1 00:00:05,280 --> 00:00:09,840 >>I WANT TO WELCOME 2 00:00:09,840 --> 00:00:13,680 EVERYONE TO THE 215th MEETING OF 3 00:00:13,680 --> 00:00:15,840 THE NATIONAL ADVISORY COUNCIL 4 00:00:15,840 --> 00:00:21,640 FOR NEUROLOGICAL DISORDERS AND 5 00:00:21,640 --> 00:00:21,880 STROKE. 6 00:00:21,880 --> 00:00:25,880 EVERYONE IS JOINING US VIRTUALLY 7 00:00:25,880 --> 00:00:27,320 FOR THIS MEETING. 8 00:00:27,320 --> 00:00:28,720 ALL COUNCIL MEMBERS SHOULD BE 9 00:00:28,720 --> 00:00:30,800 PRESENT OR JOINING SHORTLY. 10 00:00:30,800 --> 00:00:33,800 SINCE WE LAST MET WE HAVE NEW 11 00:00:33,800 --> 00:00:36,920 COUNCIL MEMBERS APPOINTED AND 12 00:00:36,920 --> 00:00:39,880 ONE WHO CAN'T MAKE IT TODAY AND 13 00:00:39,880 --> 00:00:48,400 HOPEFULLY APPOINTED SOON. 14 00:00:48,400 --> 00:00:51,000 AMY IS THE EXECUTIVE DIRECTOR OF 15 00:00:51,000 --> 00:00:52,640 THE CHILD NEUROLOGY FOUNDATION 16 00:00:52,640 --> 00:00:57,400 OUT OF MINNEAPOLIS, MINNESOTA. 17 00:00:57,400 --> 00:01:02,360 SHE IS A CONVENING PATIENT 18 00:01:02,360 --> 00:01:03,800 ADVOCACY ORGANIZATION ACROSS 19 00:01:03,800 --> 00:01:04,760 DISEASE STATES DRIVING EDUCATION 20 00:01:04,760 --> 00:01:08,440 AND SUPPORT PROGRAMMING AND 21 00:01:08,440 --> 00:01:10,160 PRIOR TO BECOMING THE CEO SHE 22 00:01:10,160 --> 00:01:14,320 WAS ADVANCED PRACTICE NURSE WITH 23 00:01:14,320 --> 00:01:18,320 BLUE GRASS CARE NAVIGATORS. 24 00:01:18,320 --> 00:01:20,960 WE WELCOME AND WILL BENEFIT FROM 25 00:01:20,960 --> 00:01:25,200 HER WISE COUNSEL. 26 00:01:25,200 --> 00:01:27,600 NEXT IS JOHN DIRECTOR OF THE 27 00:01:27,600 --> 00:01:29,320 GROSSMAN INSTITUTE FOR 28 00:01:29,320 --> 00:01:30,600 NEUROSCIENCE AT THE UNIVERSITY 29 00:01:30,600 --> 00:01:39,480 OF CHICAGO AND WAVE, JOHN. 30 00:01:39,480 --> 00:01:41,680 HIS RESEARCH IS ATTENTION, 31 00:01:41,680 --> 00:01:44,320 VISION AND CORTEX AND 32 00:01:44,320 --> 00:01:49,840 OPTOGENETICS AND RECEIVED MANY 33 00:01:49,840 --> 00:01:53,280 ACADEMIC AWARDS FUNDED BY NIH 34 00:01:53,280 --> 00:01:57,000 SINCE THE LAST '80s AND GOT HIS 35 00:01:57,000 --> 00:01:58,360 Ph.D. IN BIOLOGY FROM CAL TECH 36 00:01:58,360 --> 00:02:01,200 AND A CO-CHAIR OF THE BRAIN 37 00:02:01,200 --> 00:02:03,040 INITIATIVE 2.0 ADVISORY 38 00:02:03,040 --> 00:02:04,880 COMMITTEE TO THE NIH DIRECTOR SO 39 00:02:04,880 --> 00:02:08,600 HE'S ALSO ONE OF OUR 40 00:02:08,600 --> 00:02:09,600 REPRESENTATIVES ON THE BRAIN 41 00:02:09,600 --> 00:02:16,840 MULTI-COUNCIL WORKING GROUP. 42 00:02:16,840 --> 00:02:17,880 GRATEFUL BEING ON THE COUNCIL 43 00:02:17,880 --> 00:02:28,040 AND FOR EVERYTHING ELSE WE DO. 44 00:02:28,040 --> 00:02:32,760 NEXT IS LOUISE. 45 00:02:32,760 --> 00:02:36,600 >> I DON'T THINK SHE'S HERE YET. 46 00:02:36,600 --> 00:02:41,360 >> CAN'T DO IT IF SHE'S NOT HERE 47 00:02:41,360 --> 00:02:46,880 BUT BOB IS STILL WAITING FINAL 48 00:02:46,880 --> 00:02:50,200 APPROVAL AND HE'S DIRECTOR OF 49 00:02:50,200 --> 00:02:57,680 THE U-MASS CENTER FOR 50 00:02:57,680 --> 00:03:01,800 THERAPEUTICS AND WAS PREVENTION 51 00:03:01,800 --> 00:03:06,360 OF THE CHAIR OF NEUROLOGY IN 52 00:03:06,360 --> 00:03:09,320 MASSACHUSETTS AND WORKS IN NERVE 53 00:03:09,320 --> 00:03:09,960 DEGENERATIVE DISORDER IN GENERAL 54 00:03:09,960 --> 00:03:13,080 AND SERVED AS THE CO-CHAIR OF 55 00:03:13,080 --> 00:03:16,480 THE INTRAMURAL BOARD OF COUNCIL 56 00:03:16,480 --> 00:03:21,680 AT NINDS BETWEEN 2018 AND 2020 57 00:03:21,680 --> 00:03:23,600 AND CO-CHAIR OF THE STRATEGIC 58 00:03:23,600 --> 00:03:25,520 PLANNING EFFORTS IN ALS JUST 59 00:03:25,520 --> 00:03:26,200 KICKING OFF AND WE'LL HEAR MORE 60 00:03:26,200 --> 00:03:35,880 ABOUT. 61 00:03:35,880 --> 00:03:41,400 WE HAVE AN INTERESTING OPEN 62 00:03:41,400 --> 00:03:42,400 SESSION. 63 00:03:42,400 --> 00:03:46,320 >> LOUISE POPPED IN. 64 00:03:46,320 --> 00:03:48,760 >> I THOUGHT YOU SAID YOU WERE 65 00:03:48,760 --> 00:03:52,040 NEVER LATE FOR EVERYTHING. 66 00:03:52,040 --> 00:04:06,160 PROFESSOR AND SHE'S PREVIOUSLY 67 00:04:06,160 --> 00:04:06,960 PROFESSOR, DIRECTOR OF 68 00:04:06,960 --> 00:04:08,560 UNIVERSITY OF CONNECTICUT HEALTH 69 00:04:08,560 --> 00:04:13,760 CENTER AND WORLD LEADER IN 70 00:04:13,760 --> 00:04:18,200 STUDIES OF CLINICAL DISEASE AND 71 00:04:18,200 --> 00:04:21,160 HAS WON AN INVESTIGATOR AWARD 72 00:04:21,160 --> 00:04:23,000 AND SERVES AS THE SCIENCE 73 00:04:23,000 --> 00:04:25,400 ADVISORY AND COORDINATING 74 00:04:25,400 --> 00:04:28,000 COMMITTEE AS WELL AS THE 75 00:04:28,000 --> 00:04:29,960 NORTHEAST CONSORTIUM. 76 00:04:29,960 --> 00:04:30,840 SHE RECEIVED HER Ph.D. IN 77 00:04:30,840 --> 00:04:32,800 NEUROSCIENCE FROM THE UNIVERSITY 78 00:04:32,800 --> 00:04:35,480 OF CONNECTICUT AND M.D. FROM THE 79 00:04:35,480 --> 00:04:37,200 CONNECTICUT SCHOOL OF MEDICINE, 80 00:04:37,200 --> 00:04:39,520 RESIDENCY AND FELLOWSHIP, 81 00:04:39,520 --> 00:04:42,400 TRAINING AND LAB WORK DONE AT 82 00:04:42,400 --> 00:04:48,360 HOPKINS AFTER HER RESIDENCY. 83 00:04:48,360 --> 00:04:50,200 AGAIN, WELCOME, LOUISE. 84 00:04:50,200 --> 00:04:51,480 >> THANKS FOR HAVING ME. 85 00:04:51,480 --> 00:04:57,080 >> LOOKING FORWARD TO IT. 86 00:04:57,080 --> 00:04:59,760 >> WE HAVE INTERESTING AND 87 00:04:59,760 --> 00:05:02,400 IMPORTANT TOPICS ON THE DOCKET 88 00:05:02,400 --> 00:05:13,480 FOR THE OPEN SESSION OF COUNCIL 89 00:05:13,480 --> 00:05:15,520 PARTICULARLY WE'LL BE TALKING 90 00:05:15,520 --> 00:05:17,600 ABOUT EFFORTS TO IMPROVE 91 00:05:17,600 --> 00:05:18,360 DIVERSITY IN THE WORKFORCE 92 00:05:18,360 --> 00:05:19,200 LOOKING FOR COMMENTS THERE AND 93 00:05:19,200 --> 00:05:22,440 OTHER ISSUES IN THE DIRECTOR'S 94 00:05:22,440 --> 00:05:24,000 REPORT. 95 00:05:24,000 --> 00:05:29,000 IMPORTANTLY, WE HAVE RICK AND 96 00:05:29,000 --> 00:05:30,960 BARBARA WHO LED THE CLINICAL 97 00:05:30,960 --> 00:05:31,800 NETWORK EVALUATION THAT'S GONE 98 00:05:31,800 --> 00:05:33,600 ON OVER THE YEAR AND THEY'LL 99 00:05:33,600 --> 00:05:41,000 GIVE THEIR REPORT ON HOW THEY 100 00:05:41,000 --> 00:05:47,520 THINK CAN BE MORE EFFECTIVE IN 101 00:05:47,520 --> 00:05:49,920 CLINICAL TRIAL NETWORK AND HAVE 102 00:05:49,920 --> 00:05:51,920 A STRATEGIC PLAN HOW NINDS CAN 103 00:05:51,920 --> 00:05:54,040 BETTER PROMOTE HEALTH EQUITY IN 104 00:05:54,040 --> 00:05:54,520 NEUROLOGIC DISEASES. 105 00:05:54,520 --> 00:06:01,040 WE HAVE AN UPDATE FROM DR. JOHN 106 00:06:01,040 --> 00:06:03,360 NEI ABOUT THE BRAIN INITIATIVE. 107 00:06:03,360 --> 00:06:06,360 SHOULD BE AN INTERESTING COUNCIL 108 00:06:06,360 --> 00:06:09,240 OPEN SESSION. 109 00:06:09,240 --> 00:06:14,080 FOR ME TO MAKE SURE I DO THINGS 110 00:06:14,080 --> 00:06:14,280 RIGHT. 111 00:06:14,280 --> 00:06:16,920 I PRERECORD THE DIRECTOR'S 112 00:06:16,920 --> 00:06:18,240 MESSAGE SO I CAN CHANGE THINGS 113 00:06:18,240 --> 00:06:19,920 AND THERE'S STILL A COUPLE 114 00:06:19,920 --> 00:06:22,320 MISTAKES BUT WHY DON'T WE SHOW 115 00:06:22,320 --> 00:06:23,760 THE'S MESSAGE, PLEASE. 116 00:06:23,760 --> 00:06:25,320 >> WAIT A SECOND, WALTER. 117 00:06:25,320 --> 00:06:35,800 WE HAVE THINGS TO DO FIRST. 118 00:06:35,800 --> 00:06:48,400 SO I'M BOB FINKELSTEIN. 119 00:06:48,400 --> 00:06:50,200 I'M START WITH MY USUAL REMINDER 120 00:06:50,200 --> 00:06:52,800 THE OPEN SESSION IS VIDEOCAST, 121 00:06:52,800 --> 00:06:55,400 OBVIOUSLY, LIVE AND ALSO 122 00:06:55,400 --> 00:06:59,640 ARCHIVED FOR POSTERITY SO TRY TO 123 00:06:59,640 --> 00:07:01,320 LOOK AND ACT YOUR BEST. 124 00:07:01,320 --> 00:07:03,160 I THINK EVERYONE HAS ZOOMED DOWN 125 00:07:03,160 --> 00:07:04,640 AFTER THE LAST TWO OR MORE YEARS 126 00:07:04,640 --> 00:07:06,920 SO I'M NOT GOING TO TALK ABOUT 127 00:07:06,920 --> 00:07:07,200 PROCESS. 128 00:07:07,200 --> 00:07:08,760 JUST A COUPLE QUICK REMINDERS, 129 00:07:08,760 --> 00:07:11,320 IF YOU WANT TO MAKE A MOTION 130 00:07:11,320 --> 00:07:13,000 JUST SPEAK UP OR RAISE YOUR 131 00:07:13,000 --> 00:07:15,880 ACTUAL HAND OR YOUR EMOJI HAND. 132 00:07:15,880 --> 00:07:18,360 ALSO, REMEMBER THAT WE'RE GOING 133 00:07:18,360 --> 00:07:20,200 TO BE VOTING USING THE CHAT 134 00:07:20,200 --> 00:07:20,480 FUNCTION. 135 00:07:20,480 --> 00:07:22,360 WHENEVER THERE'S A MOTION MADE 136 00:07:22,360 --> 00:07:24,080 BY A COUNCIL MEMBER AND SECOND, 137 00:07:24,080 --> 00:07:25,760 WE'LL ENTER THAT IN THE CHAT AND 138 00:07:25,760 --> 00:07:28,440 YOU CAN VOTE, YES, NO OR 139 00:07:28,440 --> 00:07:28,760 ABSTAIN. 140 00:07:28,760 --> 00:07:31,000 ANY QUESTION THE PROCESS OF THE 141 00:07:31,000 --> 00:07:36,280 MEETING BEFORE I LAUNCH INTO MY 142 00:07:36,280 --> 00:07:37,760 USUAL SOLILOQUY? 143 00:07:37,760 --> 00:07:39,880 I SEE HEADS SHAKING SO I'LL KEEP 144 00:07:39,880 --> 00:07:40,080 GOING. 145 00:07:40,080 --> 00:07:41,000 THE FIRST THING WE HAVE DO IS 146 00:07:41,000 --> 00:07:48,000 GET YOUR APPROVAL OF THE 147 00:07:48,000 --> 00:07:50,120 MINUTES UNDER THE GENERAL 148 00:07:50,120 --> 00:07:51,840 INFORMATION TAB THAT'S QUITE A 149 00:07:51,840 --> 00:07:53,200 BUREAUCRATIC MOUTHFUL. 150 00:07:53,200 --> 00:07:55,080 UNLESS YOU WANT TO DISCUSS THE 151 00:07:55,080 --> 00:07:56,560 MINUTES I DO NEED A MOTION TO 152 00:07:56,560 --> 00:07:58,800 APPROVE THE MINUTES FROM THE 153 00:07:58,800 --> 00:07:59,480 LAST COUNCIL MEETING. 154 00:07:59,480 --> 00:08:00,200 IS THERE A MOTION? 155 00:08:00,200 --> 00:08:08,320 I SEE ONE AND A SECOND KELLY 156 00:08:08,320 --> 00:08:13,240 WELL IN ENTER THAT SO PLEASE 157 00:08:13,240 --> 00:08:14,120 VOTE. 158 00:08:14,120 --> 00:08:19,280 I'LL WAIT ONE SECOND. 159 00:08:19,280 --> 00:08:26,520 LOOKS LIKE WE HAVE UNANIMOUSLY 160 00:08:26,520 --> 00:08:27,200 APPROVED THE MINUTES. 161 00:08:27,200 --> 00:08:30,200 AND THE DATES FOR ALL THE 162 00:08:30,200 --> 00:08:31,200 COUNCIL MEETINGS THROUGH 2023 163 00:08:31,200 --> 00:08:32,160 ARE LISTED. 164 00:08:32,160 --> 00:08:34,360 NOTICE THAT WE'RE GOING TO KEEP 165 00:08:34,360 --> 00:08:35,920 HAVING MEETINGS ON WEDNESDAYS 166 00:08:35,920 --> 00:08:36,440 AND THURSDAYS. 167 00:08:36,440 --> 00:08:42,200 WE USED TO HAVE THEM ON 168 00:08:42,200 --> 00:08:43,320 THURSDAYS AND FRIDAYS SO HOLD 169 00:08:43,320 --> 00:08:45,720 THE DATES AND LET KELLY KNOW IF 170 00:08:45,720 --> 00:08:47,200 YOU HAVE ANY CONFLICTS AS FAR AS 171 00:08:47,200 --> 00:08:49,000 IN ADVANCE AS POSSIBLE. 172 00:08:49,000 --> 00:08:53,400 WE JUST LEARNED FROM NIH CENTRAL 173 00:08:53,400 --> 00:08:55,240 THAT MAY MEETINGS WILL BE 174 00:08:55,240 --> 00:08:57,920 MANDATED TO BE VIRTUAL WE DON'T 175 00:08:57,920 --> 00:09:03,360 KNOW THAT BUT THE NEXT ONE WE 176 00:09:03,360 --> 00:09:06,400 WILL BE VIRTUAL. 177 00:09:06,400 --> 00:09:11,040 WE HAVE THE GROUND RULES THAT 178 00:09:11,040 --> 00:09:15,160 GOVERN HOW OUR STAFF INTERACT 179 00:09:15,160 --> 00:09:17,600 WITH COUNCIL AND THESE WERE 180 00:09:17,600 --> 00:09:21,400 POSTED IN THE ECB GENERAL INFO 181 00:09:21,400 --> 00:09:23,160 TAB AND ONLY MADE ONE MINOR 182 00:09:23,160 --> 00:09:24,480 CHANGE TO THE PROCEDURES. 183 00:09:24,480 --> 00:09:26,360 IF YOU'RE FOLLOWING ALONG ON THE 184 00:09:26,360 --> 00:09:28,920 SECOND PAGE WE CLARIFIED OUR 185 00:09:28,920 --> 00:09:29,640 EARLY CONCURRENCE PROCESS WHICH 186 00:09:29,640 --> 00:09:31,760 MOST KNOW WHAT THAT IS. 187 00:09:31,760 --> 00:09:34,360 THAT'S WHEN THREE DESIGNATED 188 00:09:34,360 --> 00:09:37,280 COUNCIL MEMBERS APPROVE A SUBSET 189 00:09:37,280 --> 00:09:38,160 OF APPLICATIONS BEFORE THE 190 00:09:38,160 --> 00:09:38,880 COUNCIL MEETING EVEN OCCURS SO 191 00:09:38,880 --> 00:09:42,440 WHEN WE GET THE AWARDS OUT THE 192 00:09:42,440 --> 00:09:47,800 DOOR AS SOON AS POSSIBLE. 193 00:09:47,800 --> 00:09:54,080 WE ADDED LANGUAGE AND WE'LL PUT 194 00:09:54,080 --> 00:09:56,480 IT ON THE CLOSED SESSION AGENDA. 195 00:09:56,480 --> 00:09:58,600 WE ALWAYS ACTUALLY DID DO THIS 196 00:09:58,600 --> 00:10:01,760 BUT WE NEEDED TO EXPLICITLY 197 00:10:01,760 --> 00:10:03,600 STATE IT IN THE OPERATING 198 00:10:03,600 --> 00:10:04,720 PROCEDURES. 199 00:10:04,720 --> 00:10:09,840 ANY QUESTIONS? 200 00:10:09,840 --> 00:10:12,960 IF NOT, I FORMALLY NEED A 201 00:10:12,960 --> 00:10:13,200 MOTION. 202 00:10:13,200 --> 00:10:15,840 >> JOHN HAS A QUESTION. 203 00:10:15,840 --> 00:10:18,320 TOP LEFT. 204 00:10:18,320 --> 00:10:35,160 >> WHAT'S YOUR QUESTION. 205 00:10:35,160 --> 00:10:37,360 >> I DID NOT. 206 00:10:37,360 --> 00:10:38,240 >> OKAY. 207 00:10:38,240 --> 00:10:39,920 WE NEED A MOTION TO APPROVE THE 208 00:10:39,920 --> 00:10:40,800 OPERATING PROCEDURES. 209 00:10:40,800 --> 00:10:42,160 >> SO MOVED. 210 00:10:42,160 --> 00:10:43,400 >> I SEE A SECOND. 211 00:10:43,400 --> 00:10:46,640 AGAIN, KELLY HAS IT IN THE CHAT 212 00:10:46,640 --> 00:10:49,200 SO VOTE ON THE OPERATING 213 00:10:49,200 --> 00:10:49,480 PROCEDURES. 214 00:10:49,480 --> 00:10:51,640 NEXT I WILL SAY A FEW WORDS 215 00:10:51,640 --> 00:10:53,080 ABOUT THE EARLY CONCURRENCE 216 00:10:53,080 --> 00:10:54,960 PROCESS ALSO KNOWN AS THE 217 00:10:54,960 --> 00:10:55,520 EXPEDITED PROCESS. 218 00:10:55,520 --> 00:10:57,960 SO I MENTION THAT IT ALLOWS OUR 219 00:10:57,960 --> 00:10:59,600 GRANTS MANAGEMENT BRANCH TO GET 220 00:10:59,600 --> 00:11:01,480 AWARDS OUT THE DOOR SOONER SO 221 00:11:01,480 --> 00:11:03,480 THE PROJECTS CAN GET STARTED 222 00:11:03,480 --> 00:11:06,360 EARLIER AND IT USUALLY FOCUSES 223 00:11:06,360 --> 00:11:08,480 ON RO1s WITH SCORES WITHIN THE 224 00:11:08,480 --> 00:11:09,880 PAY LINE AND A FEW OTHER TYPES 225 00:11:09,880 --> 00:11:12,880 OF APPLICATIONS THAT HAVE NO 226 00:11:12,880 --> 00:11:15,760 ISSUES THAT NEED TO BE RESOLVED 227 00:11:15,760 --> 00:11:17,000 PRIOR TO COUNCIL. 