56:10,240
KNOW IF THERE WAS ANY INFECTION 

2841
01:56:10,240 --> 01:56:11,720
IN THE SALIVARY GLANDS. 

2842
01:56:11,720 --> 01:56:13,880
THERE IS MASSIVE INFECTION THERE

2843
01:56:13,880 --> 01:56:15,800
WHEN STAINING IT WITH VIRAL 

2844
01:56:15,800 --> 01:56:17,120
MARKERS AND WOULD LIKE TO KNOW 

2845
01:56:17,120 --> 01:56:19,360
WHAT IS IT THAT THE VIRUS IS 

2846
01:56:19,360 --> 01:56:19,640
DOG?  

2847
01:56:19,640 --> 01:56:22,920
HOW IS IT PLAYING WITH TOLLER 

2848
01:56:22,920 --> 01:56:26,160
GENIC POTENTIAL IMMUNITY IN 

2849
01:56:26,160 --> 01:56:26,960
SALIVARY GLAND TO BRING THIS 

2850
01:56:26,960 --> 01:56:28,640
ABOUT.  IT THAT IS WHAT WE ARE 

2851
01:56:28,640 --> 01:56:30,160
LOOKING AT NOW.  SORRY. 

2852
01:56:30,160 --> 01:56:32,600
>>THAT IS GREAT.  TWO
QUICK 

2853
01:56:32,600 --> 01:56:34,440
FOLLOW UPS ONE IN TERMS OF 

2854
01:56:34,440 --> 01:56:38,680
IMMUNE RESPONSE ARE YOU LOOKING 

2855
01:56:38,680 --> 01:56:43,400
AT SYSTEMIC ITGA AND WHAT IS 

2856
01:56:43,400 --> 01:56:44,920
HAPPENING AT MUCOSAL 

2857
01:56:44,920 --> 01:56:46,120
[INDISCERNIBLE]. 

2858
01:56:46,120 --> 01:56:46,560
>>ABSOLUTELY. 

2859
01:56:46,560 --> 01:56:49,600
>>AND SALIVARY GLANDS
ABLE TO 

2860
01:56:49,600 --> 01:56:50,960
MAINTAIN THEMSELVES I WONDER 

2861
01:56:50,960 --> 01:56:54,760
ABOUT LOOKING AT INNATE IMMUNE 

2862
01:56:54,760 --> 01:56:58,200
RESPONSES AND ANTI-MICROBIAL 

2863
01:56:58,200 --> 01:56:59,400
PEPTIDES THERE IN ABUNDANCE. 

2864
01:56:59,400 --> 01:57:00,200
>>YES. 

2865
01:57:00,200 --> 01:57:02,600
>>LOTS OF PROTECTION
AGAINST 

2866
01:57:02,600 --> 01:57:06,560
HIV PER-SE WITH SLIPPY AND BETA 

2867
01:57:06,560 --> 01:57:08,400
DEFENSE SYSTEMS AND OTHERS AND 

2868
01:57:08,400 --> 01:57:10,200
SO MUCH HAPPENS IN HERE WITH 

2869
01:57:10,200 --> 01:57:12,440
REGARDS TO MANY TYPES OF VIRUSES

2870
01:57:12,440 --> 01:57:18,160
AND PEOPLE CAN MAINTAIN THEIR 

2871
01:57:18,160 --> 01:57:21,280
MUCOSAL -- [NO AUDIO]. 

2872
01:57:21,280 --> 01:57:23,920
>>NORRO VIRUS INFECTION
OR 

2873
01:57:23,920 --> 01:57:25,120
OTHER ENTERIC INFECTION WOULD IT

2874
01:57:25,120 --> 01:57:27,240
CLEAR FASTER FOR THEM?  I WOULD 

2875
01:57:27,240 --> 01:57:28,920
PREDICT SO.  I TRIED TO LOOK FOR

2876
01:57:28,920 --> 01:57:32,680
DATA IN THE LITERATURE AND 

2877
01:57:32,680 --> 01:57:35,800
COULDN'T FIND ANY.  SO PEOPLE 

2878
01:57:35,800 --> 01:57:40,080
WHO HAVE -- YES?  GO AHEAD. 

2879
01:57:40,080 --> 01:57:41,400
>>GREAT QUESTION I'M SO
EXCITED

2880
01:57:41,400 --> 01:57:44,080
ABOUT IT HAPPY TO TALK TO YOU 

2881
01:57:44,080 --> 01:57:47,120
ABOUT IT AFTERWARDS AND ANOTHER 

2882
01:57:47,120 --> 01:57:49,680
GROUP TO LOOK AT ARE PEOPLE WITH

2883
01:57:49,680 --> 01:57:52,360
HIV.  I'M SURE THAT SOMEBODY IS 

2884
01:57:52,360 --> 01:57:55,400
FOLLOWING NORRO VIRUS AND HIV; 

2885
01:57:55,400 --> 01:57:55,680
RIGHT?  

2886
01:57:55,680 --> 01:57:56,360
>>RIGHT. 

2887
01:57:56,360 --> 01:58:00,840
>>THOSE FOLKS HAVE OFTEN 

2888
01:58:00,840 --> 01:58:03,480
DIMINISHED SALIVARY GLAND 

2889
01:58:03,480 --> 01:58:05,680
FUNCTION AND HAVE THIS SALIVARY 

2890
01:58:05,680 --> 01:58:07,440
GLAND DISEASE LOOKS LIKE 

2891
01:58:07,440 --> 01:58:09,320
[INDISCERNIBLE] BUT INFILTRATE 

2892
01:58:09,320 --> 01:58:10,960
IS A LITTLE DIFFERENT AND GOOD 

2893
01:58:10,960 --> 01:58:12,920
POPULATION AS WELL YOU MIGHT BE 

2894
01:58:12,920 --> 01:58:15,080
ABLE TO LOOK BACK AT RETROSPECT.

2895
01:58:15,080 --> 01:58:19,440
>>YEAH.  MIGHT BE MORE
DATE AON

2896
01:58:19,440 --> 01:58:22,840
THAT BECAUSE OF HIV ASPECT. 

2897
01:58:22,840 --> 01:58:28,800
>>ONE MORE QUESTION FROM
JOEL 

2898
01:58:28,800 --> 01:58:29,320
COLLIER. 

2899
01:58:29,320 --> 01:58:32,320
>>GREAT TALK I ENJOY. 
WONDER 

2900
01:58:32,320 --> 01:58:34,080
IS THERE ANYTHING I HAVE TWO 

2901
01:58:34,080 --> 01:58:35,720
SMALL QUESTIONS.  IS ANYTHING 

2902
01:58:35,720 --> 01:58:38,640
SORT OF IMMUNOLOGICALLY UNIQUE 

2903
01:58:38,640 --> 01:58:39,680
OR NOTICEABLE ABOUT THE QUALITY 

2904
01:58:39,680 --> 01:58:42,600
OR QUANTITY OF THE IGA IT THAT 

2905
01:58:42,600 --> 01:58:44,360
THE MOTHER PROVIDES THAT 

2906
01:58:44,360 --> 01:58:48,360
REFLECTS THIS NEW ROUTE THAT YOU

2907
01:58:48,360 --> 01:58:49,400
HAVE FOUND?  

2908
01:58:49,400 --> 01:58:53,560
>>THIS IGA IS NONSPECIFIC
SEC 

2909
01:58:53,560 --> 01:58:57,600
RECEIPTORY IGA.  INITIALLY WE 

2910
01:58:57,600 --> 01:58:59,960
WERE LIKE IT IS NONSPECIFIC BUT 

2911
01:58:59,960 --> 01:59:01,160
ARE READING LITERATURE AND THERE

2912
01:59:01,160 --> 01:59:02,440
IS ACTUALLY NOT -- [NO AUDIO]. 

2913
01:59:02,440 --> 01:59:03,840
>>WE DON'T UNDERSTAND HOW
IT IS

2914
01:59:03,840 --> 01:59:08,160
DOING IT.  WE ARE LOOKING AT 

2915
01:59:08,160 --> 01:59:09,160
LACTOFERIN AND OTHER THINGS IN 

2916
01:59:09,160 --> 01:59:11,320
THE MILK THAT MIGHT BE BOOSTED 

2917
01:59:11,320 --> 01:59:14,840
WE LOOKED AT IGA AND IGG AND IGM

2918
01:59:14,840 --> 01:59:16,640
BUT OTHER THINGS COULD BE 

2919
01:59:16,640 --> 01:59:18,520
ACTUALLY INSTRUMENTAL IN 

2920
01:59:18,520 --> 01:59:19,680
CLEARING THE INFECTION AND WE 

2921
01:59:19,680 --> 01:59:22,080
ARE NOW DOING A MUCH MORE 

2922
01:59:22,080 --> 01:59:23,400
COMPLETE ANALYSIS AND IN 

2923
01:59:23,400 --> 01:59:27,120
ADDITION WE PROCURED HUMAN MILK 

2924
01:59:27,120 --> 01:59:30,760
SAMPLES FROM PERU FROM MOTHERS 

2925
01:59:30,760 --> 01:59:32,520
WHO HAVE BEEN BREASTFEEDING 

2926
01:59:32,520 --> 01:59:36,280
NORRO VIRUS INFECTED INSF FANTS.

2927
01:59:36,280 --> 01:59:40,160
THERE IS A WHOLE COHORT OF 

2928
01:59:40,160 --> 01:59:41,760
PATIENTS AND COLLABORATION OF 

2929
01:59:41,760 --> 01:59:43,680
WOMEN IN JAPAN MONITORING THEM 

2930
01:59:43,680 --> 01:59:46,320
OVER TWO YEARS DURING 

2931
01:59:46,320 --> 01:59:47,680
BREASTFEEDING SOME HAVE GOTTEN 

2932
01:59:47,680 --> 01:59:52,680
NORRO VIRUS DURING THIS TIME 

2933
01:59:52,680 --> 01:59:53,800
COLLECTED BREAST MILK AND SALIVA

2934
01:59:53,800 --> 01:59:55,880
AND FECAL MATTER FROM INFANTS 

2935
01:59:55,880 --> 01:59:58,120
AND LOOKING AT SAMPLES TO SEE 

2936
01:59:58,120 --> 01:59:59,720
WHAT IS GOING UP AND FIRST IS 

2937
01:59:59,720 --> 02:00:01,920
THERE VIRUS IN THE MILK AND WHAT

2938
02:00:01,920 --> 02:00:04,200
OTHER [INDISCERNIBLE] ARE GOING 

2939
02:00:04,200 --> 02:00:04,360
UP. 

2940
02:00:04,360 --> 02:00:04,840
>>THANK YOU. 

2941
02:00:04,840 --> 02:00:06,960
>>IT THAT IS REALLY
EXCITING.  

2942
02:00:06,960 --> 02:00:08,560
TIME FOR LAST ONE OR MONTH OF 

2943
02:00:08,560 --> 02:00:09,200
ON. 

2944
02:00:09,200 --> 02:00:11,520
>>I WILL ANSWER VERY
QUICKLY. 

2945
02:00:11,520 --> 02:00:14,040
>>YOU MENTION THE VERY
END OF 

2946
02:00:14,040 --> 02:00:17,760
YOUR TALK THINKING ABOUT 

2947
02:00:17,760 --> 02:00:20,080
VACCINES AND NEW ROUND SOMETHING

2948
02:00:20,080 --> 02:00:22,520
TO CONSIDER VACCINATING INFANT 

2949
02:00:22,520 --> 02:00:23,680
TO RAZENATE WITH THE MOTHER TO 

2950
02:00:23,680 --> 02:00:24,840
HAVE A BETTER RESPONSE WHAT 

2951
02:00:24,840 --> 02:00:26,040
WOULD IT LOOK LIKE?  

2952
02:00:26,040 --> 02:00:28,920
>>ABSOLUTELY.  I'M
THINKING 

2953
02:00:28,920 --> 02:00:33,160
ABOUT THIS BARN ANY GRAHAM IS 

2954
02:00:33,160 --> 02:00:35,120
DEVELOPING VACCINATING MOTHERS 

2955
02:00:35,120 --> 02:00:37,080
SO ANTIBODIES COULD BE 

2956
02:00:37,080 --> 02:00:39,080
TRANSFERRED TO THE BABIES AND 

2957
02:00:39,080 --> 02:00:41,480
I'M THINKING THE SAME THING WITH

2958
02:00:41,480 --> 02:00:44,400
THE NORRO VIRUS IF THERE IS A 

2959
02:00:44,400 --> 02:00:47,400
VACCINE THERE IS A WAY THAT 

2960
02:00:47,400 --> 02:00:49,800
THESE ANTIBODIES COULD BE 

2961
02:00:49,800 --> 02:00:52,040
TRANSFERRED TO THE BABIES 

2962
02:00:52,040 --> 02:00:53,480
ESPECIALLY WHEN BABY IS SICK AND

2963
02:00:53,480 --> 02:00:55,680
NEEDS THE ANTIBODIES COULD 

2964
02:00:55,680 --> 02:00:58,000
REALLY BOOST UP PRODUCTION.  

2965
02:00:58,000 --> 02:00:58,400
YEAH. 

2966
02:00:58,400 --> 02:00:59,880
>>EXCITING.  THANKS. 

2967
02:00:59,880 --> 02:01:02,000
>>VERY NICE.  I WANT TO
THANK 

2968
02:01:02,000 --> 02:01:07,200
YOU.  YOU ARE ON OUR LIST OF 

2969
02:01:07,200 --> 02:01:11,320
INVITEES OR SPECIAL 75TH 

2970
02:01:11,320 --> 02:01:11,600
SYMPOSIUM. 

2971
02:01:11,600 --> 02:01:11,880
>>OKAY. 

2972
02:01:11,880 --> 02:01:14,760
>>MOIR MORAL OF STORY IS
PLEASE

2973
02:01:14,760 --> 02:01:16,960
READ CATALYST AND IF YOU FIND 

2974
02:01:16,960 --> 02:01:18,000
ANYTHING INTERESTING BRING THEM 

2975
02:01:18,000 --> 02:01:18,720
UP. 

2976
02:01:18,720 --> 02:01:19,200
>>ABSOLUTELY. 

2977
02:01:19,200 --> 02:01:20,320
>>I'M GLAD I DID. 

2978
02:01:20,320 --> 02:01:22,720
>>THANK YOU.  I WISH YOU
A VERY

2979
02:01:22,720 --> 02:01:23,560
PRODUCTIVE DAY. 

2980
02:01:23,560 --> 02:01:24,120
>>THANK YOU. 

2981
02:01:24,120 --> 02:01:25,040
>>BYE.  

2982
02:01:25,040 --> 02:01:26,600
>>THANK YOU FOR YOUR
TIME. 

2983
02:01:26,600 --> 02:01:31,200
>>OKAY.  SO, OUR NEXT
GUEST 

2984
02:01:31,200 --> 02:01:34,680
SPEAKER IS DR. NATALIA CHALMERS 

2985
02:01:34,680 --> 02:01:36,480
PRESENTING ON ORAL HEALTH IN 

2986
02:01:36,480 --> 02:01:37,920
EVIDENCE AND DATA DRIVEN 

2987
02:01:37,920 --> 02:01:39,760
APPROACH TO ACHIEVE BETTER 

2988
02:01:39,760 --> 02:01:44,080
HEALTH EQUITY AND FISCAL 

2989
02:01:44,080 --> 02:01:44,440
RESPONSIBILITY. 

2990
02:01:44,440 --> 02:01:45,360
>>THANK YOU VERY MUCH FOR

2991
02:01:45,360 --> 02:01:47,120
HAVING ME AND THANK YOU FOR THE 

2992
02:01:47,120 --> 02:01:49,520
COUNCIL FOR THIS INVITATION THAT

2993
02:01:49,520 --> 02:01:51,200
IS COMING HOME AND CLINICIAN AND

2994
02:01:51,200 --> 02:01:55,160
SCIENTIST IN ME IS SUPER EXCITED

2995
02:01:55,160 --> 02:01:57,000
AFTER THE LAST TALK. 

2996
02:01:57,000 --> 02:01:59,200
WE CAN ALL RELATE AND ZOOM OUT A

2997
02:01:59,200 --> 02:02:01,120
LITTLE INTO THE PUBLIC HEALTH 

2998
02:02:01,120 --> 02:02:05,080
SPHERE AND LOOK AT ORAL HEALTH 

2999
02:02:05,080 --> 02:02:06,760
ACROSS THE LIFE SPAN AND HOW IT 

3000
02:02:06,760 --> 02:02:13,920
IS ABOUT REALLY ACHIEVING HEALTH

3001
02:02:13,920 --> 02:02:15,360
EQUITY FISCAL RESPONSIBILITY AND

3002
02:02:15,360 --> 02:02:17,360
BETTER CLINICAL HEALTH OUTCOMES.

3003
02:02:17,360 --> 02:02:20,960
YOU HAVE BEEN SITTING BUT FEEL 

3004
02:02:20,960 --> 02:02:22,280
FREE TO STRETCH. 

3005
02:02:22,280 --> 02:02:25,880
I THINK IT WOULD BE GREAT TO 

3006
02:02:25,880 --> 02:02:30,800
START BY LEVEL SETTING THE 

3007
02:02:30,800 --> 02:02:32,440
INFORMATION ABOUT BENEFICIARIES 

3008
02:02:32,440 --> 02:02:34,680
WE SERVE.  SO, WE IN OUR 

3009
02:02:34,680 --> 02:02:36,400
PROGRAMS AND IF IN MEDICAID 

3010
02:02:36,400 --> 02:02:38,480
THESE ARE THE LATEST ENROLLMENT 

3011
02:02:38,480 --> 02:02:41,480
NUMBERS THAT HAVE OVER 19 

3012
02:02:41,480 --> 02:02:43,840
MILLION ENROLLEES AND 84 ON 

3013
02:02:43,840 --> 02:02:46,920
MEDICAID AND 7 MILLION IN CHIP. 

3014
02:02:46,920 --> 02:02:51,160
MEDICARE PROGRAM CLOSE TO 65 

3015
02:02:51,160 --> 02:02:53,160
ENROLLEES AND 35 MILLION OF THEM

3016
02:02:53,160 --> 02:02:56,840
IN SECRET SERVICE AND 35 MILLION

3017
02:02:56,840 --> 02:02:59,280
IN MEDICARE ADVANTAGE AND CLOSE 

3018
02:02:59,280 --> 02:03:03,200
TO 14.5 MILLION PEOPLE ACCESS 

3019
02:03:03,200 --> 02:03:05,400
HEALTH COVERAGE THROUGH THE 

3020
02:03:05,400 --> 02:03:07,680
MARKETPLACE.  THIS IS TO LEVEL 

3021
02:03:07,680 --> 02:03:11,200
SET 158 MILLION PEOPLE THAT ARE 

3022
02:03:11,200 --> 02:03:13,560
EFFECTED BY THE CMS PROGRAMS AND

3023
02:03:13,560 --> 02:03:15,920
SHARING VISION AND STRATEGIC 

3024
02:03:15,920 --> 02:03:17,720
PILLARS THAT GUIDE ALL OUR WORK.

3025
02:03:17,720 --> 02:03:20,000
THAT IS THAT CMS SERVES THE 

3026
02:03:20,000 --> 02:03:23,360
PUBLIC AS A TRUSTED PARTNER AND 

3027
02:03:23,360 --> 02:03:26,360
STEWARD DEDICATED TO ADVANCING 

3028
02:03:26,360 --> 02:03:28,640
HEALTH EQUITY EXPANDING COVERAGE

3029
02:03:28,640 --> 02:03:31,000
AND IMPROVING HEALTH OUTCOMES 

3030
02:03:31,000 --> 02:03:32,960
THESE ARE NOT IN RANDOM ORDER.  

3031
02:03:32,960 --> 02:03:35,400
FIRST PILLAR HERE IS ADVANCING 

3032
02:03:35,400 --> 02:03:38,480
HEALTH EQUITY ADDRESSING HEALTH 

3033
02:03:38,480 --> 02:03:39,680
DISPARITIES UNDERLINING HEALTH 

3034
02:03:39,680 --> 02:03:42,520
SYSTEM AND EXPANDING ACCESS AND 

3035
02:03:42,520 --> 02:03:45,920
BUILDING ON AFFORDABLE KAIR ACT 

3036
02:03:45,920 --> 02:03:49,080
EXPANDING ACCESS TO QUALITY 

3037
02:03:49,080 --> 02:03:50,320
AFFORDABLE HEALTH CARE AND 

3038
02:03:50,320 --> 02:03:51,920
ENGAGING WITH PARTNERS AND I 

3039
02:03:51,920 --> 02:03:54,000
HEARD IN THE PREVIOUS REMARKS WE

3040
02:03:54,000 --> 02:03:55,720
-- IT WILL TAKE ALL OF US TO 

3041
02:03:55,720 --> 02:03:56,960
ACHIEVE THESE GOALS. 

3042
02:03:56,960 --> 02:03:59,880
THIS REALLY RESONATED.  YOU 

3043
02:03:59,880 --> 02:04:02,800
KNOW, DR. WEBSTER-CYRIAQUE 

3044
02:04:02,800 --> 02:04:04,320
MENTION THE IT WILL REQUIRE 

3045
02:04:04,320 --> 02:04:07,800
PARTNERSHIP AND, YOU KNOW, NEW 

3046
02:04:07,800 --> 02:04:09,200
INITIATIVES IT THAT HAD NOT 

3047
02:04:09,200 --> 02:04:11,240
EXISTED IF WE WERE TO CLOSE 

3048
02:04:11,240 --> 02:04:14,760
THESE GAPS.  AGAIN, THROUGH 

3049
02:04:14,760 --> 02:04:16,880
POLICY MAKING PROCESS AND 

3050
02:04:16,880 --> 02:04:18,040
IMPLEMENTATION STAYING CLOSELY 

3051
02:04:18,040 --> 02:04:19,680
ENGAGED WITH PARTNERS AND 

3052
02:04:19,680 --> 02:04:23,720
DRIVING INNOVATION WE HAVE 

3053
02:04:23,720 --> 02:04:26,320
CENTERS FOR MEDICARE AND 

3054
02:04:26,320 --> 02:04:27,680
MEDICAID INTERVENTION THAT 

3055
02:04:27,680 --> 02:04:30,200
CHARTERED AMBITIOUS PLANS HOW TO

3056
02:04:30,200 --> 02:04:32,240
INNOVATE IN THE HEALTH CARE 

3057
02:04:32,240 --> 02:04:35,280
SYSTEM AND HOW TO DEFINE 

3058
02:04:35,280 --> 02:04:36,720
VALUE-BASED PERSON-CENTERED CARE

3059
02:04:36,720 --> 02:04:41,440
AND REMAINS FOR DEN TRYSTRY TO 

3060
02:04:41,440 --> 02:04:43,920
DEFINE HOW TO BE PART OF THE 

3061
02:04:43,920 --> 02:04:45,240
VALUE-BASED PROPOSITION.  WHAT 

3062
02:04:45,240 --> 02:04:47,560
IS VALUE-BASED DENTAL CARE?  

3063
02:04:47,560 --> 02:04:49,920
THESE ARE QUESTIONS THAT I ASK 

3064
02:04:49,920 --> 02:04:51,680
MYSELF AND I THINK VERY CLOSELY 

3065
02:04:51,680 --> 02:04:54,120
OF HOW WE DEVELOP A 

3066
02:04:54,120 --> 02:04:54,920
PERSON-CENTERED MODEL OF CARE 

3067
02:04:54,920 --> 02:04:57,360
THAT IS VALUE BASED. 

3068
02:04:57,360 --> 02:04:59,520
PROTECTING PROGRAM I HEARD 

3069
02:04:59,520 --> 02:05:02,120
EARLIER MENTIONING WE ARE THE 

3070
02:05:02,120 --> 02:05:03,040
RESPONSIBLE STEWARDS OF PUP LICK

3071
02:05:03,040 --> 02:05:05,600
FUNDS AND WITH THAT I TAKE IT 

3072
02:05:05,600 --> 02:05:07,760
VERY SERIOUSLY.  LAST ONE IS 

3073
02:05:07,760 --> 02:05:11,680
FOSTERING EXCELLENCE IN OUR 

3074
02:05:11,680 --> 02:05:13,440
PROGRAMS AND IN PROMOTING 

3075
02:05:13,440 --> 02:05:15,480
EXCELLENCE WITH CMS.  WE HEARD 

3076
02:05:15,480 --> 02:05:18,640
THE TERM HEALTH EQUITY QUITE 

3077
02:05:18,640 --> 02:05:18,960
OFTEN. 

3078
02:05:18,960 --> 02:05:21,200
WE WILL COME TO THE SPACE WITH 

3079
02:05:21,200 --> 02:05:22,600
OWN EXPERIENCES. 

3080
02:05:22,600 --> 02:05:24,560
I WAS REALLY THRILLED THAT LAST 

3081
02:05:24,560 --> 02:05:26,400
YEAR WE ACTUALLY DEFINE THE IT 

3082
02:05:26,400 --> 02:05:28,280
AS PART OF OUR FIRST STRATEGIC 

3083
02:05:28,280 --> 02:05:29,240
PLAN PILLAR. 

3084
02:05:29,240 --> 02:05:32,720
THIS IS WHAT WE MEAN WHEN WE SAY

3085
02:05:32,720 --> 02:05:35,560
ACHIEVE HEALTH EQUITY.  DEFINING

3086
02:05:35,560 --> 02:05:38,000
HEALTH EQUITY ATTAINMENT OF 

3087
02:05:38,000 --> 02:05:39,720
HIGHEST LEVEL OF HEALTH FOR ALL 

3088
02:05:39,720 --> 02:05:42,320
PEOPLE WHERE EVERYONE HAS A FAIR

3089
02:05:42,320 --> 02:05:44,800
AND JUST OPPORTUNITY TO OBTAIN 

3090
02:05:44,800 --> 02:05:46,360
OPTIMAL HEALTH REGARDLESS OF 

3091
02:05:46,360 --> 02:05:49,600
RACE, ETHNICITY, DISABILITY, 

3092
02:05:49,600 --> 02:05:51,680
SEXUAL ORIENTATION GENDER 

3093
02:05:51,680 --> 02:05:55,680
IDENTITY SOCIOECONOMIC STATUS 

3094
02:05:55,680 --> 02:05:59,320
AND OTHER FACTORS AFFECTING 

3095
02:05:59,320 --> 02:06:00,680
ACCESS TO HEALTH CARE AND 

3096
02:06:00,680 --> 02:06:03,720
OUTCOMES AND ALL OF US IN THE 

3097
02:06:03,720 --> 02:06:05,400
ORAL HEALTH RESEARCH FIELD KNOW 

3098
02:06:05,400 --> 02:06:07,720
ALL THESE CAN BE BARRIERS 

3099
02:06:07,720 --> 02:06:09,480
THROUGH ATTAINING ORAL HEALTH 

3100
02:06:09,480 --> 02:06:09,960
SERVICES. 

3101
02:06:09,960 --> 02:06:13,800
AS PART OF THE WORK, REALLY 

3102
02:06:13,800 --> 02:06:16,240
EXCITING CMS LAUNCHING FRAMEWORK

3103
02:06:16,240 --> 02:06:19,400
FOR HEALTH EQUITY WITH 5 

3104
02:06:19,400 --> 02:06:20,640
PRIORITIES WILL YOU HAVE ACCESS 

3105
02:06:20,640 --> 02:06:23,000
TO THE LINKS AND ENCOURAGE YOU 

3106
02:06:23,000 --> 02:06:26,040
TO LOOK AT ALL OF THEM.  DATA IS

3107
02:06:26,040 --> 02:06:27,040
KEY EXPANDING COLLECTION 

3108
02:06:27,040 --> 02:06:30,440
RECORDING AND ANALYSIS OF 

3109
02:06:30,440 --> 02:06:31,680
STANDARDIZED DATA WE CAN CLOSE 

3110
02:06:31,680 --> 02:06:33,280
GAPS IF NOT ABLE TO MEASURE GAPS

3111
02:06:33,280 --> 02:06:35,160
AND THAT IS REALLY AT THE HEART 

3112
02:06:35,160 --> 02:06:37,920
OF ALL THIS.  THINKING ABOUT 

3113
02:06:37,920 --> 02:06:39,760
ACCESS AND WHERE THEY ARE IN OUR

3114
02:06:39,760 --> 02:06:41,360
PROGRAMS AND HOW TO ADDRESS 

3115
02:06:41,360 --> 02:06:44,440
THESE INEQUITIES AND BUILDING 

3116
02:06:44,440 --> 02:06:46,720
CAPACITY OF HEALTHCARE 

3117
02:06:46,720 --> 02:06:48,200
ORGANIZATIONS AND WORKFORCE.  

3118
02:06:48,200 --> 02:06:50,320
WAYS SO PLEASED TO HEAR EFFORTS 

3119
02:06:50,320 --> 02:06:52,800
THAT ARE MAKING IN THIS SPACE 

3120
02:06:52,800 --> 02:06:55,680
RELATED TO ORAL HEALTH ADVANCING

3121
02:06:55,680 --> 02:06:58,080
LANGUAGE ACCESS LITERACY.  EVEN 

3122
02:06:58,080 --> 02:07:00,840
IF YOU HAVE INFORMATION, PLEASE 

3123
02:07:00,840 --> 02:07:03,360
IT IS OUT ON WEBSITE WHAT GOOD 

3124
02:07:03,360 --> 02:07:04,840
IS IT IF PEOPLE CAN'T UNDERSTAND

3125
02:07:04,840 --> 02:07:07,080
IT OR IN A LANGUAGE THEY CANNOT 

3126
02:07:07,080 --> 02:07:08,520
READ AND OF COURSE REALLY 

3127
02:07:08,520 --> 02:07:10,040
THINKING ABOUT HOW DO YOU 

3128
02:07:10,040 --> 02:07:12,280
INCREASE ALL FORMS OF 

3129
02:07:12,280 --> 02:07:13,120
ACCESSIBILITY?  

3130
02:07:13,120 --> 02:07:14,920
I THINK THESE CAN ALL BE 

3131
02:07:14,920 --> 02:07:16,400
TRANSLATED AND PUT, YOU KNOW, 

3132
02:07:16,400 --> 02:07:18,520
INTO THE ORAL HEALTH AND 

3133
02:07:18,520 --> 02:07:19,680
ADVANCEMENTS THAT ARE MADE 

3134
02:07:19,680 --> 02:07:22,000
THERE.  WE ALSO RECOGNIZED THAT 

3135
02:07:22,000 --> 02:07:25,240
A LOT OF THE WORK TOUCHES 

3136
02:07:25,240 --> 02:07:27,160
MULTIPLE COMPONENTS, MEANING 

3137
02:07:27,160 --> 02:07:29,480
THAT MEDICAID AND MEDICARE AND 

3138
02:07:29,480 --> 02:07:32,960
DUAL OFFICE.  SO, WE LAUNCH THE 

3139
02:07:32,960 --> 02:07:35,280
THESE 12 CROSS-CUTTING 

3140
02:07:35,280 --> 02:07:37,840
INITIATIVES AND ARE REALLY 

3141
02:07:37,840 --> 02:07:39,280
THRILLED TO MOVE WORK ACROSS ALL

3142
02:07:39,280 --> 02:07:42,240
CENTER ROOEZLATED TO BEHAVIORAL 

3143
02:07:42,240 --> 02:07:45,320
HEALTH ROLE HEALTH LACK OF 

3144
02:07:45,320 --> 02:07:47,760
AFFORDABILITY MATERNITY CARE 

3145
02:07:47,760 --> 02:07:50,240
BENEFIT EXPANSION WHERE HEALTH 

3146
02:07:50,240 --> 02:07:52,560
WORK LIES AND NATIONAL HEALTH 

3147
02:07:52,560 --> 02:07:54,800
STRATEGY DEFINING IT IN 

3148
02:07:54,800 --> 02:07:56,400
HEALTHCARE AND IS IT ALIGN AND 

3149
02:07:56,400 --> 02:07:59,600
ACROSS ALL CENTERS AND ELEVATING

3150
02:07:59,600 --> 02:08:01,560
STAKEHOLDER VOICES WE COMPLETED 

3151
02:08:01,560 --> 02:08:03,680
A YEAR-LONG ENGAGEMENT WITH 

3152
02:08:03,680 --> 02:08:07,040
HUMAN CENTERED DESIGN OR 

3153
02:08:07,040 --> 02:08:07,720
MEDICAID BENEFICIARIES AND LOOK 

3154
02:08:07,720 --> 02:08:09,200
FORWARD TO SHARING RESULTS WITH 

3155
02:08:09,200 --> 02:08:11,600
YOU.  IT THIS IS MY VISION FOR 

3156
02:08:11,600 --> 02:08:14,280
ORAL HEALTH PROGRAM THAT IS TO 

3157
02:08:14,280 --> 02:08:17,680
IMPROVE OUR BENEFICIARIES HEALTH

3158
02:08:17,680 --> 02:08:19,720
INTEGRATING ORAL HEALTH 

3159
02:08:19,720 --> 02:08:21,160
TRANSFORMING SYSTEM TO ADVANCE 

3160
02:08:21,160 --> 02:08:23,360
HEALTH EQUITY EXPANDING COVERAGE

3161
02:08:23,360 --> 02:08:26,920
AND IMPROVING OUTCOMES AND ARE 

3162
02:08:26,920 --> 02:08:27,680
FUNDAMENTAL PRINCIPLES THAT ARE 

3163
02:08:27,680 --> 02:08:29,960
KEY POINTING OUT THAT HAS TO BE 

3164
02:08:29,960 --> 02:08:31,600
OUR FOCUS.  SOME DISPARITIES 

3165
02:08:31,600 --> 02:08:33,480
THAT HAVE PERSISTED FOR SO LONG 

3166
02:08:33,480 --> 02:08:35,600
THEY ARE NOT JUST GOING TO, YOU 

3167
02:08:35,600 --> 02:08:38,160
KNOW, DISAPPEAR.  WE HAVE TO BE 

3168
02:08:38,160 --> 02:08:39,560
INTENTIONAL AND THEY HAVE TO BE 

3169
02:08:39,560 --> 02:08:41,680
EVIDENCE IN POWER AND DATA 

3170
02:08:41,680 --> 02:08:43,280
DRIVEN.  WHAT IS BEST EVIDENCE 

3171
02:08:43,280 --> 02:08:45,160
OR DATA TO SUPPORT THESE 

3172
02:08:45,160 --> 02:08:47,640
INITIATIVES AND THINKING ABOUT 

3173
02:08:47,640 --> 02:08:50,280
INTEGRATION AND STAKEHOLDER 

3174
02:08:50,280 --> 02:08:52,320
ENGAGEMENT AND OF COURSE 

3175
02:08:52,320 --> 02:08:53,640
INNOVATION.  I HAVE SAID THIS IN

3176
02:08:53,640 --> 02:08:54,120
THE BEGINNING. 