228 00:11:17,000 --> 00:11:22,360 WE'LL TAKE THE TASK OF EARLY 229 00:11:22,360 --> 00:11:23,760 CONCURRENCE AMONG COUNCIL 230 00:11:23,760 --> 00:11:27,880 MEMBERS EVERY YEAR AND WASN'TED 231 00:11:27,880 --> 00:11:30,760 TO -- WANTED TO THANK THOSE WHO 232 00:11:30,760 --> 00:11:33,880 UNDERTOOK THE RESPONSIBILITY AND 233 00:11:33,880 --> 00:11:35,760 THERE WERE APPLICATIONS TO BE 234 00:11:35,760 --> 00:11:36,000 EXPEDITED. 235 00:11:36,000 --> 00:11:39,960 I DON'T KNOW THE NUMBER ISSUED 236 00:11:39,960 --> 00:11:42,240 BUT WE'RE AHEAD OF OUR USUAL 237 00:11:42,240 --> 00:11:43,800 SCHEDULE WHICH MEANS ABOUT 238 00:11:43,800 --> 00:11:44,920 TWO-THIRDS AND IT ALLOWS THE 239 00:11:44,920 --> 00:11:48,040 PROJECTS TO GET STARTED EARLIER 240 00:11:48,040 --> 00:11:50,560 THAN THEY WOULD OTHERWISE. 241 00:11:50,560 --> 00:11:53,000 AS I SAY, EVERY COUNCIL ROUND 242 00:11:53,000 --> 00:11:55,000 OUR ABILITY TO DO THE EARLY 243 00:11:55,000 --> 00:11:57,200 CONCURRENCE IS A TESTAMENT TO 244 00:11:57,200 --> 00:11:59,560 OUR GRANTS MANAGEMENT BRANCH. 245 00:11:59,560 --> 00:12:00,280 THEY'RE JOBS HAVE BEEN DIFFICULT 246 00:12:00,280 --> 00:12:04,880 DURING COVID. 247 00:12:04,880 --> 00:12:08,920 IT'S GOTTEN WORSE BECAUSE WE'RE 248 00:12:08,920 --> 00:12:09,920 UNDER A CONTINUING RESOLUTION. 249 00:12:09,920 --> 00:12:17,320 THE BRANCH HAS ISSUED A LOT OF 250 00:12:17,320 --> 00:12:22,120 GRANT AWARDS. 251 00:12:22,120 --> 00:12:28,200 KELLY, CAN YOU TURN YOUR VIDEO 252 00:12:28,200 --> 00:12:45,960 ON. 253 00:12:45,960 --> 00:12:48,200 >> THE HIT THE GROUND RUNNING 254 00:12:48,200 --> 00:12:50,320 AND I'LL JUST SAY SHE HAS MORE 255 00:12:50,320 --> 00:12:53,600 THAN 20 YEARS OF EXPERIENCE IN 256 00:12:53,600 --> 00:12:54,440 NIH POLICY AND GRANTS 257 00:12:54,440 --> 00:12:57,840 INVESTIGATION. 258 00:12:57,840 --> 00:13:00,040 SHE STARTED AT NIAID. 259 00:13:00,040 --> 00:13:04,960 THEN SHE WENT TO THE STRAENL 260 00:13:04,960 --> 00:13:06,240 CENTRAL OFFICE FOR POLICY AND 261 00:13:06,240 --> 00:13:06,720 EXTRAMURAL RESEARCH 262 00:13:06,720 --> 00:13:07,400 ADMINISTRATION AND RECENTLY 263 00:13:07,400 --> 00:13:13,040 BEFORE COMING TO US SHE WAS AT 264 00:13:13,040 --> 00:13:13,600 NCI. 265 00:13:13,600 --> 00:13:21,920 DO I HAVE THE ORDER RIGHT? 266 00:13:21,920 --> 00:13:28,120 GOOD. 267 00:13:28,120 --> 00:13:31,400 DO YOU WANT TO SAY HELLO. 268 00:13:31,400 --> 00:13:33,800 >> I LOOK FORWARD TO WORKING 269 00:13:33,800 --> 00:13:34,840 WITH YOU ALL AND SEEING WHAT 270 00:13:34,840 --> 00:13:38,280 GOES ON IN THE NEXT COUPLE DAYS. 271 00:13:38,280 --> 00:13:38,840 >> WE'RE GLAD YOU'RE HERE, 272 00:13:38,840 --> 00:14:05,360 SHELLY. 273 00:14:05,360 --> 00:14:09,920 YOU CAN READ BIOS UNDER THE 274 00:14:09,920 --> 00:14:19,040 GENERAL INFORMATION TAB. 275 00:14:19,040 --> 00:14:20,920 THERE'S IMPRESSIVE PEOPLE HERE 276 00:14:20,920 --> 00:14:21,960 AND I ENCOURAGE TO YOU READ 277 00:14:21,960 --> 00:14:23,440 ABOUT THEM. 278 00:14:23,440 --> 00:14:25,000 MAY HAVE NOTICED THAT WE'RE 279 00:14:25,000 --> 00:14:25,720 HIRING MORE PEOPLE. 280 00:14:25,720 --> 00:14:27,920 SOME PEOPLE ARE LISTED AS 281 00:14:27,920 --> 00:14:29,520 DEPARTING AND SOME ARE NEW 282 00:14:29,520 --> 00:14:30,280 HIRES. 283 00:14:30,280 --> 00:14:32,120 YOU MAY HAVE NOTICED WE'RE 284 00:14:32,120 --> 00:14:37,160 HIRING MORE PEOPLE THIS ROUND 285 00:14:37,160 --> 00:14:41,280 THAN ARE LEAVING THAT'S BECAUSE 286 00:14:41,280 --> 00:14:44,240 OF THE INFUSION OF FUNDS FOR THE 287 00:14:44,240 --> 00:14:46,400 BRAIN INITIATIVE, HEAL 288 00:14:46,400 --> 00:14:49,400 INITIATIVE AND NATIONAL 289 00:14:49,400 --> 00:14:52,720 ALZHEIMER'S INITIATIVE. 290 00:14:52,720 --> 00:14:54,200 IN ORDER TO BE DOES GOOD 291 00:14:54,200 --> 00:14:55,560 STEWARDS OF THE ADDITIONAL FUNDS 292 00:14:55,560 --> 00:15:11,560 WE HAD TO EXPAND STAFF SOMEWHAT. 293 00:15:11,560 --> 00:15:18,400 KELLY HAS ONE INTRODUCTION TO 294 00:15:18,400 --> 00:15:18,600 MAKE. 295 00:15:18,600 --> 00:15:21,360 >> LIKED TO INTRODUCE TIM LITON 296 00:15:21,360 --> 00:15:23,640 AND ME COMES TO US WITH LOTS OF 297 00:15:23,640 --> 00:15:25,320 EXTRAMURAL KNOWLEDGE AND 298 00:15:25,320 --> 00:15:26,400 EXPERIENCE. 299 00:15:26,400 --> 00:15:30,040 HE'S BEEN WITH NINDS SINCE 2013 300 00:15:30,040 --> 00:15:31,600 HE'S WORKED IN OUR DIVISION OF 301 00:15:31,600 --> 00:15:33,600 TRANSLATIONAL RESEARCH AND 302 00:15:33,600 --> 00:15:35,120 RECENTLY OUR GRANTS MANAGEMENT 303 00:15:35,120 --> 00:15:35,600 BRANCH. 304 00:15:35,600 --> 00:15:42,400 HE'LL BE TAKING OVER A LOT OF MY 305 00:15:42,400 --> 00:15:47,800 COUNCIL RESPONSIBILITIES AS I 306 00:15:47,800 --> 00:15:49,280 TRANSITION BUT YOU'LL NOT GET 307 00:15:49,280 --> 00:15:51,240 RID OF ME QUITE YET BUT I WANTED 308 00:15:51,240 --> 00:15:53,520 TO INTRODUCE TIM WITH ALL OF YOU 309 00:15:53,520 --> 00:15:57,360 SINCE HE'LL BE WORK CLOSELY WITH 310 00:15:57,360 --> 00:15:58,920 COUNCIL AND PROBABLY START TO 311 00:15:58,920 --> 00:16:00,520 GET E-MAILS FROM HIM SOON AND I 312 00:16:00,520 --> 00:16:02,400 BELIEVE HE WAS GOING TO TURN ON 313 00:16:02,400 --> 00:16:05,440 HIS CAMERA TO PUT A FACE WITH 314 00:16:05,440 --> 00:16:06,320 THE NAME AND SAY HELLO. 315 00:16:06,320 --> 00:16:09,960 >> THIS IS MY FACE. 316 00:16:09,960 --> 00:16:12,320 I VERY MUCH AM LOOKING FORWARD 317 00:16:12,320 --> 00:16:15,960 TO EVERYONE AND LIKE KELLY SAID 318 00:16:15,960 --> 00:16:20,400 YOU'LL BE HEARING FROM ME A LOT 319 00:16:20,400 --> 00:16:22,120 BUT KELLY WILL BE BESIDE ME SO 320 00:16:22,120 --> 00:16:23,480 NOT TO WORRY. 321 00:16:23,480 --> 00:16:25,880 >> I'LL SHOW HIM THE ROPES. 322 00:16:25,880 --> 00:16:27,680 >> THANKS, TIM. 323 00:16:27,680 --> 00:16:32,800 TIM WILL GRADUALLY BECOME THE 324 00:16:32,800 --> 00:16:37,480 NEW KELLY THOUGH KELLY IS UNIQUE 325 00:16:37,480 --> 00:16:40,600 AND IRREPLACEABLE AND SHE'LL BE 326 00:16:40,600 --> 00:16:41,880 AROUND FOR QUITE A WHILE. 327 00:16:41,880 --> 00:16:45,960 THE OTHER THING WE WANTED TO DO 328 00:16:45,960 --> 00:16:47,320 TO END THIS SECTION IS THE 329 00:16:47,320 --> 00:16:49,720 DIRECTOR OF OUR DIVISION OF 330 00:16:49,720 --> 00:16:51,680 NEUROSCIENCE IS GOING TO SAY A 331 00:16:51,680 --> 00:16:54,240 FEW WORDS ABOUT A LONG STANDING 332 00:16:54,240 --> 00:16:56,080 MEMBER OF OUR STAFF WHAT IS 333 00:16:56,080 --> 00:17:00,680 RETIRING. 334 00:17:00,680 --> 00:17:03,960 >> THANKS, BOB. 335 00:17:03,960 --> 00:17:07,200 I WANTED TO HIGHLIGHT ON BEHALF 336 00:17:07,200 --> 00:17:09,960 OF THE DIVISION OF NEUROSCIENCE 337 00:17:09,960 --> 00:17:13,880 THE DEPARTURE WITH THE MILESTONE 338 00:17:13,880 --> 00:17:15,440 RETIREMENT FOR MAY WONG A LONG 339 00:17:15,440 --> 00:17:18,000 STANDING IN OUR DIVISION AND MAY 340 00:17:18,000 --> 00:17:20,800 WORKS AT THE NINDS FOR 13 YEARS. 341 00:17:20,800 --> 00:17:26,400 SHE CAME TO US IN 2008 AND CAME 342 00:17:26,400 --> 00:17:28,800 WITH EXTENSIVE EXPERIENCE FROM 343 00:17:28,800 --> 00:17:30,040 THE NATIONAL CANCER INSTITUTE 344 00:17:30,040 --> 00:17:32,040 OVERSAW A PORTFOLIO THAT 345 00:17:32,040 --> 00:17:33,920 INCLUDED TUMOR VIROLOGY SO SHE 346 00:17:33,920 --> 00:17:38,400 CAME IN AND HAS BEEN MANAGING 347 00:17:38,400 --> 00:17:39,640 THE HIV/AIDS PORTFOLIO FOR NINDS 348 00:17:39,640 --> 00:17:40,600 FOR ALL THIS TIME. 349 00:17:40,600 --> 00:17:44,760 FOR ANY OF YOU WHO INTERACTED 350 00:17:44,760 --> 00:17:46,400 WITH HER YOU KNOW SHE WAS 351 00:17:46,400 --> 00:17:48,600 EXTREMELY QUIET AND RESERVED AND 352 00:17:48,600 --> 00:17:50,920 NEVER WOULD HAVE ANNOUNCED 353 00:17:50,920 --> 00:17:53,400 HERSELF OR SHOWN HER PICTURE ALL 354 00:17:53,400 --> 00:17:55,400 OVER BUT SHE WAS AN AMAZING 355 00:17:55,400 --> 00:17:57,400 STAFF MEMBER AND WANT TO 356 00:17:57,400 --> 00:17:58,400 ACKNOWLEDGE ALL THE WORK SHE'S 357 00:17:58,400 --> 00:17:58,600 DONE. 358 00:17:58,600 --> 00:18:02,400 THERE'S A FULL WRITE UP OF HER 359 00:18:02,400 --> 00:18:05,640 ACCOMPLISHMENTS IN THE LAST PAGE 360 00:18:05,640 --> 00:18:06,960 OF THE ELECTRONIC COUNCIL PAGE 361 00:18:06,960 --> 00:18:09,960 INTRODUCTIONS AND DEPARTURES. 362 00:18:09,960 --> 00:18:13,040 SHE NOT ONLY WORKED WITH NINDS 363 00:18:13,040 --> 00:18:17,840 AND MANAGING THE AIDS PORTFOLIO 364 00:18:17,840 --> 00:18:19,720 A CONGRESSIONALLY MANDATED 365 00:18:19,720 --> 00:18:20,880 PROGRAM WORKING ACROSS ALL THE 366 00:18:20,880 --> 00:18:25,560 INSTITUTES THAT HAD THIS IN 367 00:18:25,560 --> 00:18:28,800 THEIR MISSION AND I WANT TO 368 00:18:28,800 --> 00:18:30,200 CONGRATULATE HER IF YOU'RE 369 00:18:30,200 --> 00:18:32,360 WATCHING MAY CONGRATULATIONS ON 370 00:18:32,360 --> 00:18:34,400 REACHING THAT MILESTONE AND 371 00:18:34,400 --> 00:18:37,240 SETTING OUT NEW ADVENTURES. 372 00:18:37,240 --> 00:18:38,440 THANK YOU. 373 00:18:38,440 --> 00:18:44,800 >> I WANT TO SECOND EVERYTHING 374 00:18:44,800 --> 00:18:45,520 SHE SAID. 375 00:18:45,520 --> 00:18:49,160 MAY HAS CONTRIBUTED OVER TO THE 376 00:18:49,160 --> 00:18:50,880 EXTRAMURAL PROGRAM AND WHEN I 377 00:18:50,880 --> 00:18:52,440 QUESTIONED ANYTHING SHE HAS DONE 378 00:18:52,440 --> 00:18:55,280 SHE'S ALWAYS RIGHT AND I'M 379 00:18:55,280 --> 00:18:55,840 ALWAYS WRONG. 380 00:18:55,840 --> 00:18:57,240 SHE'S REALLY GOOD. 381 00:18:57,240 --> 00:18:59,120 LET'S MOVE ON. 382 00:18:59,120 --> 00:19:01,520 I THINK IT'S BACK TO YOU, 383 00:19:01,520 --> 00:19:01,760 WALTER. 384 00:19:01,760 --> 00:19:05,200 >> YOU SHOULD INTRODUCE LIPSETT 385 00:19:05,200 --> 00:19:06,400 AUDITORIUM. 386 00:19:06,400 --> 00:19:07,920 THE CAMERA'S OFF. 387 00:19:07,920 --> 00:19:10,400 >> LIPSETT AUDITORIUM IS A NEW 388 00:19:10,400 --> 00:19:12,080 MEMBER OF COUNCIL WHO I THINK 389 00:19:12,080 --> 00:19:14,760 WILL BE HERE A WHILE FOR REASONS 390 00:19:14,760 --> 00:19:15,960 I DON'T UNDERSTAND. 391 00:19:15,960 --> 00:19:18,400 IF YOU WANT TO TURN YOUR CAMERA 392 00:19:18,400 --> 00:19:37,600 ON, YOU'RE WELCOME. 393 00:19:37,600 --> 00:19:39,960 >> I'M WALTER KOROSHETZ AND A 394 00:19:39,960 --> 00:19:42,320 PLEASURE TO DRIVER THE 395 00:19:42,320 --> 00:19:44,440 DIRECTOR'S MESSAGE FOR THE 215th 396 00:19:44,440 --> 00:19:48,760 MEETING OF THE ADVISORY COUNCIL 397 00:19:48,760 --> 00:19:49,960 FOR NATIONAL INSTITUTE OF 398 00:19:49,960 --> 00:19:50,520 NEUROLOGICAL DISORDERS AND 399 00:19:50,520 --> 00:19:50,760 STROKE. 400 00:19:50,760 --> 00:19:53,120 I'LL TALK ABOUT GENERAL OVERALL 401 00:19:53,120 --> 00:19:55,800 ISSUES AND THEN GO INTO SPECIFIC 402 00:19:55,800 --> 00:19:57,680 ITEMS OF INTEREST THAT HAVE 403 00:19:57,680 --> 00:19:58,320 OCCURRED OVER THE LAST COUPLE OF 404 00:19:58,320 --> 00:20:04,200 MONTHS. 405 00:20:04,200 --> 00:20:06,200 FIRST, DR. COLLINS HAS STEPPED 406 00:20:06,200 --> 00:20:07,800 DOWN AS THE NIH DIRECTOR BUT 407 00:20:07,800 --> 00:20:09,760 THINGS ARE GOING VERY SMOOTHLY. 408 00:20:09,760 --> 00:20:11,840 DR. LARRY TABAK THE PREVIOUS 409 00:20:11,840 --> 00:20:14,320 DEPUTY DIRECTOR TAKING OVER THE 410 00:20:14,320 --> 00:20:16,640 HELM OF THE INSTITUTE ABLY 411 00:20:16,640 --> 00:20:18,880 ASSISTED BY THE ACTING PRINCIPLE 412 00:20:18,880 --> 00:20:20,560 DIRECTOR OF NIH AND TARA GOT A 413 00:20:20,560 --> 00:20:24,360 START WORKING WITH AMY ADAMS AT 414 00:20:24,360 --> 00:20:24,560 NINDS. 415 00:20:24,560 --> 00:20:25,800 I WANT TO TALK ABOUT THE BUDGET 416 00:20:25,800 --> 00:20:33,040 AS I USUALLY DO TO START OFF. 417 00:20:33,040 --> 00:20:35,760 WE'RE NOT IN ANY DIFFERENT PLACE 418 00:20:35,760 --> 00:20:37,000 THAN WE LAST SPOKE. 419 00:20:37,000 --> 00:20:42,400 WE ARE OPERATING UNDER A 420 00:20:42,400 --> 00:20:43,080 CONTINUING RESOLUTION WHICH 421 00:20:43,080 --> 00:20:45,600 MEANS WE HAVE THE SAME AMOUNT OF 422 00:20:45,600 --> 00:20:50,840 MONEY AT LAST YEAR BUT THERE ARE 423 00:20:50,840 --> 00:20:53,120 BUDGETS PROPOSED THAT GIVE 424 00:20:53,120 --> 00:20:54,240 SIGNIFICANT INCREASES BUT 425 00:20:54,240 --> 00:20:59,520 CURRENTLY WE DO NOT HAVE AN 426 00:20:59,520 --> 00:21:06,360 APPROPRIATION AND WE HAD 427 00:21:06,360 --> 00:21:13,160 ANALYZ 428 00:21:13,160 --> 00:21:15,920 ANALYZED TO GET BY WITH A 14th 429 00:21:15,920 --> 00:21:21,240 PERCENTILE AND WE STARTED THAT 430 00:21:21,240 --> 00:21:26,360 AND THEN WE'LL HAVE SIGNIFICANT 431 00:21:26,360 --> 00:21:29,800 BUDGETARY ISSUES TO DEAL WITH 432 00:21:29,800 --> 00:21:31,360 COMING SOON. 433 00:21:31,360 --> 00:21:34,320 WITH THE UNCERTAIN BUDGET CYCLE 434 00:21:34,320 --> 00:21:36,320 MAKE MAINTAINING A PAY LINE 435 00:21:36,320 --> 00:21:37,080 CHALLENGING AND TALK ABOUT WHAT 436 00:21:37,080 --> 00:21:42,640 WE'VE DONE TO STAY ABOVE THE 14 437 00:21:42,640 --> 00:21:43,040 PERCENTILE. 438 00:21:43,040 --> 00:21:44,680 AND GOING BELOW IS WHEN OTHER 439 00:21:44,680 --> 00:21:46,080 OPTIONS HAVE BEEN EXHAUSTED AND 440 00:21:46,080 --> 00:21:48,880 WE HAVE A STEADY AND PREDICTABLE 441 00:21:48,880 --> 00:21:50,040 PAY LINE. 442 00:21:50,040 --> 00:21:51,960 IF HOWEVER, WE'RE UNDER A 443 00:21:51,960 --> 00:21:53,440 LONG-TERM CONTINUING RESOLUTION 444 00:21:53,440 --> 00:21:59,680 WE'LL HAVE TO TAKE STRONG STEPS 445 00:21:59,680 --> 00:22:02,800 TO MAINTAIN THE 14% AND WE CAN 446 00:22:02,800 --> 00:22:05,800 HOLD OFF ON AWARDS UNTIL FY23 OR 447 00:22:05,800 --> 00:22:17,600 IF WE GET A BUDGET IN 2022. 448 00:22:17,600 --> 00:22:18,720 AHOLDING OFF ON LONG TERM TRIALS 449 00:22:18,720 --> 00:22:24,560 AND MOVE THEM TO NO-KAU HNO-COST 450 00:22:24,560 --> 00:22:26,200 EXTENSIONS AND TRAIN 451 00:22:26,200 --> 00:22:30,600 NON-COMPETING GRANTS WHETHER 452 00:22:30,600 --> 00:22:34,000 THEY'RE NEW GRANTS OR CONTINUING 453 00:22:34,000 --> 00:22:35,960 GRANTS WILL SEE A CUT AND WE'RE 454 00:22:35,960 --> 00:22:38,120 HOPING IT WON'T HAPPEN BUT WE 455 00:22:38,120 --> 00:22:40,520 HAVE TO PLAN FOR THE 456 00:22:40,520 --> 00:22:40,880 CONTINGENCY. 457 00:22:40,880 --> 00:22:43,280 WE'RE IN A CONTINUING RESOLUTION 458 00:22:43,280 --> 00:22:45,200 WHICH CURRENTLY EXPIRES FEBRUARY 459 00:22:45,200 --> 00:22:45,400 18. 460 00:22:45,400 --> 00:22:50,400 I LOOK FORWARD TO SEEING IF WE 461 00:22:50,400 --> 00:22:54,400 GET A BUDGET AFTER THAT. 462 00:22:54,400 --> 00:22:58,280 I WANT TO TALK ABOUT THE BUDGET. 463 00:22:58,280 --> 00:23:04,400 IT'S SEPARATED INTO DIFFERENT 464 00:23:04,400 --> 00:23:04,720 DU 465 00:23:04,720 --> 00:23:06,400 BUCKETS FOR THE INVESTIGATOR 466 00:23:06,400 --> 00:23:07,960 INITIATED GRANTS AND AWARDS AND 467 00:23:07,960 --> 00:23:09,400 WE HAVE SIGNIFICANT FUNDS THAT 468 00:23:09,400 --> 00:23:12,080 HAVE COME IN FOR PROGRAMS SUCH 469 00:23:12,080 --> 00:23:13,400 AS THE BRAIN INITIATIVE WITH THE 470 00:23:13,400 --> 00:23:15,200 21st CENTURY CURES AND INCREASE 471 00:23:15,200 --> 00:23:18,600 TO THE BASE BUDGET. 472 00:23:18,600 --> 00:23:20,160 THEN THE HEAL INITIATIVE HELPING 473 00:23:20,160 --> 00:23:21,600 TO END ADDITION LONG-TERM WHICH 474 00:23:21,600 --> 00:23:25,000 CAME TO US FROM CONGRESS TO 475 00:23:25,000 --> 00:23:26,200 PROMOTE BETTER MANAGEMENT OF 476 00:23:26,200 --> 00:23:29,320 PAIN IN THE DEVELOPMENT OF 477 00:23:29,320 --> 00:23:32,680 NON-ADDICTIVE PAIN MEDICINES AND 478 00:23:32,680 --> 00:23:34,000 WE HAVE THE INTRAMURAL BUDGET 479 00:23:34,000 --> 00:23:37,200 AND BUDGET FOR THE PERSONNEL AND 480 00:23:37,200 --> 00:23:43,000 THEN THERE'S MONEY WHICH IS 481 00:23:43,000 --> 00:23:45,960 TARGETED BY CONGRESS FOR SMALL 482 00:23:45,960 --> 00:23:51,040 BUSINESS GRANTS. 483 00:23:51,040 --> 00:23:54,400 THAT'S WHAT OUR BUDGET LOOKS 484 00:23:54,400 --> 00:23:54,600 LIKE. 485 00:23:54,600 --> 00:23:58,400 IN 2007 WE HAD A TOUGH TIME WIN 486 00:23:58,400 --> 00:24:03,800 THE PAY LINE DROPPING AND AFTER 487 00:24:03,800 --> 00:24:09,040 THAT THE WHOLE NINDS EXTRAMURAL 488 00:24:09,040 --> 00:24:10,240 STAFF HAVE CUT THINGS UNTIL WE 489 00:24:10,240 --> 00:24:13,360 CAN GET OUR PAY LINE BACK TO 14% 490 00:24:13,360 --> 00:24:14,800 OR 15%. 491 00:24:14,800 --> 00:24:16,560 THIS BIG INCREASE CAME WITH THE 492 00:24:16,560 --> 00:24:19,200 DOUBLING OF THE BUDGET AND WE 493 00:24:19,200 --> 00:24:20,880 WERE FLAT BETWEEN 2004 AND 2016 494 00:24:20,880 --> 00:24:25,280 AND ABLE TO MAINTAIN OUR PAY 495 00:24:25,280 --> 00:24:26,400 LINE WITH INCREASING GRANTS 496 00:24:26,400 --> 00:24:29,800 COMING IN 2017 WE HAD A PROBLEM. 497 00:24:29,800 --> 00:24:32,680 WE HAD TO REDUCE IT AND MADE A 498 00:24:32,680 --> 00:24:36,800 LOT OF BACK UP BY POSTPONING 499 00:24:36,800 --> 00:24:38,480 GRANT PAYMENTS SO 2018 AND 500 00:24:38,480 --> 00:24:41,840 BETWEEN 2016 AND 2018 WE'RE 501 00:24:41,840 --> 00:24:44,320 SEEING SIGNIFICANT INCREASES TO 502 00:24:44,320 --> 00:24:49,080 OUR BASE BUDGET EVERY YEAR. 503 00:24:49,080 --> 00:24:51,200 NOW, THERE WERE, AS I MENTIONED, 504 00:24:51,200 --> 00:24:54,360 INCREASES TO PARTICULAR AREAS OF 505 00:24:54,360 --> 00:24:56,080 SCIENCE. 506 00:24:56,080 --> 00:24:58,400 ONE IS THE FUNDS THAT WE 507 00:24:58,400 --> 00:25:00,760 ADMINISTERED FROM THE NATIONAL 508 00:25:00,760 --> 00:25:03,400 INSTITUTE OF AGES FOR 509 00:25:03,400 --> 00:25:06,400 ALZHEIMER'S DISEASE RELATED 510 00:25:06,400 --> 00:25:10,400 DEMENTIAS AND LEWY BODY DISEASE 511 00:25:10,400 --> 00:25:14,400 AND THE BRAIN INITIATIVE AND THE 512 00:25:14,400 --> 00:25:15,080 HEAL INITIATIVE. 513 00:25:15,080 --> 00:25:17,240 THOSE ARE SUBSTANTIAL 514 00:25:17,240 --> 00:25:19,240 PROPORTIONS NOW OF OUR BUDGET 515 00:25:19,240 --> 00:25:28,440 BASE BUDGET BEING SEEN IN BLUE. 516 00:25:28,440 --> 00:25:30,360 IF YOU LOOK OVER TIME YOU SEE AN 517 00:25:30,360 --> 00:25:33,000 INCREASE AND IF YOU CONVERT YOU 518 00:25:33,000 --> 00:25:34,720 DON'T SEE ANY CHANGE AT ALL. 519 00:25:34,720 --> 00:25:35,400 THIS INCREASE IS ACTUALLY DUE TO 520 00:25:35,400 --> 00:25:42,160 INFLATION. 521 00:25:42,160 --> 00:25:45,600 WE HAVE BEEN ABLE TO FUND MORE 522 00:25:45,600 --> 00:25:47,480 GRANTS AS WE GOT INCREASES 523 00:25:47,480 --> 00:25:51,400 STARTING IN 2016. 524 00:25:51,400 --> 00:25:54,400 AND WE HAVE ALSO TRIED TO LOOK 525 00:25:54,400 --> 00:25:55,240 CAREFULLY TO THE PROPORTION OF 526 00:25:55,240 --> 00:25:59,920 WHAT WE CALL TOP-DOWN SOLICITED 527 00:25:59,920 --> 00:26:03,200 MANAGING PROGRAMS IN OUR BASE 528 00:26:03,200 --> 00:26:04,440 FUNDING VERSUS OUR INVESTIGATION 529 00:26:04,440 --> 00:26:06,760 INITIATED RESEARCH PROJECTS. 530 00:26:06,760 --> 00:26:09,400 YOU CAN SEE WE'VE BEEN CONSTANT 531 00:26:09,400 --> 00:26:13,160 IN TRYING TO KEEP THAT BALANCE 532 00:26:13,160 --> 00:26:17,120 AROUND 65% TO 70% OF 533 00:26:17,120 --> 00:26:17,840 INVESTIGATOR INITIATE AND THE 534 00:26:17,840 --> 00:26:19,960 TRAINING GRANTS UP HERE AND 535 00:26:19,960 --> 00:26:22,200 ACTIVELY MANAGED PROGRAMS IN THE 536 00:26:22,200 --> 00:26:25,200 LIGHT BLUE. 537 00:26:25,200 --> 00:26:27,400 THE QUESTIONS THERE COUNCIL IS 538 00:26:27,400 --> 00:26:32,600 THE 14% THE LINE IN THE SAND IS 539 00:26:32,600 --> 00:26:34,360 THAT THE RIGHT STRATEGY OR ARE 540 00:26:34,360 --> 00:26:38,200 THERE OTHER METRICS WE SHOULD BE 541 00:26:38,200 --> 00:26:40,000 USING AND MAYBE THE NUMBER OF 542 00:26:40,000 --> 00:26:42,400 AWARDS OPPOSED TO PERCENTILE AND 543 00:26:42,400 --> 00:26:44,560 THE NUMBER OF INVESTIGATORS. 544 00:26:44,560 --> 00:26:47,160 I'D LIKE TO PAUSE HERE UNCASE 545 00:26:47,160 --> 00:26:53,520 ANYONE HAS QUESTIONS FOR ANY 546 00:26:53,520 --> 00:26:57,440 COMMENTS. 547 00:26:57,440 --> 00:26:59,200 >> IF ANYONE HAS PARTICULAR 548 00:26:59,200 --> 00:27:01,480 QUESTIONS AND HATS OFF TO 549 00:27:01,480 --> 00:27:04,080 CHRISTINE AND BRYAN FOR DOING 550 00:27:04,080 --> 00:27:04,400 THE ANALYSES. 551 00:27:04,400 --> 00:27:07,320 TIM. 552 00:27:07,320 --> 00:27:11,000 >> WALTER, WITH RESPECT TO THE 553 00:27:11,000 --> 00:27:12,440 LAST QUESTION ABOUT KEEPING A 554 00:27:12,440 --> 00:27:15,160 FIXED PAY LINE VERSUS OTHER 555 00:27:15,160 --> 00:27:17,120 METRICS, THERE MUST BE DATA FROM 556 00:27:17,120 --> 00:27:18,960 OTHER INSTITUTES AND I REALIZE 557 00:27:18,960 --> 00:27:25,080 THEY'VE ALL HAD THEIR OWN 558 00:27:25,080 --> 00:27:25,320 FLAVOR. 559 00:27:25,320 --> 00:27:27,800 MAYBE NINDS IS THE LATEST 560 00:27:27,800 --> 00:27:29,800 COMPARISON BECAUSE IT'S NEURO 561 00:27:29,800 --> 00:27:30,040 RELATED. 562 00:27:30,040 --> 00:27:32,880 I'M WONDERING, YOU MUST HAVE AN 563 00:27:32,880 --> 00:27:33,920 IMPRESSION OF HOW WELL IT WORKS 564 00:27:33,920 --> 00:27:39,880 OVER THERE. 565 00:27:39,880 --> 00:27:44,040 >> RIGHT. 566 00:27:44,040 --> 00:27:46,920 I THINK IT'S A PHILOSOPHICAL 567 00:27:46,920 --> 00:27:52,000 DIFFERENCE WHERE WE RELY ON 568 00:27:52,000 --> 00:27:58,000 STUDY SECTION PRIMARILY AND WAS 569 00:27:58,000 --> 00:28:01,800 NIMH FUND TO THE BEST 10% AND 570 00:28:01,800 --> 00:28:05,600 THEN PICK AND CHOOSE BETWEEN 10 571 00:28:05,600 --> 00:28:07,200 AND 20. 572 00:28:07,200 --> 00:28:08,920 I THINK THERE'S AS MUCH BIAS 573 00:28:08,920 --> 00:28:10,400 GOING TO PICKING AND CHOOSING WE 574 00:28:10,400 --> 00:28:13,800 HAVEN'T REALLY DONE THAT ACCEPT 575 00:28:13,800 --> 00:28:15,720 WE HAVE PUT ASIDE A CERTAIN 576 00:28:15,720 --> 00:28:17,760 AMOUNT OF MONEY EACH YEAR 577 00:28:17,760 --> 00:28:19,720 USUALLY ONE OR ONE AND A HALF 578 00:28:19,720 --> 00:28:21,680 PERCENTILE POINT WORTH OF MONEY 579 00:28:21,680 --> 00:28:23,160 INTO WHAT WE CALL HIGH PROGRAM 580 00:28:23,160 --> 00:28:30,080 PRIORITY GRANTS. 581 00:28:30,080 --> 00:28:31,800 OUR PICKING AND CHOOSING WE FUND 582 00:28:31,800 --> 00:28:33,120 UP TO THE PAY LINE AND THEN 583 00:28:33,120 --> 00:28:35,520 MAYBE ANOTHER PAY LINE OR TWO, 584 00:28:35,520 --> 00:28:41,200 PAY LINE POINTS ABOVE THAT. 585 00:28:41,200 --> 00:28:43,360 >> I THINK IT WAS NEURO RELATED 586 00:28:43,360 --> 00:28:46,400 ARE THERE OTHER INSTITUTES THAT 587 00:28:46,400 --> 00:28:48,880 DON'T HAVE SUBJECTIVE PROGRAM 588 00:28:48,880 --> 00:28:50,000 DECISIONS SERVICE ANOTHER METRIC 589 00:28:50,000 --> 00:28:52,320 OTHER THAN A HARD PAY LINE. 590 00:28:52,320 --> 00:28:56,400 IT MAKES IT OBJECTIVE BUT NOT 591 00:28:56,400 --> 00:28:58,840 BASED PURELY WITH A LINE IN THE 592 00:28:58,840 --> 00:28:59,800 SAND. 593 00:28:59,800 --> 00:29:03,960 >> SOME INSTITUTES HAVE GIGANTIC 594 00:29:03,960 --> 00:29:07,640 TOP-DOWN PROGRAMS AND THEIR PAY 595 00:29:07,640 --> 00:29:09,800 LINES DROP BELOW 10%. 596 00:29:09,800 --> 00:29:12,600 NCI IS A GOOD EXAMPLE WHERE THEY 597 00:29:12,600 --> 00:29:14,400 HAD THE MOST OF ANY INSTITUTE 598 00:29:14,400 --> 00:29:17,480 BUT THEIR PAY LINES ARE POOR AND 599 00:29:17,480 --> 00:29:20,600 SIMILARLY WITH NIAID. 600 00:29:20,600 --> 00:29:24,680 THEY HAVE THEIR RATIONALE IS 601 00:29:24,680 --> 00:29:25,880 THEY'RE RUNNING MASSIVE CENTER 602 00:29:25,880 --> 00:29:29,520 FOR X, Y AND Z. 603 00:29:29,520 --> 00:29:30,800 THEY'RE VERY DIFFERENT THAN WE 604 00:29:30,800 --> 00:29:31,400 ARE. 605 00:29:31,400 --> 00:29:32,080 EVERYBODY'S A LITTLE DIFFERENT. 606 00:29:32,080 --> 00:29:35,680 WE CAN DO WHAT WE THINK IS BEST 607 00:29:35,680 --> 00:29:38,400 FOR OUR SCIENCE. 608 00:29:38,400 --> 00:29:41,440 SO I MENTIONED IN 2007 WE 609 00:29:41,440 --> 00:29:44,000 THOUGHT THAT CAN'T -- BEFORE 610 00:29:44,000 --> 00:29:45,480 THAT IT SEEMED AS THE PAY LINE 611 00:29:45,480 --> 00:29:47,280 WAS THE DEFAULT. 612 00:29:47,280 --> 00:29:49,400 YOU HAD ALL THESE PROJECTS FROM 613 00:29:49,400 --> 00:29:51,280 THE DOUBLING AND EVERYONE'S ALL 614 00:29:51,280 --> 00:29:53,560 EXCITE AND NO ONE REALLY WORRIED 615 00:29:53,560 --> 00:29:55,920 ABOUT THE PAY LINE THAT MUCH AND 616 00:29:55,920 --> 00:30:03,480 THEN WE GOT INTO TOUGH TIMES. 617 00:30:03,480 --> 00:30:06,360 AND IF YOU GO BELOW 14 IS NOT 618 00:30:06,360 --> 00:30:06,560 FIXED. 619 00:30:06,560 --> 00:30:08,040 THAT'S WHERE WE THINK SHOULD BE 620 00:30:08,040 --> 00:30:12,600 THE FLOOR AT THIS POINT. 621 00:30:12,600 --> 00:30:15,280 BUT SOME PEOPLE HAVE OTHER 622 00:30:15,280 --> 00:30:16,800 THOUGHTS. 623 00:30:16,800 --> 00:30:18,360 >> THERE ARE INSTITUTES WITH 624 00:30:18,360 --> 00:30:20,960 LOWER PAY LINES THAN OURS. 625 00:30:20,960 --> 00:30:22,520 WALTER MENTIONED NCI AND 626 00:30:22,520 --> 00:30:25,800 INSTITUTES WITH HIGHER PAY LINES 627 00:30:25,800 --> 00:30:26,640 THAN OURS. 628 00:30:26,640 --> 00:30:29,480 ONE IS NIGMS TRYING TO KEEP THE 629 00:30:29,480 --> 00:30:33,000 PAY LINES IN THE 20s AND I THINK 630 00:30:33,000 --> 00:30:33,320 GENE IS NEXT. 631 00:30:33,320 --> 00:30:35,480 >> YEAH, I JUST WANTED TO SAY 632 00:30:35,480 --> 00:30:38,800 THAT ONE THING YOU SAID IN THE 633 00:30:38,800 --> 00:30:41,640 REPORT THAT STRUCK ME IS THE 634 00:30:41,640 --> 00:30:46,000 COST OF DOING RESEARCH HASN'T 635 00:30:46,000 --> 00:30:49,320 RISEN WITH INFLATION BUT THAT 636 00:30:49,320 --> 00:30:50,760 CANNOT BE TRUE IT'S RISEN 637 00:30:50,760 --> 00:30:52,600 BECAUSE EVERYBODY'S SALARIES 638 00:30:52,600 --> 00:30:55,240 GOES UP A LITTLE BIT EVERY YEAR. 639 00:30:55,240 --> 00:30:56,840 IT MUST BE THAT A LOT OF PEOPLE 640 00:30:56,840 --> 00:30:59,400 LIKE ME ARE STILL APPLYING FOR 641 00:30:59,400 --> 00:31:02,120 GRANTS IN A MODULAR FORM AND 642 00:31:02,120 --> 00:31:05,400 JUST DOING LESS WITH THE SAME 643 00:31:05,400 --> 00:31:08,200 AMOUNT OF MONEY SO I'M NOT 644 00:31:08,200 --> 00:31:11,360 PROPOSING THAT WE CHANGE THE 645 00:31:11,360 --> 00:31:12,400 MODULAR FORMAT NECESSARILY BUT 646 00:31:12,400 --> 00:31:14,880 FOR THE FIRST TIME IN MY 23 647 00:31:14,880 --> 00:31:17,160 YEARS OF HAVING A GRANT, I'M 648 00:31:17,160 --> 00:31:21,920 GOING TO BE APPLYING FOR A 649 00:31:21,920 --> 00:31:22,840 NON-MODULAR BUDGET GRANT BECAUSE 650 00:31:22,840 --> 00:31:24,960 IT'S A NOT POSSIBLE TO NOT DO 651 00:31:24,960 --> 00:31:25,240 ANYTHING. 652 00:31:25,240 --> 00:31:27,800 >> SO THAT'S INTERESTING BECAUSE 653 00:31:27,800 --> 00:31:29,640 WE'VE HAD A DISCUSSION ABOUT 654 00:31:29,640 --> 00:31:32,480 THAT WITHIN THE INSTITUTE. 655 00:31:32,480 --> 00:31:35,600 WE AGREE THAT 250 IS NOT -- IT 656 00:31:35,600 --> 00:31:36,480 HASN'T CHANGED WHEREAS 657 00:31:36,480 --> 00:31:38,400 INFLATION'S CHANGED DRAMATICALLY 658 00:31:38,400 --> 00:31:41,960 AND THE NUMBER OF PEOPLE THE 659 00:31:41,960 --> 00:31:44,600 PROPORTION OF PEOPLE WHO GET 660 00:31:44,600 --> 00:31:46,400 MODULAR GRANTS HAVE SHRUNK FROM 661 00:31:46,400 --> 00:31:55,600 70% OR 80% TO BELOW 20% NOW. 662 00:31:55,600 --> 00:31:59,800 WE'D LIKE TO HAVE NIH CHANGE THE 663 00:31:59,800 --> 00:32:02,560 MODULAR GRANT AND THERE'S BEEN 664 00:32:02,560 --> 00:32:04,960 RESISTANCE TO THAT AND THERE'S 665 00:32:04,960 --> 00:32:06,160 ONE OPTION FOR THE FUTURE WHERE 666 00:32:06,160 --> 00:32:07,960 WE HAVE TWO DIFFERENT PAY LINES. 