3177
02:08:54,120 --> 02:08:57,360
REALLY WHEN I TALK ABOUT ORAL 

3178
02:08:57,360 --> 02:08:59,560
HEALTH, FIRST, YOU WILL VERY 

3179
02:08:59,560 --> 02:09:00,920
RARELY HEAR ME TALK ABOUT TEETH.

3180
02:09:00,920 --> 02:09:03,440
I WANT PEOPLE TO REALLY FOCUS ON

3181
02:09:03,440 --> 02:09:08,400
ORAL HEALTH ASPECT AND ORAL 

3182
02:09:08,400 --> 02:09:11,680
HEALTH AND PART OF THAT AND HEAL

3183
02:09:11,680 --> 02:09:14,480
-- DEEP DISPARITIES AND 

3184
02:09:14,480 --> 02:09:15,280
CONTINUOUS DISPARITIES IN ACCESS

3185
02:09:15,280 --> 02:09:17,280
TO CARE.  IF YOU DON'T HAVE 

3186
02:09:17,280 --> 02:09:19,680
ACCESS TO DENTAL CARE, YOU END 

3187
02:09:19,680 --> 02:09:22,040
UP ACTUALLY COSTING THE HEALTH 

3188
02:09:22,040 --> 02:09:24,160
CARE SYSTEM SUBSTANTIALLY AND 

3189
02:09:24,160 --> 02:09:26,720
SEEKING CARE IN THE EMERGENCY 

3190
02:09:26,720 --> 02:09:28,240
DEPARTMENT AND OPERATING REMOTE 

3191
02:09:28,240 --> 02:09:30,200
TALKING ABOUT THIS AND FRANKLY 

3192
02:09:30,200 --> 02:09:32,400
TO RECOGNIZE SHARED PATHWAY THAT

3193
02:09:32,400 --> 02:09:34,800
IS THE INFLAMMATION WITH ALL 

3194
02:09:34,800 --> 02:09:36,120
CLINICAL OUTCOMES THAT ARE MAJOR

3195
02:09:36,120 --> 02:09:37,760
PLAYERS IN THE HEALTH CARE 

3196
02:09:37,760 --> 02:09:39,680
SPACE.  WE TALKED A LITTLE ABOUT

3197
02:09:39,680 --> 02:09:42,800
THIS.  LET'S LOOK AT THIS.  IN 

3198
02:09:42,800 --> 02:09:45,200
THE DENTAL DELIVERY SYSTEM WE 

3199
02:09:45,200 --> 02:09:46,960
HAVE WELESTABLISH THE PATIENTS 

3200
02:09:46,960 --> 02:09:49,560
BEFORE COVID I WAS IN PRIVATE 

3201
02:09:49,560 --> 02:09:51,760
PRACTICE.  WE KNOW PATIENTS 

3202
02:09:51,760 --> 02:09:53,800
SHOWING UP THERE FOR QUICK 

3203
02:09:53,800 --> 02:09:55,600
CHECK-INS EVERY 6 MONTHS DOING 

3204
02:09:55,600 --> 02:09:56,920
REALLY GREAT AND IT THOSE THAT 

3205
02:09:56,920 --> 02:09:58,240
SHOW UP WITH PROBLEMS. 

3206
02:09:58,240 --> 02:10:00,440
IF THEY DON'T HAVE ACCESS TO 

3207
02:10:00,440 --> 02:10:01,840
DENTAL DELIVERY SYSTEM THEY END 

3208
02:10:01,840 --> 02:10:04,920
UP BROADER HEALTH CARE SYSTEM 

3209
02:10:04,920 --> 02:10:07,320
EMERGENCY DEPARTMENTS MAY BE 

3210
02:10:07,320 --> 02:10:08,760
TRUE SINGLE EMERGENCY OR BACK 

3211
02:10:08,760 --> 02:10:12,080
AGAIN IN 30 OR 60 DAYS. 

3212
02:10:12,080 --> 02:10:12,960
ON AVERAGE EMERGENCY DEPARTMENT 

3213
02:10:12,960 --> 02:10:14,920
VISIT COSTS $900. 

3214
02:10:14,920 --> 02:10:16,640
YOU KNOW WHAT PEOPLE GET FOR 

3215
02:10:16,640 --> 02:10:19,680
THAT?  

3216
02:10:19,680 --> 02:10:21,440
ANTIBIOTIC PRESCRIPTION, OPIOID 

3217
02:10:21,440 --> 02:10:23,520
PRESCRIPTION AND SOMETIMES 

3218
02:10:23,520 --> 02:10:24,160
[INDISCERNIBLE] AND SOMETIMES 

3219
02:10:24,160 --> 02:10:26,400
ALL THREE OF THEM.  WE ARE 

3220
02:10:26,400 --> 02:10:28,280
TREATING DENTAL CAVITIES AND 

3221
02:10:28,280 --> 02:10:30,800
INFECTION WITH OPIOIDS AND 

3222
02:10:30,800 --> 02:10:31,720
ANTIBIOTICS AND SOMETIMES THEY 

3223
02:10:31,720 --> 02:10:34,160
HAVE TO BE ADMITTED AND ON 

3224
02:10:34,160 --> 02:10:36,160
AVERAGE WHAT IS COST OF 

3225
02:10:36,160 --> 02:10:39,280
IN-PATIENT ADMISSION?  

3226
02:10:39,280 --> 02:10:41,160
I CAN MONITOR CHAT AND HEAR FROM

3227
02:10:41,160 --> 02:10:46,760
10 OR 15 OR 10 OR 20 OR 30 OR 

3228
02:10:46,760 --> 02:10:48,400
$45,000 FOR SAVING SOMEONE WITH 

3229
02:10:48,400 --> 02:10:52,360
A LIFE'S -- YOU KNOW, 

3230
02:10:52,360 --> 02:10:53,240
THREATENING ANGINA CAUSE THE BY 

3231
02:10:53,240 --> 02:10:54,760
A DENTAL ABSCESS.  PEOPLE 

3232
02:10:54,760 --> 02:10:58,080
CONTINUE TO DIE.  IT THAT IS THE

3233
02:10:58,080 --> 02:11:00,040
OTHER UNSPOKEN THING THAT YOU --

3234
02:11:00,040 --> 02:11:02,480
YOU KNOW, SOMEHOW MORTALITY OF 

3235
02:11:02,480 --> 02:11:03,960
ORAL INFECTION IS GONE.  

3236
02:11:03,960 --> 02:11:07,400
SORRY, IT IS REALLY IMPORTANT TO

3237
02:11:07,400 --> 02:11:11,640
RECOGNIZE THAT SURGICAL CENTERS 

3238
02:11:11,640 --> 02:11:13,760
ARE IMPORTANT FOR CHILDREN OR 

3239
02:11:13,760 --> 02:11:15,120
ACCIDENTAL SERVICES FOR THOSE 

3240
02:11:15,120 --> 02:11:18,480
WHO ARE PRECOOPERATETIVE FOR 

3241
02:11:18,480 --> 02:11:19,880
ADULTS INTELLECTUAL AND 

3242
02:11:19,880 --> 02:11:21,000
DEVELOPMENTAL DISABILITIES AND 

3243
02:11:21,000 --> 02:11:22,600
SCHOOL IS AN IMPORTANT PLACE FOR

3244
02:11:22,600 --> 02:11:24,440
NOT ONLY LEARNING BUT NUTRITION 

3245
02:11:24,440 --> 02:11:26,480
AND HEALTH SERVICES AND WHEN THE

3246
02:11:26,480 --> 02:11:28,160
PANDEMIC CLOSED MANY OF THEM 

3247
02:11:28,160 --> 02:11:31,160
THAT WAS A BIG PROBLEM.  ARENA 

3248
02:11:31,160 --> 02:11:33,160
WE SOMEHOW ACCEPTED FOR SOME 

3249
02:11:33,160 --> 02:11:35,680
PEOPLE ARENA AND ANNUAL CHARITY 

3250
02:11:35,680 --> 02:11:38,360
EVENTS AND WAYS TO GET DENTAL 

3251
02:11:38,360 --> 02:11:39,560
CARE.  THESE ARE THREE THINGS 

3252
02:11:39,560 --> 02:11:41,280
THAT IF WE DON'T SOLVE, THERE 

3253
02:11:41,280 --> 02:11:43,680
WILL BEIN TEG [GROUP 

3254
02:11:43,680 --> 02:11:44,040
PRESENTATION]. 

3255
02:11:44,040 --> 02:11:47,000
HEALTH INFORMATION TECHNOLOGY 

3256
02:11:47,000 --> 02:11:49,960
DIVIDE IS HUGE.  SYSTEMS DON'T 

3257
02:11:49,960 --> 02:11:51,200
COMMUNICATE.  MY QUESTION IS 

3258
02:11:51,200 --> 02:11:53,680
WHAT AND HOW WE ARE ADDRESSING 

3259
02:11:53,680 --> 02:11:56,600
TO SOLVE HEALTH INFORMATION 

3260
02:11:56,600 --> 02:11:58,720
TECHNOLOGY DIVIDE IN A 

3261
02:11:58,720 --> 02:12:01,560
MEANINGFUL WAY TO CLOSE LOOK 

3262
02:12:01,560 --> 02:12:03,200
WITH AGNOSTIC CODING AND ACCEPT 

3263
02:12:03,200 --> 02:12:06,080
IN A FEW OCCASIONS AND BIG 

3264
02:12:06,080 --> 02:12:07,600
CHALLENGE BECAUSE WE DON'T HAVE 

3265
02:12:07,600 --> 02:12:10,320
A SHARED LANGUAGE WITH MEDICINE 

3266
02:12:10,320 --> 02:12:12,240
THAT PREVENT INTEGRATION AND 

3267
02:12:12,240 --> 02:12:13,400
COORDINATION OF CARE NOT ONLY 

3268
02:12:13,400 --> 02:12:15,520
SOLUTION BUT IS A HUGE BARRIER 

3269
02:12:15,520 --> 02:12:18,360
AND MENTIONED CHARITY EVENTS 

3270
02:12:18,360 --> 02:12:19,560
HAPPENING EVERY YEAR PEOPLE LINE

3271
02:12:19,560 --> 02:12:26,040
UP AT 4 O'CLOCK GET 1, TWO FOLD 

3272
02:12:26,040 --> 02:12:27,600
WAITING UNTIL NEXT YEAR AND WAY 

3273
02:12:27,600 --> 02:12:29,720
FOR ANY OF US TO GET ACCESS TO 

3274
02:12:29,720 --> 02:12:32,440
DENTAL SERVICES AND YET THEY 

3275
02:12:32,440 --> 02:12:34,280
STILL PERSIST.  THIS IS THE 

3276
02:12:34,280 --> 02:12:36,480
OTHER HUGE OPPORTUNITY THAT WHEN

3277
02:12:36,480 --> 02:12:39,200
YOU THINK ABOUT WHERE DOLLARS 

3278
02:12:39,200 --> 02:12:41,080
AND INVESTMENTS GO IS PEOPLE IN 

3279
02:12:41,080 --> 02:12:43,000
BEST CASE SCENARIOS MIGHT SPEND 

3280
02:12:43,000 --> 02:12:47,280
TWO HOURS IN DENTAL CARE OFFICE 

3281
02:12:47,280 --> 02:12:48,920
ACCESSING LATEST INNOVATION 

3282
02:12:48,920 --> 02:12:49,760
DIAGNOSTIC AND EVERYTHING AND 

3283
02:12:49,760 --> 02:12:51,760
TRUTH IS MAJORITY OF TIME IS 

3284
02:12:51,760 --> 02:12:55,120
SPENT AT HOME MANAGING ORAL AND 

3285
02:12:55,120 --> 02:12:57,080
DENTAL CONDITIONS AND WHAT ARE 

3286
02:12:57,080 --> 02:12:58,600
INNOVATIONS AND CHALLENGES WE 

3287
02:12:58,600 --> 02:13:01,040
FUND AND THINK ABOUT ADDRESSING 

3288
02:13:01,040 --> 02:13:02,640
PEOPLE MANAGING ORAL HEALTH AT 

3289
02:13:02,640 --> 02:13:05,000
HOME THAT IS REALLY IMPORTANT?  

3290
02:13:05,000 --> 02:13:07,040
THIS IS THE REAL CHALLENGE THAT 

3291
02:13:07,040 --> 02:13:09,680
I THINK IS WHERE, AGAIN, A 

3292
02:13:09,680 --> 02:13:11,680
CRITICAL LOOK AND FUNDING AND 

3293
02:13:11,680 --> 02:13:13,840
HOW WE ARE THINKING ABOUT EQUITY

3294
02:13:13,840 --> 02:13:15,680
THAT NEEDS TO BE TAKEN. 

3295
02:13:15,680 --> 02:13:20,680
FOR LAST 16 YEARS, WE HAVE MADE 

3296
02:13:20,680 --> 02:13:22,720
GREAT PROGRESS IN BLUE CHILDREN 

3297
02:13:22,720 --> 02:13:24,360
LIVING BELOW FEDERAL POVERTY 

3298
02:13:24,360 --> 02:13:27,640
LINES AND IN GREEN, ABOVE.  WE 

3299
02:13:27,640 --> 02:13:28,840
HAVE SEEN GAP BETWEEN CHILDREN 

3300
02:13:28,840 --> 02:13:31,560
NOT IN POVERTY AND CHILDREN IN 

3301
02:13:31,560 --> 02:13:32,160
POVERTY CLOSE. 

3302
02:13:32,160 --> 02:13:34,280
THIS GAP HAS REMAINED AND 

3303
02:13:34,280 --> 02:13:37,440
PERSISTED AND WHAT ARE EFFORTS 

3304
02:13:37,440 --> 02:13:40,080
TO CLOSE GAPS MEANINGFULLY AND 

3305
02:13:40,080 --> 02:13:40,760
INTENTIONALLY?  

3306
02:13:40,760 --> 02:13:44,080
THERE HAS BEEN NO CHANGE IN 

3307
02:13:44,080 --> 02:13:47,640
ADULTS AND GAP HAS WIDEN FOR 

3308
02:13:47,640 --> 02:13:50,240
SENIORS AND 61% OF SENIORS NO 

3309
02:13:50,240 --> 02:13:52,440
THE IN POVERTY ENJOYED THE BEST 

3310
02:13:52,440 --> 02:13:54,120
ACCESS IN THE HEALTH CARE SYSTEM

3311
02:13:54,120 --> 02:13:57,120
TO DENTAL SERVICES WIDENING THE 

3312
02:13:57,120 --> 02:13:59,000
GAB FOR THOSE IN POVERTY AND 

3313
02:13:59,000 --> 02:14:02,120
WOULD SAY WHAT AN INVESTMENT 

3314
02:14:02,120 --> 02:14:03,480
CHALLENGES AND OPPORTUNITIES TO 

3315
02:14:03,480 --> 02:14:07,720
CLOSE GAPS INTENTIONALLY.  HERE 

3316
02:14:07,720 --> 02:14:10,000
IS THE CHALLENGE THAT EVEN FOR 

3317
02:14:10,000 --> 02:14:11,680
CHILDREN COVERAGE IS NOT ISSUE 

3318
02:14:11,680 --> 02:14:14,360
IN MEDICAID.  IF YOU LOOK AT 

3319
02:14:14,360 --> 02:14:17,160
MEDICAID BENEFICIARIES WITH 

3320
02:14:17,160 --> 02:14:18,880
PREVENTIVE DENTAL SERVICE THIS 

3321
02:14:18,880 --> 02:14:20,800
WAS COVID BUT BEFORE COVID YOU 

3322
02:14:20,800 --> 02:14:23,080
HAVE HUGE GEOGRAPHICAL VARIATION

3323
02:14:23,080 --> 02:14:26,840
AND WHY IS IT IN SOME STATES 12 

3324
02:14:26,840 --> 02:14:31,680
PRSZ OF KIDS GET TO DENTIST AND 

3325
02:14:31,680 --> 02:14:35,080
OTHER STATES 60% GET COVERAGE 

3326
02:14:35,080 --> 02:14:36,640
AND ADDRESSING TO REMOVE ACCESS 

3327
02:14:36,640 --> 02:14:40,280
TO DENTAL CARE SERVICES?  HERE, 

3328
02:14:40,280 --> 02:14:42,640
DISPARITIES THAT I HAVE TALKED 

3329
02:14:42,640 --> 02:14:45,680
ABOUT I WILL POINT EARS AND 2005

3330
02:14:45,680 --> 02:14:48,440
AND 12 YEARS IN-BETWEEN.  GAPS 

3331
02:14:48,440 --> 02:14:53,280
HAVE CLOSED.  THEY ARE NOT GONE.

3332
02:14:53,280 --> 02:14:57,120
STILL, THEY PERSISTED FOR MANY 

3333
02:14:57,120 --> 02:14:57,320
YEARS. 

3334
02:14:57,320 --> 02:15:00,840
WE SHOULD NOT ACCEPT THIS AS 

3335
02:15:00,840 --> 02:15:03,680
ACCEPTABLE AND AS WAS POINTED BY

3336
02:15:03,680 --> 02:15:05,960
DR. WEBSTER-CYRIAQUE WE SHOULD 

3337
02:15:05,960 --> 02:15:07,360
HAVE INTENTIONAL PROGRAMS 

3338
02:15:07,360 --> 02:15:09,400
CLOSING DISPARITIES IT THAT IS A

3339
02:15:09,400 --> 02:15:11,280
LITTLE BIT BETTER BUT WOULD SAY 

3340
02:15:11,280 --> 02:15:12,760
STILL NOT GOOD ENOUGH.  YOU WILL

3341
02:15:12,760 --> 02:15:17,040
SEE IN ADULTS AND SENIORS THAT 

3342
02:15:17,040 --> 02:15:21,120
GAPS CAN GROW.  FOR CHILDREN 

3343
02:15:21,120 --> 02:15:26,120
MANY KNOW I'M A PEDIATRIC 

3344
02:15:26,120 --> 02:15:27,640
DENTIST AND ROLE AND ACCESS AND 

3345
02:15:27,640 --> 02:15:29,640
COVERAGE AND THIS PAPER IS 

3346
02:15:29,640 --> 02:15:33,160
TELLING IF PARENT HAD DENTAL 

3347
02:15:33,160 --> 02:15:37,520
VISIT COMPARED TO PARENT WITHOUT

3348
02:15:37,520 --> 02:15:38,760
DENTAL VISIT VERY FEW CHILDREN 

3349
02:15:38,760 --> 02:15:40,880
OF PEOPLE WITH DENTAL VISITS 

3350
02:15:40,880 --> 02:15:43,120
DON'T SEE THEM.  LOTS MORE 

3351
02:15:43,120 --> 02:15:44,760
CHILDREN PARENTS WITHOUT DENTAL 

3352
02:15:44,760 --> 02:15:46,640
VISIT DON'T SEE DENTIST.  

3353
02:15:46,640 --> 02:15:48,680
CHILDREN WON'T DRIVE THEMSELVES 

3354
02:15:48,680 --> 02:15:50,440
TO DENTIST.  MOM IS SOMETIMES 

3355
02:15:50,440 --> 02:15:52,080
WORKING THREE JOBS AND TAKING 

3356
02:15:52,080 --> 02:15:54,440
THREE HOURS TO GO TO DENTIST IS 

3357
02:15:54,440 --> 02:15:56,680
ALSO NOT AN OPTION AND THINK 

3358
02:15:56,680 --> 02:15:58,040
REALLY INTENTIONAL COMMUNICATION

3359
02:15:58,040 --> 02:15:59,680
STRATEGIES AND PARENTAL 

3360
02:15:59,680 --> 02:16:02,200
INVOLVEMENT ARE KEY FOR 

3361
02:16:02,200 --> 02:16:04,040
INCREASING ACCESS TO DENTAL 

3362
02:16:04,040 --> 02:16:05,120
SERVICES FOR CHILDREN.  

3363
02:16:05,120 --> 02:16:07,040
THIS IS THE GAP THAT I MENTIONED

3364
02:16:07,040 --> 02:16:10,560
TO YOU FOR ADULTS GOING FROM 12%

3365
02:16:10,560 --> 02:16:17,520
CLOSE TO 20.  PERSISTENT, 

3366
02:16:17,520 --> 02:16:19,160
SYSTEMIC, REQUIRED INTENTIONAL 

3367
02:16:19,160 --> 02:16:21,800
SOLUTIONS AND WE WON'T ACHIEVE 

3368
02:16:21,800 --> 02:16:23,680
AND CLOSE GAP BY JUST 

3369
02:16:23,680 --> 02:16:24,960
DIVERSIFYING WORKFORCE.  GREAT 

3370
02:16:24,960 --> 02:16:27,040
WAY TO DO IT PEOPLE LOVE SEEING 

3371
02:16:27,040 --> 02:16:28,600
A PROVIDER THAT LOOKS LIKE THEM 

3372
02:16:28,600 --> 02:16:30,680
BUT WILL TAKE A LONG TIME AND 

3373
02:16:30,680 --> 02:16:33,040
HAVE TO THINK OF INNOVATIVE 

3374
02:16:33,040 --> 02:16:35,480
SOLUTIONS TO HELP CLOSE THESE 

3375
02:16:35,480 --> 02:16:37,160
GAPS SOONER.  RURAL AMERICA IS 

3376
02:16:37,160 --> 02:16:39,720
NOT LIKE URBAN AMERICA.  

3377
02:16:39,720 --> 02:16:42,440
SOLUTIONS AND CHALLENGES IN 

3378
02:16:42,440 --> 02:16:44,960
RURAL AMERICA ARE SIGNIFICANT.  

3379
02:16:44,960 --> 02:16:48,640
DISPARITIES EXISTING IN URBAN 

3380
02:16:48,640 --> 02:16:51,920
AMERICAN ARE MORE PRONOUNCED AND

3381
02:16:51,920 --> 02:16:54,000
ADULTS AND CHILDREN AND WHERE 

3382
02:16:54,000 --> 02:16:56,000
YOU LIVE MAKES A HUGE 

3383
02:16:56,000 --> 02:16:56,880
DIFFERENCE.  SOMETIMES RURAL 

3384
02:16:56,880 --> 02:16:59,640
AMERICA DRIVE TO DENTIST IS 2 

3385
02:16:59,640 --> 02:17:01,040
HOURS AND DRIVE TO EMERGENCY 

3386
02:17:01,040 --> 02:17:02,400
DEPARTMENT IS ONE HOUR.  WHERE 

3387
02:17:02,400 --> 02:17:04,680
AM I GOING?  

3388
02:17:04,680 --> 02:17:06,240
THIS IS RECOGNIZING WHERE PEOPLE

3389
02:17:06,240 --> 02:17:08,280
ARE UNDERSTANDING LIVED 

3390
02:17:08,280 --> 02:17:10,520
EXPERIENCE AND RECOGNIZING WHAT 

3391
02:17:10,520 --> 02:17:14,240
CHALLENGES ARE.  REMEMBER GRAPH?

3392
02:17:14,240 --> 02:17:21,160
LOOK AT HUGE RACIAL DISPARITIES 

3393
02:17:21,160 --> 02:17:24,200
SENIORS AND ACCESS TO 10 TAL 

3394
02:17:24,200 --> 02:17:24,480
SERVICES. 

3395
02:17:24,480 --> 02:17:26,480
WE LOOKED AT THESE MORE CLOSELY 

3396
02:17:26,480 --> 02:17:28,600
AND THAT IS PUBLICLY AVAILABLE 

3397
02:17:28,600 --> 02:17:31,640
NOW.  OVERALL ABOUT 40% OF 

3398
02:17:31,640 --> 02:17:34,400
SENIORS ACTS AS DENTAL CARE AND 

3399
02:17:34,400 --> 02:17:36,840
HUGE DISPARITIES WHEN COMING TO 

3400
02:17:36,840 --> 02:17:39,160
DUAL ELIGIBLES THOSE WHO ARE 

3401
02:17:39,160 --> 02:17:41,880
MEDICAID AND MEDICARE.  LOOK AT 

3402
02:17:41,880 --> 02:17:43,680
HUGE RACIAL DISPARITIES EXISTING

3403
02:17:43,680 --> 02:17:45,640
FOR SENIORS LIVING IN COMMUNITY 

3404
02:17:45,640 --> 02:17:48,000
AND I WILL TELL YOU WHAT THESE 

3405
02:17:48,000 --> 02:17:50,240
ARE ON THE X AXIS IS.  YOU KNOW 

3406
02:17:50,240 --> 02:17:51,600
ON THIS SIDE THAT THEY DON'T 

3407
02:17:51,600 --> 02:17:53,680
HAVE ACCESS TO DENTAL CARE.  

3408
02:17:53,680 --> 02:17:55,120
HERE THEY HAVE THE BEST DENTAL 

3409
02:17:55,120 --> 02:17:59,440
CARE.  IT THIS IS INCOME.  SO, 

3410
02:17:59,440 --> 02:18:01,320
POVERTY IS A HUGE DRIVER OF LACK

3411
02:18:01,320 --> 02:18:03,680
OF ACCESS TO DENTAL SERVICES AND

3412
02:18:03,680 --> 02:18:05,840
HUGE RACIAL DISPARITIES.  ONE 

3413
02:18:05,840 --> 02:18:07,680
HAS TO BE VERY INTENTIONAL 

3414
02:18:07,680 --> 02:18:08,160
RECOGNIZING. 

3415
02:18:08,160 --> 02:18:10,280
WE WILL TAKE A STEP BACK AND PUT

3416
02:18:10,280 --> 02:18:11,440
DENTAL IN THE CONTEXT OF ALL OF 

3417
02:18:11,440 --> 02:18:12,760
THE SPENDING IT THAT IS 

3418
02:18:12,760 --> 02:18:14,800
HAPPENING IN THE HAD HEALTH CARE

3419
02:18:14,800 --> 02:18:16,760
SYSTEM.  WE ARE ABOUT 4% OF 

3420
02:18:16,760 --> 02:18:19,680
HEALTH CARE SPENDING THAT IS FOR

3421
02:18:19,680 --> 02:18:21,520
2016.  PROPORTIONS ARE VERY 

3422
02:18:21,520 --> 02:18:25,160
SIMILAR AND 4% OF HEALTH CARE 

3423
02:18:25,160 --> 02:18:26,520
EXPENDITURES AND TWO THINGS 

3424
02:18:26,520 --> 02:18:29,160
IMPORTANT, LOOK AT DENTAL 

3425
02:18:29,160 --> 02:18:30,120
SERVICES IN CONNECTION TO 

3426
02:18:30,120 --> 02:18:32,600
PRESCRIPTION DRUGS AND POINT OF 

3427
02:18:32,600 --> 02:18:34,160
REFERENCE.  REST OF HEALTHCARE 

3428
02:18:34,160 --> 02:18:35,880
IS DRIVING A LOT OF THE 

3429
02:18:35,880 --> 02:18:39,000
CHALLENGES AND OPPORTUNITIES I 

3430
02:18:39,000 --> 02:18:45,480
WOULD SAY THIS IS ONE OF BIGGEST

3431
02:18:45,480 --> 02:18:51,200
CHALLENGES FOR DENTISTRY.  

3432
02:18:51,200 --> 02:18:53,960
DENTAL IT IS 40 AND THIS 

3433
02:18:53,960 --> 02:18:57,200
ADDRESSED ACCESS TO DENTAL 

3434
02:18:57,200 --> 02:18:59,360
SERVICES WILL REMAIN A HUGE 

3435
02:18:59,360 --> 02:19:00,800
CHALLENGE AND WAS GREAT TO HEAR 

3436
02:19:00,800 --> 02:19:04,680
THAT NIH GOT 3 BILLION INCREASE 

3437
02:19:04,680 --> 02:19:08,120
IN FUNDING AND NIDCR IS CLOSE TO

3438
02:19:08,120 --> 02:19:09,440
520 MILLION AND CONGRATULATIONS 

3439
02:19:09,440 --> 02:19:11,160
THIS IS REALLY IMPORTANT.  I 

3440
02:19:11,160 --> 02:19:12,640
THOUGHT I WOULD SHARE WITH YOU 

3441
02:19:12,640 --> 02:19:14,960
SPENDING IN PUBLIC PROGRAMS THAT

3442
02:19:14,960 --> 02:19:19,680
IS IN BILLIONS AND IN MEDICAID 

3443
02:19:19,680 --> 02:19:23,320
PROGRAM IN 2021 WE SPENT $15 

3444
02:19:23,320 --> 02:19:26,800
BILLION AND 4.7 BILLION IN 

3445
02:19:26,800 --> 02:19:30,600
MEDICARE AND 2.5 BILLION IN -- 

3446
02:19:30,600 --> 02:19:32,840
THIS IS IN CHIP, TITLE IX.  IF 

3447
02:19:32,840 --> 02:19:34,960
YOU ADD THEM UP IT THIS IS EVERY

3448
02:19:34,960 --> 02:19:37,680
10 DAYS IS BASICALLY ANNUAL 

3449
02:19:37,680 --> 02:19:41,160
BUDGET OF NIDCR.  THIS IS REALLY

3450
02:19:41,160 --> 02:19:42,680
IMPORTANT TO JUST APPRECIATE THE

3451
02:19:42,680 --> 02:19:45,240
PUBLIC HEALTH SPENDING FOR 

3452
02:19:45,240 --> 02:19:48,480
DENTAL SERVICES.  IF YOU ADD 

3453
02:19:48,480 --> 02:19:50,880
PUBLIC AND OUT OF POCKET AND 

3454
02:19:50,880 --> 02:19:52,760
PRIVATE AND OUT OF POCKET WE ARE

3455
02:19:52,760 --> 02:19:57,560
AT $161.8 BILLION AND SEEMS FOR 

3456
02:19:57,560 --> 02:19:58,800
THIS AMOUNT OF MONEY EVERYONE IN

3457
02:19:58,800 --> 02:20:01,080
THE US SHOULD HAVE ACCESS TO 

3458
02:20:01,080 --> 02:20:02,920
GREAT DENTAL CARE.  WE KNOW THAT

3459
02:20:02,920 --> 02:20:05,400
IS NOT TRUE.  THE OTHER 

3460
02:20:05,400 --> 02:20:07,720
CHALLENGE IS REALLY WE HAVE 

3461
02:20:07,720 --> 02:20:09,520
THREE HEALTH CARE SYSTEMS PUBLIC

3462
02:20:09,520 --> 02:20:11,720
AND PRIVATE AND OUT OF POCKET 

3463
02:20:11,720 --> 02:20:14,280
AND DENTAL PROBLEMS AND 

3464
02:20:14,280 --> 02:20:16,280
SOLUTIONS WON'T BE SAME ACROSS 

3465
02:20:16,280 --> 02:20:18,680
ALL OF THEM.  TOP 5 PRIORITIES 

3466
02:20:18,680 --> 02:20:21,240
MIGHT SHARE COMMONALITIES SUCH 

3467
02:20:21,240 --> 02:20:23,440
AS DIABETES A PROBLEM 

3468
02:20:23,440 --> 02:20:24,960
EVERYWHERE.  RANKING OF ORAL 

3469
02:20:24,960 --> 02:20:27,240
HEALTH IS 34 AND 47.  YOU HAVE 

3470
02:20:27,240 --> 02:20:28,880
TO SHRINK THE SCALE.  IT JUST 

3471
02:20:28,880 --> 02:20:31,240
DOESN'T FIT.  BILLIONS OF 

3472
02:20:31,240 --> 02:20:33,120
DOLLARS AND PRIVATE SPACE 11 AND

3473
02:20:33,120 --> 02:20:35,680
12 MUCH BETTER CONNECTED TO 

3474
02:20:35,680 --> 02:20:36,960
CLINICAL OUTCOMES UP HERE.  IN 

3475
02:20:36,960 --> 02:20:39,120
AND OUT OF POCKET, 1 AND 2.  

3476
02:20:39,120 --> 02:20:40,760
AGAIN, JUST TO THINK ABOUT WHERE

3477
02:20:40,760 --> 02:20:42,960
THESE BILLIONS OF DOLLARS ARE 

3478
02:20:42,960 --> 02:20:44,200
GOING AND WHEN WE SAY THAT 

3479
02:20:44,200 --> 02:20:46,800
PEOPLE WITH DIABETES ARE 

3480
02:20:46,800 --> 02:20:49,640
IMPACTED AND POOR ORAL HEALTH 

3481
02:20:49,640 --> 02:20:52,800
WITH IMPACT ON GLYCEMIC CONTROL 

3482
02:20:52,800 --> 02:20:57,240
AND A1C AND OF ALL SENIORS 3% 

3483
02:20:57,240 --> 02:21:01,040
HAVE DIABETES AND 97% HAVE OTHER

3484
02:21:01,040 --> 02:21:07,720
CONDITIONS AND 41% HAVE 5 

3485
02:21:07,720 --> 02:21:09,520
COMORBIDITIES AND I CHALLENGE 

3486
02:21:09,520 --> 02:21:11,960
STUDIES AND PORTFOLIOS AND 

3487
02:21:11,960 --> 02:21:13,680
RESEMBLE REAL WORLD WHERE WE ARE

3488
02:21:13,680 --> 02:21:15,160
THINKING OF 5 CONDITIONS AND 

3489
02:21:15,160 --> 02:21:17,560
MORE IN ORAL HEALTH THAT WILL 

3490
02:21:17,560 --> 02:21:19,880
POORLY IMPACT ALL OF THEM.  THEY

3491
02:21:19,880 --> 02:21:22,480
ARE VERY MUCH INTERCONNECTED 

3492
02:21:22,480 --> 02:21:23,800
THAT IS TO LEVEL SET AND THINK 

3493
02:21:23,800 --> 02:21:26,360
IT IS GREAT TO HAVE SINGLE 

3494
02:21:26,360 --> 02:21:27,600
DISEASE MODEL THAT IS JUST NOT 

3495
02:21:27,600 --> 02:21:29,160
REALITY OF THE PEOPLE WHO LIVE 

3496
02:21:29,160 --> 02:21:32,560
IN THE US.  THEN WHEN IT COMES 

3497
02:21:32,560 --> 02:21:34,840
TO COST IT IS JUST IMPORTANT TO 

3498
02:21:34,840 --> 02:21:36,040
RECOGNIZE THAT PEOPLE WHO HAVE 

3499
02:21:36,040 --> 02:21:38,880
ONLY ONE CONDITION P MAKE UP 31%

3500
02:21:38,880 --> 02:21:41,520
OF ALL MEDICARE BENEFICIARIES 

3501
02:21:41,520 --> 02:21:43,680
ARE CHEAP IN A SENSE THEY HAVE 

3502
02:21:43,680 --> 02:21:45,680
SMALLER PROPORTION OF 

3503
02:21:45,680 --> 02:21:47,240
EXPENDITURE AND MOST EXPENSIVE 

3504
02:21:47,240 --> 02:21:48,680
ARE THOSE WITH 6 OR MORE 

3505
02:21:48,680 --> 02:21:50,560
CONDITIONS AND MAKE UP CLOSE TO 

3506
02:21:50,560 --> 02:21:54,120
54% OF ALL OF THE SPENDING. 