667 00:32:07,960 --> 00:32:15,000 ONE PAY LINE FOR GRANTS ABOVE X. 668 00:32:15,000 --> 00:32:20,000 ONE THAT WOULD BE BELOW X LESS 669 00:32:20,000 --> 00:32:20,280 STRINGENT. 670 00:32:20,280 --> 00:32:22,160 WHAT X IS IS A GOOD QUESTION BUT 671 00:32:22,160 --> 00:32:27,920 IT WOULD BE SOMEWHERE AROUND 672 00:32:27,920 --> 00:32:28,800 350K. 673 00:32:28,800 --> 00:32:32,160 THAT'S ANOTHER WAY WE WOULD 674 00:32:32,160 --> 00:32:35,080 POTENTIALLY PLAY SO THAT BASIC 675 00:32:35,080 --> 00:32:41,960 PAY LINE OF WHATEVER IT IS, 676 00:32:41,960 --> 00:32:45,960 $350K, $375K WOULD BE SET AND 677 00:32:45,960 --> 00:32:47,800 THE PAY LINE FOR THINGS ABOVE 678 00:32:47,800 --> 00:32:52,000 THE GRANTS ABOVE THAT AMOUNT 679 00:32:52,000 --> 00:32:54,440 MIGHT FLUCTUATE. 680 00:32:54,440 --> 00:32:57,960 THAT'S ANOTHER OPTION WE'VE BEEN 681 00:32:57,960 --> 00:33:04,840 DISCUSSING. 682 00:33:04,840 --> 00:33:11,960 >> THANKS TO WALTER HAVE GONE UP 683 00:33:11,960 --> 00:33:14,520 AND HE HAS ELIMINATED THE CUT ON 684 00:33:14,520 --> 00:33:20,000 MODULAR GRANTS AND WE STILL HAVE 685 00:33:20,000 --> 00:33:21,800 A 17.5%. 686 00:33:21,800 --> 00:33:23,840 I THINK ALLEN IS NEXT. 687 00:33:23,840 --> 00:33:44,840 >> I THINK GINA IS NEXT. 688 00:33:44,840 --> 00:33:47,080 >> I KNOW THE R35s ARE ONLY FIVE 689 00:33:47,080 --> 00:33:51,600 YEARS AND OFTEN FUND FOUR YEARS. 690 00:33:51,600 --> 00:33:52,200 I DMOT SUGGEST WE EVER CHANGE 691 00:33:52,200 --> 00:33:54,520 THAT BUT IS THAT PART OF THE 692 00:33:54,520 --> 00:33:55,600 REASON THEY CAN FUND THEIR PAY 693 00:33:55,600 --> 00:33:56,320 LINES DIFFERENT? 694 00:33:56,320 --> 00:34:10,680 >> NO. 695 00:34:10,680 --> 00:34:14,080 I THINK WHAT THEY TEND TO DO IS 696 00:34:14,080 --> 00:34:15,960 CAP PEOPLE AROUND 750 AND DON'T 697 00:34:15,960 --> 00:34:18,800 LET THEM GO ABOVE. 698 00:34:18,800 --> 00:34:20,400 THAT'S THE BIGGEST THING THEY 699 00:34:20,400 --> 00:34:23,760 CAN DO TO FUND MORE GRANTS. 700 00:34:23,760 --> 00:34:28,800 OF COURSE THEY DON'T HAVE 701 00:34:28,800 --> 00:34:39,080 CLINICAL TRIALS. 702 00:34:39,080 --> 00:34:44,000 >> 250 AS A MODULAR GRANT IS 703 00:34:44,000 --> 00:34:45,840 DIFFERENT WITH THE IT WILL RAY 704 00:34:45,840 --> 00:34:48,960 VERSUS NOT AND WONDER IF IT IS 705 00:34:48,960 --> 00:34:50,560 CONCEIVABLE TO HAVE SEPARATE 706 00:34:50,560 --> 00:34:55,600 TRACKS FOR 250 PLUS THE SALARY 707 00:34:55,600 --> 00:34:57,400 VERSUS 250 STRAIGHT ACROSS. 708 00:34:57,400 --> 00:34:58,200 OR ALTERNATIVELY HAVE OTHER 709 00:34:58,200 --> 00:35:01,040 STREAMS OF FUNDING TO SUPPORT 710 00:35:01,040 --> 00:35:05,600 SALARY FOR PRINCIPLE 711 00:35:05,600 --> 00:35:06,400 INVESTIGATORS ONCE THEY'RE 712 00:35:06,400 --> 00:35:08,360 PASSED THE K SERIES. 713 00:35:08,360 --> 00:35:09,400 OVER. 714 00:35:09,400 --> 00:35:14,800 >> I THINK THAT COULD BE ILLEGAL 715 00:35:14,800 --> 00:35:18,600 BUT WE CAN CHECK WITH THE 716 00:35:18,600 --> 00:35:18,800 LAWYERS. 717 00:35:18,800 --> 00:35:19,880 >> THE PROBLEM WITH CLINICIANS 718 00:35:19,880 --> 00:35:23,000 SHARE OFTEN OVER THE SALARY CAP 719 00:35:23,000 --> 00:35:24,640 ANYWAY AND HAVE TO DO THE COST 720 00:35:24,640 --> 00:35:27,120 SHARE FOR THE ADDITIONAL AMOUNT. 721 00:35:27,120 --> 00:35:29,480 IT WOULD BE CONFUSING TO HAVE 722 00:35:29,480 --> 00:35:31,440 ANYTHING BESIDES EFFORT AND HARD 723 00:35:31,440 --> 00:35:34,160 TO TRACK PER SENT EFFORT IF IT'S 724 00:35:34,160 --> 00:35:44,160 NOT TIED TO THE SALARY. 725 00:35:44,160 --> 00:35:46,200 >> LET'S SEE HOW THINGS GO. 726 00:35:46,200 --> 00:35:50,560 WE HAVE HEARD THEY'RE WORKING ON 727 00:35:50,560 --> 00:35:53,440 A BUDGET AND BUT WITH A 728 00:35:53,440 --> 00:35:55,800 LONG-TERM C.R. WE'LL HAVE TO DO 729 00:35:55,800 --> 00:35:58,040 SOMETHING, LONG TERM MEANING THE 730 00:35:58,040 --> 00:36:01,920 REST OF THE YEAR. 731 00:36:01,920 --> 00:36:04,600 IF WE GET A BUDGET IN APRIL AND 732 00:36:04,600 --> 00:36:05,680 MAY AND THERE'S INCREDIBLE WORK 733 00:36:05,680 --> 00:36:10,160 BY THE STAFF TO MAKE SURE WE PUT 734 00:36:10,160 --> 00:36:11,840 INTO THAT AND GET IT OUT THE 735 00:36:11,840 --> 00:36:14,400 DOOR BY THE END OF THE PHYSICAL 736 00:36:14,400 --> 00:36:18,000 YEAR. 737 00:36:18,000 --> 00:36:19,960 IF YOU'RE IN A CONTINUING 738 00:36:19,960 --> 00:36:21,160 RESOLUTION YOU DON'T GET YOUR 739 00:36:21,160 --> 00:36:22,520 FULL GRANT MONEY. 740 00:36:22,520 --> 00:36:24,800 THE GOVERNMENT WITHHOLDS 10% SO 741 00:36:24,800 --> 00:36:26,360 WHEN YOU GET THE BUDGET THEN 742 00:36:26,360 --> 00:36:40,400 THEY RELEASE THE 10% AND SO AND 743 00:36:40,400 --> 00:36:43,760 SO SOME INSTITUTES WILL RELEASE 744 00:36:43,760 --> 00:36:45,600 10% OR 8% AND THAT'S A WAY OF 745 00:36:45,600 --> 00:36:46,200 BEING ABLE TO MAKE IT THROUGH 746 00:36:46,200 --> 00:36:59,320 THE YEAR. 747 00:36:59,320 --> 00:37:02,400 THOSE ARE THE POSSIBILITIES IN A 748 00:37:02,400 --> 00:37:11,080 FULL CR. 749 00:37:11,080 --> 00:37:14,320 ANY OTHER CREATIVE IDEAS? 750 00:37:14,320 --> 00:37:16,720 MORE LEGAL CREATIVE IDEAS WILL 751 00:37:16,720 --> 00:37:17,120 BE FINE. 752 00:37:17,120 --> 00:37:19,800 >> DETAILS, DETAILS, DETAILS. 753 00:37:19,800 --> 00:37:26,160 >> LAWYERS, LAWYERS, LAWYERS. 754 00:37:26,160 --> 00:37:27,960 I'M NOT PEJORATIVE AT ALL. 755 00:37:27,960 --> 00:37:29,200 TWO OF MY KIDS ARE LAWYERS. 756 00:37:29,200 --> 00:37:35,200 WHY DON'T WE START UP THE REST 757 00:37:35,200 --> 00:37:39,640 OF THE MESSAGE. 758 00:37:39,640 --> 00:37:42,400 >> I WANT TO MOVE TO A COUPLE OF 759 00:37:42,400 --> 00:37:44,920 THE HIGH PRIORITY ISSUES. 760 00:37:44,920 --> 00:37:47,600 ONE IS THE HEAL INITIATIVE 761 00:37:47,600 --> 00:37:49,640 HELPING TO END ADDICTION LONG 762 00:37:49,640 --> 00:37:53,840 TERM AND THAT WAS BORN OUT OF 763 00:37:53,840 --> 00:37:56,240 THE EPIDEMIC REALLY OF OPIOID 764 00:37:56,240 --> 00:37:58,000 OVERDOSE DEATHS AND IN THE 765 00:37:58,000 --> 00:38:00,000 BEGINNING THEY WERE PRIMARILY 766 00:38:00,000 --> 00:38:03,400 DUE TO PRESCRIPTION DRUGS BEING 767 00:38:03,400 --> 00:38:04,800 PRESCRIPTION OPIOIDS LEADING TO 768 00:38:04,800 --> 00:38:07,480 OVERDOSE DEATHS THEN STARTING IN 769 00:38:07,480 --> 00:38:09,600 2017, FENTANYL STARTED TO COME 770 00:38:09,600 --> 00:38:11,320 IN THE MARKET AND THE OPIOID 771 00:38:11,320 --> 00:38:14,400 DEATHS NOW ARE MORE DUE TO 772 00:38:14,400 --> 00:38:16,000 FENTANYL THAN TO PRESCRIPTION 773 00:38:16,000 --> 00:38:18,160 OPIOIDS AND HOW WE STARTED OFF 774 00:38:18,160 --> 00:38:21,000 THE PROBLEM AND IT STILL IS A 775 00:38:21,000 --> 00:38:21,280 PROBLEM. 776 00:38:21,280 --> 00:38:22,880 THE HEAL INITIATIVE HAS A 777 00:38:22,880 --> 00:38:26,400 COMPONENT IN TERMS OF IMPROVING 778 00:38:26,400 --> 00:38:33,960 THE MANAGEMENT OF CHRONIC PAIN 779 00:38:33,960 --> 00:38:36,040 AND REDUCING THE RISK OF OPIOID 780 00:38:36,040 --> 00:38:37,960 DISORDER. 781 00:38:37,960 --> 00:38:39,960 LOOKING FORWARD TO THE FY22 782 00:38:39,960 --> 00:38:44,840 BUDGET PROPOSED BUT NOT YET 783 00:38:44,840 --> 00:38:46,400 ENACTED, CONGRESS AND IN 784 00:38:46,400 --> 00:38:47,400 MULTIPLE BUDGETS HAVE INDICATED 785 00:38:47,400 --> 00:38:50,400 THEY WOULD LIKE TO INCREASE THE 786 00:38:50,400 --> 00:38:53,280 NINDS BUDGET FOR PAIN RESEARCH 787 00:38:53,280 --> 00:38:55,280 BY $43 MILLION IN '22. 788 00:38:55,280 --> 00:38:57,280 WE'RE NOT THE ONLY INSTITUTE. 789 00:38:57,280 --> 00:38:59,000 THERE'S MULTIPLE OTHERS THAT ARE 790 00:38:59,000 --> 00:39:00,160 ALSO SEEING THE INCREASE AND SO 791 00:39:00,160 --> 00:39:03,400 WHAT WE HAVE DONE IS WE HAVE NOT 792 00:39:03,400 --> 00:39:04,960 KNOWING THAT WE'RE GOING TO GET 793 00:39:04,960 --> 00:39:08,080 THE MONEY HAVE ISSUED A NOTICE 794 00:39:08,080 --> 00:39:11,520 OF SPECIAL INTEREST FOR MOST 795 00:39:11,520 --> 00:39:12,240 ASPECTS OF THE NINDS PAIN 796 00:39:12,240 --> 00:39:13,920 PORTFOLIO ENCOURAGING PEOPLE TO 797 00:39:13,920 --> 00:39:15,480 COME IN AND IMPORTANT TO NOTE A 798 00:39:15,480 --> 00:39:17,880 HEADACHE IS INCLUDED IN PAIN AND 799 00:39:17,880 --> 00:39:20,600 A HEADACHE IS PAINFUL AND IT'S 800 00:39:20,600 --> 00:39:21,320 DEFINITELY A DISORDER WITHIN THE 801 00:39:21,320 --> 00:39:22,920 HEAL INITIATIVE. 802 00:39:22,920 --> 00:39:26,000 WE ALSO HAVE ADMINISTRATIVE 803 00:39:26,000 --> 00:39:27,240 SUPPLEMENTS BY FUNDING 804 00:39:27,240 --> 00:39:31,240 INVESTIGATORS IN OTHER FIELDS OF 805 00:39:31,240 --> 00:39:34,000 SCIENCE AND WE'RE PREPARED GIVEN 806 00:39:34,000 --> 00:39:37,360 THE BUDGETS WE'VE SEEN FROM THE 807 00:39:37,360 --> 00:39:38,240 PRESIDENT, HOW'S AND SENATE BUT 808 00:39:38,240 --> 00:39:41,760 DON'T KNOW IF WE CAN DO THIS OR 809 00:39:41,760 --> 00:39:43,880 HOW MUCH UNTIL WE GET AN 810 00:39:43,880 --> 00:39:45,000 APPROPRIATION. 811 00:39:45,000 --> 00:39:49,120 THERE'S ALSO $135 MILLION IN 812 00:39:49,120 --> 00:39:50,160 THESE BUDGETS FOR THE HEAL 813 00:39:50,160 --> 00:39:54,000 INITIATIVE ADDITIONAL MONEY AND 814 00:39:54,000 --> 00:39:57,000 HERE WE HAVE PUT OUT FOAs OR 815 00:39:57,000 --> 00:40:00,640 TRAINING AND CAREER DEVELOPMENT 816 00:40:00,640 --> 00:40:02,240 PARTICULARLY IN CLINICAL PAIN 817 00:40:02,240 --> 00:40:04,040 RESEARCH AND MYOFASCIAL PAIN AND 818 00:40:04,040 --> 00:40:08,280 HEALTH EQUITY IN PAIN AND 819 00:40:08,280 --> 00:40:10,160 INTEGRATION OF JOINT SURROUNDING 820 00:40:10,160 --> 00:40:12,400 TISSUES, MAJOR CAUSE OF PAIN. 821 00:40:12,400 --> 00:40:14,000 THEY'RE ALL OUT THERE AND WE'RE 822 00:40:14,000 --> 00:40:15,720 EXCITED BY THE ABILITY TO FUND 823 00:40:15,720 --> 00:40:16,200 THESE THINGS SHOULD THE 824 00:40:16,200 --> 00:40:22,120 APPROPRIATIONS COME THROUGH. 825 00:40:22,120 --> 00:40:24,400 NOW I WANT TO MOVE TO COVID AND 826 00:40:24,400 --> 00:40:27,920 THE PERSISTENT AFFECTS OF COVID. 827 00:40:27,920 --> 00:40:30,600 AND AS YOU KNOW, COVID HAS 828 00:40:30,600 --> 00:40:32,080 AFFECTED MANY DIFFERENT TISSUES 829 00:40:32,080 --> 00:40:36,000 IN THE BODY, ORGANS IN THE BODY 830 00:40:36,000 --> 00:40:38,360 AND UNFORTUNATELY PEOPLE WHO ARE 831 00:40:38,360 --> 00:40:40,920 NOW BEING AFFECTED A CERTAIN 832 00:40:40,920 --> 00:40:43,200 PROPORTION ARE SUFFERING FROM 833 00:40:43,200 --> 00:40:44,880 PERSISTENT SYMPTOMS. 834 00:40:44,880 --> 00:40:47,240 FATIGUE IS THE MAJOR ONE 835 00:40:47,240 --> 00:40:48,480 AFFECTING MOST PEOPLE HAVING 836 00:40:48,480 --> 00:40:50,000 PERSISTENT SYMPTOMS. 837 00:40:50,000 --> 00:40:57,000 SOME WE THINK HAVE POST-EXERTION 838 00:40:57,000 --> 00:41:02,640 MALAISE WHICH IS A TYPE OF 839 00:41:02,640 --> 00:41:08,360 MYELITIS AND ANXIETY, 840 00:41:08,360 --> 00:41:11,200 DEPRESSION, SLEEP DISORDER, 841 00:41:11,200 --> 00:41:14,000 COGNITIVE DYSFUNCTION AND 842 00:41:14,000 --> 00:41:14,880 CHRONIC KIDNEY DISEASE AND A 843 00:41:14,880 --> 00:41:16,840 HOST OF THINGS TO SEE WHAT WE 844 00:41:16,840 --> 00:41:21,600 CAN DO TO STEM THIS INCREASE OF 845 00:41:21,600 --> 00:41:24,800 REALLY MULTI-SYSTEM DISORDER DUE 846 00:41:24,800 --> 00:41:25,520 TO PAST COVID. 847 00:41:25,520 --> 00:41:30,320 TO THE RECOVERY INITIATIVE IS AN 848 00:41:30,320 --> 00:41:32,680 AMBITIOUS PROJECT TO REALLY 849 00:41:32,680 --> 00:41:35,360 UNDERSTAND WHAT ARE THE 850 00:41:35,360 --> 00:41:37,200 BIOLOGICAL DRIVERS FOR THE 851 00:41:37,200 --> 00:41:37,880 PERSISTENT SYMPTOMS AND THEN 852 00:41:37,880 --> 00:41:42,800 ALSO WHAT CAN WE DO TO ACTUALLY 853 00:41:42,800 --> 00:41:46,400 ATTENUATE THE SYMPTOMS OR EVEN 854 00:41:46,400 --> 00:41:50,560 TREAT PEOPLE THAT DON'T GET THE 855 00:41:50,560 --> 00:41:52,280 PERSISTENT LONG-TERM COVID 856 00:41:52,280 --> 00:41:52,720 SYMPTOMS. 857 00:41:52,720 --> 00:41:54,720 THE INITIATIVE IS ENROLLING 858 00:41:54,720 --> 00:41:56,840 THOUSANDS OF PATIENTS, SOME ARE 859 00:41:56,840 --> 00:41:58,360 ACUTELY INFECTED AND SEE HOW 860 00:41:58,360 --> 00:42:00,400 THEY RECOVER OVER TIME. 861 00:42:00,400 --> 00:42:03,960 SOME ARE NOW MONTHS AFTER THEIR 862 00:42:03,960 --> 00:42:05,120 ACUTE INFECTION. 863 00:42:05,120 --> 00:42:07,200 SOME WITH PERSISTENT SYMPTOMS 864 00:42:07,200 --> 00:42:09,360 AND OTHER CONTROLS WHO HAD COVID 865 00:42:09,360 --> 00:42:11,400 BUT NO PERSISTENT SYMPTOMS WE 866 00:42:11,400 --> 00:42:12,400 CAN COMPARE TO. 867 00:42:12,400 --> 00:42:14,920 THERE'S ALSO A LARGE ELECTRONIC 868 00:42:14,920 --> 00:42:18,600 HEALTH RECORD COHORT BEING PUT 869 00:42:18,600 --> 00:42:25,720 TOGETHER AND AN AUTOPSY COHORT 870 00:42:25,720 --> 00:42:30,960 UNDER THE MICROSCOPE FOR PEOPLE 871 00:42:30,960 --> 00:42:33,400 THAT HAVE DIED AND LOOKING FOR 872 00:42:33,400 --> 00:42:34,000 IMMUNE ACTIVATION GOING ON IN 873 00:42:34,000 --> 00:42:35,800 THE BODY AND THINGS YOU CAN ONLY 874 00:42:35,800 --> 00:43:20,040 SEE UNDER THE MICROSCOPE. 875 00:43:20,040 --> 00:43:23,720 I WANT MENTION A NEW ISSUE WHICH 876 00:43:23,720 --> 00:43:26,720 IS ALONGING PAST COVID, HOW IS 877 00:43:26,720 --> 00:43:27,880 OUR WORK AT NINDS GOING TO BE 878 00:43:27,880 --> 00:43:43,000 DONE IN THE NEW ERA? 879 00:43:43,000 --> 00:43:44,280 LOOK AT THE INTERSECTION OF THE 880 00:43:44,280 --> 00:43:45,600 WORKFORCE AND WORK WILL HAVE TO 881 00:43:45,600 --> 00:43:48,680 BE RE-IMAGINED AND RESTRUCTURED 882 00:43:48,680 --> 00:43:50,400 BASED ON EXPERIENCE WITH 883 00:43:50,400 --> 00:43:51,000 TELEWORK DURING THE COVID-19 884 00:43:51,000 --> 00:44:04,840 PANDEMIC. 