3507
02:21:54,120 --> 02:21:55,560
THIS IS A COMPLEX CHART THAT IS 

3508
02:21:55,560 --> 02:21:58,400
WORTH GOING THROUGH IT.  IT IS 

3509
02:21:58,400 --> 02:22:01,320
EYE-OPENING.  THIS IS THE 

3510
02:22:01,320 --> 02:22:02,560
CUMULATIVE PERCENTAGE OF THE 

3511
02:22:02,560 --> 02:22:04,880
POPULATION.  0 TO 100. 

3512
02:22:04,880 --> 02:22:07,400
THIS IS CUMULATIVE PERCENTAGE OF

3513
02:22:07,400 --> 02:22:09,320
EXPENDITURE 0 TO 100.  THIS IS 

3514
02:22:09,320 --> 02:22:11,120
ACTUAL DOLLARS AND WAY YOU WOULD

3515
02:22:11,120 --> 02:22:14,400
DO THIS HERE IS THAT 50% OF THE 

3516
02:22:14,400 --> 02:22:16,160
PEOPLE USE 3% OF THE SPENDING. 

3517
02:22:16,160 --> 02:22:20,360
OR IF YOU HAVE 100 PEOPLE AND 

3518
02:22:20,360 --> 02:22:23,680
$100, 50 PEOPLE WOULD USE THREE 

3519
02:22:23,680 --> 02:22:25,600
DOLLARS AND LAST FIVE PEOPLE WE 

3520
02:22:25,600 --> 02:22:28,680
SEE USE $50. 

3521
02:22:28,680 --> 02:22:30,880
1 PERSON WOULD USE $22 AND 

3522
02:22:30,880 --> 02:22:33,080
NUMBERS ARE SLIGHTLY DIFFERENT 

3523
02:22:33,080 --> 02:22:35,360
IN MEDICAID AND MEDICARE AND IT 

3524
02:22:35,360 --> 02:22:36,800
HAD IS IN IMPORTANT CONTEXT 

3525
02:22:36,800 --> 02:22:38,520
THINKING WHERE NEED IS AND HOW 

3526
02:22:38,520 --> 02:22:40,440
YOU ADDRESS THAT.  IF YOU LOOK 

3527
02:22:40,440 --> 02:22:43,720
AT BOTTOM 50% OF SPENDERS, GUESS

3528
02:22:43,720 --> 02:22:44,480
WHAT?  

3529
02:22:44,480 --> 02:22:47,720
THEY SPEND MOST ON DENTAL CARE. 

3530
02:22:47,720 --> 02:22:50,920
32% OF ALL SPENDING GOES TO 

3531
02:22:50,920 --> 02:22:53,480
DENTAL.  WHEN YOU GET TO THE TOP

3532
02:22:53,480 --> 02:22:57,400
5 DENTAL DIMINISHES.  2.57.  YOU

3533
02:22:57,400 --> 02:23:00,160
CAN FIND THIS.  THIS IS A HUGE 

3534
02:23:00,160 --> 02:23:03,120
OPPORTUNITY THAT IS TO BE 

3535
02:23:03,120 --> 02:23:05,840
EXTREMELY CLEAR HOW POOR ORAL 

3536
02:23:05,840 --> 02:23:07,440
HEALTH IMPACTS EMPLOYABILITY AND

3537
02:23:07,440 --> 02:23:09,680
WITH EMPLOYABILITY COMES PRIVATE

3538
02:23:09,680 --> 02:23:11,480
DENTAL INSURANCE AND COVERAGE 

3539
02:23:11,480 --> 02:23:13,920
AND WE KNOW THIS AND THERE IS 

3540
02:23:13,920 --> 02:23:16,760
GREAT FUNDING OF RESEARCH HOW 

3541
02:23:16,760 --> 02:23:18,920
NO. 1 REASONS WHY CHILDREN MISS 

3542
02:23:18,920 --> 02:23:21,120
DAYS IN SCHOOL IS FOR ORAL 

3543
02:23:21,120 --> 02:23:22,320
HEALTH NOT LEARNING ABOUT MATH 

3544
02:23:22,320 --> 02:23:25,280
AND ARE IN DENTAL PAIN.  IT IS 

3545
02:23:25,280 --> 02:23:27,680
ABSOLUTELY LINK THE TO SUBSTANCE

3546
02:23:27,680 --> 02:23:30,960
USE DISORDER THAT IS ALL CAUSE 

3547
02:23:30,960 --> 02:23:32,400
MORTALITY PREDICTOR AND TOUCHING

3548
02:23:32,400 --> 02:23:35,120
ON MUCH BROADER CONVERSATION IN 

3549
02:23:35,120 --> 02:23:36,840
HIGH PRIORITIES IN TERMS OF 

3550
02:23:36,840 --> 02:23:38,160
SUBSTANCE USE DISORDER AND 

3551
02:23:38,160 --> 02:23:40,520
ECONOMIC PROSPECT FOR PEOPLE.  

3552
02:23:40,520 --> 02:23:41,400
THE CHALLENGE IS THAT NOT 

3553
02:23:41,400 --> 02:23:43,040
EVERYBODY IS GOING TO SEE A 

3554
02:23:43,040 --> 02:23:45,200
DENTIST.  I THINK THIS IS WHERE 

3555
02:23:45,200 --> 02:23:47,560
WE JUST NEED TO RECOGNIZE THIS. 

3556
02:23:47,560 --> 02:23:49,920
NOT EVERYBODY WILL SEE A DENTIST

3557
02:23:49,920 --> 02:23:51,520
IN A YEAR.  LOTS MORE PEOPLE 

3558
02:23:51,520 --> 02:23:53,200
WILL ACTUALLY ONLY SEE A 

3559
02:23:53,200 --> 02:23:55,320
PHYSICIAN.  YES.  THERE IS A 

3560
02:23:55,320 --> 02:23:56,840
GREAT GROUP OF PEOPLE WHO WILL 

3561
02:23:56,840 --> 02:23:59,640
SEE BOTH A DENTAL AND MEDICAL 

3562
02:23:59,640 --> 02:24:02,920
PROVIDER.  WE HAVE 65 MILLION 

3563
02:24:02,920 --> 02:24:05,000
PEOPLE WHO SEE NEITHER.  28 

3564
02:24:05,000 --> 02:24:07,000
MILLION HERE WHO SEE ONLY A 

3565
02:24:07,000 --> 02:24:09,000
DENTIST I WOULD SAY IS A HUGE 

3566
02:24:09,000 --> 02:24:11,480
OPPORTUNITY TO THINK ABOUT HPV 

3567
02:24:11,480 --> 02:24:12,640
VACCINATION AND HIGH BLOOD 

3568
02:24:12,640 --> 02:24:14,440
PRESSURE AND MONITORING AND ALL 

3569
02:24:14,440 --> 02:24:17,280
THINGS WE KNOW THAT DENTISTS ARE

3570
02:24:17,280 --> 02:24:18,960
CAPABLE OF YOU KNOW 

3571
02:24:18,960 --> 02:24:19,880
COMMUNICATING NOT ONLY FOR 

3572
02:24:19,880 --> 02:24:22,560
HEALTH LITERACY BUT ACTUALLY 

3573
02:24:22,560 --> 02:24:24,600
CONNECTING WITH THE HEALTH CARE 

3574
02:24:24,600 --> 02:24:26,480
SYSTEM.  THIS IS NOT TRUE ONLY 

3575
02:24:26,480 --> 02:24:28,400
OVERALL BUT IF YOU LOOK AT 

3576
02:24:28,400 --> 02:24:30,680
PRIVATE MEDICAL AND WITH DENTAL 

3577
02:24:30,680 --> 02:24:32,560
INSURANCE AND EVEN IN THE PUBLIC

3578
02:24:32,560 --> 02:24:33,840
SPACE, YOU HAVE PEOPLE WHO ONLY 

3579
02:24:33,840 --> 02:24:36,240
SEE THE DENTIST ONCE A YEAR.  I 

3580
02:24:36,240 --> 02:24:38,040
THINK, AGAIN, JUST A HUGE 

3581
02:24:38,040 --> 02:24:40,400
OPPORTUNITY FOR DENTISTS TO 

3582
02:24:40,400 --> 02:24:42,080
LEVERAGE THAT INTERACTION AND 

3583
02:24:42,080 --> 02:24:44,160
POINT OF CARE.  I KNOW WE ARE 

3584
02:24:44,160 --> 02:24:46,440
CLOSE ON TIME.  THIS IS I WOULD 

3585
02:24:46,440 --> 02:24:47,640
SAY A HUGE OPPORTUNITY AND THIS 

3586
02:24:47,640 --> 02:24:51,280
GROUP WILL APPRECIATE IT.  YOU 

3587
02:24:51,280 --> 02:24:53,080
UNDERSTAND THE INFLAMMATORY 

3588
02:24:53,080 --> 02:24:54,360
CASCADES AND ALL MECHANISMS AND 

3589
02:24:54,360 --> 02:24:55,680
IF YOU SHOW THIS TO PEOPLE THEY 

3590
02:24:55,680 --> 02:24:57,720
WILL SAY THE THING ON THE RIGHT 

3591
02:24:57,720 --> 02:25:00,080
IS TERRIBLE AND OOZING AND 

3592
02:25:00,080 --> 02:25:01,080
INFECTION.  THEY WILL LOOK AT 

3593
02:25:01,080 --> 02:25:03,200
ONE ON THE LEFT AND SAY IT IS 

3594
02:25:03,200 --> 02:25:05,880
TEETH.  WHAT IS WRONG WITH THE 

3595
02:25:05,880 --> 02:25:07,760
TEETH?  THEY ARE WHITE TEETH.  

3596
02:25:07,760 --> 02:25:11,400
INFECTION OF PERIDONE TAL 

3597
02:25:11,400 --> 02:25:12,440
DISEASE HERE IS [INDISCERNIBLE] 

3598
02:25:12,440 --> 02:25:13,880
WE HAVE TO FIND A COMMON 

3599
02:25:13,880 --> 02:25:15,320
LANGUAGE THAT IS INFLAMMATION 

3600
02:25:15,320 --> 02:25:17,000
AND TRANSLATE IT INTO HOW IF 

3601
02:25:17,000 --> 02:25:19,360
THIS IS NOT OKAY THIS IS NOT 

3602
02:25:19,360 --> 02:25:22,040
OKAY.  IT IMPACTS CLINICAL 

3603
02:25:22,040 --> 02:25:22,320
OUTCOMES. 

3604
02:25:22,320 --> 02:25:27,080
WE KNOW AND, AGAIN, NIDCR HAS 

3605
02:25:27,080 --> 02:25:28,080
FUNDED GREAT STUDIES THINKING 

3606
02:25:28,080 --> 02:25:31,120
ABOUT THE CONNECTION BETWEEN 

3607
02:25:31,120 --> 02:25:33,280
ASSOCIATED INFLAMMATORY 

3608
02:25:33,280 --> 02:25:35,680
COMORBIDITIES AND DISSEMINATION 

3609
02:25:35,680 --> 02:25:38,960
PATHWAYS AND FOR INGAL AND 

3610
02:25:38,960 --> 02:25:41,160
DIJESTIVE JUST GREAT VALUE OF 

3611
02:25:41,160 --> 02:25:43,680
SCIENCE THAT NEEDS TO BE 

3612
02:25:43,680 --> 02:25:44,720
TRANSLATED INTO PRACTICE. 

3613
02:25:44,720 --> 02:25:47,240
THIS IS A GREAT PAPER ON 

3614
02:25:47,240 --> 02:25:49,720
ASSOCIATION BETWEEN MATERNAL 

3615
02:25:49,720 --> 02:25:51,680
PERIDONE TAL DISEASE AND ADVERSE

3616
02:25:51,680 --> 02:25:54,600
PREGNANCY OUTCOMES.  10% 

3617
02:25:54,600 --> 02:25:57,760
INCREASE LOW ODDS OF BIRTH 

3618
02:25:57,760 --> 02:25:59,880
WEIGHT AND 34 SPONTANEOUS 

3619
02:25:59,880 --> 02:26:01,760
ABORTION WE WON'T IMPROVE 

3620
02:26:01,760 --> 02:26:05,600
MATERNAL HEALTH MOMS WALKING 

3621
02:26:05,600 --> 02:26:07,680
WITH AGGRESSIVE OR CHRONIC 

3622
02:26:07,680 --> 02:26:10,000
PERIDONE TAL DISEASE AND OVERALL

3623
02:26:10,000 --> 02:26:12,560
20% HIGHER RISK OF MATERNAL 

3624
02:26:12,560 --> 02:26:13,520
COMPLICATIONS. 

3625
02:26:13,520 --> 02:26:15,840
CHALLENGE HERE IN A MEDICAID 

3626
02:26:15,840 --> 02:26:18,440
SPACE 36% OF WOMEN SEE A DENTIST

3627
02:26:18,440 --> 02:26:20,720
COMPARE THE TO 60 IN THE 

3628
02:26:20,720 --> 02:26:22,920
COMMERCIAL.  HUGE DISPARITIES. 

3629
02:26:22,920 --> 02:26:25,560
FOR FIRST TIME WE REACHED A 

3630
02:26:25,560 --> 02:26:26,920
MILESTONE LAST YEAR AND 

3631
02:26:26,920 --> 02:26:28,600
CELEBRATED ALL 50 STATES FIRST 

3632
02:26:28,600 --> 02:26:31,480
TIME IN MEDICAID PROGRAM AND 

3633
02:26:31,480 --> 02:26:34,000
PROVIDE DENTAL COVERAGE FOR 

3634
02:26:34,000 --> 02:26:38,280
MEDICAID IN PREGNANT WOMEN IS 

3635
02:26:38,280 --> 02:26:39,480
PHENOMENAL COVERAGE NOT SAME IT 

3636
02:26:39,480 --> 02:26:42,600
IS AN OPTIONAL BENEFIT BUT IS 

3637
02:26:42,600 --> 02:26:45,160
REALLY FIRST STEP FORWARD IT 

3638
02:26:45,160 --> 02:26:45,920
THAT RECOGNITION OF HOW 

3639
02:26:45,920 --> 02:26:48,360
IMPORTANT ORAL HEALTH IS.  I 

3640
02:26:48,360 --> 02:26:50,520
WILL CLOSE WITH STUDY ON 

3641
02:26:50,520 --> 02:26:51,680
EMERGENCY DEPARTMENT AND COVID 

3642
02:26:51,680 --> 02:26:53,960
AND ALLOW ME TO GO A FEW SECONDS

3643
02:26:53,960 --> 02:26:56,640
OR MINUTES LATER.  WE ARE AT 

3644
02:26:56,640 --> 02:26:58,480
TIME FOR BREAK.  YOU HAVE BEEN 

3645
02:26:58,480 --> 02:27:01,040
VERY PATIENT AND THIS IS AN 

3646
02:27:01,040 --> 02:27:02,480
OPPORTUNITY THAT EXISTS FROM 

3647
02:27:02,480 --> 02:27:03,680
HEALTH INFORMATION TECHNOLOGY 

3648
02:27:03,680 --> 02:27:05,520
AND ADDRESSING COST OF HEALTH 

3649
02:27:05,520 --> 02:27:07,480
CARE.  THIS IS ABOUT OPIOIDS AND

3650
02:27:07,480 --> 02:27:10,240
ABOUT ANTIBIOTICS.  THIS IS 

3651
02:27:10,240 --> 02:27:10,600
ABOUT DOLLARS. 

3652
02:27:10,600 --> 02:27:12,880
WE -- DID YOU KNOW THAT POOR 

3653
02:27:12,880 --> 02:27:15,960
ORAL HEALTH IS IN TOP 10 FIRST 

3654
02:27:15,960 --> 02:27:18,040
LISTED DIAGNOSIS IN 2018?  

3655
02:27:18,040 --> 02:27:21,320
THIS IS THE PROBLEM WITH ACCESS 

3656
02:27:21,320 --> 02:27:23,360
TO DENTAL SERVICES. 

3657
02:27:23,360 --> 02:27:24,600
PEOPLE STILL GO TO EMERGENCY 

3658
02:27:24,600 --> 02:27:25,640
DEPARTMENT BECAUSE THEY CAN'T 

3659
02:27:25,640 --> 02:27:27,600
FIND A DENTIST.  YOU WILL HAVE 

3660
02:27:27,600 --> 02:27:29,360
ACCESS TO FULL REPORT.  I WILL 

3661
02:27:29,360 --> 02:27:31,240
SHOW YOU A PICTURE OF SUMMARIES 

3662
02:27:31,240 --> 02:27:35,120
AND WHY IT MATTERS.  2014 

3663
02:27:35,120 --> 02:27:36,960
MEDICAID BECAME BIGGEST PAYER 

3664
02:27:36,960 --> 02:27:39,080
FOR CONDITIONS AND GROUP MOST 

3665
02:27:39,080 --> 02:27:42,720
IMPACTED WOMEN IN REPRODUCTIVE 

3666
02:27:42,720 --> 02:27:45,720
AGE WOMEN 19 TO 34 IN MEN.  

3667
02:27:45,720 --> 02:27:47,680
PROBLEM IS DENTAL PAIN IN 

3668
02:27:47,680 --> 02:27:50,160
EMERGENCY DEPARTMENT IS ONE OF 

3669
02:27:50,160 --> 02:27:52,920
TOP REASONS FOR OPIOID 

3670
02:27:52,920 --> 02:27:55,200
PRESCRIBING.  WE PLAY TAG WITH 

3671
02:27:55,200 --> 02:27:57,880
KIDNEY STONES AND WE WILL NOT 

3672
02:27:57,880 --> 02:28:00,520
ADDRESS OPIOID PROBLEM WITHOUT 

3673
02:28:00,520 --> 02:28:02,200
ADDRESSING WHY PEOPLE SHOW UP TO

3674
02:28:02,200 --> 02:28:03,160
EMERGENCY DEPARTMENT WITH DENTAL

3675
02:28:03,160 --> 02:28:05,680
PAIN.  THIS IS A MAP.  IN SOME 

3676
02:28:05,680 --> 02:28:08,960
STATES WE HAVE CLOSE TO 4% OF 

3677
02:28:08,960 --> 02:28:10,920
ALL MEDICAID ADULTS SHOW UP TO 

3678
02:28:10,920 --> 02:28:11,920
EMERGENCY DEPARTMENT WITH DENTAL

3679
02:28:11,920 --> 02:28:13,680
PAIN IT THAT IS MILLIONS OF 

3680
02:28:13,680 --> 02:28:15,680
PEOPLE WHO DON'T HAVE ACCESS TO 

3681
02:28:15,680 --> 02:28:17,720
DENTIST AND SHOW US IN THE 

3682
02:28:17,720 --> 02:28:19,720
EMERGENCY DEPARTMENT.  I WANTED 

3683
02:28:19,720 --> 02:28:22,280
TO HIGHLIGHT WHAT DR. D'SOUZA 

3684
02:28:22,280 --> 02:28:23,720
INDICATED IN THE BEGINNING.  

3685
02:28:23,720 --> 02:28:27,320
NATIONAL ACADEMY OF SCIENCE AND 

3686
02:28:27,320 --> 02:28:29,800
ENGINEERING AND MEDICINE LOOKED 

3687
02:28:29,800 --> 02:28:33,920
CRITICALLY WHERE ARE CHALLENGES 

3688
02:28:33,920 --> 02:28:37,200
IN OPIOID PREDESCRIBING IN FDA 

3689
02:28:37,200 --> 02:28:39,320
AND PUBLISHED CONSENSUS REPORT 

3690
02:28:39,320 --> 02:28:42,840
FRAMING OPIOID GUIDELINES FOR 

3691
02:28:42,840 --> 02:28:44,920
ACUTE MAIN DEFINING SURGICAL AND

3692
02:28:44,920 --> 02:28:47,200
MEDICAL CONDITIONS DENTAL WAS IN

3693
02:28:47,200 --> 02:28:49,240
BOTH AND UNDER SURGICAL AND 

3694
02:28:49,240 --> 02:28:51,720
THERMAL EXTRACTION AND MEDICAL 

3695
02:28:51,720 --> 02:28:53,240
DENTAL PAIN NOT SURGICAL 

3696
02:28:53,240 --> 02:28:54,960
EMERGENCY DEPARTMENT IS THE 

3697
02:28:54,960 --> 02:28:59,640
PRIORITY CONDITIONS AND FOCUS 

3698
02:28:59,640 --> 02:29:03,160
AREAS BRINGING WORK TO 

3699
02:29:03,160 --> 02:29:04,960
PHENOMENAL SYSTEMATIC REVIEW AND

3700
02:29:04,960 --> 02:29:07,960
METAANALYSIS THAT BASICALLY SAYS

3701
02:29:07,960 --> 02:29:10,600
YOU DON'T NEED OPIOIDS HAS NOW 

3702
02:29:10,600 --> 02:29:14,040
BEEN, YOU KNOW, QUANTIFIED FOR 

3703
02:29:14,040 --> 02:29:16,160
MANY DIFFERENT WAYS OF MANAGING 

3704
02:29:16,160 --> 02:29:18,520
PAIN AND ENCOURAGE YOU TO READ 

3705
02:29:18,520 --> 02:29:20,640
THAT.  I WILL CONCLUDE WITH 

3706
02:29:20,640 --> 02:29:23,080
COVID THAT HAS DISRUPTED 

3707
02:29:23,080 --> 02:29:23,680
EVERYTHING.  WE CAN'T MOVE 

3708
02:29:23,680 --> 02:29:25,720
FORWARD SETTING PRIORITIES IN 

3709
02:29:25,720 --> 02:29:27,320
ACCESS IF IN DENTAL SERVICES 

3710
02:29:27,320 --> 02:29:30,320
WITHOUT RECOGNIZING THIS.  THIS 

3711
02:29:30,320 --> 02:29:32,360
IS CYCLICAL NATURE OF THOSE IN 

3712
02:29:32,360 --> 02:29:35,760
PRACTICE BUSY AUGUST OF GOING TO

3713
02:29:35,760 --> 02:29:37,160
DENTIST BEFORE SCHOOL.  SLOW 

3714
02:29:37,160 --> 02:29:40,400
SEPTEMBER IT THAT PEAKED IN 

3715
02:29:40,400 --> 02:29:42,280
OCTOBER AND SLOW HOLIDAYS YOU 

3716
02:29:42,280 --> 02:29:44,480
SEE IT REPEATED.  COVID 

3717
02:29:44,480 --> 02:29:45,640
DISRUPTED ALL THAT.  WE ARE 

3718
02:29:45,640 --> 02:29:47,600
STILL NOT UP TO LEVELS BEFORE 

3719
02:29:47,600 --> 02:29:50,600
COVID AND WHAT DO WE DO WITH 

3720
02:29:50,600 --> 02:29:54,000
FOREGOING CARE?  CAVITIES AND 

3721
02:29:54,000 --> 02:29:55,080
PERIDONE TAL DISEASE DOESN'T 

3722
02:29:55,080 --> 02:29:57,160
WAIT WE PUBLISHED DATA FOR YOUR 

3723
02:29:57,160 --> 02:29:59,800
REFERENCE THAT IS AT STATE LEVEL

3724
02:29:59,800 --> 02:30:01,880
ENROLLMENT GROWTHS.  THIS IS 

3725
02:30:01,880 --> 02:30:04,080
IMPACT.  FOR SOME STATES GAP IS 

3726
02:30:04,080 --> 02:30:06,840
CLOSE TO 40%.  I WOULD JUST SAY 

3727
02:30:06,840 --> 02:30:10,920
THAT WE HAVE ALSO SEEN 

3728
02:30:10,920 --> 02:30:12,360
UNPRECEDENTED ENROLLMENT GROWTH.

3729
02:30:12,360 --> 02:30:13,760
MEDICAID PROGRAM HAS 20 MORE 

3730
02:30:13,760 --> 02:30:16,840
MILLION PEOPLE WHO ARE IN THE 

3731
02:30:16,840 --> 02:30:19,320
PROGRAM AND 30% GROWTH.  YOU 

3732
02:30:19,320 --> 02:30:22,760
KNOW, WE DID NOT INCREASE DENTAL

3733
02:30:22,760 --> 02:30:25,960
PROVIDERS BY 30% IN MEDICAID 

3734
02:30:25,960 --> 02:30:26,880
PROGRAM PRESENTING HUGE 

3735
02:30:26,880 --> 02:30:29,120
CHALLENGES THAT I THINK TO JUST 

3736
02:30:29,120 --> 02:30:30,440
HIGHLIGHT A VERY IMPORTANT 

3737
02:30:30,440 --> 02:30:33,000
LEGISLATIVE ACTION BY THE 

3738
02:30:33,000 --> 02:30:34,880
CONSOLIDATED APROPRIATION ACT 

3739
02:30:34,880 --> 02:30:37,080
THAT CONTINUES ENROLLMENT FOR 

3740
02:30:37,080 --> 02:30:38,960
STATES WILL END ON MARCH 31ST.  

3741
02:30:38,960 --> 02:30:40,800
ALL OF THE 20 MILLION PEOPLE 

3742
02:30:40,800 --> 02:30:42,800
WILL NEED TO TRANSITION AND FIND

3743
02:30:42,800 --> 02:30:43,080
COVERAGE. 

3744
02:30:43,080 --> 02:30:45,600
I WILL SUMMARIZE THAT OUR SYSTEM

3745
02:30:45,600 --> 02:30:47,680
CAPACITY DID NOT INCREASE AND 

3746
02:30:47,680 --> 02:30:49,080
DENTAL OFFICES ACTUALLY COULD 

3747
02:30:49,080 --> 02:30:51,400
SEE FEWER PATIENTS BECAUSE OF 

3748
02:30:51,400 --> 02:30:54,000
NEW SAFETY PROTOCOLS VACCINES 

3749
02:30:54,000 --> 02:30:55,640
AND VACCINATION AND WE HAVE A 

3750
02:30:55,640 --> 02:30:58,480
HUGE INCREASE IN ENROLLMENT AND 

3751
02:30:58,480 --> 02:31:00,920
WE HAVE WORKFORCE SHORTAGES AND 

3752
02:31:00,920 --> 02:31:04,840
PROVIDER BURNOUT.  PANDEMIC, 

3753
02:31:04,840 --> 02:31:07,120
WHAT NEXT WAVE IS NEXT.  

3754
02:31:07,120 --> 02:31:09,080
TELEHEALTH WAS PROMISING IN THE 

3755
02:31:09,080 --> 02:31:11,440
BEGINNING WHERE WILL INTEGRATE 

3756
02:31:11,440 --> 02:31:14,320
IN THE FUTURE OF DENTISTRY?  

3757
02:31:14,320 --> 02:31:16,400
SCHOOLS WERE CLOSED FOR A WHILE 

3758
02:31:16,400 --> 02:31:19,040
AND THEY ARE OPEN AND THIS ISSUE

3759
02:31:19,040 --> 02:31:21,040
FOR ONGOING CARE WILL BECOME 

3760
02:31:21,040 --> 02:31:22,000
REALLY IMPORTANT AS PEOPLE 

3761
02:31:22,000 --> 02:31:23,440
RETURN TO THE DENTIST AND YOU 

3762
02:31:23,440 --> 02:31:27,240
ARE NOW SEEING LEVEL OF DISEASE 

3763
02:31:27,240 --> 02:31:28,680
THAT WE HAVE NOT SEEN PRIOR TO 

3764
02:31:28,680 --> 02:31:29,760
THE PANDEMIC AND THANKS AGAIN 

3765
02:31:29,760 --> 02:31:32,000
FOR HAVING ME AND WELCOME A FEW 

3766
02:31:32,000 --> 02:31:35,280
QUESTIONS AND APPRECIATE THE 

3767
02:31:35,280 --> 02:31:35,560
PATIENCE. 

3768
02:31:35,560 --> 02:31:41,920
>>QUESTIONS?  

3769
02:31:41,920 --> 02:31:46,600
>>HI.  RAUL GARCIA. 
WANTED TO 

3770
02:31:46,600 --> 02:31:49,400
MAKE A COMMENT AND THANK YOU FOR

3771
02:31:49,400 --> 02:31:51,280
A THOROUGH AND ELOQUENT 

3772
02:31:51,280 --> 02:31:51,960
PRESENTATION AND CHALLENGES IT 

3773
02:31:51,960 --> 02:31:54,160
THAT EXIST AND THANKS FOR HER 

3774
02:31:54,160 --> 02:31:55,920
SERVICE IN CMS AND ELEVATING THE

3775
02:31:55,920 --> 02:31:59,080
GAME IN REGARDS TO ORAL HEALTH 

3776
02:31:59,080 --> 02:32:00,280
DATA GENERATION AND SHARING YOU 

3777
02:32:00,280 --> 02:32:02,640
TALK ABOUT ISSUES AND PROBLEMS 

3778
02:32:02,640 --> 02:32:05,480
AND CHALLENGES AND WE ARE AT 

3779
02:32:05,480 --> 02:32:07,120
ADVISORY COUNCIL OF A RESEARCH 

3780
02:32:07,120 --> 02:32:10,840
BASED INSTITUTE AT NIH.  NOW, 

3781
02:32:10,840 --> 02:32:12,680
HOW DOES RESEARCH EFFORT THAT IS

3782
02:32:12,680 --> 02:32:14,840
CLEARLY NEEDED TO ADDRESS MANY 

3783
02:32:14,840 --> 02:32:17,120
CHALLENGES THAT YOU DESCRIBE GET

3784
02:32:17,120 --> 02:32:19,680
DONE BECAUSE YOU ARE TALKING 

3785
02:32:19,680 --> 02:32:21,320
ABOUT HEALTH SERVICES RESEARCH 

3786
02:32:21,320 --> 02:32:24,400
OF WHICH RELATIVELY MODEST 

3787
02:32:24,400 --> 02:32:26,920
COMPONENT OF NIDCR'S BUDGET IS 

3788
02:32:26,920 --> 02:32:30,720
DIRECTED TOWARDS IT THAT AREA 

3789
02:32:30,720 --> 02:32:34,520
AND FEDERAL AGENCY AND REGENCY 

3790
02:32:34,520 --> 02:32:37,080
AND QUALITY ARK THE ORGANIZATION

3791
02:32:37,080 --> 02:32:39,800
OF THIS IN A SENSE AND HOW DOES 

3792
02:32:39,800 --> 02:32:42,680
NEED FOR YOUR WORK AND RESEARCH 

3793
02:32:42,680 --> 02:32:44,560
IN YOUR AREA IMMEDIATE AND 

3794
02:32:44,560 --> 02:32:46,520
RELEVANT TO PUBLIC HEALTH 

3795
02:32:46,520 --> 02:32:49,080
IMPLICATIONS GET DONE WITH 

3796
02:32:49,080 --> 02:32:51,280
NIDCR'S CURRENT PORTFOLIO AND 

3797
02:32:51,280 --> 02:32:53,840
NEED CHANGES IN THAT FOCUS HOW 

3798
02:32:53,840 --> 02:32:57,280
WOULD YOU ADVISE NICDR DIRECTOR 

3799
02:32:57,280 --> 02:32:59,280
TO BEGIN RESEARCH AGENDA IN THIS

3800
02:32:59,280 --> 02:33:00,640
IMPORTANT AREA?  

3801
02:33:00,640 --> 02:33:05,640
>>THANK YOU FOR YOUR
COMMENTS. 

3802
02:33:05,640 --> 02:33:06,840
RESTATING WHAT DR. WEST SAID WE 

3803
02:33:06,840 --> 02:33:08,960
HAVE TO WORK ON THIS TOGETHER 

3804
02:33:08,960 --> 02:33:11,480
AND WON'T ADDRESS THIS BY ONLY 

3805
02:33:11,480 --> 02:33:12,880
FUNDING ONE PIECE OF SCIENCE.  

3806
02:33:12,880 --> 02:33:14,880
AGAIN, IT IS VERY IMPORTANT AND 

3807
02:33:14,880 --> 02:33:18,480
I LOVE BASIC SCIENCE AND PHD IN 

3808
02:33:18,480 --> 02:33:19,720
MICROBIOLOGY AND SO EXCITED 

3809
02:33:19,720 --> 02:33:21,880
ABOUT PREVIOUS RESEARCH BUT 

3810
02:33:21,880 --> 02:33:23,600
POINT HERE IS TO WORK 

3811
02:33:23,600 --> 02:33:24,520
COLLABORATIVELY TO ADDRESS SOME 

3812
02:33:24,520 --> 02:33:27,280
OF THE CHALLENGES.  IF WE DON'T 

3813
02:33:27,280 --> 02:33:28,800
PAY ATTENTION TO HOW HEALTH CARE

3814
02:33:28,800 --> 02:33:31,280
IS FUNDED OR WHERE GAPS OR 

3815
02:33:31,280 --> 02:33:33,240
OPPORTUNITIES ARE, YES.  IT IS 

3816
02:33:33,240 --> 02:33:35,160
ARC AND THEY COULD TAKE THE 

3817
02:33:35,160 --> 02:33:37,720
LEAD.  NIDCR I WOULD SAY IS 

3818
02:33:37,720 --> 02:33:40,400
LEADER IN ORAL HAD HEALTH 

3819
02:33:40,400 --> 02:33:42,440
RESEARCH AND UP TO THIS 

3820
02:33:42,440 --> 02:33:43,920
LEADERSHIP TO DECIDE AND 

3821
02:33:43,920 --> 02:33:45,640
ELEVATE.  I WAS SO THRILLED TO 

3822
02:33:45,640 --> 02:33:47,480
SEE SOME BIG DATA COMPONENTS AND

3823
02:33:47,480 --> 02:33:49,840
SEE CMS DATA AND THESE ARE A 

3824
02:33:49,840 --> 02:33:51,680
STEP IN THE RIGHT DIRECTION.  