885 00:44:04,840 --> 00:44:10,360 AND WE'RE DOING OKAY AND NOW 886 00:44:10,360 --> 00:44:14,800 COVID HITS WHAT CHANGES WE HAVE 887 00:44:14,800 --> 00:44:21,200 TO KEEP AN EYE ON TO DECENT TO 888 00:44:21,200 --> 00:44:21,600 CHANGE. 889 00:44:21,600 --> 00:44:23,800 AND IMPROVE INTEGRATION INTO THE 890 00:44:23,800 --> 00:44:26,720 COMMUNITIES THAT SHARE OUR 891 00:44:26,720 --> 00:44:27,040 MISSION. 892 00:44:27,040 --> 00:44:27,960 HOW CAN NINDS RESEARCH INFORM 893 00:44:27,960 --> 00:44:30,360 THE CHANGES IN MEDICINE AND 894 00:44:30,360 --> 00:44:31,840 SCIENCE AND WHAT NEW 895 00:44:31,840 --> 00:44:32,800 OPPORTUNITIES AND CHALLENGES IN 896 00:44:32,800 --> 00:44:36,400 THE FUTURE ARE COMING IN THIS 897 00:44:36,400 --> 00:44:37,720 NEW WORK ENVIRONMENT. 898 00:44:37,720 --> 00:44:39,160 AND THERE'S CHANGES IN THE WAY 899 00:44:39,160 --> 00:44:41,160 TRAINING AND MENTORING ARE GOING 900 00:44:41,160 --> 00:44:42,720 TO BE APPROACHED IN THE NEW 901 00:44:42,720 --> 00:44:44,560 HYBRID ENVIRONMENT. 902 00:44:44,560 --> 00:44:46,000 REALLY LOOKING FOR YOUR ADVICE 903 00:44:46,000 --> 00:44:47,680 I'M SURE YOU'RE ALL STRUGGLING 904 00:44:47,680 --> 00:44:49,400 WITH THE SAME ISSUE AND 905 00:44:49,400 --> 00:44:50,800 HOPEFULLY YOU DON'T FALL OFF THE 906 00:44:50,800 --> 00:44:51,000 CLIFF. 907 00:44:51,000 --> 00:44:57,800 WE CERTAINLY WILL NOT. 908 00:44:57,800 --> 00:45:03,760 THE NEXT ISSUE I WANTED TO BRING 909 00:45:03,760 --> 00:45:09,720 UP IS A BILL SIGNED IN DECEMBER 910 00:45:09,720 --> 00:45:10,400 FUNDING GRANTS FOR SCIENTIFIC 911 00:45:10,400 --> 00:45:13,240 RESEARCH ON SCLEROSIS THAT 912 00:45:13,240 --> 00:45:14,360 UTILIZES EXPANDED ACCESS DATA 913 00:45:14,360 --> 00:45:17,200 FROM INDIVIDUALS NOT OTHERWISE 914 00:45:17,200 --> 00:45:21,360 ELIGIBLE FOR CLINICAL TRIALS. 915 00:45:21,360 --> 00:45:24,480 IT'S LIMITED TO PHASE 3 CLINICAL 916 00:45:24,480 --> 00:45:27,960 TRIAL SITES AND ESTABLISHES A 917 00:45:27,960 --> 00:45:30,800 PUBLIC-PRIVATE PARTNERSHIP TO 918 00:45:30,800 --> 00:45:32,040 FOCUS ON ADVANCING SCIENTIFIC 919 00:45:32,040 --> 00:45:34,360 RESEARCH THAT WILL SUPPORT AND 920 00:45:34,360 --> 00:45:38,400 ACCELERATE DEVELOPMENT AND 921 00:45:38,400 --> 00:45:41,160 REVIEW OF DRUGS FOR ALS. 922 00:45:41,160 --> 00:45:44,280 IT WILL ANALYZE THE IMPACT OF 923 00:45:44,280 --> 00:45:46,760 PROGRAM IN FOUR YEARS AND 924 00:45:46,760 --> 00:45:52,280 AUTHORIZED FOR $100 MILLION AND 925 00:45:52,280 --> 00:45:53,960 A GRANT PROGRAM EVERY YEAR BUT 926 00:45:53,960 --> 00:45:55,240 AGAIN WE DON'T HAVE AN 927 00:45:55,240 --> 00:45:57,800 APPROPRIATION AT THIS TIME. 928 00:45:57,800 --> 00:46:01,800 AND ALS THE COMMONED FUND THIS 929 00:46:01,800 --> 00:46:04,480 IS THE DIRECTOR'S FUND, STARTED 930 00:46:04,480 --> 00:46:06,360 A TRANSFORMATIVE RESEARCH 931 00:46:06,360 --> 00:46:08,440 PROJECT IN ALS AND THIS 932 00:46:08,440 --> 00:46:10,880 INITIATIVE SUPPORTING HIGH RISK, 933 00:46:10,880 --> 00:46:12,720 HIGH REWARD ALS SUPPORT. 934 00:46:12,720 --> 00:46:18,240 FOUR NEW AWARDS WERE MADE IN 935 00:46:18,240 --> 00:46:22,000 2021 AND WE'VE HAD A POINT 936 00:46:22,000 --> 00:46:25,000 PERSON IN THIS PUBLIC HEALTH. 937 00:46:25,000 --> 00:46:30,840 WE ARE EMBARKING ON A STRATEGIC 938 00:46:30,840 --> 00:46:36,200 PLANNING EFFORT IN ACCELERATING 939 00:46:36,200 --> 00:46:38,400 RESEARCH ON THE BIOLOGY BEHIND 940 00:46:38,400 --> 00:46:38,920 ALS. 941 00:46:38,920 --> 00:46:41,160 WE LEARNED A LOT BUT STILL DON'T 942 00:46:41,160 --> 00:46:43,760 HAVE ENOUGH KNOWLEDGE TO BE 943 00:46:43,760 --> 00:46:45,760 REALLY CONFIDENT ABOUT NEW 944 00:46:45,760 --> 00:46:47,000 TREATMENTS THAT ARE GOING TO BE 945 00:46:47,000 --> 00:47:01,920 HIGHLY EFFECTIVE TO PATIENTS. 946 00:47:01,920 --> 00:47:05,920 WE WANT TO OPTIMIZE THE CLINICAL 947 00:47:05,920 --> 00:47:08,560 RESEARCH AND IMPROVE THE QUALITY 948 00:47:08,560 --> 00:47:11,000 OF LIFE IN AND IDENTIFY 949 00:47:11,000 --> 00:47:12,200 COLLABORATION AND PARTNERSHIP 950 00:47:12,200 --> 00:47:14,400 OPPORTUNITIES. 951 00:47:14,400 --> 00:47:22,840 WE'RE HAPPY TO HAVE BOB BROWN 952 00:47:22,840 --> 00:47:26,200 AND OTHERS LEADING THE TRAFFIC 953 00:47:26,200 --> 00:47:28,000 PLAN WORK GROUP RAN BY OUR TEAM 954 00:47:28,000 --> 00:47:31,480 AND CHRISTINE FROM THE OFFICE OF 955 00:47:31,480 --> 00:47:33,040 SCIENCE POLICY AND PLANNING. 956 00:47:33,040 --> 00:47:38,400 AND WE'LL INCLUDE PERSONS LIVING 957 00:47:38,400 --> 00:47:39,720 WITH ALS AND CAREGIVERS. 958 00:47:39,720 --> 00:47:46,000 LOOK FORWARD TO THAT AND THANKS 959 00:47:46,000 --> 00:47:48,440 TO THE WORKING GROUP. 960 00:47:48,440 --> 00:47:50,960 THE PROBLEM IS THAT WE HAVE 961 00:47:50,960 --> 00:47:54,000 INCLUDE PARTICULARLY FROM THE 962 00:47:54,000 --> 00:47:57,000 GENETIC CAUSES BUT STILL A LOT 963 00:47:57,000 --> 00:47:58,400 OF UNKNOWNS FACING US WE HAVE TO 964 00:47:58,400 --> 00:48:01,240 ACROSS THAT VALLEY BEFORE WE CAN 965 00:48:01,240 --> 00:48:03,800 GET EFFECTIVE TREATMENTS AND 966 00:48:03,800 --> 00:48:04,680 THAT REQUIRES FUNDAMENTAL 967 00:48:04,680 --> 00:48:06,400 NEUROSCIENCE TO FILLING IN THOSE 968 00:48:06,400 --> 00:48:12,320 GAPS. 969 00:48:12,320 --> 00:48:18,640 SPEAKING OF, THIS IS TO LOOK AT 970 00:48:18,640 --> 00:48:23,840 WHAT WE CAN DO TO ENHANCE THE 971 00:48:23,840 --> 00:48:25,240 BASIC NEUROSCIENCE NOT DISEASE 972 00:48:25,240 --> 00:48:27,400 OR MECHANISM OF DISEASE 973 00:48:27,400 --> 00:48:29,080 RESEARCH, HOW CAN WE STRENGTHEN 974 00:48:29,080 --> 00:48:33,480 THAT? 975 00:48:33,480 --> 00:48:39,760 WE HAVE REQUEST FOR INFORMATION 976 00:48:39,760 --> 00:48:40,960 OUT AND FORMING A WORKING GROUP 977 00:48:40,960 --> 00:48:43,520 AND LET US KNOW IF ANY COUNCIL 978 00:48:43,520 --> 00:48:44,400 MEMBERS WOULD BE INTERESTED IN 979 00:48:44,400 --> 00:48:45,200 THE PROJECT. 980 00:48:45,200 --> 00:48:46,200 THE BRAIN INITIATIVE WAS A GREAT 981 00:48:46,200 --> 00:48:48,920 EXAMPLE OF A PROJECT THAT REALLY 982 00:48:48,920 --> 00:48:51,480 ENHANCED OUR ABILITY TO DO BASIC 983 00:48:51,480 --> 00:48:53,760 RESEARCH IN NEUROSCIENCE BUT IT 984 00:48:53,760 --> 00:48:54,360 WAS CERTAINLY AND IT IS 985 00:48:54,360 --> 00:48:56,200 CERTAINLY CONFINED TO A 986 00:48:56,200 --> 00:48:58,200 PARTICULAR TYPE OF CIRCUIT 987 00:48:58,200 --> 00:49:06,760 NEUROSCIENCE. 988 00:49:06,760 --> 00:49:10,000 I WANT TO TALK ABOUT OUR WORK IN 989 00:49:10,000 --> 00:49:11,800 INCREASING DIVERSITY, EQUITY AND 990 00:49:11,800 --> 00:49:15,760 INCLUSION AND YOU SEE THE UNITE 991 00:49:15,760 --> 00:49:16,040 INITIATIVE. 992 00:49:16,040 --> 00:49:18,520 IT'S A MULTI-PRONGED ATTEMPT TO 993 00:49:18,520 --> 00:49:23,040 IMPROVE OUR WORKFORCE AND 994 00:49:23,040 --> 00:49:26,400 IMPROVE OUR DIVERSE PERSPECTIVES 995 00:49:26,400 --> 00:49:31,800 IN SCIENCE. 996 00:49:31,800 --> 00:49:34,120 THERE'S MULTIPLE PROJECTS GOING 997 00:49:34,120 --> 00:49:39,360 ON IN A COORDINATED FASHION. 998 00:49:39,360 --> 00:49:42,040 THERE'S DR. MARIE BERNARD WHO 999 00:49:42,040 --> 00:49:47,040 PUT TOGETHER A STRATEGIC PLAN. 1000 00:49:47,040 --> 00:49:49,280 THERE'S THE UNITE INITIATIVE AND 1001 00:49:49,280 --> 00:49:51,560 NINDS AND WE'LL WORK WITH 1002 00:49:51,560 --> 00:49:53,600 DR. BERNARD TO DEVELOP OUR OWN 1003 00:49:53,600 --> 00:49:55,560 ETHNIC AND EQUITY PLAN AND ALL 1004 00:49:55,560 --> 00:50:00,600 THESE WILL BE TARGETED TO 1005 00:50:00,600 --> 00:50:03,000 DEVELOP OVERALL NIH DIVERSITY, 1006 00:50:03,000 --> 00:50:05,000 EQUITY AND INCLUSION STRATEGIC 1007 00:50:05,000 --> 00:50:05,200 PLAN. 1008 00:50:05,200 --> 00:50:07,640 THERE'S A LOT OF WORK GOING ON 1009 00:50:07,640 --> 00:50:10,320 AND IN A COORDINATED FASHION. 1010 00:50:10,320 --> 00:50:15,960 MARIE BERNARD THE CHIEF OFFICER 1011 00:50:15,960 --> 00:50:18,320 OF THE SCIENTIFIC WORKFORCE 1012 00:50:18,320 --> 00:50:20,640 DIVERSITY WAS AT THE NATIONAL 1013 00:50:20,640 --> 00:50:22,680 AGING INSTITUTE AND ALSO WORKING 1014 00:50:22,680 --> 00:50:24,400 ON A STRATEGIC PLAN AND PUT IT 1015 00:50:24,400 --> 00:50:25,240 TOGETHER AND LOOKING FOR 1016 00:50:25,240 --> 00:50:31,480 FEEDBACK AND YOU CAN SEE THE 1017 00:50:31,480 --> 00:50:33,520 LINK HERE YOU SEE IDEAS HOW TO 1018 00:50:33,520 --> 00:50:34,920 ESTABLISH IT AND PREPARE 1019 00:50:34,920 --> 00:50:35,800 LEADERSHIP AND INFRASTRUCTURE 1020 00:50:35,800 --> 00:50:39,080 AND GOALS AND FOCUS AREAS AND 1021 00:50:39,080 --> 00:50:40,000 STAKEHOLDERS AND THEN MANAGE AND 1022 00:50:40,000 --> 00:50:42,360 EXECUTE THE PLAN. 1023 00:50:42,360 --> 00:50:47,320 SO MARIE IS A VERY CLEAR 1024 00:50:47,320 --> 00:50:52,600 THINKER, REALLY BUILDS CENSUS 1025 00:50:52,600 --> 00:50:54,720 AND EXCITED TO WORK WITH HER AND 1026 00:50:54,720 --> 00:50:55,160 HAS BEEN. 1027 00:50:55,160 --> 00:51:00,960 THE NIH STRATEGIC PLAN IS IN 1028 00:51:00,960 --> 00:51:03,520 RESPONSE TO A CALL FROM THE 1029 00:51:03,520 --> 00:51:06,360 DIRECTOR FROM THE GRASS ROOT 1030 00:51:06,360 --> 00:51:09,200 EFFORT IT AND CHANGES FOR EQUITY 1031 00:51:09,200 --> 00:51:13,760 PUT TOGETHER BY NIH GROUP AND 1032 00:51:13,760 --> 00:51:17,840 THE EXECUTIVE ORDER TO BUILD AN 1033 00:51:17,840 --> 00:51:29,520 NIH-WIDE DEIA STRATEGIC PLAN. 1034 00:51:29,520 --> 00:51:41,000 INSTITUTES WILL BE INVOLVED AND 1035 00:51:41,000 --> 00:51:42,240 IMPROVING THE SCIENTIFIC 1036 00:51:42,240 --> 00:51:46,000 WORKFORCE AND IN TERMS OF THE 1037 00:51:46,000 --> 00:51:48,480 EXTRAMURAL COMMUNITY AND UNITE 1038 00:51:48,480 --> 00:51:49,320 RECOMMENDATIONS ARE STILL COMING 1039 00:51:49,320 --> 00:51:51,360 UP FOR APPROVAL AT THE HIGH ELF 1040 00:51:51,360 --> 00:51:55,720 LEVELS BUT WE'RE LOOKING AT 1041 00:51:55,720 --> 00:51:57,680 INCREASING CAREER OPPORTUNITIES 1042 00:51:57,680 --> 00:52:01,280 FOR UNDER REPRESENTED GROUPS. 1043 00:52:01,280 --> 00:52:02,160 SOME EXAMPLES ARE THINGS WE'LL 1044 00:52:02,160 --> 00:52:04,000 TALK ABOUT AND LOOKING TO 1045 00:52:04,000 --> 00:52:05,400 IDENTIFY AND CHANGE THE NIH 1046 00:52:05,400 --> 00:52:10,320 PROCESSES AND POLICIES THAT 1047 00:52:10,320 --> 00:52:12,480 CONTRIBUTE TO INEQUITIES AND 1048 00:52:12,480 --> 00:52:15,200 ALONG AND SUSTAIN RESEARCH 1049 00:52:15,200 --> 00:52:17,000 CAPACITY AT MINORITY SERVING 1050 00:52:17,000 --> 00:52:19,160 INSTITUTIONS AND PROMOTING 1051 00:52:19,160 --> 00:52:22,000 CULTURE CHANGE AND EXPORTIVE 1052 00:52:22,000 --> 00:52:29,480 INCLUSIVITY AND EQUITY. 1053 00:52:29,480 --> 00:52:31,240 ONE EXAMPLE ONE OF THE PICTURES 1054 00:52:31,240 --> 00:52:33,240 AT THE NIH LOOK LIKE THE SAME 1055 00:52:33,240 --> 00:52:42,400 GUY WITH A DIFFERENT HAIRDO AND 1056 00:52:42,400 --> 00:52:51,560 THERE WAS A DIFFERENT IDEA TO 1057 00:52:51,560 --> 00:52:53,800 SHOW WE ARE A DIVERSE GROUP AND 1058 00:52:53,800 --> 00:52:54,720 SUCCESS IS A PROBLEM SOLVED BY 1059 00:52:54,720 --> 00:53:01,560 ALL OF US. 1060 00:53:01,560 --> 00:53:02,480 IT'S BEING DISTRIBUTED AROUND 1061 00:53:02,480 --> 00:53:04,080 NIH TO BALANCE THE PORTRAITS YOU 1062 00:53:04,080 --> 00:53:19,200 SEE ON THE LEFT. 1063 00:53:19,200 --> 00:53:25,040 WE'VE HAD A PROBLEM IN OUR 1064 00:53:25,040 --> 00:53:26,360 GRANTEES AND AFRICAN AMERICAN 1065 00:53:26,360 --> 00:53:32,200 WERE A PORTION AND WHITE 1066 00:53:32,200 --> 00:53:41,000 HISPANICS ONLY 4% AND AND WE 1067 00:53:41,000 --> 00:53:53,240 HAVE A LONG WAY TO GO. 1068 00:53:53,240 --> 00:53:55,760 THE SUCCESSION RATE IS THE SAME 1069 00:53:55,760 --> 00:53:56,760 FOR BLACK AFRICAN AMERICAN 1070 00:53:56,760 --> 00:54:01,520 VERSUS WHITES. 1071 00:54:01,520 --> 00:54:12,200 WE DO NEED TO ATTRACT MORE 1072 00:54:12,200 --> 00:54:20,960 PEOPLE TO OUR INSTITUTE AND SHE 1073 00:54:20,960 --> 00:54:23,200 RUNS THE PROGRAM TO ENHANCE 1074 00:54:23,200 --> 00:54:28,600 WORKFORCE DIVERSITY AND INCREASE 1075 00:54:28,600 --> 00:54:30,400 APPLICATIONS TO UNDER 1076 00:54:30,400 --> 00:54:35,720 REPRESENTED GROUPS AND ATTRACT 1077 00:54:35,720 --> 00:54:38,080 INVESTIGATORS TO NEUROSCIENCE 1078 00:54:38,080 --> 00:54:39,960 AND NEUROSCIENCE IS GREAT 1079 00:54:39,960 --> 00:54:42,040 WHETHER IT'S NINDS NORT AND LOOK 1080 00:54:42,040 --> 00:54:43,200 TO HELP BUILD NEUROSCIENCE IN 1081 00:54:43,200 --> 00:54:44,640 GENERAL IN MICHELLE'S GROUP. 1082 00:54:44,640 --> 00:54:46,080 TRAINING AND CAPACITY BUILDING 1083 00:54:46,080 --> 00:54:50,440 ARE BIG COMPONENTS OF WHAT SHE 1084 00:54:50,440 --> 00:54:56,960 DOES. 1085 00:54:56,960 --> 00:54:59,920 AND MICHELLE IS GETTING DOWN AND 1086 00:54:59,920 --> 00:55:04,200 TRACKING METRICS IN OPEN 1087 00:55:04,200 --> 00:55:06,400 FASHION. 1088 00:55:06,400 --> 00:55:10,360 ONE PROGRAM MICHELLE STARTED IN 1089 00:55:10,360 --> 00:55:17,360 2009 AND THIS FUNDS TENURE TRACK 1090 00:55:17,360 --> 00:55:23,400 FACULTY. 1091 00:55:23,400 --> 00:55:25,120 AND THERE'S MENTORING AND 1092 00:55:25,120 --> 00:55:27,080 TRAINING AND FROM 2009 TO 2017 1093 00:55:27,080 --> 00:55:31,520 THERE WERE AWARDEES ALL 1094 00:55:31,520 --> 00:55:34,000 SUBMITTED RO1s AND 17 SECURED 1095 00:55:34,000 --> 00:55:35,760 THEM ALREADY AND SEVERAL ARE 1096 00:55:35,760 --> 00:55:36,720 PENDING REVIEWS. 1097 00:55:36,720 --> 00:55:37,400 WE THINK THIS CAN MAKE A 1098 00:55:37,400 --> 00:55:41,360 DIFFERENCE. 1099 00:55:41,360 --> 00:55:44,080 WE ALSO HAVE THE LANGUAGE OF 1100 00:55:44,080 --> 00:55:48,440 DR. JOHN NGAI PUT TOGETHER FOR 1101 00:55:48,440 --> 00:55:51,400 BRAIN INITIATIVE FOAs. 1102 00:55:51,400 --> 00:55:53,160 THEY HAVE TO SUBMIT A PLAN FOR 1103 00:55:53,160 --> 00:55:55,560 DIVERSE PERSPECTIVES AS PART OF 1104 00:55:55,560 --> 00:55:56,000 THEIR APPLICATION. 1105 00:55:56,000 --> 00:55:58,400 THIS IS I THINK GOING TO BE 1106 00:55:58,400 --> 00:55:59,520 VALUABLE AND WE ARE GOING TO 1107 00:55:59,520 --> 00:56:03,640 INCLUDE IT IN SOME OF OUR OTHER 1108 00:56:03,640 --> 00:56:04,200 NINDS SPECIFIC FOAs GOING 1109 00:56:04,200 --> 00:56:05,800 FORWARD. 1110 00:56:05,800 --> 00:56:13,200 I WANT TO BRING YOUR TO THE NIH 1111 00:56:13,200 --> 00:56:20,280 FIRST PROGRAM. 1112 00:56:20,280 --> 00:56:21,840 AND THEY'LL HAVE FUNDS TO HIRE 1113 00:56:21,840 --> 00:56:23,040 PEOPLE FROM DIVERSE BACKGROUNDS 1114 00:56:23,040 --> 00:56:26,200 AS COHORTS WHO CAN BE MENTORED 1115 00:56:26,200 --> 00:56:29,080 TOGETHER AND BAND TOGETHER TO BE 1116 00:56:29,080 --> 00:56:30,200 SUCCESSFUL IN THEIR NEW 1117 00:56:30,200 --> 00:56:31,080 INSTITUTIONS. 1118 00:56:31,080 --> 00:56:33,920 THE SECOND ANNOUNCEMENT IS ALSO 1119 00:56:33,920 --> 00:56:35,360 IN REVIEW AND I BELIEVE THERE'S 1120 00:56:35,360 --> 00:56:39,240 A THIRD ONE COMING DOWN THE LINE 1121 00:56:39,240 --> 00:56:40,400 SO OF COURSE WE'RE INTERESTED AT 1122 00:56:40,400 --> 00:56:43,880 THE INSTITUTIONS WHO ARE FUNDED 1123 00:56:43,880 --> 00:56:45,400 HERE WILL RECRUIT NEUROSCIENCE 1124 00:56:45,400 --> 00:56:46,320 INVESTIGATORS AS PART OF THE 1125 00:56:46,320 --> 00:56:53,200 FIRST AWARDS. 1126 00:56:53,200 --> 00:56:54,400 YOU'LL BE HEARING FROM 1127 00:56:54,400 --> 00:56:57,000 DR. RICHARD BENSON ON OUR 1128 00:56:57,000 --> 00:56:58,000 STRATEGIC PLAN FOR IMPROVING 1129 00:56:58,000 --> 00:56:58,400 HEALTH EQUITY. 1130 00:56:58,400 --> 00:57:10,320 THIS IS PART OF THE UNITE BUT 1131 00:57:10,320 --> 00:57:11,520 CENTRAL TO NINDS AND THAT WAS 1132 00:57:11,520 --> 00:57:14,800 THE NAME OF THE WORKSHOP SEEING 1133 00:57:14,800 --> 00:57:16,080 WHAT WE CAN DO TEST 1134 00:57:16,080 --> 00:57:18,400 INTERVENTIONS TO MAKE A 1135 00:57:18,400 --> 00:57:19,320 DIFFERENCE IN IMPROVING HEALTH 1136 00:57:19,320 --> 00:57:21,280 EQUITY IN OUR COUNTRY AND WE 1137 00:57:21,280 --> 00:57:24,280 HAVE SO MANY EXAMPLES WE FUNDED 1138 00:57:24,280 --> 00:57:28,040 OVER THE YEARS TO SHOW HEALTH, 1139 00:57:28,040 --> 00:57:33,800 NEUROLOGIC HEALTH IS NOT 1140 00:57:33,800 --> 00:57:35,800 EQUITABLY DISTRIBUTED IN OUR 1141 00:57:35,800 --> 00:57:37,200 COUNTRY. 1142 00:57:37,200 --> 00:57:42,440 WE MADE STRIDES IN STROKE 1143 00:57:42,440 --> 00:57:46,400 THERAPY REVOLUTIONIZED AND THE 1144 00:57:46,400 --> 00:57:48,680 TRIALS IN INTRAARTERIAL THERAPY 1145 00:57:48,680 --> 00:57:50,200 AND WHAT HAPPENS TO YOU WHEN 1146 00:57:50,200 --> 00:57:51,320 HAVE YOU A STROKE. 1147 00:57:51,320 --> 00:57:53,360 IT DEPENDS ON YOUR RACIAL AND 1148 00:57:53,360 --> 00:57:58,400 ETHNIC BACKGROUND AND WHERE YOU 1149 00:57:58,400 --> 00:57:58,600 LIVE. 1150 00:57:58,600 --> 00:58:07,160 SO RICHARD AND THERE'S A 1151 00:58:07,160 --> 00:58:08,520 WORKSHOP WITH PROFESSIONAL 1152 00:58:08,520 --> 00:58:10,080 ADVOCACY ORGANIZATIONS IN STROKE 1153 00:58:10,080 --> 00:58:13,640 TO COME TOGETHER AND DEVELOP 1154 00:58:13,640 --> 00:58:19,040 SOLUTIONS HOW STROKE CARE CAN BE 1155 00:58:19,040 --> 00:58:22,040 ADMINISTERED MORE EQUITABLY IN 1156 00:58:22,040 --> 00:58:27,720 THE UNITED STATES AND DAVID 1157 00:58:27,720 --> 00:58:29,000 SATTURE HAS AGREED TO GIVE THE 1158 00:58:29,000 --> 00:58:31,000 OPENING REMARKS. 1159 00:58:31,000 --> 00:58:33,480 WHEN YOU GO THROUGH A TOUGH 1160 00:58:33,480 --> 00:58:36,520 YEAR, COVID CERTAINLY MADE 2021 1161 00:58:36,520 --> 00:58:38,440 A TOUGH YEAR, THERE'S NOTHING 1162 00:58:38,440 --> 00:58:41,120 LIKE LOOKING BACK AND SEEING 1163 00:58:41,120 --> 00:58:42,440 WHAT THE CONFERENCES WERE 1164 00:58:42,440 --> 00:58:46,800 DESPITE THE TROUBLES. 1165 00:58:46,800 --> 00:58:50,440 SO PERSEVERANCE WAS THE NAME MY 1166 00:58:50,440 --> 00:58:52,480 DIRECTOR'S MESSAGE AND THANKS TO 1167 00:58:52,480 --> 00:58:56,800 THE FOLKS AND THE DIRECTOR FOR 1168 00:58:56,800 --> 00:58:58,760 PUTTING THESE TOP 10 LISTS 1169 00:58:58,760 --> 00:58:59,440 TOGETHER. 1170 00:58:59,440 --> 00:59:03,440 OF COURSE, THE TOP 100 BUT 1171 00:59:03,440 --> 00:59:10,080 THAT'S NOT GOING FIT ON A SLIDE 1172 00:59:10,080 --> 00:59:12,680 AND SO MUCH HAPPENED IN '21 SO 1173 00:59:12,680 --> 00:59:18,360 LOOKING FORWARD TO A BETTER 2022 1174 00:59:18,360 --> 00:59:19,640 MEANS THERE'LL BE EVEN GREATER 1175 00:59:19,640 --> 00:59:21,760 ADVANCES COMING. 1176 00:59:21,760 --> 00:59:24,040 I WANT TO THANK YOU AND DISCUSS 1177 00:59:24,040 --> 00:59:26,400 ANY ISSUES WE TALKED ABOUT 1178 00:59:26,400 --> 00:59:26,600 TODAY. 1179 00:59:26,600 --> 00:59:29,720 THANK YOU VERY MUCH. 1180 00:59:29,720 --> 00:59:30,560 >> PERHAPS WE CAN TAKE THE 1181 00:59:30,560 --> 00:59:48,360 SLIDES DOWN NOW. 1182 00:59:48,360 --> 00:59:50,320 >> I HAVE A QUESTION ON THE 1183 00:59:50,320 --> 00:59:51,560 DIVERSITY STATEMENT AND I CAN 1184 00:59:51,560 --> 00:59:54,400 FIND OUT FROM A NEIGHBOR I PUT 1185 00:59:54,400 --> 00:59:57,720 THIS IN AND FLIED THROUGH AND 1186 00:59:57,720 --> 01:00:04,560 USED THE SAME ONE AND I'M JUST 1187 01:00:04,560 --> 01:00:06,360 WONDERING IF IT WOULD BE 1188 01:00:06,360 --> 01:00:08,400 APPROPRIATE TO SAY THESE ARE THE 1189 01:00:08,400 --> 01:00:09,920 ACTIONS TO IMPLEMENT THE THINGS 1190 01:00:09,920 --> 01:00:12,200 I SAID I'D DO WITH RESPECT TO MY 1191 01:00:12,200 --> 01:00:13,680 DIVERSITY STATEMENT BECAUSE IF 1192 01:00:13,680 --> 01:00:14,920 IT'S ONE UP TIME UP FRONT YOU 1193 01:00:14,920 --> 01:00:17,040 SAY THIS IS THE PLAN I DON'T 1194 01:00:17,040 --> 01:00:17,600 THINK THERE'LL BE A GREAT 1195 01:00:17,600 --> 01:00:30,200 CONSEQUENCE. 1196 01:00:30,200 --> 01:00:43,640 >> AS TIME GOES ON IF THERE'S 1197 01:00:43,640 --> 01:00:50,400 ANY COMMENTS LOOKING AT REPORTS 1198 01:00:50,400 --> 01:00:51,880 IN THIS AREA. 1199 01:00:51,880 --> 01:00:55,200 >> SO WALTER IF I MAY WEIGH IN. 1200 01:00:55,200 --> 01:00:56,600 IT'S A GREAT POINT. 1201 01:00:56,600 --> 01:00:58,040 BRAIN HAS BEEN SPEARHEADING THIS 1202 01:00:58,040 --> 01:01:01,400 AND WE HAVE A ROLL OUT TEAM AND 1203 01:01:01,400 --> 01:01:03,120 THAT TEAM IS FOCUSSING ON 1204 01:01:03,120 --> 01:01:03,400 EVALUATION. 1205 01:01:03,400 --> 01:01:05,840 SO WE WILL BE LOOKING AT THIS IN 1206 01:01:05,840 --> 01:01:07,400 PROGRESS REPORTS. 1207 01:01:07,400 --> 01:01:09,360 WE DON'T WANT THIS TO BE A 1208 01:01:09,360 --> 01:01:14,360 BOILER POINT PEOPLE USE. 1209 01:01:14,360 --> 01:01:18,200 I SHOULD ALSO REMIND, THE PLAN 1210 01:01:18,200 --> 01:01:20,200 SUPPOSED TO BE INCORPORATED 1211 01:01:20,200 --> 01:01:21,800 THROUGHOUT THE ENTIRE 1212 01:01:21,800 --> 01:01:22,080 APPLICATION. 1213 01:01:22,080 --> 01:01:25,280 THE PDP SHOULD BE USED AS A VIM 1214 01:01:25,280 --> 01:01:28,680 FOR HOW ENHANCED DIVERSE 1215 01:01:28,680 --> 01:01:29,600 PERSPECTIVES WILL FURTHER THE 1216 01:01:29,600 --> 01:01:30,680 SCIENCE. 1217 01:01:30,680 --> 01:01:33,240 THIS IS A WORK IN PROGRESS AND 1218 01:01:33,240 --> 01:01:35,200 WE'RE AWARE OF THE ISSUES AND 1219 01:01:35,200 --> 01:01:37,440 GLAD YOU BROUGHT IT UP BUT OUR 1220 01:01:37,440 --> 01:01:39,280 EVALUATION TEAM IS LOOKING AT 1221 01:01:39,280 --> 01:01:40,840 HOW TO STRUCTURE SINCE A WAY 1222 01:01:40,840 --> 01:01:42,240 THAT WILL BE PRODUCTIVE AND IN A 1223 01:01:42,240 --> 01:01:45,960 WAY WE CAN USE IT AS A TOOL TO 1224 01:01:45,960 --> 01:01:47,200 HELP PEOPLE MOVE THIS NEEDLE A 1225 01:01:47,200 --> 01:01:48,240 BIT FORWARD. 1226 01:01:48,240 --> 01:01:51,520 >> IF I COULD ASK, IT BRINGS UP 1227 01:01:51,520 --> 01:01:53,920 THE ISSUE YOUR GRANT GETS 1228 01:01:53,920 --> 01:01:58,960 SUBMITTED, STUDIO -- STUDY 1229 01:01:58,960 --> 01:02:01,040 SECTION REVIEWS IT AND 1230 01:02:01,040 --> 01:02:01,920 PRESUMABLY IT'S A SCORABLE 1231 01:02:01,920 --> 01:02:05,160 ELEMENT AND WHETHER THE PEOPLE 1232 01:02:05,160 --> 01:02:07,160 STUDIED THE SECTION ARE THE 1233 01:02:07,160 --> 01:02:08,560 RIGHT TO EVALUATE THE ASPECTS OF 1234 01:02:08,560 --> 01:02:08,800 IT. 1235 01:02:08,800 --> 01:02:11,000 WHO IS RESPONSIBLE FOR THIS? 1236 01:02:11,000 --> 01:02:14,360 >> SO LET ME CLARIFY. 1237 01:02:14,360 --> 01:02:19,480 THE PDP DOES NOT ITSELF HAVE A 1238 01:02:19,480 --> 01:02:22,040 SCORE HOWEVER, THE INSTRUCTIONS 1239 01:02:22,040 --> 01:02:24,320 TO REVIEWERS FOR EACH OF THE 1240 01:02:24,320 --> 01:02:30,360 FIVE SCORABLE AREAS ARE ASKED TO 1241 01:02:30,360 --> 01:02:39,000 EVALUATE HOW DIVERSE RESPECTS RESPECTS 1242 01:02:39,000 --> 01:02:40,600 -- RESPECTIVES IN THE 1243 01:02:40,600 --> 01:02:41,400 ENVIRONMENT. 1244 01:02:41,400 --> 01:02:43,280 IT'S NOT ABOUT ITSELF A SEPARATE 1245 01:02:43,280 --> 01:02:46,400 SCORE CRITERION BUT BEING 1246 01:02:46,400 --> 01:02:46,960 INCORPORATED INTO THE OTHER 1247 01:02:46,960 --> 01:02:49,960 FIVE. 1248 01:02:49,960 --> 01:02:53,000 WE RELY ON TWO LEVELS OF REVIEW. 1249 01:02:53,000 --> 01:02:54,400 THE FIRST LEVEL A PEER REVIEW 1250 01:02:54,400 --> 01:02:59,040 AND SECOND LEVEL A PROGRAM. 1251 01:02:59,040 --> 01:03:00,640 WE'RE HOLDING REVIEW 1252 01:03:00,640 --> 01:03:03,760 ORIENTATIONS TO MAKE SURE PEOPLE 1253 01:03:03,760 --> 01:03:04,240 ARE LOOKING AT THINGS 1254 01:03:04,240 --> 01:03:14,800 APPROPRIATELY. 1255 01:03:14,800 --> 01:03:16,640 >> I HAD A QUESTION ON A 1256 01:03:16,640 --> 01:03:18,800 SEPARATE ISSUE, WALTER, THANKS 1257 01:03:18,800 --> 01:03:19,960 FOR THE UPDATE. 1258 01:03:19,960 --> 01:03:22,360 IN REGARDS TO THE RECOVER 1259 01:03:22,360 --> 01:03:23,920 PROGRAM, I'M WONDERING LOOKING 1260 01:03:23,920 --> 01:03:26,400 AT LONG COVID, I'M WONDERING IF 1261 01:03:26,400 --> 01:03:30,160 THERE'S ANY COORDINATION OR 1262 01:03:30,160 --> 01:03:31,800 COLLABORATION SHARED DATA 1263 01:03:31,800 --> 01:03:34,720 ELEMENTS, DATA SHARING WITH THE 1264 01:03:34,720 --> 01:03:35,880 MECFS RESEARCH CENTERS OR IF 1265 01:03:35,880 --> 01:03:37,600 THERE'S PLAN FOR THAT. 1266 01:03:37,600 --> 01:03:40,120 I'M THINKING ABOUT THAT IN TERMS 1267 01:03:40,120 --> 01:03:42,160 OF MAXIMIZING BOTH THOSE 1268 01:03:42,160 --> 01:03:42,400 EFFORTS. 1269 01:03:42,400 --> 01:03:45,160 I WAS CURIOUS WHETHER THAT'S 1270 01:03:45,160 --> 01:03:46,080 BEEN TAKEN INTO CONSIDERATION OR 1271 01:03:46,080 --> 01:03:52,080 IF THERE'S COLLABORATION THERE. 1272 01:03:52,080 --> 01:03:55,640 >> SO JUST TO MENTION THE 1273 01:03:55,640 --> 01:03:59,360 SYMPTOMS OF POST ACUTE LONG 1274 01:03:59,360 --> 01:04:01,680 COVID LOOK EXACTLY LIKE ANY CFS 1275 01:04:01,680 --> 01:04:03,200 SYMPTOMS SO THOSE PEOPLE HAVE 1276 01:04:03,200 --> 01:04:04,760 BEEN SICK FOR YEARS. 1277 01:04:04,760 --> 01:04:06,400 THE THOUGHT WAS IT WAS DUE TO A 1278 01:04:06,400 --> 01:04:07,880 VIRAL INFECTION BUT WE DON'T 1279 01:04:07,880 --> 01:04:10,080 KNOW WHAT THE VIRUS IS. 1280 01:04:10,080 --> 01:04:12,880 MAYBE INFECTIOUS MONOIS 1281 01:04:12,880 --> 01:04:14,600 DEFINITELY INVOLVED IN SOME OF 1282 01:04:14,600 --> 01:04:22,360 THEM. 1283 01:04:22,360 --> 01:04:25,200 THERE'S GOING TO BE OVERLAP IN 1284 01:04:25,200 --> 01:04:27,760 SCIENCE FROM POST COVID WORK 1285 01:04:27,760 --> 01:04:29,320 WILL HOPEFULLY THEN HELP 1286 01:04:29,320 --> 01:04:32,040 UNDERSTAND MECFS BECAUSE IT'S A 1287 01:04:32,040 --> 01:04:34,040 NATURAL EXPERIMENT WITH MILLIONS 1288 01:04:34,040 --> 01:04:35,560 OF PEOPLE GETTING COVID ALL AT 1289 01:04:35,560 --> 01:04:42,800 ONCE AND WE KNOW WHAT THE VIRUS 1290 01:04:42,800 --> 01:04:54,400 IS AND THE RECOVER HAS 1291 01:04:54,400 --> 01:05:04,040 STANDARDIZED EVERYTHING. 1292 01:05:04,040 --> 01:05:07,760 THE CONSORTIA IS NOT 1293 01:05:07,760 --> 01:05:08,080 STANDARDIZED. 1294 01:05:08,080 --> 01:05:08,880 STILL A PROBLEM. 1295 01:05:08,880 --> 01:05:10,920 >> THE RECOVER PROGRAM IS VERY 1296 01:05:10,920 --> 01:05:14,400 EXCITING AND WOULD BE OF GREAT 1297 01:05:14,400 --> 01:05:16,080 VALUE TO CROSS-CORRELATE THE 1298 01:05:16,080 --> 01:05:17,200 NINDS ACTIVITIES WITH THE 1299 01:05:17,200 --> 01:05:18,400 DEPARTMENT OF DEFENSE. 1300 01:05:18,400 --> 01:05:19,400 THE DEPARTMENT OF DEFENSE IS 1301 01:05:19,400 --> 01:05:21,840 ALSO INTERESTED IN THIS TOPIC 1302 01:05:21,840 --> 01:05:23,240 AND HAS ONE SUBSTANTIAL 1303 01:05:23,240 --> 01:05:25,120 ADVANTAGE THEY HAVE BLOOD 1304 01:05:25,120 --> 01:05:28,040 SAMPLES ON EVERYONE BEFORE THEY 1305 01:05:28,040 --> 01:05:29,600 GOT COVID. 1306 01:05:29,600 --> 01:05:30,360 OVER. 1307 01:05:30,360 --> 01:05:34,320 >> THAT'S A GOOD QUESTION -- LET 1308 01:05:34,320 --> 01:05:39,080 ME TALKED TO THE VA. 1309 01:05:39,080 --> 01:05:40,720 DO THEY HAVE A POST ACUTE 1310 01:05:40,720 --> 01:05:40,960 PROGRAM. 1311 01:05:40,960 --> 01:05:43,240 >> IT'S NOT AS ORGANIZED AS 1312 01:05:43,240 --> 01:05:43,760 YOURS. 1313 01:05:43,760 --> 01:05:46,400 THERE'S VARIOUS AD HOC 1314 01:05:46,400 --> 01:05:48,880 POST-COVID PROGRAMS AT MULTIPLE 1315 01:05:48,880 --> 01:05:50,160 MILITARY TREATMENT FACILITIES. 1316 01:05:50,160 --> 01:05:53,720 IT'S NOT UNIFIED MORE 1317 01:05:53,720 --> 01:05:54,200 STANDARDIZED. 