3825
02:33:51,680 --> 02:33:55,440
BUTDY OF THIS WE HAVE A VERY 

3826
02:33:55,440 --> 02:33:56,800
CLOSE COLLABORATION BETWEEN 

3827
02:33:56,800 --> 02:34:01,040
FEDERAL PARTNERS NIDCR, FDA, 

3828
02:34:01,040 --> 02:34:02,960
HRSA.  WE COME TOGETHER AND ARE 

3829
02:34:02,960 --> 02:34:05,680
THINKING WHAT IS ON HHS LEVEL 

3830
02:34:05,680 --> 02:34:07,400
STRATEGIC PLAN LIKE WHAT ARE THE

3831
02:34:07,400 --> 02:34:08,800
PRIORITIES AND DATA AND 

3832
02:34:08,800 --> 02:34:10,360
COLLABORATION ARE KEY.  AGAIN, 

3833
02:34:10,360 --> 02:34:12,920
NOT TO REDUPLICATE OR REPEAT 

3834
02:34:12,920 --> 02:34:15,040
WHAT OTHER AGENCIES ARE DOG BUT 

3835
02:34:15,040 --> 02:34:20,080
REALLY ELEVATE ALL OUR WORK.  IF

3836
02:34:20,080 --> 02:34:22,480
NIDCR DEVELOPS EDUCATIONAL 

3837
02:34:22,480 --> 02:34:24,520
MATERIALS ABOUT MATERIAL AND 

3838
02:34:24,520 --> 02:34:26,440
MATERNAL HEALTH I CAN ELEVATE AT

3839
02:34:26,440 --> 02:34:27,640
STATE LEVEL HERE IS MORE 

3840
02:34:27,640 --> 02:34:31,720
EVIDENCE.  MORESO IT HAS BEEN A 

3841
02:34:31,720 --> 02:34:33,320
BEAUTIFUL PARTNERSHIP TO ASK AND

3842
02:34:33,320 --> 02:34:35,400
SEEK GUIDANCE THINKING ABOUT NEW

3843
02:34:35,400 --> 02:34:37,440
POLICIES IN MEDICAID AND 

3844
02:34:37,440 --> 02:34:39,880
MEDICARE AND ASKING INPUT FROM 

3845
02:34:39,880 --> 02:34:41,640
NIDCR WHAT IS BEING FUNDED AND 

3846
02:34:41,640 --> 02:34:43,400
WHERE ARE PRIORITIES AND HOW CAN

3847
02:34:43,400 --> 02:34:45,200
WE ELEVATE THIS?  I WOULD SAY 

3848
02:34:45,200 --> 02:34:47,440
THAT IS ONLY THE BEGINNING AND 

3849
02:34:47,440 --> 02:34:48,840
I'M REALLY ACTUALLY EXCITED 

3850
02:34:48,840 --> 02:34:50,520
ABOUT THE FUTURE THAT WOULD 

3851
02:34:50,520 --> 02:34:51,920
ENCOURAGE COUNCIL TO THINK ABOUT

3852
02:34:51,920 --> 02:34:54,680
A PORTFOLIO.  WE NEED BIG DATA. 

3853
02:34:54,680 --> 02:34:57,280
WE -- I DON'T KNOW HOW MUCH HAS 

3854
02:34:57,280 --> 02:34:59,600
BEEN FOCUSED ON HEALTH 

3855
02:34:59,600 --> 02:35:01,120
INFORMATION TECHNOLOGY BUT THAT 

3856
02:35:01,120 --> 02:35:02,680
DIVIDE IF WE DON'T ADDRESS IT IT

3857
02:35:02,680 --> 02:35:05,600
DOESN'T MATTER WHAT SCIENCE YOU 

3858
02:35:05,600 --> 02:35:07,520
HAVE ABOUT HOW IMPORTANT ORAL 

3859
02:35:07,520 --> 02:35:09,760
HEALTH IS IF PEOPLE CAN'T SEND 

3860
02:35:09,760 --> 02:35:11,000
REFERRAL TO A DENTIST WHAT IS 

3861
02:35:11,000 --> 02:35:12,760
GOOD?  IT HAS TO REALLY COME 

3862
02:35:12,760 --> 02:35:16,200
FROM SYSTEMS AND COMMUNICATION 

3863
02:35:16,200 --> 02:35:17,360
IN ORDER TO ELEVATE SCIENCE 

3864
02:35:17,360 --> 02:35:20,240
BEING DONE AND TO ME IS ABOUT 

3865
02:35:20,240 --> 02:35:21,360
IMPLEMENTATION SCIENCE AND 

3866
02:35:21,360 --> 02:35:23,680
THINKING ABOUT ALL QUALITY 

3867
02:35:23,680 --> 02:35:24,720
IMPROVEMENT INITIATIVES THAT I 

3868
02:35:24,720 --> 02:35:26,240
THINK THAT WE JUST KNOW ARE 

3869
02:35:26,240 --> 02:35:28,600
CRITICAL IN HEALTH CARE.  IF I 

3870
02:35:28,600 --> 02:35:30,480
CAN PUT ONE CHALLENGE THAT IS 

3871
02:35:30,480 --> 02:35:33,720
MORE FOR DENTAL BOARDS AND NIDCR

3872
02:35:33,720 --> 02:35:35,360
COULD HAVE A LEADERSHIP.  

3873
02:35:35,360 --> 02:35:37,160
QUALITY IMPROVEMENT IS NOT 

3874
02:35:37,160 --> 02:35:38,600
SOMETHING THAT DENTISTS LEARNED 

3875
02:35:38,600 --> 02:35:40,160
AT ALL.  THEY HAVE NEVER HEARD 

3876
02:35:40,160 --> 02:35:42,120
THIS WORD COMING TO PRACTICE.  

3877
02:35:42,120 --> 02:35:43,680
YOU KNOW, MAYBE SOME SCHOOLS 

3878
02:35:43,680 --> 02:35:45,560
HAVE A QUALITY IMPROVEMENT 

3879
02:35:45,560 --> 02:35:47,200
INITIATIVE BUT IS NOT PART OF 

3880
02:35:47,200 --> 02:35:49,600
THE CURRICULUM.  RESIDENTS AND 

3881
02:35:49,600 --> 02:35:51,680
MEDICAL FELLOWS DO QUALITY 

3882
02:35:51,680 --> 02:35:53,240
IMPROVEMENT IS PART OF THE 

3883
02:35:53,240 --> 02:35:55,240
TRAINING.  WE HAVE A HUGE 

3884
02:35:55,240 --> 02:35:56,640
OPPORTUNITY HERE.  MEASURE 

3885
02:35:56,640 --> 02:35:58,520
DEVELOPMENT AND IMPLICATIONS AND

3886
02:35:58,520 --> 02:36:00,560
DENTISTS DON'T WANT TO BE 

3887
02:36:00,560 --> 02:36:01,280
MEASURED.  RIGHT?  

3888
02:36:01,280 --> 02:36:04,320
HOW DO YOU START TO USE COMMON 

3889
02:36:04,320 --> 02:36:06,640
LANGUAGE WITH REST OF HEALTH 

3890
02:36:06,640 --> 02:36:08,240
CARE THAT WOULD BE HEALTH 

3891
02:36:08,240 --> 02:36:10,720
SERVICES RESEARCH.  A PILOT OR 2

3892
02:36:10,720 --> 02:36:12,520
OR SOMETHING TO MAKE IT PART OF 

3893
02:36:12,520 --> 02:36:14,680
THE CULTURE.  IT WILL TAKE TIME 

3894
02:36:14,680 --> 02:36:15,720
BUT CONFIDENT WE WILL FIND 

3895
02:36:15,720 --> 02:36:18,800
OPPORTUNITIES AND HAPPY TO TALK 

3896
02:36:18,800 --> 02:36:19,000
MORE. 

3897
02:36:19,000 --> 02:36:19,480
>>THANK YOU. 

3898
02:36:19,480 --> 02:36:22,800
>>ANOTHER ANGLE I CAN ADD
TO 

3899
02:36:22,800 --> 02:36:24,840
YOUR WONDERFUL MATERIAL.  

3900
02:36:24,840 --> 02:36:27,200
NATALIA.  THAT DIRECTLY 

3901
02:36:27,200 --> 02:36:30,440
ADDRESSES RAUL'S POINT THAT IS 

3902
02:36:30,440 --> 02:36:31,920
IMPORTANT IS THAT TRADITIONALLY 

3903
02:36:31,920 --> 02:36:34,040
AND FROM WHERE WE COME; RIGHT?  

3904
02:36:34,040 --> 02:36:38,760
WE MOVE YOU AND I RAUL GREW UP 

3905
02:36:38,760 --> 02:36:40,680
IN ACADEMIA AND WE WERE REWARDED

3906
02:36:40,680 --> 02:36:43,680
FOR REDUCTIONIST HYPOTHESISES 

3907
02:36:43,680 --> 02:36:45,720
AND RESEARCH IN PUBLIC HEALTH OR

3908
02:36:45,720 --> 02:36:47,200
BASIC SCIENCE AND IS TIME NOW TO

3909
02:36:47,200 --> 02:36:50,600
CONNECT DOTS IN ECOSYSTEMS AND 

3910
02:36:50,600 --> 02:36:53,120
LISTENING TO NATALIA FIRST THING

3911
02:36:53,120 --> 02:36:54,400
I WILL MAKE SURE IS NORA 

3912
02:36:54,400 --> 02:36:56,240
DIRECTOR OF NATIONAL INSTITUTE 

3913
02:36:56,240 --> 02:36:59,160
AND DRUG ABUSE GETS WITH YOU ON 

3914
02:36:59,160 --> 02:37:00,440
EMERGENCY ROOM VISITS AND 

3915
02:37:00,440 --> 02:37:02,880
TOGETHER WE CAN COME UP WITH A 

3916
02:37:02,880 --> 02:37:05,480
VERY EFFECTIVE PROPOSAL TALKING 

3917
02:37:05,480 --> 02:37:08,880
TO MELISSA RIDDLE WHO IS HERE 

3918
02:37:08,880 --> 02:37:12,880
YOU NOTE WE HAVE EMPHASIZED THE 

3919
02:37:12,880 --> 02:37:15,280
UPSTREAM HEALTH DETERMINANTS 

3920
02:37:15,280 --> 02:37:16,200
INVOLVING BEHAVIORAL 

3921
02:37:16,200 --> 02:37:18,160
CONDITIONING THROUGH LIFESPAN 

3922
02:37:18,160 --> 02:37:20,680
COMMERCIAL AND INFLUENCES AND 

3923
02:37:20,680 --> 02:37:23,000
WILL BE CONNECTING IT SUCH THAT 

3924
02:37:23,000 --> 02:37:24,960
FUNDING RESEARCHERS LEADING 

3925
02:37:24,960 --> 02:37:26,200
FIELD OF PREVENTION AND CARRIES 

3926
02:37:26,200 --> 02:37:28,080
AND ARE BENEFITING FROM THAT AND

3927
02:37:28,080 --> 02:37:29,560
ARE WE GETTING THERE?  

3928
02:37:29,560 --> 02:37:32,440
WE HAVE TO GET TO CONNECTING THE

3929
02:37:32,440 --> 02:37:35,680
DOTS PHASE, RAUL.  IT CAN'T 

3930
02:37:35,680 --> 02:37:38,160
HAPPEN OVERNIGHT.  PEOPLE ARE SO

3931
02:37:38,160 --> 02:37:41,680
CONDITIONED TO DOING ECOSYSTEMS 

3932
02:37:41,680 --> 02:37:43,480
AND DISPARITY CENTERS AND YOU 

3933
02:37:43,480 --> 02:37:45,320
LET ONE OF THEM.  YOU KNOW 

3934
02:37:45,320 --> 02:37:46,760
SUCCESSES AND LIMITATIONS OF 

3935
02:37:46,760 --> 02:37:51,320
THAT APPROACH AS WELL.  SO, WE 

3936
02:37:51,320 --> 02:37:52,960
WELCOME ANY -- ANY CHANCE OF 

3937
02:37:52,960 --> 02:37:57,280
TURNING THE NEEDLE TOWARDS A 

3938
02:37:57,280 --> 02:37:58,280
20-YEAR OF PROGRESS IN THIS 

3939
02:37:58,280 --> 02:38:01,640
AREA.  THANK YOU SO MUCH FOR 

3940
02:38:01,640 --> 02:38:02,560
YOUR COMMENTS. 

3941
02:38:02,560 --> 02:38:04,800
>>OKAY.  SO, I THINK IT
IS TIME

3942
02:38:04,800 --> 02:38:05,080
TO -- 

3943
02:38:05,080 --> 02:38:05,600
>>WAIT. 

3944
02:38:05,600 --> 02:38:09,080
>>I THINK IT IS TIME TO
TAKE 

3945
02:38:09,080 --> 02:38:10,200
OUR BREAK.  

3946
02:38:10,200 --> 02:38:11,680
>>SHE HAD A QUICK
QUESTION AND 

3947
02:38:11,680 --> 02:38:13,080
I'M HAPPY TO ANSWER IT. 

3948
02:38:13,080 --> 02:38:14,480
>>SORRY.  GO AHEAD. 

3949
02:38:14,480 --> 02:38:15,680
>>SURE. 

3950
02:38:15,680 --> 02:38:16,280
>>NATALIA. 

3951
02:38:16,280 --> 02:38:18,520
>>IT IS ALL RIGHT.  GREAT

3952
02:38:18,520 --> 02:38:20,120
PRESENTATION.  IT IT IS SO GREAT

3953
02:38:20,120 --> 02:38:23,000
TO HAVE SOMEBODY LIKE YOU WHO IS

3954
02:38:23,000 --> 02:38:25,520
A SCIENTIST AND BASIC SCIENTIST 

3955
02:38:25,520 --> 02:38:29,840
AND DATA SCIENTIST AT THIS 

3956
02:38:29,840 --> 02:38:31,600
IMPORTANT POSITION.  I AGREE 

3957
02:38:31,600 --> 02:38:33,440
WITH YOU MORE DATA IS NEEDED.  

3958
02:38:33,440 --> 02:38:35,680
IT IS KIND OF AMAZING TO SEE 

3959
02:38:35,680 --> 02:38:39,320
EVEN ALL OF US AT NIH.  IS ONLY 

3960
02:38:39,320 --> 02:38:42,720
ONE OR TWO% OF PEOPLE HAVE ORAL 

3961
02:38:42,720 --> 02:38:44,440
DATA AND AREA A LOT MORE NEEDS 

3962
02:38:44,440 --> 02:38:46,800
TO BE IMPROVED AND I HAVE A 

3963
02:38:46,800 --> 02:38:48,040
SPECIFIC QUESTION FOR YOU.  

3964
02:38:48,040 --> 02:38:49,520
BASED ON DATA THAT YOU ALREADY 

3965
02:38:49,520 --> 02:38:51,520
HAVE IS CLEAR TO MILLIONS OF 

3966
02:38:51,520 --> 02:38:55,680
PEOPLE THAT ONLY SEE DENTISTS 

3967
02:38:55,680 --> 02:38:58,360
AND IS JUST USING THAT NUMBER TO

3968
02:38:58,360 --> 02:39:00,080
IMPROVING OVERALL HEALTH COULD 

3969
02:39:00,080 --> 02:39:02,680
BE VERY USEFUL AND THERE ARE 

3970
02:39:02,680 --> 02:39:05,240
LOSS OF -- THIS IS VERY MUCH 

3971
02:39:05,240 --> 02:39:07,680
BEGGING FOR SALIVA DIAGNOSTICS 

3972
02:39:07,680 --> 02:39:10,640
YOU WON'T EXPECT DENTISTS TO DO 

3973
02:39:10,640 --> 02:39:13,080
DIAGNOSTICS FOR OTHERS OR 

3974
02:39:13,080 --> 02:39:14,280
DRAWING BLOOD AND QUESTION IS 

3975
02:39:14,280 --> 02:39:17,600
NOT CMS WHOEVER IS COVERING 

3976
02:39:17,600 --> 02:39:19,480
THOSE ACTIVITIES.  YOU KNOW?  

3977
02:39:19,480 --> 02:39:21,360
MAKING THEM A REALITY SO 

3978
02:39:21,360 --> 02:39:22,680
DENTISTS CAN ACTUALLY 

3979
02:39:22,680 --> 02:39:25,720
PARTICIPATE IN THE OVERALL 

3980
02:39:25,720 --> 02:39:27,960
HEALTH DIAGNOSTICS. 

3981
02:39:27,960 --> 02:39:30,320
>>YEAH.  HAPPY TO CHAT
MORE.  

3982
02:39:30,320 --> 02:39:32,520
COVERAGE IS SOMETHING WE 

3983
02:39:32,520 --> 02:39:34,360
OBVIOUSLY DO AND TAKE VERY 

3984
02:39:34,360 --> 02:39:35,680
SERIOUSLY AND CONSIDER ALL 

3985
02:39:35,680 --> 02:39:38,280
EVIDENCE ESPECIALLY RELATING TO 

3986
02:39:38,280 --> 02:39:39,280
CLINICAL OUTCOMES AND WELCOME 

3987
02:39:39,280 --> 02:39:42,040
ANY INFORMATION YOU CAN SHARE.  

3988
02:39:42,040 --> 02:39:46,680
AND WHEN IT COMES TO MEDICAID, 

3989
02:39:46,680 --> 02:39:48,440
DECISION LIES IN MEDICAID STATE 

3990
02:39:48,440 --> 02:39:50,800
AGENCY AND HAPPY TO CONNECT FOR 

3991
02:39:50,800 --> 02:39:52,480
FURTHER DISCUSSION AND COMPLEX 

3992
02:39:52,480 --> 02:39:55,200
ISSUE NOT ONE-SIZE FITS ALL BUT 

3993
02:39:55,200 --> 02:39:55,760
REALLY IMPORTANT. 

3994
02:39:55,760 --> 02:39:56,240
>>YEAH. 

3995
02:39:56,240 --> 02:39:59,040
>>THANK YOU VERY MUCH,
NATALIA.

3996
02:39:59,040 --> 02:39:59,920
VERY USEFUL. 

3997
02:39:59,920 --> 02:40:01,320
>>THANK YOU.  THANK YOU
FOR 

3998
02:40:01,320 --> 02:40:02,320
HAVING ME. 

3999
02:40:02,320 --> 02:40:04,320
>>THIS IS A BREAK FOR
LUNCH. 

4000
02:40:04,320 --> 02:40:07,920
>>WE HAVE A BREAK UNTIL 1
P.M. 

4001
02:40:07,920 --> 02:40:08,360
EASTERN TIME. 

4002
02:40:08,360 --> 02:40:10,840
>>JUST 1 P.M..  THAT IS
JUST A 

4003
02:40:10,840 --> 02:40:12,680
FEW MINUTES.  OKAY.  THANK YOU. 

4004
02:40:12,680 --> 02:40:13,960
WE WILL BE BACK. 

4005
02:40:13,960 --> 02:40:16,560
>>WE WILL BE BACK FOR THE

4006
02:40:16,560 --> 02:40:20,840
COUNCIL OF WORKING GROUP 

4007
02:40:20,840 --> 02:40:22,360
UPDATES. 

4008
02:40:22,360 --> 02:40:24,800
>> I WOULD 

4009
02:40:24,800 --> 02:40:27,960
LIKE TO WELCOME EVERYONE BACK TO

4010
02:40:27,960 --> 02:40:34,720
THE COUNCIL MEETING AND NEXT ON 

4011
02:40:34,720 --> 02:40:39,800
AGENDA UPDATES FROM TWO COUNCIL 

4012
02:40:39,800 --> 02:40:45,200
MEETING GROUPS. 

4013
02:40:45,200 --> 02:40:45,920
[INDISCERNIBLE] WILL PRESENT THE

4014
02:40:45,920 --> 02:40:50,920
FIRST UPDATES ON THE WORKING 

4015
02:40:50,920 --> 02:40:53,240
GROUP.  

4016
02:40:53,240 --> 02:40:55,520
I'M READY TO GO.  YOU NEED TO 

4017
02:40:55,520 --> 02:40:56,960
UNSHARE THE SCREEN AND NOT SURE 

4018
02:40:56,960 --> 02:41:02,160
WHO IS SHARING RIGHT NOW. 

4019
02:41:02,160 --> 02:41:04,120
>>I THINK I -- THERE WE
GO. 

4020
02:41:04,120 --> 02:41:11,560
>>I WILL SHARE MY SCREEN.

4021
02:41:11,560 --> 02:41:15,560
DOES MY SCREEN SHOW UP NOW?  

4022
02:41:15,560 --> 02:41:23,720
>>YES.  

4023
02:41:23,720 --> 02:41:25,120
>>YOUR SCREEN LOOKS GOOD.

4024
02:41:25,120 --> 02:41:28,320
>>I WILL GO.  GOOD
MORNING, 

4025
02:41:28,320 --> 02:41:30,400
EVERYBODY.  I GUESS GOOD 

4026
02:41:30,400 --> 02:41:33,200
AFTERNOON FOR THE EASTERN HALF 

4027
02:41:33,200 --> 02:41:35,400
OF THE COUNTRY AND I'M EXCITED 

4028
02:41:35,400 --> 02:41:37,800
TO GIVE AN UPDATE ABOUT RECENT 

4029
02:41:37,800 --> 02:41:39,800
WORK OF DATA SCIENCE STRATEGY 

4030
02:41:39,800 --> 02:41:41,640
WORKING GROUP THAT IS ON BEHA OF

4031
02:41:41,640 --> 02:41:43,960
THE ENTIRE WORKING GROUP.  AT 

4032
02:41:43,960 --> 02:41:46,720
THE LAST COUNCIL MEETING, I 

4033
02:41:46,720 --> 02:41:49,000
ALREADY GAVE AN OVERVIEW ABOUT 

4034
02:41:49,000 --> 02:41:50,880
MOTIVATION BEHIND THE WORKING 

4035
02:41:50,880 --> 02:41:54,320
GROUP.  AS A BRIEF REMINDER OF 

4036
02:41:54,320 --> 02:41:58,320
TH

4037
02:41:58,320 --> 02:41:58,520
THIS. 

4038
02:41:58,520 --> 02:42:02,720
THIS IS DRIVEN BY NIDCR 

4039
02:42:02,720 --> 02:42:05,160
STRATEGIC PLAN PUBLISHED IN 

4040
02:42:05,160 --> 02:42:06,760
2021.  I SHOWED LAST TIME WHEN 

4041
02:42:06,760 --> 02:42:09,440
YOU LOOK AT THE STRATEGIC PLAN 

4042
02:42:09,440 --> 02:42:12,000
AND ALL 5 MAJOR STRATEGIC 

4043
02:42:12,000 --> 02:42:14,680
PRIORITIES YOU CAN FIND IN THIS 

4044
02:42:14,680 --> 02:42:16,440
PLAN, DATA AND DATA SCIENCE AND 

4045
02:42:16,440 --> 02:42:18,440
OPPORTUNITIES THAT COME ALONG 

4046
02:42:18,440 --> 02:42:20,640
WITH IT ARE RELEVANT FOR EACH OF

4047
02:42:20,640 --> 02:42:22,240
THESE FIVE PRIORITIES. 

4048
02:42:22,240 --> 02:42:24,000
THIS IS VERY CLEAR FROM THE 

4049
02:42:24,000 --> 02:42:25,880
PLAN. 

4050
02:42:25,880 --> 02:42:28,160
SO, IT HAS BEEN CALLED OUT.  AT 

4051
02:42:28,160 --> 02:42:30,280
THE SAME TIME, THERE IS 

4052
02:42:30,280 --> 02:42:31,760
CURRENTLY NO EXPLICIT DATA 

4053
02:42:31,760 --> 02:42:35,480
SCIENCE STRATEGY THAT NIDCR HAS.

4054
02:42:35,480 --> 02:42:38,040
AT LEAST NOT IN THE FORM OF THE 

4055
02:42:38,040 --> 02:42:38,320
DOCUMENT. 

4056
02:42:38,320 --> 02:42:40,480
THE WORKING GROUP HAS BEEN 

4057
02:42:40,480 --> 02:42:42,000
REALLY CREATING TO HELP TO FILL 

4058
02:42:42,000 --> 02:42:44,280
THIS GAP.  AND TO THINK ABOUT A 

4059
02:42:44,280 --> 02:42:46,400
MORE EXPLICIT DATA SCIENCE 

4060
02:42:46,400 --> 02:42:49,040
STRATEGY FOR NIDCR THAT CAN BE 

4061
02:42:49,040 --> 02:42:53,240
USED TO ADDRESS ALL THESE 

4062
02:42:53,240 --> 02:42:54,800
PRIORITIES.  

4063
02:42:54,800 --> 02:42:58,360
DATA SCIENCE STRATEGY WORKING 

4064
02:42:58,360 --> 02:43:01,080
GROUP WAS CHARGED WITH THE 

4065
02:43:01,080 --> 02:43:01,560
FOLLOWING.  

4066
02:43:01,560 --> 02:43:04,120
OUR GOAL IS PROVIDING COUNCIL 

4067
02:43:04,120 --> 02:43:08,440
AND EXTENSION AT NIDCR WITH 

4068
02:43:08,440 --> 02:43:10,360
RECOMMENDATIONS THAT PROVIDE 

4069
02:43:10,360 --> 02:43:12,360
FOUNTDATION FOR A WELL-INFORMED 

4070
02:43:12,360 --> 02:43:14,600
AND WELL-REASONED DATA SCIENCE 

4071
02:43:14,600 --> 02:43:17,600
STRATEGY THAT CAN HELP NIDCR TO 

4072
02:43:17,600 --> 02:43:20,360
REALIZE FULL POTENTIAL OF DATA 

4073
02:43:20,360 --> 02:43:21,440
SCIENCE AND IMPORTANTLY 

4074
02:43:21,440 --> 02:43:23,840
REALIZING THIS POTENTIAL ACROSS 

4075
02:43:23,840 --> 02:43:26,480
THE ENTIRE TRANSLATIONAL 

4076
02:43:26,480 --> 02:43:29,800
SPECTRUM OF DENTAL, ORAL AND 

4077
02:43:29,800 --> 02:43:31,840
CRANIO FACIAL RESEARCH AND HELP 

4078
02:43:31,840 --> 02:43:34,680
TO REDUCE HEALTH DISPARITIES 

4079
02:43:34,680 --> 02:43:37,800
IMPROVING OVERALL HEALTH AND 

4080
02:43:37,800 --> 02:43:40,240
SPECIFIC OPPORTUNITIES THAT HAVE

4081
02:43:40,240 --> 02:43:43,000
BEEN CALLED OUT AND FIRST OF ALL

4082
02:43:43,000 --> 02:43:45,600
UNDERSTANDING THE DENTAL OR 

4083
02:43:45,600 --> 02:43:48,800
CRANIO FACIAL DATA ECOSYSTEM AND

4084
02:43:48,800 --> 02:43:51,240
UNDERSTANDING THE STATUS QUO TO 

4085
02:43:51,240 --> 02:43:54,320
MAKE MEANINGFUL RECOMMENDATIONS 

4086
02:43:54,320 --> 02:43:59,840
ABOUT DIRECTIONS WHICH THIS HAS 

4087
02:43:59,840 --> 02:44:02,600
TO BE INVOLVED MORE BROADLY AND 

4088
02:44:02,600 --> 02:44:04,720
DATA SCIENCE METHOD 

4089
02:44:04,720 --> 02:44:08,240
OPPORTUNITIES AND HOW WE CAN 

4090
02:44:08,240 --> 02:44:10,680
LEVERAGE THEM. 

4091
02:44:10,680 --> 02:44:12,720
THIRD ONE PRESENTS TO 

4092
02:44:12,720 --> 02:44:15,160
INFORMATION AND EARLIER 

4093
02:44:15,160 --> 02:44:16,680
HIGHLIGHTED CHALLENGES IN AREAS 

4094
02:44:16,680 --> 02:44:19,560
OF HEALTH DISPARITIES AND 

4095
02:44:19,560 --> 02:44:21,760
INEQUALITIES IN BOTH TERMS OF 

4096
02:44:21,760 --> 02:44:24,960
ACCESS TO HEALTH CARE AS WELL AS

4097
02:44:24,960 --> 02:44:28,200
IN TRAINING EFFORTS FOR NEXT 

4098
02:44:28,200 --> 02:44:30,280
GENERATION OF RESEARCH.  HOW 

4099
02:44:30,280 --> 02:44:32,240
DOES DATA AND DATA SCIENCE FIT 

4100
02:44:32,240 --> 02:44:32,960
IN THERE?  

4101
02:44:32,960 --> 02:44:35,160
WHAT DO WE NEED TO DO IN TERMS 

4102
02:44:35,160 --> 02:44:40,720
OF TRAINING IN THESE AREAS?  

4103
02:44:40,720 --> 02:44:42,920
THE APPROACH THAT OUR WORKING 

4104
02:44:42,920 --> 02:44:44,920
GROUP CHOSE TO TAKE IS IDEA WHEN

4105
02:44:44,920 --> 02:44:46,720
LOOKING AT COMPOSITION OF IT, IT

4106
02:44:46,720 --> 02:44:48,960
IS TO MAKE SURE WE HAVE A 

4107
02:44:48,960 --> 02:44:52,320
DIVERSITY OF EXPERTS FROM ACROSS

4108
02:44:52,320 --> 02:44:55,160
THE SPECTRUM, BROAD SCIENTIFIC 

4109
02:44:55,160 --> 02:44:56,600
EXPERTISE AND IMPORTANTLY 

4110
02:44:56,600 --> 02:44:58,760
COVERING THE ENTIRE 

4111
02:44:58,760 --> 02:44:59,680
TRANSLATIONAL SPECTRUM FROM 

4112
02:44:59,680 --> 02:45:02,680
BASIC TO HUMAN TO PATIENT TO 

4113
02:45:02,680 --> 02:45:04,200
CLINICAL AND COMMUNITY SETTINGS.

4114
02:45:04,200 --> 02:45:07,640
WITH THE ULTIMATE GOAL TO 

4115
02:45:07,640 --> 02:45:09,120
PROVIDE BOTH SHORT TERM AND 

4116
02:45:09,120 --> 02:45:10,480
LONG-TERM RECOMMENDATIONS IT 

4117
02:45:10,480 --> 02:45:15,000
THAT CAN GUIDE NIDCR'S 

4118
02:45:15,000 --> 02:45:15,280
PRIORITIES. 

4119
02:45:15,280 --> 02:45:17,600
THIS IS AN OVERVIEW OF WORKING 

4120
02:45:17,600 --> 02:45:20,120
GROUP MEMBERS. 

4121
02:45:20,120 --> 02:45:22,400
ON THE LEFT IS ACTUAL WORKING 

4122
02:45:22,400 --> 02:45:22,800
GROUP MEMBERS. 

4123
02:45:22,800 --> 02:45:24,760
YOU CAN SEE HERE FROM 

4124
02:45:24,760 --> 02:45:26,360
AFFILIATIONS THAT ARE UNDER THE 

4125
02:45:26,360 --> 02:45:28,760
NAMES THAT THESE ARE NOT JUST 

4126
02:45:28,760 --> 02:45:30,800
UNIVERSITY RESEARCHERS AND IS A 

4127
02:45:30,800 --> 02:45:33,000
WIDE RANGE OF ORGANIZATIONS THAT

4128
02:45:33,000 --> 02:45:35,240
ARE REPRESENTED.  LOOKING AT 

4129
02:45:35,240 --> 02:45:37,600
EXPERTISE, YOU CAN SEE THERE IT 

4130
02:45:37,600 --> 02:45:40,600
COVERS THE ENTIRE SPECTRUM FROM 

4131
02:45:40,600 --> 02:45:43,240
BASIC RESEARCH TO CLINICAL AND 

4132
02:45:43,240 --> 02:45:45,000
COMMUNITY APPLICATION AND WE 

4133
02:45:45,000 --> 02:45:47,720
WORK CLOSELY WITH NIDCR STAFF 

4134
02:45:47,720 --> 02:45:50,040
WHO ARE ATTENDING SOME MEETINGS 

4135
02:45:50,040 --> 02:45:51,920
TO STAIN THE LOOP AND ALSO TO 

4136
02:45:51,920 --> 02:45:54,720
HELP US GUIDE THE DIRECTIONS OF 

4137
02:45:54,720 --> 02:45:55,840
THE WORKING GROUP.  

4138
02:45:55,840 --> 02:45:57,600
SO, IN REMAINING TIME THAT I 

4139
02:45:57,600 --> 02:45:59,480
WOULD LIKE TO GIVE YOU A FEW 

4140
02:45:59,480 --> 02:46:01,800
UPDATES ABOUT WHAT WE HAVE BEEN 

4141
02:46:01,800 --> 02:46:04,040
DOING SINCE THE LAST COUNCIL 

4142
02:46:04,040 --> 02:46:04,320
MEETING. 

4143
02:46:04,320 --> 02:46:07,800
WE HAVE HAD REGULAR MEETINGS 

4144
02:46:07,800 --> 02:46:10,000
SINCE SEPTEMBER.  WE ARE 

4145
02:46:10,000 --> 02:46:11,080
CURRENTLY MEETING TWICE PER 

4146
02:46:11,080 --> 02:46:13,480
MONTH WITH THE ENTIRE GROUP.  

4147
02:46:13,480 --> 02:46:16,720
THERE ARE ADDITIONAL MEETINGS.  

4148
02:46:16,720 --> 02:46:18,320
FOR EXAMPLE, FROM OUR 

4149
02:46:18,320 --> 02:46:20,280
SUB-COMMITTEE THAT IS SCHEDULED 

4150
02:46:20,280 --> 02:46:20,480
AD HOC. 

4151
02:46:20,480 --> 02:46:23,120
THE TWO ACTIVITIES THAT WE HAVE 

4152
02:46:23,120 --> 02:46:27,440
SPENT MOST TIME ON IN THE LAST 

4153
02:46:27,440 --> 02:46:31,120
FEW MONTHS IS, FIRST OF ALL, AN 

4154
02:46:31,120 --> 02:46:33,000
ENVIRONMENTAL SCAN AND MAPPING 

4155
02:46:33,000 --> 02:46:35,680
OF DOCD ECOSYSTEM TO UNDERSTAND 

4156
02:46:35,680 --> 02:46:37,160
THE STATUS QUO AND UNDERSTAND 

4157
02:46:37,160 --> 02:46:39,800
WHAT THE STARTING POINT FOR ANY 

4158
02:46:39,800 --> 02:46:42,720
FUTURE STRATEGY MIGHT BE.  THE 

4159
02:46:42,720 --> 02:46:45,320
SECOND ONE IS DEVELOPING AN RFI 

4160
02:46:45,320 --> 02:46:47,160
THAT CAN FURTHER INFORM THIS 

4161
02:46:47,160 --> 02:46:49,280
STRATEGY.  SO, I'M GOING TO GIVE

4162
02:46:49,280 --> 02:46:52,120
YOU MORE DETAIL ABOUT BOTH.  

4163
02:46:52,120 --> 02:46:54,160
FIRST, THIS EFFORT.  

4164
02:46:54,160 --> 02:46:56,760
ENVIRONMENTAL SCAN MAPPING AND 

4165
02:46:56,760 --> 02:47:01,840
DOC DATA ECOSYSTEMS. 

4166
02:47:01,840 --> 02:47:04,760
SO, JUST TO -- TO OFFER FOR A 

4167
02:47:04,760 --> 02:47:06,080
GENERAL BACKGROUND.  WHEN WE 

4168
02:47:06,080 --> 02:47:09,240
TALK ABOUT THE DOC DATA 

4169
02:47:09,240 --> 02:47:11,800
ECOSYSTEM, WHAT DO WE MEAN BY AN

4170
02:47:11,800 --> 02:47:12,440
ECOSYSTEM?  

4171
02:47:12,440 --> 02:47:13,800
YOU SEE HERE A GENERAL 

4172
02:47:13,800 --> 02:47:18,240
DEFINITION THAT IS OF DATA 

4173
02:47:18,240 --> 02:47:20,560
ECOSYSTEMS TAKEN STRAIGHT FROM 

4174
02:47:20,560 --> 02:47:22,720
WIKIPEDIA DEFINED AS COMPLEX 

4175
02:47:22,720 --> 02:47:25,640
ENVIRONMENT OF CODEPENDENT 

4176
02:47:25,640 --> 02:47:27,880
ACTORS AND NETWORKS CONTRIBUTING

4177
02:47:27,880 --> 02:47:29,400
TO DATA COLLECTION AND SOME ARE 

4178
02:47:29,400 --> 02:47:31,680
IN VARIETY OF ENVIRONMENTS SOME 

4179
02:47:31,680 --> 02:47:34,680
SHOWN HERE.  WHEN WE THINK ABOUT

4180
02:47:34,680 --> 02:47:38,160
DOC RESEARCH.  OUR THOUGHT WAS 

4181
02:47:38,160 --> 02:47:40,600
THAT WE WANTED TO HAVE A 

4182
02:47:40,600 --> 02:47:43,200
STARTING POINT TO CAPTURE ENTIRE

4183
02:47:43,200 --> 02:47:45,760
DATA ECOSYSTEM BY DEFINITION AND

4184
02:47:45,760 --> 02:47:48,720
SYSTEMS AND RESOURCES AND DATA 

4185
02:47:48,720 --> 02:47:51,360
SYSTEMS AND DATABASIS AND SO ON 

4186
02:47:51,360 --> 02:47:54,040
RELEVANT TO DOC RESEARCH AND 

4187
02:47:54,040 --> 02:47:56,080
IMPORTANTLY DOING SO ACROSS THE 

4188
02:47:56,080 --> 02:48:00,160
ENTIRE TRANSLATIONAL SPECTRUM.  

4189
02:48:00,160 --> 02:48:02,600
NOW, TO TACKLE THIS.  WE TOOK 

4190
02:48:02,600 --> 02:48:04,440
ADVANTAGE OF THE FACT THAT AS I 

4191
02:48:04,440 --> 02:48:06,120
POINTED OUT THAT THE GROUP 

4192
02:48:06,120 --> 02:48:08,960
COVERS THE ENTIRE SPECTRUM.  YOU

4193
02:48:08,960 --> 02:48:11,280
SEE HERE THIS MATRIX BROADLY 

4194
02:48:11,280 --> 02:48:13,240
SHOWS EXPECTED EXPERTISE FROM 

4195
02:48:13,240 --> 02:48:15,920
BASIC TO COMMUNITIES. 

4196
02:48:15,920 --> 02:48:18,800
WE SPLIT THIS UP INTO THREE 

4197
02:48:18,800 --> 02:48:21,160
SUBGROUPS WITH OVERLAPPING 

4198
02:48:21,160 --> 02:48:21,840
EXPERTISE.  

4199
02:48:21,840 --> 02:48:24,440
AS A STARTING POINT, WE 

4200
02:48:24,440 --> 02:48:26,600
ATTEMPTED TO CAPTURE ALL 

4201
02:48:26,600 --> 02:48:30,080
DATABASES AND REPOSITORY 

4202
02:48:30,080 --> 02:48:31,400
RESOURCES AND DATA SYSTEMS USE 

4203
02:48:31,400 --> 02:48:35,520
THE FROM DATA RESEARCHERS FROM 

4204
02:48:35,520 --> 02:48:38,240
T0 TO T4 AND CAME TOGETHER AND 

4205
02:48:38,240 --> 02:48:39,720
COMPILED ALL DATA AND HAD A LOOK

4206
02:48:39,720 --> 02:48:42,200
AT IT.  I WILL PRESENT HERE IN 

4207
02:48:42,200 --> 02:48:44,760
THE NEXT FEW SLIDES ARE SOME 

4208
02:48:44,760 --> 02:48:45,560
INITIAL OBSERVATIONS THAT CAME 

4209
02:48:45,560 --> 02:48:47,600
OUT OF THIS.  I WANTED TO 

4210
02:48:47,600 --> 02:48:50,400
HIGHLIGHT THAT THESE ARE FIRST 

4211
02:48:50,400 --> 02:48:56,080
OF ALL PRELIMINARY FINDINGS AND 

4212
02:48:56,080 --> 02:48:59,120
HAVEN'T RECEIVED RFI INFORMATION

4213
02:48:59,120 --> 02:49:00,400
YET.  THAT MIGHT ADD FURTHER TO 

4214
02:49:00,400 --> 02:49:02,080
THIS AND WANT TO POINT OWE 

4215
02:49:02,080 --> 02:49:03,520
THOUGHT AT THIS POINT NONE OF 

4216
02:49:03,520 --> 02:49:04,680
THESE ARE SPECIFIC 

4217
02:49:04,680 --> 02:49:05,400
RECOMMENDATIONS. 

4218
02:49:05,400 --> 02:49:07,400
THEY ARE OBSERVATIONS THAT WE 

4219
02:49:07,400 --> 02:49:09,840
MADE ALONG THE WAY.  BUT THAT WE

4220
02:49:09,840 --> 02:49:11,360
FEEL CONFIDENT ABOUT THAT WE 

4221
02:49:11,360 --> 02:49:13,840
THOUGHT WOULD BE WORTH SHARING 

4222
02:49:13,840 --> 02:49:17,080
THEM WITH COUNCIL AND NIDCR 

4223
02:49:17,080 --> 02:49:23,120
LEADERSHIP AT THIS POINT.  

4224
02:49:23,120 --> 02:49:26,640
THE FIRST OBSERVATION WE HAD IS 

4225
02:49:26,640 --> 02:49:29,240
DODC ECOSYSTEM IS CHARACTERIZE 

4226
02:49:29,240 --> 02:49:31,600
THE BY SUBSTANTIAL COMPLEXITY 

4227
02:49:31,600 --> 02:49:34,480
AND HETEROGENEITY.  WHEN WE 

4228
02:49:34,480 --> 02:49:36,920
COMPILE THE ALL OF THE RESOURCES

4229
02:49:36,920 --> 02:49:39,600
I WON'T SHOW YOU BIG TABLES WE 

4230
02:49:39,600 --> 02:49:41,560
HAD FOR THIS BUT SUMMARY FINDING

4231
02:49:41,560 --> 02:49:44,880
IS THAT WE IDENTIFIED AT LEAST 

4232
02:49:44,880 --> 02:49:46,560
30 DIFFERENT RESOURCES AND 

4233
02:49:46,560 --> 02:49:49,000
DATABASES AND DATA REPOSITORIES 

4234
02:49:49,000 --> 02:49:53,640
THAT CONTAINED DATA COMMONLY 

4235
02:49:53,640 --> 02:49:57,000
USED BY DOC COMMUNITY AND SOME 

4236
02:49:57,000 --> 02:49:58,960
EXPLICITLY AND THEY FOCUSED ON 

4237
02:49:58,960 --> 02:50:02,200
DOC DATA AND SOME MORE BROADLY 

4238
02:50:02,200 --> 02:50:04,640
FOCUSING ON DATA AND CONTAINING 

4239
02:50:04,640 --> 02:50:05,400
RELEVANT DATA. 

4240
02:50:05,400 --> 02:50:09,040
AND DIRECTLY RELATED TO THIS, 

4241
02:50:09,040 --> 02:50:12,120
THERE IS NO INTENTIONALLY 

4242
02:50:12,120 --> 02:50:16,760
DESIGNED DOC DATA ECOSYSTEMS AND

4243
02:50:16,760 --> 02:50:19,080
MOST RESOURCES THAT EXIST GREW 

4244
02:50:19,080 --> 02:50:19,920
ORGANICALLY AND ARE FUNDED 

4245
02:50:19,920 --> 02:50:22,000
THROUGH VARIETY OF MECHANISMS 

4246
02:50:22,000 --> 02:50:24,000
AND ARE HOSTED BY A NUMBER OF 

4247
02:50:24,000 --> 02:50:25,480
ORGANIZATIONS.  YOU KNOW, THIS 

4248
02:50:25,480 --> 02:50:27,320
IS WHAT HAPPENED HISTORICALLY.  

4249
02:50:27,320 --> 02:50:29,840
IT IS REFLECTED IN A CURRENT 

4250
02:50:29,840 --> 02:50:33,840
LACK OF COHERENCE AND IN THE DOC

4251
02:50:33,840 --> 02:50:37,040
DATA ECOSYSTEM.  WE ALSO 

4252
02:50:37,040 --> 02:50:39,480
OBSERVED HETEROGENEITY THAT 

4253
02:50:39,480 --> 02:50:42,560
MEANS WHEN WE LOOK AT DIFFERENT 

4254
02:50:42,560 --> 02:50:46,080
REPOSITORIES FROM OUR INITIAL 

4255
02:50:46,080 --> 02:50:49,640
ASSESSMENT, THEY ARE VERY 

4256
02:50:49,640 --> 02:50:51,440
DIFFERENT IN TERMS OF FOR 

4257
02:50:51,440 --> 02:50:55,240
EXAMPLE COMPLIANCE WITH FAIR 

4258
02:50:55,240 --> 02:50:57,000
DATA STANDARDS OR USE OF COMMON 

4259
02:50:57,000 --> 02:50:58,880
DATA STANDARDS BOTH THAT HAVE 

4260
02:50:58,880 --> 02:51:01,560
MAJOR IMPLICATIONS FOR EVOLVING 

4261
02:51:01,560 --> 02:51:05,800
THIS DATA ECOSYSTEM.  

4262
02:51:05,800 --> 02:51:07,600
SECOND IMPORTANT FINDING IS 

4263
02:51:07,600 --> 02:51:09,440
FUZZY BOUNDARIES. 

4264
02:51:09,440 --> 02:51:11,840
SO, WHEN WE FOUND OUT ABOUT HOW 

4265
02:51:11,840 --> 02:51:15,080
TO DEFINE THE DOC DATA 

4266
02:51:15,080 --> 02:51:16,480
ECOSYSTEM, WE THOUGHT ABOUT WHAT

4267
02:51:16,480 --> 02:51:18,080
EXACTLY IS PART OF IT VERSUS 

4268
02:51:18,080 --> 02:51:20,480
WHAT IS OUTSIDE OF IT?  

4269
02:51:20,480 --> 02:51:23,240
SO, THIS IS SUMMARIZE THE HERE 

4270
02:51:23,240 --> 02:51:24,040
ON THE LEFT. 

4271
02:51:24,040 --> 02:51:27,800
WHEN WE LOOK AT DOC DATA 

4272
02:51:27,800 --> 02:51:31,160
ECOSYSTEM, AS IT IS CURRENTLY IN

4273
02:51:31,160 --> 02:51:33,560
EXISTENCE, IT CONSISTS OF 

4274
02:51:33,560 --> 02:51:37,200
EXPLICITLY DOC-FOCUSED DATA 

4275
02:51:37,200 --> 02:51:37,520
SYSTEMS. 

4276
02:51:37,520 --> 02:51:40,400
SOME OF THESE ARE FUNDED OUT OF 

4277
02:51:40,400 --> 02:51:42,040
NIDCR.  AN EXAMPLE OF THIS WOULD

4278
02:51:42,040 --> 02:51:46,600
BE FAITH-BASED THAT MOSTLY 

4279
02:51:46,600 --> 02:51:48,920
COVERS T0T1 LEVEL AND THERE IS A

4280
02:51:48,920 --> 02:51:51,680
MUCH LARGER NUMBER OF GENERAL 

4281
02:51:51,680 --> 02:51:54,120
SCIENTIFIC AND MEDICAL DATA 

4282
02:51:54,120 --> 02:51:55,520
SYSTEMS CONTAINING RELEVANT DATA

4283
02:51:55,520 --> 02:51:58,120
THAT IS FREQUENTLY USE THE BY 

4284
02:51:58,120 --> 02:52:00,000
RESEARCHERS AND CLINICIANS THAT 

4285
02:52:00,000 --> 02:52:03,440
ARE DOING DOC-RELEVANT WORK OR 

4286
02:52:03,440 --> 02:52:06,000
THAT ARE OFTEN NIDCR FUNDED AND 

4287
02:52:06,000 --> 02:52:09,000
ARE MORE GENERAL SYSTEMS AND FOR

4288
02:52:09,000 --> 02:52:11,800
EXAMPLE IN BASIC SPACE GENERAL 

4289
02:52:11,800 --> 02:52:15,240
MC OR GENOMIC DATA OR VARIOUS 

4290
02:52:15,240 --> 02:52:16,760
CLINICAL SYSTEMS USE THE BY 

4291
02:52:16,760 --> 02:52:18,040
CLINICAL RESEARCHERS. 

4292
02:52:18,040 --> 02:52:21,640
NOW, THIS IS, AGAIN, NOT A 

4293
02:52:21,640 --> 02:52:23,280
RECOMMENDATION BUT OBSERVATION. 

4294
02:52:23,280 --> 02:52:25,480
THIS LACK OF CLEAR DELINEATION 

4295
02:52:25,480 --> 02:52:30,320
BETWEEN THESE EXPLICITLY 

4296
02:52:30,320 --> 02:52:31,360
DOC-FOCUSSED AND MORE PERIPHERAL

4297
02:52:31,360 --> 02:52:34,360
DATA SYSTEMS ARE INEVITABLE 

4298
02:52:34,360 --> 02:52:36,400
BASED ON HOW THEY AROSE AND IS 

4299
02:52:36,400 --> 02:52:37,320
NOT SOMETHING THAT IS 

4300
02:52:37,320 --> 02:52:39,720
NECESSARILY A PROBLEM AND COULD 

4301
02:52:39,720 --> 02:52:41,400
BE DESIRABLE FOR MANY PURPOSES 

4302
02:52:41,400 --> 02:52:42,880
AND MANY OF THESE SHOULDN'T BE 

4303
02:52:42,880 --> 02:52:44,800
GUIDED BY JUST THE INTERESTS OF 

4304
02:52:44,800 --> 02:52:46,920
THE DOC COMMUNITY. 

4305
02:52:46,920 --> 02:52:50,120
IT IS AN IMPORTANT OBSERVATION 

4306
02:52:50,120 --> 02:52:52,240
THAT WE NEED TO CONSIDER WHEN WE

4307
02:52:52,240 --> 02:52:54,320
WANT TO MAKE RECOMMENDATIONS FOR

4308
02:52:54,320 --> 02:52:58,160
NIDCR STRATEGY DEVELOPMENT.  

4309
02:52:58,160 --> 02:53:03,120
INTERFACES NEED TO BE DERIVED. 

4310
02:53:03,120 --> 02:53:05,720
THIRD OBSERVATION IS LACK OF 

4311
02:53:05,720 --> 02:53:06,920
CONNECTIVITY.  IT RELATES 

4312
02:53:06,920 --> 02:53:09,000
DIRECTLY TO WHAT I SAID BEFORE, 

4313
02:53:09,000 --> 02:53:11,880
THE LACK OF HISTORICAL 

4314
02:53:11,880 --> 02:53:13,680
COHERENCE.  CURRENTLY DATA 

4315
02:53:13,680 --> 02:53:16,600
SYSTEMS ARE SCATTERED.  MANY OF 

4316
02:53:16,600 --> 02:53:17,840
THE SYSTEMS ARE NOT CONNECTED 

4317
02:53:17,840 --> 02:53:20,240
WITH EACH OTHER.  TO BE VERY 

4318
02:53:20,240 --> 02:53:22,040
CLEAR, IT IS NOT NECESSARY THAT 

4319
02:53:22,040 --> 02:53:25,000
WE, YOU KNOW, GENERATE THIS ONE 

4320
02:53:25,000 --> 02:53:25,960
SINGULAR SYSTEM IN WHICH 

4321
02:53:25,960 --> 02:53:27,680
EVERYTHING IS CONNECTED WITH 

4322
02:53:27,680 --> 02:53:28,360
EVERYTHING ELSE. 

4323
02:53:28,360 --> 02:53:31,640
FOR EXAMPLE, FOR ACTIVITIES AT 

4324
02:53:31,640 --> 02:53:33,600
EXTREME ENDS OF THE 

4325
02:53:33,600 --> 02:53:34,760
TRANSLATIONAL SPECTRUM, THERE IS

4326
02:53:34,760 --> 02:53:36,240
-- THERE IS VERY DIFFERENT 

4327
02:53:36,240 --> 02:53:37,760
COMMUNITIES TO USE THE SYSTEM 

4328
02:53:37,760 --> 02:53:40,760
AND IS NOT NECESSARILY A NEED 

4329
02:53:40,760 --> 02:53:42,120
FOR MUCH DIRECT INTEROPERABILITY

4330
02:53:42,120 --> 02:53:45,280
BUT ARE CERTAIN AREAS WHERE SUCH

4331
02:53:45,280 --> 02:53:47,000
CONNECTIVITY WOULD BE MORE 

4332
02:53:47,000 --> 02:53:48,760
DESIRABLE.  WHENEVER THAT 

4333
02:53:48,760 --> 02:53:51,800
CONNECTIVITY IS DESIRABLE AND 

4334
02:53:51,800 --> 02:53:54,800
WILL BE NOT LIKELY CALLED OUT TO

4335
02:53:54,800 --> 02:53:57,000
SOMETHING THAT SHOULD BE 

4336
02:53:57,000 --> 02:53:58,440
INCREASED CHALLENGES SUCH AS 

4337
02:53:58,440 --> 02:54:02,360
LACK OF COMMON DATA STANDARDS OR

4338
02:54:02,360 --> 02:54:03,640
METADATA STANDARDS ORONTOLOGIES 

4339
02:54:03,640 --> 02:54:05,840
COULD BE A CHALLENGE FOR 

4340
02:54:05,840 --> 02:54:07,160
CREATING THESE CONNECTIONS. 

4341
02:54:07,160 --> 02:54:10,360
THE THIRD IS A LACK OF DEDICATED

4342
02:54:10,360 --> 02:54:10,680
RESOURCES. 

4343
02:54:10,680 --> 02:54:12,320
HERE, RESOURCES IS NOT 

4344
02:54:12,320 --> 02:54:13,520
NECESSARILY REFER THE TO 

4345
02:54:13,520 --> 02:54:15,760
FUNDING.  WHAT I MEAN HERE IS 

4346
02:54:15,760 --> 02:54:17,560
DATA RESOURCES. 

4347
02:54:17,560 --> 02:54:20,160
SOMETHING THAT WE OBSERVED 

4348
02:54:20,160 --> 02:54:22,160
WITHIN OUR GROUP IS THAT FOR 

4349
02:54:22,160 --> 02:54:26,840
MANY TYPES OF DATA, THERE ARE 

4350
02:54:26,840 --> 02:54:29,240
CURRENTLY NO EXISTING SYSTEMS OR

4351
02:54:29,240 --> 02:54:30,760
REPOSITORIES IT THAT WOULD BE 

4352
02:54:30,760 --> 02:54:33,320
READY TO ACCEPT THAT DATA.  

4353
02:54:33,320 --> 02:54:35,360
NOW, MOST OF YOU WILL BE AWARE. 

4354
02:54:35,360 --> 02:54:38,360
I THINK IT WAS PRESENTED HERE AT

4355
02:54:38,360 --> 02:54:40,760
COUNCIL BEFORE THAT -- THAT NIH 

4356
02:54:40,760 --> 02:54:43,320
IS CURRENTLY STRENGTHENING THESE

4357
02:54:43,320 --> 02:54:46,120
ASPECTS OF DATA SHARING AND 

4358
02:54:46,120 --> 02:54:48,040
STARTING THIS MONTH, OUR 

4359
02:54:48,040 --> 02:54:49,640
PROPOSALS AND ALL NEW PROPOSALS 

4360
02:54:49,640 --> 02:54:52,720
WILL HAVE TO CONTAIN DATA 

4361
02:54:52,720 --> 02:54:55,320
MANAGEMENT PLAN AND NEW NIH DATA

4362
02:54:55,320 --> 02:54:58,200
MANAGEMENT AND SHARING POLICY 

4363
02:54:58,200 --> 02:55:00,880
THAT URGES NIH FUNDED 

4364
02:55:00,880 --> 02:55:02,840
RESEARCHERS TO MAKE SURE DATA IS

4365
02:55:02,840 --> 02:55:04,800
SHARED AND SOMETHING WE HEARD 

4366
02:55:04,800 --> 02:55:07,280
FROM COMMITTEE MEMBERS.  

4367
02:55:07,280 --> 02:55:08,600
ESPECIALLY THOSE IN HIGHER T 

4368
02:55:08,600 --> 02:55:10,800
LEVELS IS THEY ARE WORKING ON 

4369
02:55:10,800 --> 02:55:11,080
PROPOSALS. 

4370
02:55:11,080 --> 02:55:15,040
THEY ARE ENCOURAGED TO SAY WHERE

4371
02:55:15,040 --> 02:55:16,480
THEY WILL DEPOSIT DATA.  THERE 

4372
02:55:16,480 --> 02:55:19,000
IS NO CURRENTLY EXISTING 

4373
02:55:19,000 --> 02:55:20,640
REPOSITORY DATA TO ACCEPT DATA 

4374
02:55:20,640 --> 02:55:22,760
SETS THAT IS INHERENT CONFLICT 

4375
02:55:22,760 --> 02:55:23,960
BETWEEN WHAT PEOPLE WOULD LIKE 

4376
02:55:23,960 --> 02:55:26,760
TO DO AND ARE ENCOURAGE THE TO 

4377
02:55:26,760 --> 02:55:30,080
DO VERSUS WHAT INFRASTRUCTURE 

4378
02:55:30,080 --> 02:55:33,000
EXI

4379
02:55:33,000 --> 02:55:34,440
EXISTS. 

4380
02:55:34,440 --> 02:55:36,520
FINALLY, MY LAST PRELIMINARY 

4381
02:55:36,520 --> 02:55:39,240
OBSERVATION IS THERE ARE HURDLES

4382
02:55:39,240 --> 02:55:40,800
FOR FAIR COMPLIANCE.  WE HAVE 

4383
02:55:40,800 --> 02:55:42,440
HEARD ABOUT FAIR IN THIS FORM 

4384
02:55:42,440 --> 02:55:48,920
BEFORE.  IT IS AN IDEA THAT ALL 

4385
02:55:48,920 --> 02:55:50,720
DATA THAT IS GENERATED WITH 

4386
02:55:50,720 --> 02:55:52,400
PUBLIC FUNDING AND TAXPAYER 

4387
02:55:52,400 --> 02:55:55,200
DOLLARS SHOULD BE MADE AVAILABLE

4388
02:55:55,200 --> 02:55:58,480
FOR DOWNSTREAM USES FOR OTHER 

4389
02:55:58,480 --> 02:56:01,000
RESEARCHERS DATA HAS TO BE 

4390
02:56:01,000 --> 02:56:02,760
FIENTDABLE BY OTHERS ACCESSED 

4391
02:56:02,760 --> 02:56:04,800
AND DOWNLOAD THE AND IN A FORMAT

4392
02:56:04,800 --> 02:56:06,920
TO INTERACT WITH THE DATA AND 

4393
02:56:06,920 --> 02:56:09,040
WHERE DIFFERENT DATA TYPES COULD

4394
02:56:09,040 --> 02:56:12,720
BE INTEGRATED AND DATA NEEDS TO 

4395
02:56:12,720 --> 02:56:15,160
BE SUFFICIENTLY DOCUMENTED AND 

4396
02:56:15,160 --> 02:56:18,280
WAYS THAT MAKES IT REUSABLE AND 

4397
02:56:18,280 --> 02:56:19,600
THESE SOUND GREAT AND ARE REALLY

4398
02:56:19,600 --> 02:56:24,040
HARD TO DO IN REALITY. 

4399
02:56:24,040 --> 02:56:25,440
ONE OBSERVATION OUR GROUP HAS 

4400
02:56:25,440 --> 02:56:27,280
MADE IS CURRENTLY WELL THIS IS 

4401
02:56:27,280 --> 02:56:29,960
NOT JUST NIDCR BUT IS TRUE 

4402
02:56:29,960 --> 02:56:33,000
ACROSS NIH AND THERE IS A LOT OF

4403
02:56:33,000 --> 02:56:34,680
FOCUS ON RESEARCH ASKING THE 

4404
02:56:34,680 --> 02:56:37,000
COMMUNITY WHAT SHOULD BE 

4405
02:56:37,000 --> 02:56:38,640
SUPPORTED PRIMARILY PEOPLE ARE 

4406
02:56:38,640 --> 02:56:40,520
INTERESTED IN FUNDING RESEARCH 

4407
02:56:40,520 --> 02:56:44,600
THAT HAS IN MANY CASES CREATED 

4408
02:56:44,600 --> 02:56:46,960
EFFORTS FOR DEDICATED FUNDING TO

4409
02:56:46,960 --> 02:56:49,400
CREATING INFRASTRUCTURE THAT CAN

4410
02:56:49,400 --> 02:56:52,040
RESULT IN INFRASTRUCTURE GAPS 

4411
02:56:52,040 --> 02:56:53,800
SUCH AS CERTAIN REPOSITORIES 

4412
02:56:53,800 --> 02:56:55,720
JUST NOT EXISTING LIKE I SAID 

4413
02:56:55,720 --> 02:56:59,320
AND IN CHALLENGES HOW DO YOU DO 

4414
02:56:59,320 --> 02:57:01,360
CURERATION AND GOVERNANCE OF 

4415
02:57:01,360 --> 02:57:04,760
DATA AT SCALE AND CREATING THIS 

4416
02:57:04,760 --> 02:57:07,960
FOR DATA COMPLIANCE AND ONE 

4417
02:57:07,960 --> 02:57:09,560
PARTICULAR CHANCE THAT WAS 

4418
02:57:09,560 --> 02:57:11,400
POINTED OUT CURRENTLY MANY 

4419
02:57:11,400 --> 02:57:12,960
REPOSITORIES THAT ARE OPERATED 

4420
02:57:12,960 --> 02:57:15,520
INFORM LIMITED TERM FUND 

4421
02:57:15,520 --> 02:57:18,200
INSTRUMENTS THAT COULD CREATE 

4422
02:57:18,200 --> 02:57:19,640
INHERENT CONFLICTS WITH A 

4423
02:57:19,640 --> 02:57:21,640
LONG-TERM COMMITMENT TO KEEPING 

4424
02:57:21,640 --> 02:57:24,680
DATA FAIR AND KEEPING 

4425
02:57:24,680 --> 02:57:26,840
REPOSITORIES UP TO DATE 

4426
02:57:26,840 --> 02:57:28,720
MAINTENANCE OF DATA SO IT STAYS 

4427
02:57:28,720 --> 02:57:32,480
FINDABLE AND ACCESSIBLE IN A 

4428
02:57:32,480 --> 02:57:36,560
REALLY IMPORTANT CONSIDERATION. 

4429
02:57:36,560 --> 02:57:38,000
PRELIMINARY FINDINGS WE WILL 

4430
02:57:38,000 --> 02:57:40,720
TALK MORE ABOUT RFIS.  WE HAVE 

4431
02:57:40,720 --> 02:57:43,040
LOTS OF EXPERTISE ON GROUPS 

4432
02:57:43,040 --> 02:57:44,760
ALREADY.  WE STILL REALIZE AND 

4433
02:57:44,760 --> 02:57:47,920
WE STILL ARE PROBABLY NOT 

4434
02:57:47,920 --> 02:57:48,480
CAPTURING EVERYTHING. 

4435
02:57:48,480 --> 02:57:51,280
WE WANTED TO REACH OUT TO THE 

4436
02:57:51,280 --> 02:57:52,480
BROADER COMMUNITY FOR ADDITIONAL

4437
02:57:52,480 --> 02:57:55,680
INPUT AND WANTED TO UNDERSTAND 

4438
02:57:55,680 --> 02:57:57,000
ACROSS TRANSLATIONAL SPECTRUM 

4439
02:57:57,000 --> 02:57:58,800
WHAT REALLY ARE PEOPLE'S DATA 

4440
02:57:58,800 --> 02:58:00,360
NEEDS AND IF THERE ARE 

4441
02:58:00,360 --> 02:58:03,640
ADDITIONAL DATA TYPES 

4442
02:58:03,640 --> 02:58:05,000
UNFORTUNATELY FOR REPOSITORY 

4443
02:58:05,000 --> 02:58:07,360
NEEDS AND WHAT ARE GAPS AND 

4444
02:58:07,360 --> 02:58:09,720
SHARING AND ACCESSING DATA AND 

4445
02:58:09,720 --> 02:58:11,720
WHAT USE CASES PEOPLE HAVE.  

4446
02:58:11,720 --> 02:58:13,280
UNDERSTANDING WHAT TYPES OF DATA

4447
02:58:13,280 --> 02:58:15,280
AND OUTPUTS THEY GENERATE OR 

4448
02:58:15,280 --> 02:58:16,840
NEED TO ACCESS AND GOAL HERE WAS

4449
02:58:16,840 --> 02:58:19,520
TO MAKE THE SURVEY ACCESSIBLE 

4450
02:58:19,520 --> 02:58:24,480
AND INCLUSIVE TO COVER THE 

4451
02:58:24,480 --> 02:58:25,080
ENTIRE SPECTRUM. 

4452
02:58:25,080 --> 02:58:27,800
MORE FROM A PRACTICAL 

4453
02:58:27,800 --> 02:58:30,000
PERSPECTIVE TO ADOPTED FORMAT 

4454
02:58:30,000 --> 02:58:32,160
THAT IS SUFFICIENTLY SUCCINCT 

4455
02:58:32,160 --> 02:58:35,080
AND MANAGEABLE TO GET A LARGE 

4456
02:58:35,080 --> 02:58:36,720
NUMBER OF RESPONSES. 

4457
02:58:36,720 --> 02:58:39,840
TO GET THIS RFI OUT, WE FORMED A

4458
02:58:39,840 --> 02:58:40,800
SUB-COMMITTEE THAT YOU SEE HERE 

4459
02:58:40,800 --> 02:58:43,840
SOME OF THE WORKING GROUP 

4460
02:58:43,840 --> 02:58:46,800
MEMBERS AND WE ENLISTED CHRIS 

4461
02:58:46,800 --> 02:58:48,800
WILLIAMS FAITH-BASED CONSULTANT 

4462
02:58:48,800 --> 02:58:50,560
WITH THIS HELPING WITH LOGISTICS

4463
02:58:50,560 --> 02:58:53,680
OF PUTTING THIS TOGETHER AND 

4464
02:58:53,680 --> 02:58:55,200
NIDCR STAFF THAT ARE INVOLVED 

4465
02:58:55,200 --> 02:58:57,120
FOR HELPING US WITH GETTING THIS

4466
02:58:57,120 --> 02:58:58,720
INTO THE RIGHT FORMAT AND 

4467
02:58:58,720 --> 02:59:03,080
DEVELOPING AND, YOU KNOW, AN 

4468
02:59:03,080 --> 02:59:04,800
RFI-COMPATIBLE FORMAT FOR THIS 

4469
02:59:04,800 --> 02:59:06,680
AND SUB-COMMITTEE IS CURRENTLY 

4470
02:59:06,680 --> 02:59:08,440
MEETING WEEKLY TO DEVELOP THIS 

4471
02:59:08,440 --> 02:59:10,720
RFI AND SURVEY THAT COMES ALONG 

4472
02:59:10,720 --> 02:59:15,480
WITH IT TO COLLECT INPUT.  

4473
02:59:15,480 --> 02:59:18,120
THE GOAL IS TO HAVE THE RFI AND 

4474
02:59:18,120 --> 02:59:19,920
WE WILL PUT IT INTO THE PROCESS 

4475
02:59:19,920 --> 02:59:21,760
FOR GETTING IT PUBLISHED BY THE 

4476
02:59:21,760 --> 02:59:24,760
END OF JANUARY THAT SHOULD ALIGN

4477
02:59:24,760 --> 02:59:28,000
WITH PUBLISHING DATE FOR ACTUAL 

4478
02:59:28,000 --> 02:59:30,920
RFI BY MARCH 13TH AN IMPORTANT 

4479
02:59:30,920 --> 02:59:34,560
DATE THAT ALIGNS WITH AODCR 

4480
02:59:34,560 --> 02:59:36,160
MEETING IN MARCH WHERE ATTENDEES

4481
02:59:36,160 --> 02:59:38,680
WILL BE PRIMARY DEMOGRAPHIC TO 

4482
02:59:38,680 --> 02:59:41,480
GET INPUT FROM.  SO, TO GET 

4483
02:59:41,480 --> 02:59:42,880
RESPONSES FOR US AND WORKING 

4484
02:59:42,880 --> 02:59:44,680
GROUPS THAT WILL BE ADVERTISE 

4485
02:59:44,680 --> 02:59:47,960
THE WITH A USUAL NIH CHANNELS. 

4486
02:59:47,960 --> 02:59:50,960
WE WILL ALSO ASK ALL OF OUR 

4487
02:59:50,960 --> 02:59:52,240
WORKING GROUP MEMBERS THAT ARE 

4488
02:59:52,240 --> 02:59:54,720
PRESENT AT THAT CONFERENCE TO 

4489
02:59:54,720 --> 02:59:57,640
ADVERTISE IT THERE AND TO GET A 

4490
02:59:57,640 --> 02:59:59,600
GOOD NUMBER OF RESPONSES. 

4491
02:59:59,600 --> 03:00:02,000
SO, IN TERMS OF THE UPCOMING 

4492
03:00:02,000 --> 03:00:04,400
WEEKS AND MONTHS FOR THE WORKING

4493
03:00:04,400 --> 03:00:05,440
GROUPS. 

4494
03:00:05,440 --> 03:00:07,640
SO, ONE MAJOR FOCUS AREA NOW IS 

4495
03:00:07,640 --> 03:00:10,680
TO GET RFI OUT AND GET INPUTS 

4496
03:00:10,680 --> 03:00:13,440
AND HAVE ANOTHER LOOK AT THE 

4497
03:00:13,440 --> 03:00:16,120
INPUTS AND INCORPORATE THAT INTO

4498
03:00:16,120 --> 03:00:18,560
OUR ANALYSIS IDENTIFYING 

4499
03:00:18,560 --> 03:00:20,120
ADDITIONAL GAPS AND GETTING 

4500
03:00:20,120 --> 03:00:22,800
IDEAS FOR OPPORTUNITIES TO 

4501
03:00:22,800 --> 03:00:23,520
ADDRESS THEM.  

4502
03:00:23,520 --> 03:00:26,920
THEN WITH RESPECT TO DOC DATA 

4503
03:00:26,920 --> 03:00:29,040
ECOSYSTEM, WE CAN TAKE OUR 

4504
03:00:29,040 --> 03:00:32,600
FINDINGS AND COME UP WITH A SET 

4505
03:00:32,600 --> 03:00:35,200
OF HIGH-LEVEL RECOMMENDATIONS 

4506
03:00:35,200 --> 03:00:38,360
FOR HOW TO EVOLVE DATA ECOSYSTEM

4507
03:00:38,360 --> 03:00:42,880
TO GO INTO OUR FINAL REPORT TO 

4508
03:00:42,880 --> 03:00:43,160
COUNCIL.  