1318 01:05:54,200 --> 01:05:56,920 >> SEND ME SOME NAMES AND WE CAN 1319 01:05:56,920 --> 01:05:57,560 FOLLOW UP. 1320 01:05:57,560 --> 01:06:00,120 >> ROGER THAT. 1321 01:06:00,120 --> 01:06:00,680 >> THANK YOU. 1322 01:06:00,680 --> 01:06:04,080 >> AND MAYBE SAMIR FOR THE LAST 1323 01:06:04,080 --> 01:06:04,400 QUESTION. 1324 01:06:04,400 --> 01:06:21,840 >> THANK YOU FOR THE UPDATE. 1325 01:06:21,840 --> 01:06:24,000 I WANT KNOW WHAT THE PLAN IS 1326 01:06:24,000 --> 01:06:26,400 GOING FORWARD WHETHER IT'S WORK 1327 01:06:26,400 --> 01:06:32,280 WITH BRAIN I.C.s OR SPECIFIC 1328 01:06:32,280 --> 01:06:38,000 INSTITUTES HAVE AFUNDING -- A 1329 01:06:38,000 --> 01:06:39,080 FUNDING AWARD? 1330 01:06:39,080 --> 01:06:40,640 >> THE GROUP IS JUST GELLING 1331 01:06:40,640 --> 01:06:40,800 NOW. 1332 01:06:40,800 --> 01:06:43,960 WE HAVE A GROUP ON THE INSIDE 1333 01:06:43,960 --> 01:06:50,600 WORKING ON THIS AND YOU'LL HEAR 1334 01:06:50,600 --> 01:06:57,280 FROM LYNN JAKEMAN ABOUT AN 1335 01:06:57,280 --> 01:07:00,440 INITIATIVE TO FUND GROUPS ON 1336 01:07:00,440 --> 01:07:01,880 SCIENTISTS FOCUSSING ON A 1337 01:07:01,880 --> 01:07:02,120 PROBLEM. 1338 01:07:02,120 --> 01:07:07,320 I THINK THERE'S OTHER THINGS WE 1339 01:07:07,320 --> 01:07:08,200 SHOULD THINK ABOUT DOING WE'LL 1340 01:07:08,200 --> 01:07:09,600 PUT THE GROUP TOGETHER AND HAVE 1341 01:07:09,600 --> 01:07:18,040 AN RFI AND I THINK WE'LL GO WITH 1342 01:07:18,040 --> 01:07:21,000 WHAT THE RECOMMENDATIONS ARE AND 1343 01:07:21,000 --> 01:07:26,120 IT'S A PROJECT COMING FROM THE 1344 01:07:26,120 --> 01:07:26,360 BUDGET. 1345 01:07:26,360 --> 01:07:29,120 THE OTHER INSTITUTES, I THINK 1346 01:07:29,120 --> 01:07:31,200 THEY HAVE THEIR OWN SENSE OF 1347 01:07:31,200 --> 01:07:33,080 WHAT THEY NEED TO DO NOW. 1348 01:07:33,080 --> 01:07:34,920 WE HAVE THE OPPORTUNITY WHEN WE 1349 01:07:34,920 --> 01:07:36,080 COME UP WITH SPECIFIC THINGS TO 1350 01:07:36,080 --> 01:07:38,320 GO TO THEM AND SAY WOULD YOU 1351 01:07:38,320 --> 01:07:42,120 LIKE TO JOIN US BECAUSE AS YOU 1352 01:07:42,120 --> 01:07:46,560 HINTED AT, THE BASIC 1353 01:07:46,560 --> 01:07:52,120 NEUROSCIENCE IS GENERALLY 1354 01:07:52,120 --> 01:07:54,400 APPLICABLE TO MULTIPLE SCIENCES 1355 01:07:54,400 --> 01:07:56,760 AND WE WILL HAVE TO SEE WHICH 1356 01:07:56,760 --> 01:07:59,480 WAY IT GOES BUT THE BRAIN 1357 01:07:59,480 --> 01:08:04,120 INITIATIVE WAS A GREAT EYE- 1358 01:08:04,120 --> 01:08:06,120 EYE-OPENER FOR ME. 1359 01:08:06,120 --> 01:08:07,680 WE DID STRATEGIC PLANNING 10 1360 01:08:07,680 --> 01:08:09,400 YEARS AGO AND HAD A BASIC 1361 01:08:09,400 --> 01:08:09,960 SCIENCE GROUP AND THE 1362 01:08:09,960 --> 01:08:11,400 RECOMMENDATION WAS DON'T TELL US 1363 01:08:11,400 --> 01:08:13,720 WHAT TO DO JUST GIVE US THE 1364 01:08:13,720 --> 01:08:14,800 MONEY AND NOTHING YOU CAN DO 1365 01:08:14,800 --> 01:08:16,040 HELP US KIND OF THING. 1366 01:08:16,040 --> 01:08:19,360 NOT SURE THAT WAS THE WISEST 1367 01:08:19,360 --> 01:08:22,080 MOVE GIVEN WHAT HAPPENED IN 1368 01:08:22,080 --> 01:08:33,400 BRAIN. 1369 01:08:33,400 --> 01:08:38,880 >> ANY OTHER COMMENTS JUST 1370 01:08:38,880 --> 01:08:41,400 E-MAIL ME. 1371 01:08:41,400 --> 01:08:43,280 I APPRECIATE YOUR ADVICE ON ANY 1372 01:08:43,280 --> 01:08:44,800 OF THESE TOPICS. 1373 01:08:44,800 --> 01:08:45,120 THANK YOU. 1374 01:08:45,120 --> 01:08:48,120 >> NEXT RICHARD BENSON'S GOING 1375 01:08:48,120 --> 01:08:50,800 TO TALK ABOUT OUR NINDS 1376 01:08:50,800 --> 01:08:51,960 STRATEGIC PLANNING EFFORT AIMED 1377 01:08:51,960 --> 01:08:55,040 AT OVERCOMING HEALTH DISPARITIES 1378 01:08:55,040 --> 01:08:56,040 WHICH WALTER MENTIONED. 1379 01:08:56,040 --> 01:08:58,160 RICHARD IS THE DIRECTOR OF OUR 1380 01:08:58,160 --> 01:09:01,000 OFFICE OF GLOBAL HEALTH AND 1381 01:09:01,000 --> 01:09:02,600 HEALTH DISPARITIES AND JOINING 1382 01:09:02,600 --> 01:09:06,160 HIM WILL BE I WON'T SAY RECENTLY 1383 01:09:06,160 --> 01:09:10,120 DEPARTED BUT FORMER AND MISSED 1384 01:09:10,120 --> 01:09:13,120 COUNCIL MEMBER KAREN JOHNSTON 1385 01:09:13,120 --> 01:09:16,200 AND I BELIEVE THEY SERVED AS THE 1386 01:09:16,200 --> 01:09:18,960 CO-CHAIRS OF THE HEALTH EQUITY 1387 01:09:18,960 --> 01:09:19,800 STEERING COMMITTEE. 1388 01:09:19,800 --> 01:09:21,400 OVER TO YOU. 1389 01:09:21,400 --> 01:09:22,200 >> THANK YOU, BOB. 1390 01:09:22,200 --> 01:09:33,400 CAN WE HAVE THE SLIDES? 1391 01:09:33,400 --> 01:09:34,120 HELLO. 1392 01:09:34,120 --> 01:09:37,520 TODAY WE PRESENT AN OVERVIEW AND 1393 01:09:37,520 --> 01:09:39,000 CONSOLIDATED RESULTS OF OUR 1394 01:09:39,000 --> 01:09:41,600 HEALTH EQUITY STRATEGIC PLANNING 1395 01:09:41,600 --> 01:09:41,800 PROCESS. 1396 01:09:41,800 --> 01:09:43,800 I'M GOING SAID THE STAGE BY 1397 01:09:43,800 --> 01:09:47,040 BRIEFLY DOWNLINING THE DETAILED 1398 01:09:47,040 --> 01:09:50,200 PLANNING AND PROCESSES THAT 1399 01:09:50,200 --> 01:09:50,400 OCCUR. 1400 01:09:50,400 --> 01:09:54,360 DR. KAREN JOHNSTON WILL GO 1401 01:09:54,360 --> 01:10:01,600 THROUGH THE ANALYSES AND 1402 01:10:01,600 --> 01:10:05,080 DR. TREVATHAN. 1403 01:10:05,080 --> 01:10:09,080 FIRKS I WOULD LIKE TO RECOGNIZE 1404 01:10:09,080 --> 01:10:10,640 THE HARD WORK OF MY NINDS 1405 01:10:10,640 --> 01:10:10,960 COLLEAGUES. 1406 01:10:10,960 --> 01:10:13,680 THOSE FROM MY OFFICE, THE OFFICE 1407 01:10:13,680 --> 01:10:15,880 GLOBAL HEALTH AND HEALTH 1408 01:10:15,880 --> 01:10:17,440 DISPARITIES, OUR HEALTH EQUITY 1409 01:10:17,440 --> 01:10:18,360 COORDINATING COMMITTEE AND THE 1410 01:10:18,360 --> 01:10:20,840 HEALTH EQUITY WORK GROUP. 1411 01:10:20,840 --> 01:10:22,440 ALL LISTED ON THE SLIDES AND 1412 01:10:22,440 --> 01:10:23,320 NONE OF THIS COULD HAVE OCCURRED 1413 01:10:23,320 --> 01:10:26,360 WITHOUT THE HARD WORK OF THE 1414 01:10:26,360 --> 01:10:31,520 DEDICATED NINDS STAFF. 1415 01:10:31,520 --> 01:10:32,120 THE HEALTH EQUITY STRATEGIC 1416 01:10:32,120 --> 01:10:34,400 PLANNING PROCESS WAS A 1417 01:10:34,400 --> 01:10:36,360 COLLABORATION BETWEEN THE NINDS 1418 01:10:36,360 --> 01:10:37,720 OFFICE OF GLOBAL HEALTH AND 1419 01:10:37,720 --> 01:10:38,400 HEALTH DISPARITIES AND THE 1420 01:10:38,400 --> 01:10:40,240 OFFICE OF SCIENCE, POLICY AND 1421 01:10:40,240 --> 01:10:41,800 PLANNING, OSDP. 1422 01:10:41,800 --> 01:10:46,640 THE GOAL OF THIS COMPREHENSIVE 1423 01:10:46,640 --> 01:10:48,640 PROCESS WAS TO DEVELOP A PLAN TO 1424 01:10:48,640 --> 01:10:50,200 GUIDE RESEARCH INVESTMENTS OVER 1425 01:10:50,200 --> 01:10:52,080 THE NEXT FIVE TO 10 YEARS. 1426 01:10:52,080 --> 01:10:55,400 THE COMPONENTS ARE INPUTS WE HAD 1427 01:10:55,400 --> 01:10:57,040 NOR PLANNING PROCESS STARTED 1428 01:10:57,040 --> 01:11:00,280 WITH THE DEVELOPMENT OF A WORK 1429 01:11:00,280 --> 01:11:02,120 GROUP OF OUR NATIONAL ADVISORY 1430 01:11:02,120 --> 01:11:08,640 COUNCIL AND HIS WAS LED BY 1431 01:11:08,640 --> 01:11:14,200 DOCTORS JONSTON AND TREVATHAN 1432 01:11:14,200 --> 01:11:22,720 AND DR. BRODY AND DR. SETH. 1433 01:11:22,720 --> 01:11:24,440 WE HAD THE STEERING COMMITTEE OF 1434 01:11:24,440 --> 01:11:26,360 THE NATIONAL ADVISORY COUNCIL 1435 01:11:26,360 --> 01:11:31,000 AND ORGANIZED A HEALTH EQUITY 1436 01:11:31,000 --> 01:11:33,560 COORDINATING COMMITTEE FOR 1437 01:11:33,560 --> 01:11:34,800 IMPLEMENTING THE PLANS AND 1438 01:11:34,800 --> 01:11:37,400 WORKING ON THE DETAILS OF THE 1439 01:11:37,400 --> 01:11:37,680 WORKSHOP. 1440 01:11:37,680 --> 01:11:38,600 WE HAD A HEALTH EQUITY WORK 1441 01:11:38,600 --> 01:11:42,120 GROUP THAT INCLUDED MULTIPLE 1442 01:11:42,120 --> 01:11:43,240 PEOPLE ACROSS NINDS WITH 1443 01:11:43,240 --> 01:11:44,520 INTEREST IN THE PARTICULAR TOPIC 1444 01:11:44,520 --> 01:11:49,680 AND ASSISTED IN THE PORTFOLIO 1445 01:11:49,680 --> 01:11:51,120 ANALYSIS WE DID OUR PORTFOLIO 1446 01:11:51,120 --> 01:11:52,960 ANALYSIS AND HAD A REQUEST FOR 1447 01:11:52,960 --> 01:11:54,400 INFORMATION PUBLISHED AND I'LL 1448 01:11:54,400 --> 01:12:03,320 GO INTO THIS IN DETAIL AND PUT 1449 01:12:03,320 --> 01:12:06,360 TOGETHER A WORK GROUP WITH NIH 1450 01:12:06,360 --> 01:12:12,560 I.C.s AS WELL AS OFFICES. 1451 01:12:12,560 --> 01:12:16,120 WE HAD A SYSTEMATIC LITERATURE 1452 01:12:16,120 --> 01:12:18,800 REVIEW AND THEN LASTLY THE CAP 1453 01:12:18,800 --> 01:12:26,360 STONE WAS THE HEADWAY WORKSHOP 1454 01:12:26,360 --> 01:12:33,360 THE OUTPUTS WERE FINDINGSAGE -- 1455 01:12:33,360 --> 01:12:37,360 FINDINGS AND KEY APPROVALS AND 1456 01:12:37,360 --> 01:12:38,040 THE INFORMATION WILL BE 1457 01:12:38,040 --> 01:12:43,320 DISSEMINATED TO RESEARCHERS AND 1458 01:12:43,320 --> 01:12:45,840 THE PUBLIC. 1459 01:12:45,840 --> 01:12:48,680 THIS WAS A CONFERENCE THAT 1460 01:12:48,680 --> 01:12:50,040 ATTACK PLACE BETWEEN SEPTEMBER 1461 01:12:50,040 --> 01:12:51,640 22 TO SEPTEMBER 24. 1462 01:12:51,640 --> 01:12:54,920 IT CAN BE FOUND ON THE NIH 1463 01:12:54,920 --> 01:12:55,200 VIDEOCAST. 1464 01:12:55,200 --> 01:12:56,280 WE HAD EXCELLENT SPEAKERS FROM 1465 01:12:56,280 --> 01:12:57,360 ACROSS THE COUNTRY THAT SPOKE 1466 01:12:57,360 --> 01:12:58,400 THE FIRST TWO DAYS. 1467 01:12:58,400 --> 01:13:00,760 THE THIRD DAY WE ACTUALLY HAD 1468 01:13:00,760 --> 01:13:02,400 BREAKOUT SESSIONS BUT WE GOT 1469 01:13:02,400 --> 01:13:04,880 MORE FEEDBACK FROM THE 1470 01:13:04,880 --> 01:13:05,160 COMMUNITY. 1471 01:13:05,160 --> 01:13:07,200 WE DID NOT RECORD THE THIRD DAY 1472 01:13:07,200 --> 01:13:12,800 BECAUSE WE WANTED TO HAVE OPEN 1473 01:13:12,800 --> 01:13:13,960 DISCUSSIONS WITH THE COMMUNITY 1474 01:13:13,960 --> 01:13:15,840 HOWEVER, THE FIRST TWO DAYS ARE 1475 01:13:15,840 --> 01:13:17,240 RECORDED AND ARE ON VIDEOCAST. 1476 01:13:17,240 --> 01:13:18,960 IF YOU HAVE TIME GO BACK AND 1477 01:13:18,960 --> 01:13:19,640 LOOK AT THAT. 1478 01:13:19,640 --> 01:13:24,480 ALL THE INFORMATION FROM THE 1479 01:13:24,480 --> 01:13:26,360 WORKSHOP WAS ALSO INCORPORATED 1480 01:13:26,360 --> 01:13:27,200 IN THE RECOMMENDATIONS YOU'LL 1481 01:13:27,200 --> 01:13:28,040 SEE TODAY. 1482 01:13:28,040 --> 01:13:34,200 WE STARTED BY ORIENTING OUR 1483 01:13:34,200 --> 01:13:35,560 STEERING COMMITTEE MEMBERS THESE 1484 01:13:35,560 --> 01:13:39,760 WERE POINTS WE TOLD THEM DURING 1485 01:13:39,760 --> 01:13:42,040 THE ORIENTATION WE WANTED TO 1486 01:13:42,040 --> 01:13:47,080 ADVISE ON THE PROCESS AND MAKE 1487 01:13:47,080 --> 01:13:48,320 RECOMMENDATIONS TO US ON THE 1488 01:13:48,320 --> 01:13:52,520 PROCESS AND DEVELOP 1489 01:13:52,520 --> 01:13:53,160 COMPREHENSIVE RECOMMENDATIONS 1490 01:13:53,160 --> 01:13:57,520 AND FOCUSES ON AREAS WHERE NIH 1491 01:13:57,520 --> 01:13:59,200 AND NINDS CAN HAVE IMPACT AND 1492 01:13:59,200 --> 01:14:02,360 ASKED THEM TO PARTICIPATE IN THE 1493 01:14:02,360 --> 01:14:06,000 HEADWAY WORKSHOP AND PRESENT A 1494 01:14:06,000 --> 01:14:06,800 DRAFT RECOMMENDATIONS FOR 1495 01:14:06,800 --> 01:14:09,280 FURTHER INPUT AT THE TIME. 1496 01:14:09,280 --> 01:14:10,600 SOME COMMITTEE MEMBERS LED SOME 1497 01:14:10,600 --> 01:14:13,280 OF THE BREAKOUT DISCUSSIONS AND 1498 01:14:13,280 --> 01:14:14,600 WE RECEIVED INPUT AT THAT TIME 1499 01:14:14,600 --> 01:14:15,600 AND THAT WAS INCORPORATED IN THE 1500 01:14:15,600 --> 01:14:27,600 RECOMMENDATIONS. 1501 01:14:27,600 --> 01:14:28,960 WE ASKED TO HOW TO STRENGTHEN 1502 01:14:28,960 --> 01:14:30,400 THE SCIENCE, IDENTIFICATION OF 1503 01:14:30,400 --> 01:14:34,040 STRATEGY OR INTERVENTIONS TO 1504 01:14:34,040 --> 01:14:37,360 ADDRESS BIOLOGIC AND SOCIAL 1505 01:14:37,360 --> 01:14:38,400 DETERMINATES OF HEALTH AND OTHER 1506 01:14:38,400 --> 01:14:49,520 PARTNERSHIPS. 1507 01:14:49,520 --> 01:14:52,040 WE BROKE THE STEERING COMMITTEE 1508 01:14:52,040 --> 01:14:53,680 UP TO SUB GROUPS AND HAD EXPERTS 1509 01:14:53,680 --> 01:14:56,280 FROM ACROSS THE COUNTRY IN 1510 01:14:56,280 --> 01:14:58,120 HEALTH EQUITY AND OTHER AREAS 1511 01:14:58,120 --> 01:15:02,520 THAT CAN INFORM THIS PROCESS. 1512 01:15:02,520 --> 01:15:04,120 THE FIRST COMMITTEE WAS TASKED 1513 01:15:04,120 --> 01:15:06,400 WITH DETERMINING STRATEGIES, 1514 01:15:06,400 --> 01:15:07,600 TARGETS, INTERVENTIONS AND TYPES 1515 01:15:07,600 --> 01:15:09,080 OF COLLABORATIONS THAT ARE 1516 01:15:09,080 --> 01:15:10,600 NEEDED TO OPTIMIZE INTERVENTION 1517 01:15:10,600 --> 01:15:14,880 CAN BE IMPLEMENTED AND SCALED 1518 01:15:14,880 --> 01:15:15,080 UP. 1519 01:15:15,080 --> 01:15:20,360 SUBCOMMITTEE B DISCUSSED THE 1520 01:15:20,360 --> 01:15:22,000 IMPACT OF SOCIAL DETERMINATES OF 1521 01:15:22,000 --> 01:15:24,120 HEALTH AND HOW IT IMPACTED 1522 01:15:24,120 --> 01:15:26,360 NEUROLOGICAL DISEASE ACROSS THE 1523 01:15:26,360 --> 01:15:26,800 LIFE SPAN. 1524 01:15:26,800 --> 01:15:28,680 AND HU IT CAN BE ADDRESSED IN 1525 01:15:28,680 --> 01:15:30,360 RESEARCH DIMENSIONS AND BE 1526 01:15:30,360 --> 01:15:34,080 SCALED UP. 1527 01:15:34,080 --> 01:15:35,920 SUBCOMMITTEE C DISCUSSED AND 1528 01:15:35,920 --> 01:15:38,440 DEVELOPED NINDS HEALTH EQUITY 1529 01:15:38,440 --> 01:15:40,120 RESEARCH FRAMEWORK. 1530 01:15:40,120 --> 01:15:41,800 WE'RE FINALIZING THE FLAME WORK 1531 01:15:41,800 --> 01:15:46,800 WE'LL USE FOR INVESTIGATORS TO 1532 01:15:46,800 --> 01:15:51,600 UNDERSTAND THE TYPES OF 1533 01:15:51,600 --> 01:15:53,160 INVESTIGATES AND GAPS AND 1534 01:15:53,160 --> 01:15:57,320 SUBCOMMITTEE D WAS RESPONSIBLE 1535 01:15:57,320 --> 01:15:58,800 FOR CALCULATING THE EXCESS DEATH 1536 01:15:58,800 --> 01:16:01,560 AND NEUROLOGICAL CONDITIONS 1537 01:16:01,560 --> 01:16:06,040 YOU'LL HEAR FROM DR. JOHNSTON. 