4509
03:00:43,160 --> 03:00:44,760
THEN SOMETHING THAT WE HAVE NOT 

4510
03:00:44,760 --> 03:00:46,360
REALLY SPENT A LOT OF TIME ON 

4511
03:00:46,360 --> 03:00:50,760
BUT WE PLAN TO TACKLE IN THE 

4512
03:00:50,760 --> 03:00:51,720
UPCOMING MONTHS IS THESE OTHER 

4513
03:00:51,720 --> 03:00:52,920
OPPORTUNITIES AND SO FARTHER WE 

4514
03:00:52,920 --> 03:00:54,720
HAVE TRIED TO UNDERSTAND WHAT IS

4515
03:00:54,720 --> 03:00:56,400
EVEN THERE AND UNDERSTANDING THE

4516
03:00:56,400 --> 03:00:57,200
COMMUNITY NEEDS. 

4517
03:00:57,200 --> 03:01:01,840
SOMETHING THAT WE WILL FOCUS ON 

4518
03:01:01,840 --> 03:01:05,000
MOVING FORWARD IS ALSO BROADLY 

4519
03:01:05,000 --> 03:01:07,680
THINKING ABOUT DATA AND DATA 

4520
03:01:07,680 --> 03:01:09,320
SCIENCE METHODS AND WHAT ARE THE

4521
03:01:09,320 --> 03:01:10,800
OPPORTUNITIES THERE THAT ARE 

4522
03:01:10,800 --> 03:01:13,600
CURRENTLY NOT BEING FULLY 

4523
03:01:13,600 --> 03:01:14,040
REALIZED. 

4524
03:01:14,040 --> 03:01:16,800
AND THEN HOW DOES THIS RELATE TO

4525
03:01:16,800 --> 03:01:20,880
HEALTH DISPARITIES AND 

4526
03:01:20,880 --> 03:01:22,800
INEQUALITIES AND RELATED TO BOTH

4527
03:01:22,800 --> 03:01:25,000
OF THESE HOW WE TRAIN THE NEXT 

4528
03:01:25,000 --> 03:01:26,920
GENERATION OF DOC RESEARCHERS 

4529
03:01:26,920 --> 03:01:29,800
AND HOW DO WE MAKE SURE TO BUILD

4530
03:01:29,800 --> 03:01:34,160
THE RIGHT KIND OF EXPERTISE INTO

4531
03:01:34,160 --> 03:01:35,640
NIDCR PORTFOLIO AND WHILE DOING 

4532
03:01:35,640 --> 03:01:37,280
SO, HOW CAN THIS AT THE SAME 

4533
03:01:37,280 --> 03:01:39,680
TIME HELP TO ADDRESS THESE 

4534
03:01:39,680 --> 03:01:43,840
DISPARITIES AND INEQUALITIES?  

4535
03:01:43,840 --> 03:01:46,280
WITH THAT, I THINK I'M AT TIME. 

4536
03:01:46,280 --> 03:01:50,000
I HOPE THAT WE STILL HAVE TIME 

4537
03:01:50,000 --> 03:01:53,760
FOR QUESTIONS OR A FEW.  

4538
03:01:53,760 --> 03:02:00,640
>>THANK YOU, DR. BISSEL. 
ARE 

4539
03:02:00,640 --> 03:02:04,840
THERE ANY QUESTIONS?  

4540
03:02:04,840 --> 03:02:05,400
RENA?  

4541
03:02:05,400 --> 03:02:06,600
>>YOU ARE ON MUTE. 

4542
03:02:06,600 --> 03:02:09,120
>>YEAH.  THANK YOU SO
MUCH FOR 

4543
03:02:09,120 --> 03:02:15,600
YOUR LEADERSHIP AND PERSEVERANCE

4544
03:02:15,600 --> 03:02:17,800
SPEAR HEADING THIS TOPIC WITH 

4545
03:02:17,800 --> 03:02:19,200
THOUGHT LEADERS AND YOUR LISTING

4546
03:02:19,200 --> 03:02:26,920
OF 30 RESOURCES THAT WE 

4547
03:02:26,920 --> 03:02:28,840
CURRENTLY HAVE DID YOU INCLUDE 

4548
03:02:28,840 --> 03:02:30,920
IN CONSIDERATION INDUSTRY LARGE 

4549
03:02:30,920 --> 03:02:32,640
CORPORATIONS THAT SEEM TO HAVE 

4550
03:02:32,640 --> 03:02:34,320
INFRASTRUCTURE FROM BIG DATA 

4551
03:02:34,320 --> 03:02:35,520
MANAGEMENT AND WHAT ABOUT 

4552
03:02:35,520 --> 03:02:38,160
ORGANIZATIONS LIKE ADA AND 

4553
03:02:38,160 --> 03:02:39,840
OTHERS?  DO THEY HAVE ANY 

4554
03:02:39,840 --> 03:02:43,720
SYSTEMS IN PLACE THAT WOULD BE 

4555
03:02:43,720 --> 03:02:48,160
OF RELEVANCE TO DENTAL OR CRANE 

4556
03:02:48,160 --> 03:02:50,200
YOE FACIAL RESEARCH?  

4557
03:02:50,200 --> 03:02:51,520
>>ANSWERING THE FIRST
QUESTION,

4558
03:02:51,520 --> 03:02:55,520
THE -- AND SOMETHING THAT WE 

4559
03:02:55,520 --> 03:02:56,400
REALIZED PUTTING THIS TOGETHER 

4560
03:02:56,400 --> 03:02:59,520
IS THAT OUR LIST IS LIKELY 

4561
03:02:59,520 --> 03:03:02,040
INCOMPLETE AND IS -- IT CAN BE 

4562
03:03:02,040 --> 03:03:06,720
HARD TO KNOW WHERE TO DRAW THE 

4563
03:03:06,720 --> 03:03:09,960
LINE.  AND WE HAVE LOOKED AT A 

4564
03:03:09,960 --> 03:03:13,840
VARIETY OF DATA SYSTEMS. 

4565
03:03:13,840 --> 03:03:18,000
AND SOME OF THEM ARE, YOU KNOW, 

4566
03:03:18,000 --> 03:03:20,680
DIRECTLY NIDCR FUNDED AND SOME 

4567
03:03:20,680 --> 03:03:24,440
ARE DATA SYSTEMS THAT ARE RUN BY

4568
03:03:24,440 --> 03:03:25,280
OTHER ORGANIZATIONS AND WE MIGHT

4569
03:03:25,280 --> 03:03:28,680
HAVE HAD A FEW THAT OUR INDUSTRY

4570
03:03:28,680 --> 03:03:30,520
AND WOULD HAVE MADE AN EXPLICIT 

4571
03:03:30,520 --> 03:03:34,320
EFFORT TO CAPTURE ON THOSE ALSO 

4572
03:03:34,320 --> 03:03:37,960
IN PART BECAUSE THERE ARE -- ONE

4573
03:03:37,960 --> 03:03:39,720
CHALLENGE IS SOME THAT ARE 

4574
03:03:39,720 --> 03:03:41,440
CLOSED SYSTEMS IT THAT ARE NOT 

4575
03:03:41,440 --> 03:03:42,880
PUBLICLY ACCESSIBLE AND YET 

4576
03:03:42,880 --> 03:03:46,160
MIGHT CONTAIN A HIGHLY RELEVANT 

4577
03:03:46,160 --> 03:03:46,360
DATA. 

4578
03:03:46,360 --> 03:03:47,960
WE HAVE ALSO THOUGHT ABOUT WAYS 

4579
03:03:47,960 --> 03:03:52,800
TO, YOU KNOW, BE EVEN MORE, YOU 

4580
03:03:52,800 --> 03:03:54,520
KNOW, COMPREHENSIVE IN WHAT WE 

4581
03:03:54,520 --> 03:03:56,400
CAN CONSIDER FROM A VARIETY OF 

4582
03:03:56,400 --> 03:03:58,800
RESOURCES AND IT TURNS OUT THIS 

4583
03:03:58,800 --> 03:04:01,040
IS A REALLY BIG CHALLENGE THAT 

4584
03:04:01,040 --> 03:04:03,320
WE GET TO GET COMPREHENSIVE LIST

4585
03:04:03,320 --> 03:04:07,080
AND NOT SURE WE WILL EVEN HAVE A

4586
03:04:07,080 --> 03:04:10,520
COMPREHENSIVE LIST IN THE END.  

4587
03:04:10,520 --> 03:04:15,640
SO, I THINK THAT -- IT WOULD BE 

4588
03:04:15,640 --> 03:04:17,640
AN OR TAKE A CONCERTED EFFORT 

4589
03:04:17,640 --> 03:04:21,320
THAT IS BEYOND SCOPE OF THE 

4590
03:04:21,320 --> 03:04:23,520
WORKING GROUP TO THEN EVEN 

4591
03:04:23,520 --> 03:04:25,000
SYSTEMATICALLY ASSESS FOR EVERY 

4592
03:04:25,000 --> 03:04:26,840
SINGLE ONE OF THESE EXACTLY WHAT

4593
03:04:26,840 --> 03:04:29,960
DATA IS IN THERE AND THEY DO A 

4594
03:04:29,960 --> 03:04:31,920
COMPREHENSIVE ASSESSMENT OF, YOU

4595
03:04:31,920 --> 03:04:34,240
KNOW, HOW FAIR IS THE DATA.  AND

4596
03:04:34,240 --> 03:04:37,160
HOW EXACTLY IS IT CONNECTED?  

4597
03:04:37,160 --> 03:04:38,800
THIS IS INITIALLY WHAT WE 

4598
03:04:38,800 --> 03:04:41,320
THOUGHT WE MIGHT DO.  IT IS VERY

4599
03:04:41,320 --> 03:04:41,600
COMPLEX. 

4600
03:04:41,600 --> 03:04:42,520
>>YEAH. 

4601
03:04:42,520 --> 03:04:48,600
>>I THINK IN THE -- IN --
FOR 

4602
03:04:48,600 --> 03:04:50,160
OURSELVES IN THE WORKING GROUP, 

4603
03:04:50,160 --> 03:04:54,160
CONCLUSION HAS BEEN THAT WE WILL

4604
03:04:54,160 --> 03:04:56,440
PRIMARILY USE THIS TO GET A 

4605
03:04:56,440 --> 03:04:58,360
SENSE OF THE OVERALL LANDSCAPE. 

4606
03:04:58,360 --> 03:05:00,360
WE CAN USE THAT FOR 

4607
03:05:00,360 --> 03:05:01,240
RECOMMENDATION HOW THIS MIGHT 

4608
03:05:01,240 --> 03:05:04,800
EVEN BE TACKLED MOVING FORWARD. 

4609
03:05:04,800 --> 03:05:06,640
IT IS INCREDIBLY COMPLEX. 

4610
03:05:06,640 --> 03:05:07,760
>>YES.  THANK YOU. 

4611
03:05:07,760 --> 03:05:10,720
>>ANY OTHER QUESTIONS?  

4612
03:05:10,720 --> 03:05:16,280
>>YEAH.  SO, THIS IS
JACK.  

4613
03:05:16,280 --> 03:05:18,520
AXEL, SUPER JOB.  I WANT TO 

4614
03:05:18,520 --> 03:05:21,000
REALLY COMPLEX YOU IN ALL OF THE

4615
03:05:21,000 --> 03:05:25,000
GROUP FOR THIS EFFORT.  I THINK 

4616
03:05:25,000 --> 03:05:26,920
IT IS COMING TOGETHER EXTREMELY 

4617
03:05:26,920 --> 03:05:28,560
NICELY AND WANT TO CALL 

4618
03:05:28,560 --> 03:05:29,840
ATTENTION OF YOURSELF AND 

4619
03:05:29,840 --> 03:05:33,000
PERHAPS ALL OF THE ATTENDEES 

4620
03:05:33,000 --> 03:05:36,440
HERE TO A SPECIAL ISSUE THAT JDR

4621
03:05:36,440 --> 03:05:40,000
JUST PUBLISHED IN OCTOBER ON 

4622
03:05:40,000 --> 03:05:45,400
DATA DRIVEN ANALYTICS FOR HEALTH

4623
03:05:45,400 --> 03:05:48,200
CARE.  THIS IS FOR 

4624
03:05:48,200 --> 03:05:49,000
[INDISCERNIBLE] AND IN THIS 

4625
03:05:49,000 --> 03:05:51,400
SPECIAL ISSUE THAT I THOUGHT WAS

4626
03:05:51,400 --> 03:05:56,080
TRULY OUTSTANDING THERE ARE 

4627
03:05:56,080 --> 03:05:58,360
EXTREMELY EXCELLENT AUTHORS 

4628
03:05:58,360 --> 03:05:59,920
THERE THAT COULD PERHAPS WE 

4629
03:05:59,920 --> 03:06:04,800
COULD ENGAGE IN THIS 

4630
03:06:04,800 --> 03:06:08,880
CONVERSATION AS WELL AS TERRIFIC

4631
03:06:08,880 --> 03:06:13,000
PAPERS THAT EXPLORE ISSUES OF 

4632
03:06:13,000 --> 03:06:16,600
DATA ANALYTICS IN CONTEXT OF 

4633
03:06:16,600 --> 03:06:19,280
DOC.  I WOULD ENCOURAGE IF THIS 

4634
03:06:19,280 --> 03:06:21,600
HAS NOT HAPPENED YET TO PERHAPS 

4635
03:06:21,600 --> 03:06:23,160
LOOK INTO THIS SPECIAL ISSUE AS 

4636
03:06:23,160 --> 03:06:25,920
AN ADDITIONAL SOURCE OF 

4637
03:06:25,920 --> 03:06:28,920
INFORMATION FOR EXCELLENT WORK 

4638
03:06:28,920 --> 03:06:31,480
YOU ARE DOING. 

4639
03:06:31,480 --> 03:06:32,320
THANK YOU. 

4640
03:06:32,320 --> 03:06:35,160
>>THANK YOU.  WE WILL 

4641
03:06:35,160 --> 03:06:38,600
DEFINITELY -- WE HAVE NOT LOOKED

4642
03:06:38,600 --> 03:06:40,560
AT THIS BUT WILL SHARE WITH 

4643
03:06:40,560 --> 03:06:43,040
WORKING GROUP AND GUESS HOW WE 

4644
03:06:43,040 --> 03:06:43,480
MIGHT USE THIS. 

4645
03:06:43,480 --> 03:06:47,840
>>DO YOU HAVE A QUESTION?

4646
03:06:47,840 --> 03:06:50,960
>>YEAH.  THANK YOU,
LYNNE.  

4647
03:06:50,960 --> 03:06:52,480
AXEL, THANKS FOR YOUR LEADERSHIP

4648
03:06:52,480 --> 03:06:55,080
AND WORK THAT YOUR GROUP HAS 

4649
03:06:55,080 --> 03:06:58,440
PRODUCED TO GUIDE US ALONG THE 

4650
03:06:58,440 --> 03:06:59,400
WAY.  

4651
03:06:59,400 --> 03:07:01,760
MY QUESTION IS CAN YOU COMMENT 

4652
03:07:01,760 --> 03:07:03,960
ON THE EXTENT THAT ISSUES 

4653
03:07:03,960 --> 03:07:07,760
IDENTIFY BEING UNIQUE TO DOC OR 

4654
03:07:07,760 --> 03:07:11,600
MORE BROADLY APPLICABLE TO OTHER

4655
03:07:11,600 --> 03:07:16,280
DOMAINS?  IT WOULD HAVE 

4656
03:07:16,280 --> 03:07:17,000
DOWNSTREAM IMPLICATIONS ON 

4657
03:07:17,000 --> 03:07:19,120
RECOMMENDATIONS WHETHER NIDCR 

4658
03:07:19,120 --> 03:07:22,880
ALONE SHOULD BE PRODUCING THE 

4659
03:07:22,880 --> 03:07:26,560
SOLUTIONS OR THERE COULD BE 

4660
03:07:26,560 --> 03:07:27,800
HIGHER [INDISCERNIBLE] 

4661
03:07:27,800 --> 03:07:29,920
COORDINATION FOR BETTER 

4662
03:07:29,920 --> 03:07:38,160
EFFICIENCY AND SYNERGIES. 

4663
03:07:38,160 --> 03:07:42,480
>>WE SO FAR FOCUSED ON
DOC DATA

4664
03:07:42,480 --> 03:07:46,880
ECOSYSTEM AND HAVE NOT ATTEMPTED

4665
03:07:46,880 --> 03:07:49,000
TO SYSTEMATICALLY COMPARE THIS 

4666
03:07:49,000 --> 03:07:50,520
WITH CHALLENGES OTHER INSTITUTES

4667
03:07:50,520 --> 03:07:55,480
MIGHT HAVE.  HOWEVER, I WOULD 

4668
03:07:55,480 --> 03:07:57,320
ASSUME IT IS A MIX OF BOTH AND 

4669
03:07:57,320 --> 03:08:01,000
THINK THERE ARE CHALLENGES THAT 

4670
03:08:01,000 --> 03:08:04,440
ARE BROAD THAT MANY OTHER 

4671
03:08:04,440 --> 03:08:05,720
INSTITUTES ENCOUNTER THAT MIGHT 

4672
03:08:05,720 --> 03:08:10,280
BE NIHWIDE PROBLEMS AND EXAMPLE 

4673
03:08:10,280 --> 03:08:16,280
OF THAT COULD BE HOW DO YOU FUND

4674
03:08:16,280 --> 03:08:19,720
REPOSITORIES WITH LONG-TERM 

4675
03:08:19,720 --> 03:08:21,680
SUSTAINABILITY USING EXISTING 

4676
03:08:21,680 --> 03:08:23,240
FUNDING INSTRUMENTS ARE PROBABLY

4677
03:08:23,240 --> 03:08:24,640
SOMETHING THAT MANY INSTITUTES 

4678
03:08:24,640 --> 03:08:28,880
ARE THINKING ABOUT.  THERE ARE 

4679
03:08:28,880 --> 03:08:34,200
OTHERS THAT ARE PROBABLY MORE 

4680
03:08:34,200 --> 03:08:37,360
DOC-SPECIFIC.  FOR EXAMPLE WHEN 

4681
03:08:37,360 --> 03:08:41,480
WE THINK ABOUT IT, DISPARITIES 

4682
03:08:41,480 --> 03:08:43,320
ACCESS THAT WE HEARD ABOUT THIS 

4683
03:08:43,320 --> 03:08:45,800
MORNING AND SOME ARE WE SAW SOME

4684
03:08:45,800 --> 03:08:47,480
ARE MORE PARTICULARLY PRONOUNCED

4685
03:08:47,480 --> 03:08:51,720
IN DOC SPACE.  

4686
03:08:51,720 --> 03:08:54,160
ALSO WITH RESPECT TO DATA TYPES 

4687
03:08:54,160 --> 03:08:57,760
WHERE OFTEN TIMES LIKE THE 

4688
03:08:57,760 --> 03:09:01,360
DENTAL IS FOR EXAMPLE KEPT 

4689
03:09:01,360 --> 03:09:06,080
SEPARATE FROM GENERAL MEDICAL IN

4690
03:09:06,080 --> 03:09:10,400
TERMS OF DATA SPACE. 

4691
03:09:10,400 --> 03:09:12,680
IT IS A MIX OF BOTH.  NOT SURE 

4692
03:09:12,680 --> 03:09:14,360
HOW TO ANSWER YOUR QUESTION 

4693
03:09:14,360 --> 03:09:16,240
ABOUT HOW -- LIKE IF THESE 

4694
03:09:16,240 --> 03:09:17,880
SHOULD BE ADDRESSED PERHAPS 

4695
03:09:17,880 --> 03:09:21,000
BETTER AT NIH LEVEL.  WE ARE 

4696
03:09:21,000 --> 03:09:22,920
JUST MAKING, YOU KNOW, 

4697
03:09:22,920 --> 03:09:25,280
RECOMMENDATIONS TO NIDCR 

4698
03:09:25,280 --> 03:09:28,680
COUNCIL.  I THINK IT WOULD BE 

4699
03:09:28,680 --> 03:09:31,000
GOOD THEN TO TAKE SOME OF THE 

4700
03:09:31,000 --> 03:09:33,000
CONCLUSIONS AND RECOMMENDATIONS 

4701
03:09:33,000 --> 03:09:34,240
AND THINK ABOUT WHICH OF THEM 

4702
03:09:34,240 --> 03:09:40,600
SHOULD BE ADDRESSED AT NICDR 

4703
03:09:40,600 --> 03:09:42,120
LEVEL AND SOME SHOULD BE 

4704
03:09:42,120 --> 03:09:43,880
ELEVATED AND DISCUSSED WITH 

4705
03:09:43,880 --> 03:09:45,600
OTHER INSTITUTES AND MAYBE JUST 

4706
03:09:45,600 --> 03:09:48,480
HAVE A LOOK AT THEIR STRATEGIES 

4707
03:09:48,480 --> 03:09:50,960
AND I SUSPECT THERE WILL BE SOME

4708
03:09:50,960 --> 03:09:55,400
ITEMS WITH SUBSTANTIAL OVERLAP 

4709
03:09:55,400 --> 03:09:58,040
WITH OTHER INSTITUTES AND 

4710
03:09:58,040 --> 03:09:58,320
CENTERS. 

4711
03:09:58,320 --> 03:09:58,800
>>THANK YOU. 

4712
03:09:58,800 --> 03:10:00,480
>>JENNIFER HAS A
QUESTION. 

4713
03:10:00,480 --> 03:10:04,840
>>YES.  THIS IS A
QUESTION 

4714
03:10:04,840 --> 03:10:07,040
THINKING ABOUT THE PIG PICTURE. 

4715
03:10:07,040 --> 03:10:12,680
I'M WONDERING ABOUT DOC DATA 

4716
03:10:12,680 --> 03:10:15,120
FROM SAME INDIVIDUALS TO HAVE OR

4717
03:10:15,120 --> 03:10:16,920
ASK QUESTIONS AROUND SOCIAL 

4718
03:10:16,920 --> 03:10:20,720
DETERMINANTS OF HEALTH OR 

4719
03:10:20,720 --> 03:10:22,240
SYSTEMIC CONDITIONS AND LOOKING 

4720
03:10:22,240 --> 03:10:25,720
AT DATA AS WELL TALKING ABOUT 

4721
03:10:25,720 --> 03:10:27,760
DOC AS PART OF THE WHOLE PERSON 

4722
03:10:27,760 --> 03:10:31,240
AND THINKING ABOUT WHAT THE 

4723
03:10:31,240 --> 03:10:37,520
SPACE WOULD LOOK LIKE. 

4724
03:10:37,520 --> 03:10:40,920
>>YES.  AS I SAID BEFORE,
IT 

4725
03:10:40,920 --> 03:10:45,960
TURNS OUT THE WHOLE SPACE IS 

4726
03:10:45,960 --> 03:10:49,440
EXTREMELY COMPLEX AND IS BEYOND 

4727
03:10:49,440 --> 03:10:52,080
SCOPE OF WORKING GROUP TO THINK 

4728
03:10:52,080 --> 03:10:52,720
SPECIFICALLY ABOUT INDIVIDUAL 

4729
03:10:52,720 --> 03:10:57,000
DATA SYSTEMS AND VERY SPECIFIC 

4730
03:10:57,000 --> 03:11:01,000
DATA TYPES AND GENERALLY 

4731
03:11:01,000 --> 03:11:03,880
SPEAKING DATA THAT YOU DESCRIBED

4732
03:11:03,880 --> 03:11:07,520
ARE DEFINITELY PART OF TYPES OF 

4733
03:11:07,520 --> 03:11:13,040
DATA THAT IS COMPREHENSIVE DATA 

4734
03:11:13,040 --> 03:11:16,160
DOD SYSTEM SHOULD INCLUDE AND 

4735
03:11:16,160 --> 03:11:17,280
IMPORTANTLY IN A PERFECT WORLD 

4736
03:11:17,280 --> 03:11:20,680
WOULD BE COLLECTED IN A WAY THAT

4737
03:11:20,680 --> 03:11:24,360
IS HIGHLY INTEGRATABLE WITH 

4738
03:11:24,360 --> 03:11:26,520
OTHER TYPES OF DATA; RIGHT?  

4739
03:11:26,520 --> 03:11:29,240
IT DOESN'T LIVE IN SYSTEMS THAT 

4740
03:11:29,240 --> 03:11:31,360
ARE IN ISOLATION AND ANSWER IS 

4741
03:11:31,360 --> 03:11:34,760
DEFINITELY YES.  FOR SPECIFIC 

4742
03:11:34,760 --> 03:11:36,920
DATA TYPES, WE DON'T HAVE 

4743
03:11:36,920 --> 03:11:37,840
EXPLICIT RECOMMENDATIONS AT THIS

4744
03:11:37,840 --> 03:11:38,280
POINT. 

4745
03:11:38,280 --> 03:11:39,880
>>OKAY.  THANK YOU. 

4746
03:11:39,880 --> 03:11:42,400
>>THANK YOU VERY MUCH,
AXEL.  

4747
03:11:42,400 --> 03:11:50,480
IT WAS TERRIFIC UPDATES. 

4748
03:11:50,480 --> 03:11:54,320
NEXT SPEAKER IS DANA GRACE CHAIR

4749
03:11:54,320 --> 03:11:55,840
OF HEALTH WORKFORCE WORKING 

4750
03:11:55,840 --> 03:11:58,000
GROUP AND WILL PROVIDE AN UPDATE

4751
03:11:58,000 --> 03:12:01,000
ON THAT WORKING GROUP. 

4752
03:12:01,000 --> 03:12:05,000
>>THANK YOU VERY MUCH. 
IS MY 

4753
03:12:05,000 --> 03:12:11,920
PRESENTATION READY?  

4754
03:12:11,920 --> 03:12:13,920
CAN YOU SEE MY PRESENTATION?  

4755
03:12:13,920 --> 03:12:14,240
>>YES. 

4756
03:12:14,240 --> 03:12:17,400
>>THANK YOU FOR GIVING ME
AN 

4757
03:12:17,400 --> 03:12:19,680
OPPORTUNITY.  PLEASURE TO BE 

4758
03:12:19,680 --> 03:12:21,480
HERE AND MEET EVERYONE VIRTUALLY

4759
03:12:21,480 --> 03:12:25,680
AND DISCUSS UP DATES ORAL HEALTH

4760
03:12:25,680 --> 03:12:27,760
RESEARCH WORKFORCE WORKING 

4761
03:12:27,760 --> 03:12:28,880
GROUP.  PROBLEM THAT THE GROUP 

4762
03:12:28,880 --> 03:12:36,880
IS GOING TO ADDRESS IS DECLINE 

4763
03:12:36,880 --> 03:12:38,960
IN DENTAL ORAL CRANIAL WORKFORCE

4764
03:12:38,960 --> 03:12:41,800
AND GOAL TO RECRUIT TRAINEES 

4765
03:12:41,800 --> 03:12:43,600
INTO PROGRAMS RETAINING 

4766
03:12:43,600 --> 03:12:45,400
RESEARCHERS AS WELL AS BUILDING 

4767
03:12:45,400 --> 03:12:52,880
SKILLS OF THESE TRAINEES AND TO 

4768
03:12:52,880 --> 03:12:56,120
INCREASE DIVERSITY AND SPECIAL 

4769
03:12:56,120 --> 03:12:58,880
EMPHASIS ON CLINICIAN SCIENTISTS

4770
03:12:58,880 --> 03:13:01,640
AND WORKING GROUP MEMBERS, THERE

4771
03:13:01,640 --> 03:13:03,320
IS [INDISCERNIBLE] WHO IS 

4772
03:13:03,320 --> 03:13:04,320
CO-CHAIR AND REPRESENTATIVES 

4773
03:13:04,320 --> 03:13:09,360
FROM NIDCR ARE LYNN AND LISA 

4774
03:13:09,360 --> 03:13:12,640
BROWN AND MOST MEMBERS ARE 

4775
03:13:12,640 --> 03:13:14,840
CLINICIAN SCIENTISTS AND DUAL 

4776
03:13:14,840 --> 03:13:16,040
DEGREE AND LOTS HAVE GONE 

4777
03:13:16,040 --> 03:13:17,840
THROUGH TRAINING PROGRAMS WITH 

4778
03:13:17,840 --> 03:13:19,960
QUITE A BIT OF EXPERIENCE 

4779
03:13:19,960 --> 03:13:21,600
MENTORING OR LEADING PROGRAMS 

4780
03:13:21,600 --> 03:13:24,880
THAT ARE DESIGNED FOR THAT 

4781
03:13:24,880 --> 03:13:26,960
PURPOSE AND YOU WILL RECOGNIZE 

4782
03:13:26,960 --> 03:13:33,000
MOST NAMES AND FACES OF PEOPLE 

4783
03:13:33,000 --> 03:13:34,080
HE

4784
03:13:34,080 --> 03:13:34,360
HERE. 

4785
03:13:34,360 --> 03:13:35,880
APPROACH WE HAVE TAKEN WE HAVE 

4786
03:13:35,880 --> 03:13:41,440
SUBMITTED AN RFI THAT HAS BEEN 

4787
03:13:41,440 --> 03:13:42,760
COMPLETED AND WILL GET FEEDBACK 

4788
03:13:42,760 --> 03:13:44,520
FAIRLY SOON FROM THE RESULTS AND

4789
03:13:44,520 --> 03:13:48,240
THERE WAS A PRESENTATION BY LYNN

4790
03:13:48,240 --> 03:13:51,000
ON AN ANALYSIS ON CURRENT 

4791
03:13:51,000 --> 03:13:54,080
PROGRAMS AND ANISSA BROWN GAVE 

4792
03:13:54,080 --> 03:13:56,320
PRESENTATION ON DIVERSITY OF 

4793
03:13:56,320 --> 03:13:57,240
PROGRAMS THAT CURRENTLY EXIST 

4794
03:13:57,240 --> 03:13:58,400
AND THERE IS CURRENTLY 

4795
03:13:58,400 --> 03:14:01,440
DISCUSSION ON THESE PROGRAMS AND

4796
03:14:01,440 --> 03:14:03,360
A NUMBER OF LISTENING SESSIONS 

4797
03:14:03,360 --> 03:14:06,720
AND PANEL DISCUSSIONS HAVE BEEN 

4798
03:14:06,720 --> 03:14:12,280
HELD WITH KEY STAKEHOLDERS. 

4799
03:14:12,280 --> 03:14:15,640
LISTENING SESSIONS AND PANEL 

4800
03:14:15,640 --> 03:14:17,160
DISCUSSIONS WERE PARTICULARLY 

4801
03:14:17,160 --> 03:14:17,760
IMPORTANT. 

4802
03:14:17,760 --> 03:14:21,000
THEY WERE HELD WITH FAST AND 

4803
03:14:21,000 --> 03:14:23,520
CURRENT TRAINEES AND DENTAL 

4804
03:14:23,520 --> 03:14:25,920
SCHOOL NICD TRAINING PROGRAMS 

4805
03:14:25,920 --> 03:14:30,320
AND FOUNDATION AND NSF TRAINING 

4806
03:14:30,320 --> 03:14:32,040
PROGRAM DIRECTORS AND NUMBER OF 

4807
03:14:32,040 --> 03:14:36,440
ORAL HEALTH LEADERS AND WERE 

4808
03:14:36,440 --> 03:14:37,600
SEVERAL KEY FIENTDINGS THAT WE 

4809
03:14:37,600 --> 03:14:40,880
HAVE TAKEN FROM STAKEHOLDER 

4810
03:14:40,880 --> 03:14:45,000
INPUT ONE IS NIDCR TRAINING 

4811
03:14:45,000 --> 03:14:47,920
PROVIDES SUPPORT BUT BY ITSELF 

4812
03:14:47,920 --> 03:14:52,920
IS NOT SUFFICIENT TO PROVIDE 

4813
03:14:52,920 --> 03:14:54,760
COMPLETE INFRASTRUCTURE THAT A 

4814
03:14:54,760 --> 03:14:56,480
TRAINING NEEDS AND AS A RESULT 

4815
03:14:56,480 --> 03:14:58,640
IS A NEED FOR 

4816
03:14:58,640 --> 03:14:59,720
NON-GOVERNMENTALMENTAL AND 

4817
03:14:59,720 --> 03:15:01,760
PROFESSIONAL ORGANIZATIONS TO 

4818
03:15:01,760 --> 03:15:03,240
ENHANCE RESEARCH TRAINING THAT 

4819
03:15:03,240 --> 03:15:04,920
IS QUITE CLEAR THAT THE 

4820
03:15:04,920 --> 03:15:07,480
ENVIRONMENT OF THE TRAINEE IS 

4821
03:15:07,480 --> 03:15:10,680
CRITICAL TO THE SUCCESS.  NIDCR 

4822
03:15:10,680 --> 03:15:13,000
ALONE IS PROBABLY NOT ABLE TO 

4823
03:15:13,000 --> 03:15:16,800
DELIVER THIS IN A COST-EFFECTIVE

4824
03:15:16,800 --> 03:15:18,360
WAY.  

4825
03:15:18,360 --> 03:15:22,560
SO, SOME COMMENTS FROM TRAINEES 

4826
03:15:22,560 --> 03:15:29,480
IS --  MIGHT BE AN OPEN 

4827
03:15:29,480 --> 03:15:31,400
MICROPHONE AND TRAINEES FELT 

4828
03:15:31,400 --> 03:15:34,240
THAT THE RESEARCH CULTURE IN 

4829
03:15:34,240 --> 03:15:37,000
DENTAL SCHOOLS IS LACKING AND 

4830
03:15:37,000 --> 03:15:38,680
THERE IS INSUFFICIENT NETWORKING

4831
03:15:38,680 --> 03:15:40,920
AND THEY DON'T HAVE FREQUENT 

4832
03:15:40,920 --> 03:15:42,400
ENOUGH OPPORTUNITIES FOR 

4833
03:15:42,400 --> 03:15:44,560
PEER-TO-PEER INTERACTIONS AT 

4834
03:15:44,560 --> 03:15:48,400
LOCAL AND REGIONAL AND NATIONAL 

4835
03:15:48,400 --> 03:15:52,800
LEVELS.  A MAJOR ISSUE TRAINEES 

4836
03:15:52,800 --> 03:15:54,760
ENCOUNTERED IS INSUFFICIENT 

4837
03:15:54,760 --> 03:15:55,880
MENTORING PARTICULARLY IN 

4838
03:15:55,880 --> 03:15:58,920
TRANSITION FROM RESEARCH TO 

4839
03:15:58,920 --> 03:16:00,640
RESEARCH INDEPENDENCE AND MIGHT 

4840
03:16:00,640 --> 03:16:04,800
HAVE MENTORING IN THE TRAINING 

4841
03:16:04,800 --> 03:16:08,880
PROGRAM BUT ABRUPTLY ENDS AND 

4842
03:16:08,880 --> 03:16:10,920
FEEL LIKE A 10 YEAR OLD CHILD 

4843
03:16:10,920 --> 03:16:13,800
KICKED OUT OF THE HOME AND THEY 

4844
03:16:13,800 --> 03:16:14,640
ARE LEFT TO FEND FOR THEMSELVES 

4845
03:16:14,640 --> 03:16:17,000
AND PART OF THIS IS LACK OF 

4846
03:16:17,000 --> 03:16:18,920
SUPPORT INFRASTRUCTURE THAT IS 

4847
03:16:18,920 --> 03:16:21,000
NEEDED FOR SUCCESS.  THIS LACK 

4848
03:16:21,000 --> 03:16:24,320
OF INFRASTRUCTURE IS EVEN MORE 

4849
03:16:24,320 --> 03:16:26,480
PRONOUNCED FOR INDIVIDUALS FROM 

4850
03:16:26,480 --> 03:16:29,400
GROUPS THAT ARE 

4851
03:16:29,400 --> 03:16:31,440
UNDER-REPRESENTED IN THE 

4852
03:16:31,440 --> 03:16:32,760
BIOMEDICAL RESEARCH COMMUNITY.  

4853
03:16:32,760 --> 03:16:34,960
SO, ONE OF THE QUESTIONS IS ARE 

4854
03:16:34,960 --> 03:16:37,000
THERE SUFFICIENT INCENTIVES TO 

4855
03:16:37,000 --> 03:16:42,440
FOSTER AND MAINTAIN MENTORING 

4856
03:16:42,440 --> 03:16:45,600
RELATIONSHIPS?  

4857
03:16:45,600 --> 03:16:48,320
THERE IS A NEED TO INCREASE 

4858
03:16:48,320 --> 03:16:50,840
DIVERSITY AND INPUT WE RECEIVED 

4859
03:16:50,840 --> 03:16:52,600
IS EARLY OUTREACH PROGRAMS WOULD

4860
03:16:52,600 --> 03:16:55,120
BE IMPORTANT TO ENHANCE 

4861
03:16:55,120 --> 03:16:55,720
DIVERSITY AND PARTICULAR 

4862
03:16:55,720 --> 03:16:59,400
ATTENTION NEEDS TO BE PAID TO 

4863
03:16:59,400 --> 03:17:05,320
DEVELOPING DIVERSE ROLE MODELS. 

4864
03:17:05,320 --> 03:17:08,000
THERE IS A NUMBER OF ISSUES 

4865
03:17:08,000 --> 03:17:09,400
RELATED TO CAREER OPPORTUNITIES 

4866
03:17:09,400 --> 03:17:11,600
IT THAT WERE BROUGHT UP.  ONE IS

4867
03:17:11,600 --> 03:17:14,200
THAT THERE ARE TRAINEES THAT 

4868
03:17:14,200 --> 03:17:15,960
FELT THERE WAS INSUFFICIENT 

4869
03:17:15,960 --> 03:17:20,840
KNOWLEDGE ON THEIR RESEARCH 

4870
03:17:20,840 --> 03:17:23,160
OPPORTUNITIES BESIDES A STANDARD

4871
03:17:23,160 --> 03:17:25,280
TENURE TRACT PATH AND ASPECT TO 

4872
03:17:25,280 --> 03:17:27,520
THIS WAS ALTERNATIVE PATHWAYS TO

4873
03:17:27,520 --> 03:17:29,840
OTHER CAREER TYPES THAT THEY 

4874
03:17:29,840 --> 03:17:35,680
COULD PURSUE THAT ARE OPAQUE.  

4875
03:17:35,680 --> 03:17:37,200
THERE IS A LARGE GAP IN 

4876
03:17:37,200 --> 03:17:40,920
OPPORTUNITY FOR TRAINEES FROM 

4877
03:17:40,920 --> 03:17:44,120
RESEARCH INTENSIVE VERSUS LESS 

4878
03:17:44,120 --> 03:17:45,280
RESEARCH INTENSIVE UNIVERSITIES 

4879
03:17:45,280 --> 03:17:48,840
THAT WAS FELT TO CREATE AN 

4880
03:17:48,840 --> 03:17:51,240
OBSTACLE OF -- FOR SOME AND THAT

4881
03:17:51,240 --> 03:17:53,960
THERE IS A SENSE THAT SOME 

4882
03:17:53,960 --> 03:17:55,640
UNIVERSITIES PROVIDE 

4883
03:17:55,640 --> 03:17:57,080
OPPORTUNITIES AND OTHERS DO NOT.

4884
03:17:57,080 --> 03:18:01,000
THAT CREATES AN UNLEVEL PLAYING 

4885
03:18:01,000 --> 03:18:01,480
FIELD. 

4886
03:18:01,480 --> 03:18:03,480
THERE IS ALSO A MAJOR ISSUE THAT

4887
03:18:03,480 --> 03:18:06,480
IS THE UNCERTAINTY THAT IS IN 

4888
03:18:06,480 --> 03:18:09,000
ESTABLISHING A SUCCESSFUL 

4889
03:18:09,000 --> 03:18:12,160
RESEARCH CAREER.  

4890
03:18:12,160 --> 03:18:13,680
THIS UNCERTAINTY LEADS TO A 

4891
03:18:13,680 --> 03:18:15,560
SENSE OF RISK.  THEY FELT THAT 

4892
03:18:15,560 --> 03:18:18,600
THE CAREER RISK FOR PURSUING A 

4893
03:18:18,600 --> 03:18:20,280
RESEARCH CAREER LARGELY IS DUE 

4894
03:18:20,280 --> 03:18:22,600
TO THIS UNCERTAINTY OUTWEIGHED 

4895
03:18:22,600 --> 03:18:23,920
THE REWARDS AND WHEN THEY 

4896
03:18:23,920 --> 03:18:26,320
THOUGHT ABOUT WHAT THEIR CAREERS

4897
03:18:26,320 --> 03:18:30,480
WOULD LOOK LIKE, THIS WAS A 

4898
03:18:30,480 --> 03:18:32,400
MAJOR ISSUE.  

4899
03:18:32,400 --> 03:18:34,920
OF COURSE, THERE WAS FINANCIAL 

4900
03:18:34,920 --> 03:18:37,600
ISSUES THAT ARE PARTICULARLY THE

4901
03:18:37,600 --> 03:18:46,480
DEBT LOAN SCENARIO.  

4902
03:18:46,480 --> 03:18:49,560
LYNN PRESENTED ANALYSIS OF 

4903
03:18:49,560 --> 03:18:52,600
PROGRAMS THAT WERE CURRENT AND 

4904
03:18:52,600 --> 03:18:54,080
WAS DISCUSSION FROM THIS FROM 

4905
03:18:54,080 --> 03:18:57,720
DISCUSSION THERE WERE A COUPLE 

4906
03:18:57,720 --> 03:19:00,120
THINGS BROUGHT FORTH AND 

4907
03:19:00,120 --> 03:19:01,720
PARTICULARLY RELEVANT AND 

4908
03:19:01,720 --> 03:19:03,440
GUIDING TOWARDS RECOMMENDSES 

4909
03:19:03,440 --> 03:19:06,680
DOWN THE ROAD AND ONE IS 

4910
03:19:06,680 --> 03:19:08,000
PREDOCTORAL DEGREE PROGRAMS WITH

4911
03:19:08,000 --> 03:19:10,560
VERY LOW RATES OF TRAINEES 

4912
03:19:10,560 --> 03:19:12,320
ENTERING RESEARCH CAREERS AND IN

4913
03:19:12,320 --> 03:19:15,120
CONTRACT ENTERING TRAINING 

4914
03:19:15,120 --> 03:19:19,040
PROGRAMS AT A LATER STAGE HAS A 

4915
03:19:19,040 --> 03:19:20,360
MUCH HIGHER SUCCESS RATE.  

4916
03:19:20,360 --> 03:19:24,400
ONE OF THE SURPRISING FINDINGS 

4917
03:19:24,400 --> 03:19:27,280
WAS THAT POST DOCTORAL US AND 

4918
03:19:27,280 --> 03:19:29,560
NON-US NATIONALS HAVE SIMILAR 

4919
03:19:29,560 --> 03:19:31,560
RATES OF ENTRY INTO RESEARCH 

4920
03:19:31,560 --> 03:19:34,920
CAREERS AND GRANT AWARDS AND 

4921
03:19:34,920 --> 03:19:37,880
THEN FINALLY THERE IS A NEED FOR

4922
03:19:37,880 --> 03:19:40,640
A MORE GRANULAR ASSESSMENT OF 

4923
03:19:40,640 --> 03:19:41,880
FACTORS THAT MAKE CERTAIN 

4924
03:19:41,880 --> 03:19:44,280
TRAINING PROGRAMS SUCCESSFUL AS 

4925
03:19:44,280 --> 03:19:46,640
WELL AS A MORE GRANULAR 

4926
03:19:46,640 --> 03:19:48,120
ASSESSMENT OF WHAT TRAINEE 

4927
03:19:48,120 --> 03:19:52,000
CHARACTERISTICS ARE NEEDED FOR A

4928
03:19:52,000 --> 03:19:54,160
SUCCESSFUL CAREER IN RESEARCH. 

4929
03:19:54,160 --> 03:19:57,000
SO, THE NEXT STEPS FOR THE 

4930
03:19:57,000 --> 03:19:59,240
COMMITTEE ARE TO IDENTIFY STEPS 

4931
03:19:59,240 --> 03:20:04,000
TO PROMOTE A SUPPORTIVE RESEARCH

4932
03:20:04,000 --> 03:20:06,320
ENVIRONMENT AND IDENTIFY STEPS 

4933
03:20:06,320 --> 03:20:09,040
TO FACILITATE AND ENHANCE AND 

4934
03:20:09,040 --> 03:20:12,840
BROADEN SUCCESSFUL MENTORING.  

4935
03:20:12,840 --> 03:20:15,080
BY BROADEN I MEAN REACHING OUT 

4936
03:20:15,080 --> 03:20:17,520
TO AREAS NOT TYPICALLY PART OF 

4937
03:20:17,520 --> 03:20:20,240
DENTAL RESEARCH SUCH AS 

4938
03:20:20,240 --> 03:20:21,920
ENGINEERING AND BROADEN MAY ALSO

4939
03:20:21,920 --> 03:20:26,720
MEAN CROSS-INSTITUTIONAL 

4940
03:20:26,720 --> 03:20:28,880
MENTORING TO HELP SCHOOLS TO 

4941
03:20:28,880 --> 03:20:30,200
HAVE LESS RESEARCH 

4942
03:20:30,200 --> 03:20:31,240
INFRASTRUCTURE.  THERE IS A 

4943
03:20:31,240 --> 03:20:33,640
NUMBER OF ASPECTS RELATED TO 

4944
03:20:33,640 --> 03:20:37,080
MENTORING THAT ARE LIKELY TO BE 

4945
03:20:37,080 --> 03:20:39,160
QUITE IMPORTANT.  

4946
03:20:39,160 --> 03:20:42,280
THIS INCLUDES A MORE SUSTAINED 

4947
03:20:42,280 --> 03:20:44,280
MENTORING.  AS A STUDENT TRAINEE

4948
03:20:44,280 --> 03:20:45,920
TRANSITIONS TOWARDS 

4949
03:20:45,920 --> 03:20:47,880
INDEPENTDIENT CAREER AND STILL 

4950
03:20:47,880 --> 03:20:51,800
WILL HAVE OPPORTUNITIES OF 

4951
03:20:51,800 --> 03:20:52,120
MENTORING. 

4952
03:20:52,120 --> 03:20:55,080
TO IDENTIFY STEPS THAT CAN BE 

4953
03:20:55,080 --> 03:20:56,800
TAKEN TO INCREASE BREADTH AND 

4954
03:20:56,800 --> 03:20:59,600
QUALITY OF TRAINING AND THIS 

4955
03:20:59,600 --> 03:21:01,640
INCLUDES TRANSLATIONAL SPECTRUM.

4956
03:21:01,640 --> 03:21:04,520
THERE IS A STRONG EMPHASIS ON 

4957
03:21:04,520 --> 03:21:06,960
BASIC SCIENCE RESEARCH AND NEEDS

4958
03:21:06,960 --> 03:21:09,160
TO BE SOMEWHAT OF A TRANSITION 

4959
03:21:09,160 --> 03:21:12,320
TO SUPPORTING TRAINING TOWARDS 

4960
03:21:12,320 --> 03:21:13,000
CLINICAL RESEARCH CAREERS IT 

4961
03:21:13,000 --> 03:21:15,200
THAT INCLUDES ENHANCING TRAINING

4962
03:21:15,200 --> 03:21:19,680
AND REGULATORY ASPECTS OF 

4963
03:21:19,680 --> 03:21:20,000
RESEARCH. 

4964
03:21:20,000 --> 03:21:21,880
AND OF PRODUCT DEVELOPMENT. 

4965
03:21:21,880 --> 03:21:23,920
AND IN ADDITION, STEPS NEED TO 

4966
03:21:23,920 --> 03:21:26,520
BE TAKEN TO ENHANCE DIVERSITY OF

4967
03:21:26,520 --> 03:21:28,920
TRAINEES AND DIVERSITY OF EARLY 

4968
03:21:28,920 --> 03:21:34,560
CAREER RESEARCHERS. 

4969
03:21:34,560 --> 03:21:35,800
ANOTHER THING THAT THE COMMITTEE

4970
03:21:35,800 --> 03:21:39,640
IS GOING TO FOCUS ON IS TO 

4971
03:21:39,640 --> 03:21:45,040
IDENTIFY IDIOLOGIC FACTORS 

4972
03:21:45,040 --> 03:21:46,280
ASSOCIATED WITH SUCCESS IN 

4973
03:21:46,280 --> 03:21:49,000
PURSUING A RESEARCH CAREER.  

4974
03:21:49,000 --> 03:21:50,280
LASTLY ILLUDING TO THE POINT 

4975
03:21:50,280 --> 03:21:53,040
THAT WAS MADE EARLIER ABOUT 

4976
03:21:53,040 --> 03:21:54,680
NIDCR NOT NECESSARILY DOING THIS

4977
03:21:54,680 --> 03:21:58,600
ALONE IS THE IDEA THAT 

4978
03:21:58,600 --> 03:22:02,520
PARTNERSHIPS WITH NIDCR COULD BE

4979
03:22:02,520 --> 03:22:04,360
PARTICULARLY USEFUL IN REDUCING 

4980
03:22:04,360 --> 03:22:07,760
SOME OF THE RISK OF CAREER 

4981
03:22:07,760 --> 03:22:11,160
UNCERTAINTY AND IN TERMS OF 

4982
03:22:11,160 --> 03:22:12,800
BROADENING KNOWLEDGE AVAILABLE 

4983
03:22:12,800 --> 03:22:14,320
AND IDENTIFY MULTIPLE CAREER 

4984
03:22:14,320 --> 03:22:17,720
PATHS AND PROVIDING A RICHER 

4985
03:22:17,720 --> 03:22:21,000
CULTURE FOR STUDENTS WHO ARE OR 

4986
03:22:21,000 --> 03:22:22,400
TRAINEES AND EARLY STAGE 

4987
03:22:22,400 --> 03:22:28,560
RESEARCH CAREERS IN DOC. 

4988
03:22:28,560 --> 03:22:33,520
SO SOME POTENTIAL PARTNERSHIPS 

4989
03:22:33,520 --> 03:22:35,840
DISCUSSED AT THE MEETING ARE 

4990
03:22:35,840 --> 03:22:38,320
INVOLVING NIDCR PARTNERSHIPS 

4991
03:22:38,320 --> 03:22:40,080
WITH PROFESSIONAL ASSOCIATIONS 

4992
03:22:40,080 --> 03:22:43,920
THAT INCLUDE DENTAL SPECIALTY 

4993
03:22:43,920 --> 03:22:46,920
ORGANIZATIONS SUCH AS AAP 

4994
03:22:46,920 --> 03:22:51,760
AMERICAN FAMILY OF PE

4995
03:22:51,760 --> 03:22:53,520
PERIDENTALONTOLOGY AND WITH IDER

4996
03:22:53,520 --> 03:23:00,040
AND WE HAVE IDENTIFIED OVER 100 

4997
03:23:00,040 --> 03:23:01,000
PROFESSIONAL ORGANIZATIONS AND 

4998
03:23:01,000 --> 03:23:03,760
COULD POTENTIALLY PARTNER WITH 

4999
03:23:03,760 --> 03:23:05,120
DISCUSSED PARTNERSHIPS AND I 

5000
03:23:05,120 --> 03:23:07,720
THINK IT IS CLEAR THAT DENTAL 

5001
03:23:07,720 --> 03:23:10,320
SCHOOLS NEED TO PLAY A GREATER 

5002
03:23:10,320 --> 03:23:14,480
ROLE ESPECIALLY IN THIS ISSUE OF

5003
03:23:14,480 --> 03:23:18,960
CAREER UNCERTAINTY PARTNERSHIPS 

5004
03:23:18,960 --> 03:23:22,480
WITH DENTAL SCHOOLS MIGHT HELP 

5005
03:23:22,480 --> 03:23:24,240
OVERCOME GAPS WITH TRAINEES IT 

5006
03:23:24,240 --> 03:23:25,440
THAT EXPERIENCE AS THEY 

5007
03:23:25,440 --> 03:23:29,360
TRANSITION TO INDEPENDENCE.  

5008
03:23:29,360 --> 03:23:32,720
THEN LASTLY THERE IS A DESIRE BY

5009
03:23:32,720 --> 03:23:34,680
ORAL HEALTH INDUSTRY WITH 

5010
03:23:34,680 --> 03:23:38,560
LEADERS THAT WE SPOKE TO.  

5011
03:23:38,560 --> 03:23:40,920
GREATER PARTICIPATION IN 

5012
03:23:40,920 --> 03:23:44,200
DEVELOPING DOC WORK AND RESEARCH

5013
03:23:44,200 --> 03:23:45,480
WORKFORCE THAT WOULD BENEFIT 

5014
03:23:45,480 --> 03:23:48,200
THEM AS WELL AS TRAINEES AND TWL

5015
03:23:48,200 --> 03:23:51,720
ARE POTENTIAL PARTNERSHIPS THAT 

5016
03:23:51,720 --> 03:23:52,640
WE WILL BE PURSUING.  

5017
03:23:52,640 --> 03:23:58,240
SO, TO GIVE YOU A TIMELINE OF 

5018
03:23:58,240 --> 03:24:00,000
WHAT HAS OCCURRED, AT THIS POINT

5019
03:24:00,000 --> 03:24:01,840
WE HAVE HAD INITIAL MEETINGS AND

5020
03:24:01,840 --> 03:24:04,800
HAD PRESENTATIONS FROM NIDCR ON 

5021
03:24:04,800 --> 03:24:06,680
TYPES OF PROGRAMS THAT ARE 

5022
03:24:06,680 --> 03:24:09,280
AVAILABLE AND ASSESSMENT OF THE 

5023
03:24:09,280 --> 03:24:12,000
PROGRAMS AND METRICS USE THE TO 

5024
03:24:12,000 --> 03:24:14,640
MEASURE SUCCESS.  WE HAVE HAD 

5025
03:24:14,640 --> 03:24:16,600
LISTENING SESSIONS IN PANEL 

5026
03:24:16,600 --> 03:24:17,960
DISCUSSIONS WITH KEY 

5027
03:24:17,960 --> 03:24:21,360
STAKEHOLDERS AND RFI HAS BEEN 

5028
03:24:21,360 --> 03:24:22,800
SUBMITTED AND WILL BE GETTING 

5029
03:24:22,800 --> 03:24:26,840
FEEDBACK ON THAT SOON ON THAT.  

5030
03:24:26,840 --> 03:24:28,520
NIDCR HAS GIVEN A PRESENTATION 

5031
03:24:28,520 --> 03:24:29,520
ON OUTCOMES. 

5032
03:24:29,520 --> 03:24:33,000
SO, FOR THE FUTURE, AND IN THE 

5033
03:24:33,000 --> 03:24:35,840
MEDIATE FUTURE, WE WILL DISCUSS 

5034
03:24:35,840 --> 03:24:36,960
POTENTIAL PARTNERSHIPS WITH 

5035
03:24:36,960 --> 03:24:38,800
NIDCR WITH GROUPS THAT I 

5036
03:24:38,800 --> 03:24:40,920
MENTIONED THAT THESE ARE 

5037
03:24:40,920 --> 03:24:42,680
PROFESSIONAL ASSOCIATIONS AND 

5038
03:24:42,680 --> 03:24:44,520
DENTAL SCHOOLS AND THAT ARE 

5039
03:24:44,520 --> 03:24:48,520
LEADERS IN ORAL HEALTH INDUSTRY 

5040
03:24:48,520 --> 03:24:50,720
AND PHARMA.  WORKING GROUPS WILL

5041
03:24:50,720 --> 03:24:52,560
THEN DISCUSS SOME OF -- THEY 

5042
03:24:52,560 --> 03:24:54,840
WILL HAVE DISCUSSIONS ON 

5043
03:24:54,840 --> 03:24:58,920
RECOMMENDATIONS AND SUBGROUPS 

5044
03:24:58,920 --> 03:25:01,000
WILL BE FORMED TO TACKLE 

5045
03:25:01,000 --> 03:25:03,960
DIFFERENT ASPECTS OF THE CHARGE 

5046
03:25:03,960 --> 03:25:04,880
THAT WE HAVE. 

5047
03:25:04,880 --> 03:25:09,040
WE HOPE BY END OF JULY TO HAVE 

5048
03:25:09,040 --> 03:25:12,520
RECOMMENDATIONS TO COUNCIL.  

5049
03:25:12,520 --> 03:25:15,720
WE EXPECT THAT SOME OF THE 

5050
03:25:15,720 --> 03:25:17,040
RECOMMENDATIONS WILL INVOLVE 

5051
03:25:17,040 --> 03:25:19,800
PARTNERSHIPS THAT WE HAVE BEEN 

5052
03:25:19,800 --> 03:25:21,000
DISCUSSING.  

5053
03:25:21,000 --> 03:25:23,120
SO, THANK YOU VERY MUCH.  

5054
03:25:23,120 --> 03:25:26,600
I WOULD BE HAPPY TO TAKE ANY 

5055
03:25:26,600 --> 03:25:26,960
QUESTIONS.  

5056
03:25:26,960 --> 03:25:33,000
>>ARE THERE ANY QUESTIONS
FOR 

5057
03:25:33,000 --> 03:25:42,040
DR.  GRAVES?  

5058
03:25:42,040 --> 03:25:44,560
>>I THINK YOU ARE MUTED. 

5059
03:25:44,560 --> 03:25:48,680
>>JUST MY HEAT FELT
GRATITUDE 

5060
03:25:48,680 --> 03:25:51,520
FOR STEERING AND IN A VERY 

5061
03:25:51,520 --> 03:25:53,480
COMPLEX MILIEU; RIGHT?  FACTORS 

5062
03:25:53,480 --> 03:25:55,200
YOU BROUGHT UP WE HAVE HEARD OF 

5063
03:25:55,200 --> 03:25:58,000
BEFORE.  WE HAVE DEBATED AND 

5064
03:25:58,000 --> 03:25:59,520
WRESTLED FOR SOLUTIONS.  IT 

5065
03:25:59,520 --> 03:26:01,440
REALLY TAKES A VILLAGE TO START 

5066
03:26:01,440 --> 03:26:04,040
MOVING THE NEEDLE WITH ADMISSION

5067
03:26:04,040 --> 03:26:05,800
CRITERIA DEVELOPING PATHWAYS AND

5068
03:26:05,800 --> 03:26:07,400
PIPELINES, ET CETERA, ET CETERA.

5069
03:26:07,400 --> 03:26:12,440
WHEN YOU IN JULY YOU WOULD BE 

5070
03:26:12,440 --> 03:26:14,680
HOPEFULLY PROVIDING 

5071
03:26:14,680 --> 03:26:16,840
RECOMMENDATIONS FOR NIDCR 

5072
03:26:16,840 --> 03:26:18,400
LEADERS TO CONSIDER SERIOUSLY 

5073
03:26:18,400 --> 03:26:20,480
AND ALSO TO INCLUDE PARTNERSHIPS

5074
03:26:20,480 --> 03:26:22,880
WITH OTHER INSTITUTES.  YOU 

5075
03:26:22,880 --> 03:26:25,240
KNOW?  

5076
03:26:25,240 --> 03:26:27,720
NIH HAS REALLY GOOD SUCCESS WITH

5077
03:26:27,720 --> 03:26:30,360
CERTAIN GROUPS OF PHYSICIAN 

5078
03:26:30,360 --> 03:26:33,680
SCIENTISTS AND TRAINEES AND NOT 

5079
03:26:33,680 --> 03:26:35,960
ALL BUT SOME AND PROGRAM IN 

5080
03:26:35,960 --> 03:26:36,760
GENERAL SUFFERS FROM ABOUT THE 

5081
03:26:36,760 --> 03:26:39,560
SAME THING AS WE DO.  

5082
03:26:39,560 --> 03:26:41,640
I WOULD LIKE FOR YOU AND IT 

5083
03:26:41,640 --> 03:26:43,920
WOULD BE NICE TO GET FEEDBACK 

5084
03:26:43,920 --> 03:26:45,480
FOR YOU ON WHETHER THERE OUGHT 

5085
03:26:45,480 --> 03:26:48,840
TO BE A UNIVERSAL CURRICULUM FOR

5086
03:26:48,840 --> 03:26:51,720
DDS COMBINED DUAL TRAINEES TO 

5087
03:26:51,720 --> 03:26:54,360
CREATE MORE OR LESS A LEVEL 

5088
03:26:54,360 --> 03:26:56,440
PLAYING FIELD TO MITIGATE 

5089
03:26:56,440 --> 03:26:58,880
FACTORS OF LONGEVITY AND STRESS 

5090
03:26:58,880 --> 03:27:00,320
AND HARDSHIP SEEMING TO PLAGUE 

5091
03:27:00,320 --> 03:27:02,800
THAT PARTICULAR PROGRAM; RIGHT? 

5092
03:27:02,800 --> 03:27:06,440
COMPARED TO THOSE DOING DDS AND 

5093
03:27:06,440 --> 03:27:08,640
PHD AFTER.  HOPEFULLY WHEN WE 

5094
03:27:08,640 --> 03:27:10,360
ARE TOGETHER IN MARCH, WE CAN 

5095
03:27:10,360 --> 03:27:12,120
SHARE IDEAS AND BELIEVE THERE IS

5096
03:27:12,120 --> 03:27:14,600
A BROADER GROUP OF FOLKS. 

5097
03:27:14,600 --> 03:27:15,560
>>YES.  

5098
03:27:15,560 --> 03:27:16,880
I THINK WE HAVE DISCUSSED MOST 

5099
03:27:16,880 --> 03:27:18,840
OF THE ISSUES YOU BROUGHT UP.  I

5100
03:27:18,840 --> 03:27:20,520
WILL RESPOND TO ONE OF THE 

5101
03:27:20,520 --> 03:27:22,640
THINGS THAT IS HAVING A 

5102
03:27:22,640 --> 03:27:25,000
UNIVERSAL CURRICULUM.  THE 

5103
03:27:25,000 --> 03:27:27,200
PROGRAM DIRECTORS EMPHASIZE THE 

5104
03:27:27,200 --> 03:27:29,880
NEEDING LOCAL CONTROL.  SO, I 

5105
03:27:29,880 --> 03:27:30,280
JUST -- 

5106
03:27:30,280 --> 03:27:31,400
>>I KNOW.  YEAH. 

5107
03:27:31,400 --> 03:27:33,840
>>YOU KNOW, SO, IF YOU
SPEAK TO

5108
03:27:33,840 --> 03:27:37,680
THE PROGRAM DIRECTORS, THAT IS 

5109
03:27:37,680 --> 03:27:40,960
WHAT THEY FELT WAS CRITICAL AND 

5110
03:27:40,960 --> 03:27:42,880
SPEAKING TO TRAINEES AND SOME 

5111
03:27:42,880 --> 03:27:44,480
FEEDBACK THAT WE GOT WAS THAT 

5112
03:27:44,480 --> 03:27:48,240
THE DENTAL SCHOOLS OF THE 

5113
03:27:48,240 --> 03:27:49,960
PROGRAMS ARE NOT MEETING 

5114
03:27:49,960 --> 03:27:51,160
COMMITMENTS THAT THEY HAVE MADE.

5115
03:27:51,160 --> 03:27:52,920
SO, YOU KNOW, WE HAVE HAD 

5116
03:27:52,920 --> 03:27:56,320
DIFFERENT PERSPECTIVES IT THAT 

5117
03:27:56,320 --> 03:27:57,440
EACH HAS BEEN SOMEWHAT 

5118
03:27:57,440 --> 03:27:57,880
DIFFERENT.  

5119
03:27:57,880 --> 03:28:01,880
>>IT WILL BE GOOD TO HEAR
THAT 

5120
03:28:01,880 --> 03:28:04,200
TOGETHER.  

5121
03:28:04,200 --> 03:28:06,680
>>ONE LAST QUESTION.  HOW
WILL 

5122
03:28:06,680 --> 03:28:08,040
YOU LINK TO PHARMA?  

5123
03:28:08,040 --> 03:28:10,640
I MEAN, THAT COULD -- OR 

5124
03:28:10,640 --> 03:28:13,000
PHARMAOR OTHER INDUSTRY THAT 

5125
03:28:13,000 --> 03:28:15,320
COULD GENERATE SOME NICE 

5126
03:28:15,320 --> 03:28:16,680
RESEARCH OPPORTUNITIES.  

5127
03:28:16,680 --> 03:28:19,400
>>YEAH.  SO, WE HAVE
STARTED TO

5128
03:28:19,400 --> 03:28:22,880
EXPLORE THAT.  

5129
03:28:22,880 --> 03:28:27,240
PHARMAHAS MENTIONED THINGS SUCH 

5130
03:28:27,240 --> 03:28:28,920
AS PROVIDING OPPORTUNITIES FOR 

5131
03:28:28,920 --> 03:28:32,320
SUMMER PROGRAMS AND FOR 

5132
03:28:32,320 --> 03:28:33,800
INTERNSHIPS AND EXTERNSHIPS. 

5133
03:28:33,800 --> 03:28:35,760
THEY HAVE ALSO DISCUSSED 

5134
03:28:35,760 --> 03:28:38,920
CONTRIBUTING TO THE CULTURE.  

5135
03:28:38,920 --> 03:28:41,880
TOWARDS GUIDANCE AND TOWARDS 

5136
03:28:41,880 --> 03:28:45,000
ENTREPRENEURSHIP AND TOWARDS 

5137
03:28:45,000 --> 03:28:46,920
TRAINING AND REGULATORY ASPECTS 

5138
03:28:46,920 --> 03:28:49,000
OF DEVICE DEVELOPMENT AND 

5139
03:28:49,000 --> 03:28:49,960
PRODUCT DEVELOPMENT.  THERE IS A

5140
03:28:49,960 --> 03:28:53,240
NUMBER OF ISSUES THAT 

5141
03:28:53,240 --> 03:28:55,000
PHARMACONSIDERS IMPORTANT.  WE 

5142
03:28:55,000 --> 03:28:57,000
WILL BE -- WHAT WE -- WHAT I DID

5143
03:28:57,000 --> 03:29:00,360
IS WE TOOK THE -- I THINK THE 20

5144
03:29:00,360 --> 03:29:02,440
LARGEST COMPANIES IN THAT SPACE.

5145
03:29:02,440 --> 03:29:06,360
WE HAVE INVITED THE ORAL HEALTH 

5146
03:29:06,360 --> 03:29:09,880
LEADERS OF COMPANIES TO MEET 

5147
03:29:09,880 --> 03:29:12,280
WITH US AT A DOCKER MEETING IN 

5148
03:29:12,280 --> 03:29:15,200
PERSON AND VIRTUALLY.  THERE ARE

5149
03:29:15,200 --> 03:29:16,400
REASONS THAT WE COULD RESPOND.  

5150
03:29:16,400 --> 03:29:18,560
WE WILL ASK THEM WHAT TYPE OF 

5151
03:29:18,560 --> 03:29:20,520
PARTNERSHIPS ARE YOU WILLING TO 

5152
03:29:20,520 --> 03:29:20,760
DO?  

5153
03:29:20,760 --> 03:29:24,480
AND WE ARE ASKING THE DENTAL 

5154
03:29:24,480 --> 03:29:26,960
SCHOOLS:  WHAT CAN YOU DO TO 

5155
03:29:26,960 --> 03:29:30,600
PROVIDE GREATER CAREER CERTAINTY

5156
03:29:30,600 --> 03:29:33,840
AND TO -- TO ENHANCE TRAINING 

5157
03:29:33,840 --> 03:29:35,840
ENVIRONMENTS SO THAT -- I MEAN, 

5158
03:29:35,840 --> 03:29:40,640
THE EASIEST THING TO DO IS ASK 

5159
03:29:40,640 --> 03:29:43,800
NIDCR TO THROW MORE MONEY AT THE

5160
03:29:43,800 --> 03:29:45,880
PROBLEM BUT WAS PRETTY MUCH THE 

5161
03:29:45,880 --> 03:29:47,560
SECOND THING I WAS TOLD NOT TO 

5162
03:29:47,560 --> 03:29:49,680
EXPECT TO TRY TO DO THIS IN A 

5163
03:29:49,680 --> 03:29:51,360
WAY THAT WAS COST EFFECTIVE.  

5164
03:29:51,360 --> 03:29:56,960
SO, I THINK THAT THE COMMITTEE 

5165
03:29:56,960 --> 03:29:59,360
HAS SEEN THAT THERE DOES NEED TO

5166
03:29:59,360 --> 03:30:03,800
BE MORE INTERACTION FROM THE 

5167
03:30:03,800 --> 03:30:04,360
PROFESSIONAL SOCIETIES. 

5168
03:30:04,360 --> 03:30:05,560
ANOTHER INTERESTING COMPONENT OF

5169
03:30:05,560 --> 03:30:09,000
THIS IS THAT MOST OF THE 

5170
03:30:09,000 --> 03:30:10,840
SOCIETIES HAVE FOUNDATIONS THAT 

5171
03:30:10,840 --> 03:30:14,280
ARE DESIGNED TO FOSTER CAREER 

5172
03:30:14,280 --> 03:30:14,600
DEVELOPMENT. 

5173
03:30:14,600 --> 03:30:18,120
THAT MIGHT -- THAT REPRESENTS AN

5174
03:30:18,120 --> 03:30:20,720
AVENUE OF PARTNERSHIPS AND ARE 

5175
03:30:20,720 --> 03:30:23,440
LOTS OF OPPORTUNITIES THERE THAT

5176
03:30:23,440 --> 03:30:27,680
ARE WORTH EXPLORING.  

5177
03:30:27,680 --> 03:30:31,360
>>GREAT.  THANK YOU. 

5178
03:30:31,360 --> 03:30:32,840
>>THIS IS EXCELLENT. 
THANK YOU

5179
03:30:32,840 --> 03:30:34,960
FOR LEADING THIS GROUP AND 

5180
03:30:34,960 --> 03:30:38,280
RESEARCH THAT IS AN IMPORTANT 

5181
03:30:38,280 --> 03:30:38,480
WORK. 

5182
03:30:38,480 --> 03:30:40,560
MY QUESTION HERE IS IDENTIFYING 

5183
03:30:40,560 --> 03:30:43,000
GAP THAT YOU IDENTIFIED IN YOUR 

5184
03:30:43,000 --> 03:30:46,920
GROUP AND BETWEEN RESEARCH 

5185
03:30:46,920 --> 03:30:52,000
INTENSIVE AND NONINTENSIVE 

5186
03:30:52,000 --> 03:30:54,560
DENTAL SCHOOLS THAT IS VERY REAL

5187
03:30:54,560 --> 03:30:58,680
AND THIS GAP IS INCREASING AS WE

5188
03:30:58,680 --> 03:31:02,480
SPE

5189
03:31:02,480 --> 03:31:02,720
SPEAK. 

5190
03:31:02,720 --> 03:31:05,200
IS THERE OPPORTUNITY TO ENGAGE 

5191
03:31:05,200 --> 03:31:10,520
WITH AKREDIZATION STANDARDS TO 

5192
03:31:10,520 --> 03:31:12,160
STIPULATE RESEARCH CREDENTIALS 

5193
03:31:12,160 --> 03:31:15,920
ON SCHOOLS AND THOUGHTS ON THAT?

5194
03:31:15,920 --> 03:31:17,960
>>STANDARD 6 IS PRETTY
CLEAR 

5195
03:31:17,960 --> 03:31:20,440
AND QUESTION IS WILL KODIA 

5196
03:31:20,440 --> 03:31:23,600
ENFORCE STANDARD 6 TO ANYTHING 

5197
03:31:23,600 --> 03:31:27,920
THAT IS BEYOND SYSTEMATIC 

5198
03:31:27,920 --> 03:31:28,280
REVIEW?  

5199
03:31:28,280 --> 03:31:32,800
YOU KNOW, I'M NOT SURE I HAVE 

5200
03:31:32,800 --> 03:31:35,240
THE ANSWER TO THE QUESTION AND 

5201
03:31:35,240 --> 03:31:39,400
AMERICAN DENTAL ASSOCIATION AND 

5202
03:31:39,400 --> 03:31:42,960
OUTCOMES COME INTO PLAY. 

5203
03:31:42,960 --> 03:31:44,440
PARTNERSHIPS WITH ORGANIZATIONS 

5204
03:31:44,440 --> 03:31:49,640
CAN HAVE IMPACTS AND AS A 

5205
03:31:49,640 --> 03:31:52,080
WORKING GROUP I WOULD BE GREATLY

5206
03:31:52,080 --> 03:31:55,000
OVERSTEPPING BALANCE TO SAY WE 

5207
03:31:55,000 --> 03:31:56,080
COULD COME UP WITH A SOLUTION 

5208
03:31:56,080 --> 03:32:00,360
WITH THAT AND WE DISCUSSED IT 

5209
03:32:00,360 --> 03:32:02,280
WITH AMERICAN DENTAL ASSOCIATION

5210
03:32:02,280 --> 03:32:05,200
AND THINK THIS ISSUE WITH 

5211
03:32:05,200 --> 03:32:07,160
PARTNERSHIP WILL BE IMPORTANT 

5212
03:32:07,160 --> 03:32:09,000
AND IT HAS ALREADY STARTED.  AM 

5213
03:32:09,000 --> 03:32:11,400
I IN THE FUTURE AND LOOKS LIKE A

5214
03:32:11,400 --> 03:32:15,440
GREAT PROGRAM BUT IS NOT AN 

5215
03:32:15,440 --> 03:32:16,680
ENTIRELY NOVEL CONCEPT BUT THINK

5216
03:32:16,680 --> 03:32:23,000
IT CAN BE ENHANCED AND CAN BE 

5217
03:32:23,000 --> 03:32:27,120
EXPANDED TO BENEFIT DENTISTS AND

5218
03:32:27,120 --> 03:32:29,320
RESEARCHERS AND DOC AND 

5219
03:32:29,320 --> 03:32:32,280
EVERYBODY INVOLVED. 

5220
03:32:32,280 --> 03:32:33,000
>>THANK YOU. 

5221
03:32:33,000 --> 03:32:38,320
>>>>THANK YOU VERY
MUCH DANA. 

5222
03:32:38,320 --> 03:32:40,240
THAT WAS GREAT AND GREATLY 

5223
03:32:40,240 --> 03:32:43,760
APPRECIATE THE UPDATE AND 

5224
03:32:43,760 --> 03:32:50,200
PRESENTATION.  FOR THE NEXT, WE 

5225
03:32:50,200 --> 03:32:53,640
CAN MOVE TO FINAL ITEM ON AGENDA

5226
03:32:53,640 --> 03:32:55,760
TODAY THAT IS ONE CONCEPT 

5227
03:32:55,760 --> 03:32:56,880
CLEARANCE THAT WE ARE REQUIRED 

5228
03:32:56,880 --> 03:33:00,200
TO DOCUMENT CLEARANCE OF 

5229
03:33:00,200 --> 03:33:01,960
CONCEPTS BY PRESENTING THE 

5230
03:33:01,960 --> 03:33:03,400
PURPOSE AND SCOPE AND OBJECTIVES

5231
03:33:03,400 --> 03:33:07,000
IN A PUBLIC FORUM SUCH AS 

5232
03:33:07,000 --> 03:33:08,600
COUNCIL MEETINGS GIVING COUNCIL 

5233
03:33:08,600 --> 03:33:10,000
MEMBERS AND PUBLIC AN 

5234
03:33:10,000 --> 03:33:11,080
OPPORTUNITY TO COMMENT.  

5235
03:33:11,080 --> 03:33:13,720
FOLLOWING PRESENTATION BY NIDCR 

5236
03:33:13,720 --> 03:33:16,200
STAFF AND DESIGNATED COUNCIL 

5237
03:33:16,200 --> 03:33:17,760
MEMBERS WILL LEAD DISCUSSION AND

5238
03:33:17,760 --> 03:33:20,320
FOLLOWED BY A VOTE FOR APPROVAL 

5239
03:33:20,320 --> 03:33:23,000
OF THE CONCEPT AS A BASIS FOR 

5240
03:33:23,000 --> 03:33:25,000
DEVELOPING FUTURE FUNDING 

5241
03:33:25,000 --> 03:33:28,440
OPPORTUNITY ANNOUNCEMENTS AND 

5242
03:33:28,440 --> 03:33:29,920
DR. LORENA THE PROGRAM OFFICER 

5243
03:33:29,920 --> 03:33:33,000
FOR CLINICAL RESEARCH AND 

5244
03:33:33,000 --> 03:33:33,600
EPIDEMIOLOGY PROGRAM WILL 

5245
03:33:33,600 --> 03:33:35,680
PRESENT A CONCEPT ON TODAY'S 

5246
03:33:35,680 --> 03:33:40,960
AGENDA AND COUNCIL MEMBERS DR. 

5247
03:33:40,960 --> 03:33:48,200
AXEL  VISCEL AND RAUL GARCIA 

5248
03:33:48,200 --> 03:33:49,680
WILL LEAD THE DISCUSSION AND 

5249
03:33:49,680 --> 03:34:00,240
TURNING IT TO LORENA.  

5250
03:34:00,240 --> 03:34:02,520
I THINK IT WILL PRESENT YOUR 

5251
03:34:02,520 --> 03:34:02,760
SLIDE. 

5252
03:34:02,760 --> 03:34:05,960
>>THANK YOU.  I'M A
PROGRAM 

5253
03:34:05,960 --> 03:34:11,000
OFFICER AT NICDR CENTER WHERE I 

5254
03:34:11,000 --> 03:34:13,320
OVERSEE RESEARCH.  NICDR 

5255
03:34:13,320 --> 03:34:15,760
CLINICAL RESEARCH CENTER IS 

5256
03:34:15,760 --> 03:34:18,600
DIRECTED BY DANA FISHER WHO WE 

5257
03:34:18,600 --> 03:34:20,360
ARE EXCITED TO PRESENT YOU TO ON

5258
03:34:20,360 --> 03:34:24,960
BEHALF OF NICDR REQUEST OF 

5259
03:34:24,960 --> 03:34:28,200
REISSUANCE OF FUNDING 

5260
03:34:28,200 --> 03:34:32,080
OPPORTUNITY AND TITLE OF 

5261
03:34:32,080 --> 03:34:32,480
[INDISCERNIBLE]. 

5262
03:34:32,480 --> 03:34:33,280
NEXT, PLEASE. 

5263
03:34:33,280 --> 03:34:36,240
GOAL OF THE CONCEPT IS PROVIDING

5264
03:34:36,240 --> 03:34:37,640
INVESTIGATORS WITH SUPPORT 

5265
03:34:37,640 --> 03:34:42,480
NECESSARY TO CONDUCT RESOURCE 

5266
03:34:42,480 --> 03:34:44,240
INTENSIVE PROSPECTIVE VALIDATION

5267
03:34:44,240 --> 03:34:45,800
STUDIES MULTI-YEAR OPPORTUNITY 

5268
03:34:45,800 --> 03:34:49,280
ENCOURAGES APPLICATIONS TO 

5269
03:34:49,280 --> 03:34:52,000
UTILIZE U1 CORPORATE AGREEMENT 

5270
03:34:52,000 --> 03:34:53,160
MECHANISM PROVIDING RESEARCH 

5271
03:34:53,160 --> 03:34:55,760
SUPPORT FOR INVESTIGATORS UP TO 

5272
03:34:55,760 --> 03:34:57,000
FIVE YEARS AND CURRENT FUNDING 

5273
03:34:57,000 --> 03:34:59,320
OPPORTUNITY IS DUE TO EXPIRE IN 

5274
03:34:59,320 --> 03:35:05,000
FOUR MONTHS AND WILL REQUEST 

5275
03:35:05,000 --> 03:35:05,440
ISSUANCE. 

5276
03:35:05,440 --> 03:35:07,880
NEXT, PLEASE. 

5277
03:35:07,880 --> 03:35:09,040
PROVIDING BACKGROUND RESPONSE TO

5278
03:35:09,040 --> 03:35:10,760
FUNDING OPPORTUNITY SERIES THAT 

5279
03:35:10,760 --> 03:35:13,000
WAS FIRST PUBLISHED FIVE YEARS 

5280
03:35:13,000 --> 03:35:15,920
AGO WE RECEIVED 29 COMPETITIVE 

5281
03:35:15,920 --> 03:35:16,960
GRANT APPLICATIONS AND 12 

5282
03:35:16,960 --> 03:35:18,520
APPLICATIONS HAVE BEEN AWARDED 

5283
03:35:18,520 --> 03:35:20,400
AND FUNDING APPLICATIONS FOUR 

5284
03:35:20,400 --> 03:35:22,880
WERE SUBMITTED ABOUT I TEAMS 

5285
03:35:22,880 --> 03:35:25,040
WITH MULTIPLE INVESTIGATORS AND 

5286
03:35:25,040 --> 03:35:27,840
TWO WERE FROM NEW INVESTIGATORS 

5287
03:35:27,840 --> 03:35:30,560
AND GRANTS SUPPORTED TWO 

5288
03:35:30,560 --> 03:35:31,080
SUPPLEMENTS ALSO.  MOST 

5289
03:35:31,080 --> 03:35:35,720
APPLICANTS PROPOSED STUDIES 

5290
03:35:35,720 --> 03:35:37,440
HIGHLY DIVERSE SAMPLE SCLEKSS 

5291
03:35:37,440 --> 03:35:40,960
AND APPROACHES AND TYPES AND 

5292
03:35:40,960 --> 03:35:43,000
DATA SPECIMEN COLLECTION 

5293
03:35:43,000 --> 03:35:44,880
INCLUDED CLINICAL DATA 

5294
03:35:44,880 --> 03:35:48,080
TRANSMEDICAL -- BIOSPECIMENS AND

5295
03:35:48,080 --> 03:35:49,520
PLASMA SLIDE TISSUE SPECIMENS 

5296
03:35:49,520 --> 03:35:54,560
AND IMAGING AND MRIS AND LUNG OR

5297
03:35:54,560 --> 03:35:56,680
MICROBIOME DATA AND 

5298
03:35:56,680 --> 03:35:58,640
INVESTIGATORS HAVE BEEN VERY 

5299
03:35:58,640 --> 03:36:01,240
PRODUCTIVE AND RESEARCH STUDIES 

5300
03:36:01,240 --> 03:36:02,640
CONDUCTING FUNDING OPPORTUNITY 

5301
03:36:02,640 --> 03:36:06,320
AND 37 PUBLICATIONS AND MANY 

5302
03:36:06,320 --> 03:36:09,000
RESULTS FROM INTENSIVE 5 YEAR 

5303
03:36:09,000 --> 03:36:12,640
LONGITUDINAL STUDIES HAVE BEEN 

5304
03:36:12,640 --> 03:36:13,080
PROCESSED AND THROUGH 

5305
03:36:13,080 --> 03:36:16,360
PUBLICATIONS RESULTS HAVE BEEN 

5306
03:36:16,360 --> 03:36:18,960
DISSEMINATED ON MICROBIOMES 

5307
03:36:18,960 --> 03:36:20,880
FINDINGS AND METHODOLOGICAL 

5308
03:36:20,880 --> 03:36:23,120
APPROACHES AND VALIDATION 

5309
03:36:23,120 --> 03:36:24,000
STUDIES. 

5310
03:36:24,000 --> 03:36:25,000
NEXT, PLEASE.  

5311
03:36:25,000 --> 03:36:28,960
THE PLAN IS FOR THIS FUNDING 

5312
03:36:28,960 --> 03:36:31,560
OPPORTUNITY TO CONTINUE TO 

5313
03:36:31,560 --> 03:36:33,960
SUPPORT RESEARCH INTENSIVE 

5314
03:36:33,960 --> 03:36:36,480
RESEARCH PROPOSALS -- IN LARGE 

5315
03:36:36,480 --> 03:36:38,160
COHORTS AND THESE ARE 

5316
03:36:38,160 --> 03:36:39,760
OPPORTUNITIES FOR DEVELOPING 

5317
03:36:39,760 --> 03:36:40,920
PREDICTIVE -- THERE ARE 

5318
03:36:40,920 --> 03:36:42,800
OPPORTUNITIES FOR DEVELOPING 

5319
03:36:42,800 --> 03:36:44,840
PREDICTIVE TOOLS AND FOR 

5320
03:36:44,840 --> 03:36:45,640
OPTIMIZING DISEASE PREVENTION 

5321
03:36:45,640 --> 03:36:49,000
AND TREATMENT.  ADDITIONALLY, 

5322
03:36:49,000 --> 03:36:50,800
RESEARCH STUDIES MAY BE PROPOSED

5323
03:36:50,800 --> 03:36:53,840
FOR LONG-TERM FOLLOW UP OF 

5324
03:36:53,840 --> 03:36:56,160
CLINICAL TRIAL PARTICIPANTS IN 

5325
03:36:56,160 --> 03:36:58,120
PREVENTIVE OR THERAPEUTIC 

5326
03:36:58,120 --> 03:36:59,520
INVENTION AND INITIAL TRIAL HAS 

5327
03:36:59,520 --> 03:37:00,120
ENDED. 

5328
03:37:00,120 --> 03:37:02,720
CURRENTLY THERE IS NO SPECIFIC 

5329
03:37:02,720 --> 03:37:06,160
MECHANISM TO FOLLOW UP 

5330
03:37:06,160 --> 03:37:07,400
PARTICIPANTS BEYOND CLOSEOUT AND

5331
03:37:07,400 --> 03:37:10,240
ADDITIONAL FOLLOW UP COULD BE 

5332
03:37:10,240 --> 03:37:13,000
USED TO ASSESS LONG TERM EVENTS 

5333
03:37:13,000 --> 03:37:14,720
SUSTAINED EFFECT OF INTERVENTION

5334
03:37:14,720 --> 03:37:16,760
OR COLLECTING ADDITIONAL DATA TO

5335
03:37:16,760 --> 03:37:19,000
CREATE COMBINED COHORTS TO 

5336
03:37:19,000 --> 03:37:20,280
UNCOVER NEW KNOWLEDGE.  THIS IS 

5337
03:37:20,280 --> 03:37:23,000
ALSO A TIMELY OPPORTUNITY TO 

5338
03:37:23,000 --> 03:37:25,680
LEVERAGE EXISTING BIOSPECIMENS 

5339
03:37:25,680 --> 03:37:30,440
AND DATA AND OR EPIDEMIOLOGIC 

5340
03:37:30,440 --> 03:37:31,920
COHORTS TO PROMOTE HIGH QUALITY 

5341
03:37:31,920 --> 03:37:33,800
DATA SHARING CONSISTENT WITH 

5342
03:37:33,800 --> 03:37:36,720
TODAY'S IMPLEMENTATION OF NIH 

5343
03:37:36,720 --> 03:37:37,680
DATA MANAGEMENT AND SHARING 

5344
03:37:37,680 --> 03:37:40,920
POLICY AND GENERATION OF 

5345
03:37:40,920 --> 03:37:42,240
ADDITIONAL MULTIDIMENSIONAL DATA

5346
03:37:42,240 --> 03:37:45,000
USING NEW ANALYTIC METHOD AND 

5347
03:37:45,000 --> 03:37:47,000
TECHNOLOGIES CONSISTENT WITH NEW

5348
03:37:47,000 --> 03:37:52,400
POLICY NICDR PARTICIPATES IN 

5349
03:37:52,400 --> 03:37:54,960
ROBUST SHARING CURATED REUSABLE 

5350
03:37:54,960 --> 03:37:56,800
DATA AND POPULATION EFFECTED BY 

5351
03:37:56,800 --> 03:37:58,720
CONDITION IN THE STUDY AND 

5352
03:37:58,720 --> 03:38:01,000
INVESTIGATORS WILL BE EXPECTED 

5353
03:38:01,000 --> 03:38:03,080
TO PRODUCE AND SHARE HIGH 

5354
03:38:03,080 --> 03:38:04,280
QUALITY PROTOCOLS AND DIGITAL 

5355
03:38:04,280 --> 03:38:07,920
DATA AND METADATA ALIGNED WITH 

5356
03:38:07,920 --> 03:38:11,560
FAIR AND JUST PRINCIPLES AND 

5357
03:38:11,560 --> 03:38:13,480
NEXT, PLEASE. 

5358
03:38:13,480 --> 03:38:15,560
THIS FUNTDING OPPORTUNITY HAS 

5359
03:38:15,560 --> 03:38:18,200
DUAL FOCUS PERSPECTIVE COVER 

5360
03:38:18,200 --> 03:38:21,200
STUDIES AND BIOMARKER STUDIES 

5361
03:38:21,200 --> 03:38:23,960
AND BROAD RANGE OF CRANIOFICIAL 

5362
03:38:23,960 --> 03:38:27,200
CONDITIONS AND MANY AWARDED 

5363
03:38:27,200 --> 03:38:29,000
PROJECTS INVOLVING LARGE 

5364
03:38:29,000 --> 03:38:30,800
LONGITUDINAL MULTICENTER STUDIES

5365
03:38:30,800 --> 03:38:32,240
WITH EXTENSIVE COLLECTION OF 

5366
03:38:32,240 --> 03:38:34,280
DATA COLLECTION OF SPECIMENS AND

5367
03:38:34,280 --> 03:38:35,840
ANALYZE AND PRODUCE PUBLICATIONS

5368
03:38:35,840 --> 03:38:38,560
FROM VARIOUS DENTAL ORAL KRASH 

5369
03:38:38,560 --> 03:38:40,800
YO FACIAL TOPICS AND MEDICAL 

5370
03:38:40,800 --> 03:38:43,960
CONDITIONS AND SYNDROMES AND 

5371
03:38:43,960 --> 03:38:46,280
SPEECH ABNORMALITIES AND ORAL 

5372
03:38:46,280 --> 03:38:49,840
CANCER AND CYSTIC FIBROSIS AND 

5373
03:38:49,840 --> 03:38:51,320
DENTAL [INDISCERNIBLE] AND CLEFT

5374
03:38:51,320 --> 03:38:52,480
PALETTE.  NEXT, PLEASE. 

5375
03:38:52,480 --> 03:38:55,800
ON BEHALF OF NICDR I WOULD LIKE 

5376
03:38:55,800 --> 03:38:57,520
TO THANK YOU FOR ATTENTION AND 

5377
03:38:57,520 --> 03:38:59,000
CONSIDERATION OF ISSUANCE OF 

5378
03:38:59,000 --> 03:39:01,320
FUNDING OPPORTUNITIES AND I ALSO

5379
03:39:01,320 --> 03:39:06,520
WISH TO THANK DR. AXEL VISCEL 

5380
03:39:06,520 --> 03:39:08,960
AND RAUL GARSIO FOR INPUT AND 

5381
03:39:08,960 --> 03:39:11,000
WOULD LIKE TO PASS IT TO THEM 

5382
03:39:11,000 --> 03:39:12,160
FOR ADDITIONAL THOUGHTS WOULD 

5383
03:39:12,160 --> 03:39:15,160
YOU LIKE TO TAKE IT FROM HERE 

5384
03:39:15,160 --> 03:39:16,440
DR. VISCEL?  

5385
03:39:16,440 --> 03:39:19,760
>>YES.  OKAY.  SO, THANK
YOU 

5386
03:39:19,760 --> 03:39:21,760
FOR THE GREAT OVERVIEW.  SO, I 

5387
03:39:21,760 --> 03:39:25,000
WILL START BY SAYING THAT I'M 

5388
03:39:25,000 --> 03:39:25,960
HIGHLY SUPPORTIVE OF THIS 

5389
03:39:25,960 --> 03:39:27,760
CONCEPT AND THINK IT WILL PAVE 

5390
03:39:27,760 --> 03:39:30,360
THE WAY FOR CONTINUED FOCUSED 

5391
03:39:30,360 --> 03:39:31,760
EFFORTS ON DEVELOPMENT AND 

5392
03:39:31,760 --> 03:39:35,480
VALIDATION OF BIOMARKERS AND 

5393
03:39:35,480 --> 03:39:36,440
PROSPECTIVE OBSERVATIONAL 

5394
03:39:36,440 --> 03:39:39,320
STUDIES. 

5395
03:39:39,320 --> 03:39:41,000
MOST OF YOU KNOW THAT WELL 

5396
03:39:41,000 --> 03:39:43,440
VALIDATED BIOMARKERS ARE 

5397
03:39:43,440 --> 03:39:45,080
CRITICAL FOR IMPROVING DIAGNOSIS

5398
03:39:45,080 --> 03:39:46,960
AND TREATMENT AND SAME TIME CAN 

5399
03:39:46,960 --> 03:39:48,520
BE DIFFICULT TO SUPPORT 

5400
03:39:48,520 --> 03:39:50,920
DISCOVERY AND VALIDATIONAL 

5401
03:39:50,920 --> 03:39:52,680
BIOMARKERS IN FUNDING MECHANISMS

5402
03:39:52,680 --> 03:39:56,600
FOCUSED ON HYPOTHESIS FOR 

5403
03:39:56,600 --> 03:39:58,480
RESEARCH AND SAME IS TRUE FOR 

5404
03:39:58,480 --> 03:40:00,520
POST [INDISCERNIBLE] PERSPECTIVE

5405
03:40:00,520 --> 03:40:02,080
STUDIES AND HEARD THIS PREVIOUS 

5406
03:40:02,080 --> 03:40:04,080
FOA THAT HAS BEEN IN EXISTENCE 

5407
03:40:04,080 --> 03:40:06,520
FOR SEVERAL YEARS AND IT HAS 

5408
03:40:06,520 --> 03:40:07,960
BEEN AN IMPORTANT WAY TO ADDRESS

5409
03:40:07,960 --> 03:40:11,680
A GAP BY USING UO1 MECHANISMS 

5410
03:40:11,680 --> 03:40:13,080
SPECIFICALLY SUPPORTING THESE 

5411
03:40:13,080 --> 03:40:15,240
EFFORT AND WHEN YOU LOOK AT MORE

5412
03:40:15,240 --> 03:40:18,640
DETAIL THE CONCEPTS, YOU KNOW, 

5413
03:40:18,640 --> 03:40:19,840
IT IS PRETTY EVIDENT THAT OVER 

5414
03:40:19,840 --> 03:40:22,920
THE LAST FEW YEARS IT HAS BEEN 

5415
03:40:22,920 --> 03:40:25,640
QUITE SUCCESSFUL AND PROPOSALS 

5416
03:40:25,640 --> 03:40:28,040
COVER WIDE SPECTRUM OF 

5417
03:40:28,040 --> 03:40:29,040
BIOMARKERS AND OBSERVATIONAL 

5418
03:40:29,040 --> 03:40:33,000
DATA AND CLINICAL DATA FROM A 

5419
03:40:33,000 --> 03:40:37,760
RANGE SAY YOU KNOW MASS 

5420
03:40:37,760 --> 03:40:40,720
BIOSPECIMENS PLASMA AND SALIVA 

5421
03:40:40,720 --> 03:40:43,240
AND MICROBIOME DATA AND 

5422
03:40:43,240 --> 03:40:45,000
IMPRESSIVE LIST OF ALMOST 40 

5423
03:40:45,000 --> 03:40:45,920
PUBLICATIONS HAVE RESULT THE 

5424
03:40:45,920 --> 03:40:48,080
FROM THE RESEARCH SO FAR THAT I 

5425
03:40:48,080 --> 03:40:49,560
THINK SPEAKS TO IMPACTS OF THIS 

5426
03:40:49,560 --> 03:40:52,880
EFFORT AND BASED ON THIS VERY 

5427
03:40:52,880 --> 03:40:54,160
SUCCESSFUL TRACK RECORD AND 

5428
03:40:54,160 --> 03:40:55,920
RESEARCH THAT IS DONE THAT IT 

5429
03:40:55,920 --> 03:40:58,560
WAS DONE UNDER PREVIOUS FOA AND 

5430
03:40:58,560 --> 03:41:01,000
BASED ON CONTINUED NEED FOR 

5431
03:41:01,000 --> 03:41:03,560
EXPANDING REPERTOIRE OF THESE 

5432
03:41:03,560 --> 03:41:05,640
AVAILABLE WELL VALIDATED 

5433
03:41:05,640 --> 03:41:07,560
BIOMARKERS AND PREDICTORS AND 

5434
03:41:07,560 --> 03:41:09,280
SUPPORTIVE OF THIS CONCEPT AND 

5435
03:41:09,280 --> 03:41:11,720
HIGHLY SUPPORTIVE OF CONTINUING 

5436
03:41:11,720 --> 03:41:16,280
THIS FOA INTO FUTURE YEARS. 

5437
03:41:16,280 --> 03:41:17,440
>>THANK YOU FOR THE 

5438
03:41:17,440 --> 03:41:18,760
PRESENTATION AND TIME YOU GAVE 

5439
03:41:18,760 --> 03:41:21,320
US EARLIER THIS MONTH TO GO OVER

5440
03:41:21,320 --> 03:41:22,440
THE CONCEPT.  

5441
03:41:22,440 --> 03:41:24,240
AND TO ANSWER OUR QUESTIONS. 

5442
03:41:24,240 --> 03:41:26,840
I HAVE NOTHING ELSE TO ADD TO 

5443
03:41:26,840 --> 03:41:30,440
DR. VISEL'S ENTHUSIASTIC SUPPORT

5444
03:41:30,440 --> 03:41:32,840
OF THIS CONCEPT AND I TOO 

5445
03:41:32,840 --> 03:41:34,280
ENDORSE MOVING ON WITH IT.  

5446
03:41:34,280 --> 03:41:34,720
THANK YOU. 

5447
03:41:34,720 --> 03:41:35,800
>>THANK YOU BOTH. 

5448
03:41:35,800 --> 03:41:37,000
>>ANYBODY ELSE HAVE ANY 

5449
03:41:37,000 --> 03:41:45,000
COMMENTS OR QUESTIONS ABOUT THIS

5450
03:41:45,000 --> 03:41:47,040
CONCEPT?  

5451
03:41:47,040 --> 03:41:48,800
IF NO FURTHER COMMENTS OR 

5452
03:41:48,800 --> 03:41:50,440
QUESTIONS WOULD A MEMBER OF 

5453
03:41:50,440 --> 03:41:52,280
COUNCIL LIKE TO MAKE A MOTION 

5454
03:41:52,280 --> 03:41:53,760
FOR RECOMMENDATION TO APPROVE 

5455
03:41:53,760 --> 03:41:55,360
THIS CONCEPT?  

5456
03:41:55,360 --> 03:41:58,120
>>SO MOVED [ROLL CALL]
GARCIA. 

5457
03:41:58,120 --> 03:42:00,640
>>WOULD ANYONE LIKE TO
SECOND 

5458
03:42:00,640 --> 03:42:03,360
THE MOTION?  

5459
03:42:03,360 --> 03:42:04,160
>>SECONDED IT.  

5460
03:42:04,160 --> 03:42:05,680
>>ALL IN FAVOR?  

5461
03:42:05,680 --> 03:42:06,160
>>AYE. 

5462
03:42:06,160 --> 03:42:06,560
>>AYE. 

5463
03:42:06,560 --> 03:42:13,840
>>ANY OPPOSED?  

5464
03:42:13,840 --> 03:42:16,400
OKAY.  WE ARE NOW AT THE END OF 

5465
03:42:16,400 --> 03:42:19,320
THE OPEN SESSION.  WE WILL POST 

5466
03:42:19,320 --> 03:42:22,080
THE WEB -- THE URL OF THE 

5467
03:42:22,080 --> 03:42:24,160
WEBSITE OR E-MAIL ADDRESS OR 

5468
03:42:24,160 --> 03:42:25,960
POST THE E-MAIL ADDRESS WHERE 

5469
03:42:25,960 --> 03:42:28,680
YOU CAN SUBMIT QUESTIONS TO US 

5470
03:42:28,680 --> 03:42:31,880
ABOUT THE COUNCIL TODAY AND 

5471
03:42:31,880 --> 03:42:33,000
COUNCIL MEETING TODAY BY 

5472
03:42:33,000 --> 03:42:34,840
FEBRUARY 17TH.  

5473
03:42:34,840 --> 03:42:36,520
AND WE ALSO HAVE A SLIDE THAT 

5474
03:42:36,520 --> 03:42:40,120
WILL SHOW THE UPCOMING COUNCIL 

5475
03:42:40,120 --> 03:42:40,520
MEETINGS. 

5476
03:42:40,520 --> 03:42:43,600
THE MAY 16TH MEETING, 2023 WILL 

5477
03:42:43,600 --> 03:42:46,800
BE A VIRTUAL MEETING.  WE ARE 

5478
03:42:46,800 --> 03:42:48,960
PLANNING FOR IN-PERSON MEETING 

5479
03:42:48,960 --> 03:42:55,560
ON SEPTEMBER 13TH AT 2023 FOR 

5480
03:42:55,560 --> 03:42:57,760
THE LATER COUNCIL IN THE FALL.  

5481
03:42:57,760 --> 03:43:01,880
WITH THAT, I WOULD LIKE TO 

5482
03:43:01,880 --> 03:43:05,080
INVITE DR. RENA D'SOUZA FOR 

5483
03:43:05,080 --> 03:43:06,920
CLOSING COMMENTS FOR THE OPEN 

5484
03:43:06,920 --> 03:43:07,240
SESSION. 

5485
03:43:07,240 --> 03:43:11,880
>>YOU KNOW, I JUST GOT A 

5486
03:43:11,880 --> 03:43:13,120
WONDERFUL COMPLEMENT FROM BRENDA

5487
03:43:13,120 --> 03:43:15,760
HCHLTD DIRECT TODAY ALL OF THE 

5488
03:43:15,760 --> 03:43:16,960
STAFF SHE THOUGHT IT WAS ONE OF 

5489
03:43:16,960 --> 03:43:19,360
THE NICEST AND MOST ILLUMINATING

5490
03:43:19,360 --> 03:43:22,200
OF ALL COUNCILS.  WE CAN ONLY 

5491
03:43:22,200 --> 03:43:24,200
STRIVE TO KEEP BRENDA IN THAT 

5492
03:43:24,200 --> 03:43:26,160
MODE FOR A LONG TIME.  I THANK 

5493
03:43:26,160 --> 03:43:27,480
YOU ALL FOR YOUR PARTICIPATION. 

5494
03:43:27,480 --> 03:43:30,440
YOU KNOW, WE SEEK ALWAYS BETTER 

5495
03:43:30,440 --> 03:43:31,680
WAYS TO DO THINGS. 

5496
03:43:31,680 --> 03:43:33,560
SO, THE DOOR IS OPEN FOR YOUR 

5497
03:43:33,560 --> 03:43:36,680
SUGGESTIONS IN HOW TO MAKE THIS 

5498
03:43:36,680 --> 03:43:39,000
MORE INTERACTIVE AND MORE 

5499
03:43:39,000 --> 03:43:40,640
ENGAGING, PERHAPS, ON OUR END 

5500
03:43:40,640 --> 03:43:43,880
AND ANYTHING LIKE THAT WOULD BE 

5501
03:43:43,880 --> 03:43:45,000
MOST REALLY WELL COME.  I THANK 

5502
03:43:45,000 --> 03:43:48,920
YOU FOR ALL THOSE WHO HAVE SAT 

5503
03:43:48,920 --> 03:43:50,920
THROUGH THIS MORNING AND IN THE 

5504
03:43:50,920 --> 03:43:52,280
AFTERNOON AND THANK YOU FOR 

5505
03:43:52,280 --> 03:43:54,800
LISTENING AND BEING PART OF OUR 

5506
03:43:54,800 --> 03:43:56,480
COMMUNITY AND I LOOK FORWARD TO 

5507
03:43:56,480 --> 03:43:59,440
THE CLOSED SESSION NOW IN A FEW 

5508
03:43:59,440 --> 03:44:02,360
MINUTES AND THANK YOU AXEL AND 

5509
03:44:02,360 --> 03:44:04,200
DANA AND CONCEPT CLEARANCE 

5510
03:44:04,200 --> 03:44:05,720
OFFICERS.  THANK YOU VERY MUCH. 

5511
03:44:05,720 --> 03:44:08,960
>>COUNCIL MEMBERS WILL BE
MOVED

5512
03:44:08,960 --> 03:44:11,720
TO THE CLOSED SESSION.  

5513
03:44:11,720 --> 03:44:14,320
WE WILL HAVE A BRIEF MEETING 

5514
03:44:14,320 --> 03:44:15,000
WITH COUNCIL MEMBERS SO STAFF 

5515
03:44:15,000 --> 03:44:27,000
MAY RETURN AT 2:45.