1538 01:16:06,040 --> 01:16:10,120 SUB GROUP E WAS STRATEGIES FOR 1539 01:16:10,120 --> 01:16:10,760 SCIENTIFIC INFORMATION AND NINDS 1540 01:16:10,760 --> 01:16:12,760 PROGRAMS AND FUNDING 1541 01:16:12,760 --> 01:16:16,080 ANNOUNCEMENTS TO DIVERSE 1542 01:16:16,080 --> 01:16:18,800 COMMUNITIES INCLUDING 1543 01:16:18,800 --> 01:16:21,320 INVESTIGATORS MEDICAL PROVIDERS 1544 01:16:21,320 --> 01:16:23,120 AND SUBCOMMITTEE F1 WE BROKE 1545 01:16:23,120 --> 01:16:25,480 INTO TWO PIECES. 1546 01:16:25,480 --> 01:16:28,000 THEY WORKED TO DEVELOP AND 1547 01:16:28,000 --> 01:16:29,320 OUTLINE STRATEGIES AND BEST 1548 01:16:29,320 --> 01:16:31,640 PRACTICES FOR TRAINING AND 1549 01:16:31,640 --> 01:16:33,960 RETENTION OF A DIVERSE HEALTH 1550 01:16:33,960 --> 01:16:36,240 EQUITY RESEARCH WORKFORCE AND 1551 01:16:36,240 --> 01:16:41,640 SUBGROUP F2 DEVELOP AND OUTLINED 1552 01:16:41,640 --> 01:16:46,200 LOOKED AT HEALTH EQUITY TRAINING 1553 01:16:46,200 --> 01:16:49,200 AND THE DELIVERABLES WAS FOR 1554 01:16:49,200 --> 01:16:52,120 EACH COMMITTEE TO INCORPORATE 1555 01:16:52,120 --> 01:16:55,480 THEIR FINDINGS INTO 1556 01:16:55,480 --> 01:16:57,560 RECOMMENDATIONS AND WRITE 1557 01:16:57,560 --> 01:16:58,880 MANUSCRIPTS SO WE HAVE THEM FOR 1558 01:16:58,880 --> 01:17:00,000 EACH SUB GROUP AND OTHERS ARE 1559 01:17:00,000 --> 01:17:02,840 BEING WRITTEN FROM THE PORTFOLIO 1560 01:17:02,840 --> 01:17:05,520 ANALYSIS AS WELL AS FROM THE RFI 1561 01:17:05,520 --> 01:17:07,400 I'LL TALK ABOUT MORE AND ALL THE 1562 01:17:07,400 --> 01:17:10,080 INFORMATION WILL BE PUBLISHED IN 1563 01:17:10,080 --> 01:17:12,600 THE SUPPLEMENT TO THE JOURNAL OF 1564 01:17:12,600 --> 01:17:16,120 NEUROLOGY WHERE WE'VE WORKED 1565 01:17:16,120 --> 01:17:18,000 WITH NEUROLOGY AND BASED ON THE 1566 01:17:18,000 --> 01:17:19,200 INPUT FROM COUNCIL TODAY WE'LL 1567 01:17:19,200 --> 01:17:22,120 MOVE FORWARD WITH THE 1568 01:17:22,120 --> 01:17:27,920 PUBLICATIONS. 1569 01:17:27,920 --> 01:17:29,120 NOW I'LL BRIEFLY EXPLAIN THE 1570 01:17:29,120 --> 01:17:30,880 DATA FROM THE RFI. 1571 01:17:30,880 --> 01:17:33,800 THE RFI OR REQUEST FOR 1572 01:17:33,800 --> 01:17:35,000 INFORMATION IS THE WAY THE NIH 1573 01:17:35,000 --> 01:17:39,360 USE TO GET INFORMATION THERE 1574 01:17:39,360 --> 01:17:39,720 STAKEHOLDERS. 1575 01:17:39,720 --> 01:17:42,400 WE USE THE REGULAR MARKET NIH 1576 01:17:42,400 --> 01:17:43,840 USES TO PUBLICIZE THIS AND IT 1577 01:17:43,840 --> 01:17:45,520 WAS PUBLISHED FROM APRIL THROUGH 1578 01:17:45,520 --> 01:17:49,360 JULY OF 2020. 1579 01:17:49,360 --> 01:17:56,200 WE USED DIRECT SILLLATIONS TOO 1580 01:17:56,200 --> 01:17:58,120 NONPROFITS AND PROFESSIONAL -- 1581 01:17:58,120 --> 01:18:01,880 DIRECT SOLICITATIONS TO 1582 01:18:01,880 --> 01:18:04,000 NONPROFITS AND ASKED TO ADVISE 1583 01:18:04,000 --> 01:18:08,240 OF NEUROLOGICAL DISEASE AND CARE 1584 01:18:08,240 --> 01:18:09,800 AND SOME QUESTIONS WERE SHORT 1585 01:18:09,800 --> 01:18:10,680 ANSWER QUESTIONS. 1586 01:18:10,680 --> 01:18:16,000 WE ALSO ASKED TO QUANTITATIVE 1587 01:18:16,000 --> 01:18:17,800 DEMOGRAPHIC QUESTIONS AND 1588 01:18:17,800 --> 01:18:23,040 RECEIVED 141 RESPONSES. 1589 01:18:23,040 --> 01:18:25,560 WE DID QUALITATIVE CODING OF 1590 01:18:25,560 --> 01:18:28,720 THIS INFORMATION AS WELL WHERE 1591 01:18:28,720 --> 01:18:30,000 WE TOOK SPECIFIC COMMENTS IN 1592 01:18:30,000 --> 01:18:32,800 TERMS OF INTERVENTIONS PEOPLE 1593 01:18:32,800 --> 01:18:37,720 MENTIONED USED TO ADDRESS SOME 1594 01:18:37,720 --> 01:18:39,560 HEALTH INEQUITIES AND GOT GREAT 1595 01:18:39,560 --> 01:18:42,000 INPUT AND THIS IS ALSO 1596 01:18:42,000 --> 01:18:42,440 INCORPORATED IN THE 1597 01:18:42,440 --> 01:18:43,320 RECOMMENDATIONS YOU'LL HEAR 1598 01:18:43,320 --> 01:18:43,520 TODAY. 1599 01:18:43,520 --> 01:18:45,080 WE RECEIVED INPUT FROM HEALTH 1600 01:18:45,080 --> 01:18:47,200 CARE PROVIDERS, RESEARCHERS, 1601 01:18:47,200 --> 01:18:49,400 PATIENT ADVOCACY GROUPS, 1602 01:18:49,400 --> 01:18:50,960 PATIENTS, CAREGIVERS AND A SMALL 1603 01:18:50,960 --> 01:18:52,160 PERCENTAGE OF GOVERNMENT 1604 01:18:52,160 --> 01:19:10,240 OFFICIALS AS WELL. 1605 01:19:10,240 --> 01:19:14,320 WE NOTICED MOST THE INFORMATION 1606 01:19:14,320 --> 01:19:15,800 CAME FROM URBAN AREAS. 1607 01:19:15,800 --> 01:19:17,640 WHEN WE DO THIS IN THE FUTURE 1608 01:19:17,640 --> 01:19:19,280 BECAUSE OF DISPARITIES IN RURAL 1609 01:19:19,280 --> 01:19:20,920 AREAS WE'LL TRY TO MARKET BETTER 1610 01:19:20,920 --> 01:19:24,040 IN RURAL AREAS BUT WE DID HAVE 1611 01:19:24,040 --> 01:19:24,640 OUR SMALLEST INPUT FROM RURAL 1612 01:19:24,640 --> 01:19:30,000 AREAS. 1613 01:19:30,000 --> 01:19:31,920 WE LISTED THE VARIOUS BREAKDOWNS 1614 01:19:31,920 --> 01:19:36,680 THROUGHOUT THE COUNTRY OF 1615 01:19:36,680 --> 01:19:37,760 ORGANIZATIONS AND IT'S PRETTY 1616 01:19:37,760 --> 01:19:40,080 MUCH THROUGHOUT THE COUNTRY IN 1617 01:19:40,080 --> 01:19:41,960 TERMS OF ORGANIZATIONAL 1618 01:19:41,960 --> 01:19:42,360 PRIORITY. 1619 01:19:42,360 --> 01:19:44,080 NOW WE'LL EXPLAIN OUR PORTFOLIO 1620 01:19:44,080 --> 01:19:45,920 ANALYSIS. 1621 01:19:45,920 --> 01:19:49,760 OVERALL GOAL WAS TO IDENTIFY 1622 01:19:49,760 --> 01:19:52,800 STRENGTHS, OPPORTUNITIES AND 1623 01:19:52,800 --> 01:19:56,560 GAPS IN THE NINDS PORTFOLIO. 1624 01:19:56,560 --> 01:19:58,560 THIS WILL BE USED TO FORM 1625 01:19:58,560 --> 01:20:00,120 ANNOUNCEMENTS AND COLLABORATIONS 1626 01:20:00,120 --> 01:20:01,120 GOING FORWARD. 1627 01:20:01,120 --> 01:20:04,080 WE WANTED TO DESCRIBE THE NINDS 1628 01:20:04,080 --> 01:20:05,600 HEALTH DISPARITIES OR HEALTH 1629 01:20:05,600 --> 01:20:06,960 EQUITY RESEARCH PORTFOLIO AND WE 1630 01:20:06,960 --> 01:20:14,600 USED THE HEALTHY PERSONS 2020 OR 1631 01:20:14,600 --> 01:20:16,120 2030 THE DEFINITION WAS NOT 1632 01:20:16,120 --> 01:20:19,200 CHANGE OF HEALTH DISPARITIES AN 1633 01:20:19,200 --> 01:20:20,840 EQUITY AND LOOKED AT THE MOST 1634 01:20:20,840 --> 01:20:23,400 QUALITATIVE AND QUANTITATIVE 1635 01:20:23,400 --> 01:20:25,400 PARAMETERS OF THE RESEARCH 1636 01:20:25,400 --> 01:20:30,080 PROJECTS AND USED THE NIH 1637 01:20:30,080 --> 01:20:33,640 RESEARCH CONDITIONS KNOWN AS THE 1638 01:20:33,640 --> 01:20:36,800 RCDC SYSTEM AND INCLUDED ALL 1639 01:20:36,800 --> 01:20:38,400 COMPETITIVE GRANTS. 1640 01:20:38,400 --> 01:20:40,800 THESE WERE ALL COMPETITIVE OR 1641 01:20:40,800 --> 01:20:43,080 COMPETING GRANTS AND SUPPLEMENT 1642 01:20:43,080 --> 01:20:46,160 RECEIVED NINDS DOLLARS AND WERE 1643 01:20:46,160 --> 01:20:49,640 ACTIVE SO THESE WERE ACTIVE FROM 1644 01:20:49,640 --> 01:20:51,200 JANUARY THROUGH DECEMBER OF 2016 1645 01:20:51,200 --> 01:20:52,040 THROUGH 2020. 1646 01:20:52,040 --> 01:20:55,320 THIS IS A FIVE-YEAR PERIOD. 1647 01:20:55,320 --> 01:21:00,280 THE PROJECTS WERE MATCHED TO THE 1648 01:21:00,280 --> 01:21:04,360 NIMHD DISPARITY FRAMEWORK AND WE 1649 01:21:04,360 --> 01:21:07,680 DEVELOPED A RELIABLE AND 1650 01:21:07,680 --> 01:21:09,760 PUBLISHABLE STANDARD OPERATIONS 1651 01:21:09,760 --> 01:21:11,200 PROCEDURE TO ENSURE TRANSPARENCY 1652 01:21:11,200 --> 01:21:13,200 AND REPRODUCIBILITY PROCESS AND 1653 01:21:13,200 --> 01:21:16,040 IT WAS USED TO INFORM THE 1654 01:21:16,040 --> 01:21:17,200 RECOMMENDATIONS YOU'LL SEE 1655 01:21:17,200 --> 01:21:18,360 PRESENTED TO OUR STEERING 1656 01:21:18,360 --> 01:21:30,040 COMMITTEE AS WELL. 1657 01:21:30,040 --> 01:21:32,120 WE USED THE QUERY OF THE DATA 1658 01:21:32,120 --> 01:21:37,080 SYSTEM AND CAME OUT WITH 9100 1659 01:21:37,080 --> 01:21:37,480 APPLICATIONS. 1660 01:21:37,480 --> 01:21:42,560 NEXT WE WENT IN AND SCREENED 1661 01:21:42,560 --> 01:21:54,360 MORE WE LOOKED FOR CERTAIN TERNZ 1662 01:21:54,360 --> 01:22:00,440 IN THE TITLE AND AC STRABLTH OF 1663 01:22:00,440 --> 01:22:02,360 AIMS AND WE LOOKED TO RECONCILE 1664 01:22:02,360 --> 01:22:03,200 THE DIFFERENCES. 1665 01:22:03,200 --> 01:22:09,520 NEXT WE DID ANOTHER LEVEL OF 1666 01:22:09,520 --> 01:22:10,480 SCREENING AT THAT TIME WHERE 1667 01:22:10,480 --> 01:22:11,640 MORE APPLICATION SCREENING TOOK 1668 01:22:11,640 --> 01:22:12,760 PLACE AND IF THERE WAS 1669 01:22:12,760 --> 01:22:13,960 DIFFICULTY AFTER REVIEWING THE 1670 01:22:13,960 --> 01:22:15,560 APPLICATION IN ADDITION TO ALL 1671 01:22:15,560 --> 01:22:17,680 THE OTHER SCREENING OF THE 1672 01:22:17,680 --> 01:22:22,120 SPECIFIC AIMS THE TITLE AND 1673 01:22:22,120 --> 01:22:24,640 ABSTRACT THAT WAS TO REVIEW AND 1674 01:22:24,640 --> 01:22:26,360 RECONCILE AS WELL. 1675 01:22:26,360 --> 01:22:31,200 LASTLY, WE ENDED UP WITH 58 1676 01:22:31,200 --> 01:22:33,120 APPLICATIONS AND WENT TO PROGRAM 1677 01:22:33,120 --> 01:22:34,320 DIRECTORS AND ASKED THEM 1678 01:22:34,320 --> 01:22:36,800 SPECIFICALLY THEIR OPINION IN 1679 01:22:36,800 --> 01:22:40,160 TERMS OF THIS BEING RELATED TO 1680 01:22:40,160 --> 01:22:42,560 SOME OF THE HEALTH EQUITY 1681 01:22:42,560 --> 01:22:43,720 GUIDELINE. 1682 01:22:43,720 --> 01:22:45,320 WE'RE PRETTY CERTAIN OF THE 1683 01:22:45,320 --> 01:22:47,800 VALIDITY OF THE RESULTS IN TERMS 1684 01:22:47,800 --> 01:22:49,400 OF THE 58 APPLICATION THE NINDS 1685 01:22:49,400 --> 01:22:54,640 FUNDED DURING THIS TIME PERIOD. 1686 01:22:54,640 --> 01:22:57,720 AND I'D LIKE TO KNOW THE FUNDING 1687 01:22:57,720 --> 01:22:59,120 NUMBERS ARE BASED ON THE 1688 01:22:59,120 --> 01:23:01,560 PORTFOLIO ANALYSIS AND WE USED 1689 01:23:01,560 --> 01:23:02,760 STRICT AND STRINGENT CRITERIA. 1690 01:23:02,760 --> 01:23:05,920 IF YOU LOOK AT OTHER SITES YOU 1691 01:23:05,920 --> 01:23:08,560 MAY SEE DIFFERENT NUMBERS BUT 1692 01:23:08,560 --> 01:23:09,160 THIS IS BIFFED ON THE 1693 01:23:09,160 --> 01:23:10,360 INFORMATION I TOLD YOU. 1694 01:23:10,360 --> 01:23:11,000 -- BASED ON THE INFORMATION I 1695 01:23:11,000 --> 01:23:12,480 TOLD YOU. 1696 01:23:12,480 --> 01:23:14,240 NOW OVER TO KAREN JOHNSTON AND 1697 01:23:14,240 --> 01:23:16,120 SHE'LL TALK ABOUT THE ANALYSIS 1698 01:23:16,120 --> 01:23:18,400 OF THE PROBLEM AND THE WORK OF 1699 01:23:18,400 --> 01:23:22,800 THE COMMITTEE. 1700 01:23:22,800 --> 01:23:24,800 >> SO I'M GOING TO SPEND THE 1701 01:23:24,800 --> 01:23:27,800 NEXT FEW MINUTES SHARING SOME 1702 01:23:27,800 --> 01:23:30,600 RESULTS OF THE ANALYSIS WE DID 1703 01:23:30,600 --> 01:23:34,320 PERFORM. 1704 01:23:34,320 --> 01:23:36,000 I'LL SHARE THE MORTALITY AND 1705 01:23:36,000 --> 01:23:37,360 PORTFOLIO ANALYSIS. 1706 01:23:37,360 --> 01:23:39,760 THE MORTALITY ANALYSIS WAS LED 1707 01:23:39,760 --> 01:23:46,400 BY MY COLLEAGUE STEVE WOLFE AT 1708 01:23:46,400 --> 01:23:50,200 VIRGINIA COMMONWEALTH AND WHEN 1709 01:23:50,200 --> 01:23:53,240 WE STARTED, OUR GROUP FORMULATED 1710 01:23:53,240 --> 01:23:57,800 A QUESTION WE THOUGHT WOULD BE 1711 01:23:57,800 --> 01:23:59,960 IMPACTFUL AND THE QUESTION WAS 1712 01:23:59,960 --> 01:24:01,920 HOW MANY U.S. DEATHS FROM 1713 01:24:01,920 --> 01:24:04,160 NEUROLOGIC DISEASE WOULD HAVE 1714 01:24:04,160 --> 01:24:10,120 BEEN AVOIDED HAD NON-HISPANIC 1715 01:24:10,120 --> 01:24:12,560 BLACK AMERICANS EXPERIENCE THE 1716 01:24:12,560 --> 01:24:15,000 SAME MORTALITY RATES AS 1717 01:24:15,000 --> 01:24:17,680 NON-HISPANIC WHITE AMERICANS AND 1718 01:24:17,680 --> 01:24:19,560 FROM THE STATISTICS AT CDC AND 1719 01:24:19,560 --> 01:24:24,400 THAT WAS OUR WINDOW WE WERE 1720 01:24:24,400 --> 01:24:33,800 EXAMINING 2010-2019 AND WE HAD A 1721 01:24:33,800 --> 01:24:39,360 SUB GROUP THAT WENT THROUGH ALL 1722 01:24:39,360 --> 01:24:41,560 THOSE CONDITIONS AND THE ONES WE 1723 01:24:41,560 --> 01:24:44,920 FELT WERE PRIMARY NEURO LOGIC 1724 01:24:44,920 --> 01:24:46,720 LIKE HEMORRHAGE, PARKINSON'S 1725 01:24:46,720 --> 01:24:50,400 DISEASE, EPILEPSY AND M.S. 1726 01:24:50,400 --> 01:24:52,200 THINGS WE KNEW WERE PRIMARILY 1727 01:24:52,200 --> 01:24:54,400 NEUROLOGICAL DISEASE AND WHAT 1728 01:24:54,400 --> 01:24:58,960 IT'S BASED ON. 1729 01:24:58,960 --> 01:25:01,960 WE FELT A GROUP OF CONDITIONS 1730 01:25:01,960 --> 01:25:04,800 THAT WE FELT COULD CAUSE 1731 01:25:04,800 --> 01:25:10,400 MANIFESTATIONS AND COULD LEAD TO 1732 01:25:10,400 --> 01:25:14,400 NEUROLOGIC DISEASE AND THE 1733 01:25:14,400 --> 01:25:16,800 REFERENCE GROUP AND LOOKED AT 1734 01:25:16,800 --> 01:25:17,680 THE NON HISPANIC WHITE 1735 01:25:17,680 --> 01:25:20,560 POPULATIONS. 1736 01:25:20,560 --> 01:25:25,000 SO THIS IS A SUMMARY SLIDE FOR 1737 01:25:25,000 --> 01:25:26,360 THE MORTALITY OF NEUROLOGIC 1738 01:25:26,360 --> 01:25:28,080 DISEASE BY RACE AND ETHNICITY 1739 01:25:28,080 --> 01:25:30,640 AND THIS IS AGAIN DURING THE 1740 01:25:30,640 --> 01:25:32,080 DECADE PERIOD WE STUDIED. 1741 01:25:32,080 --> 01:25:33,800 WE CONSIDERED WE HAD THE YEAR 1742 01:25:33,800 --> 01:25:39,040 AND ON THE Y AXIS THE 1743 01:25:39,040 --> 01:25:43,800 AGE-ADJUSTED DEATH RATE PER 1744 01:25:43,800 --> 01:25:45,040 100,000 PERSONS AND YOU SEE THE 1745 01:25:45,040 --> 01:25:48,520 TOP LINE WITH THE HIGHEST 1746 01:25:48,520 --> 01:25:51,160 MORTALITY WAS THE NON-HISPANIC 1747 01:25:51,160 --> 01:25:51,640 BLACK POPULATION. 1748 01:25:51,640 --> 01:25:54,280 THE LINE UNDER IT, THE BLUE LINE 1749 01:25:54,280 --> 01:25:56,400 WITH THE NON-HISPANIC WHITE 1750 01:25:56,400 --> 01:25:56,720 POPULATION. 1751 01:25:56,720 --> 01:25:58,840 THE FIRST TWO CURVES WERE THE 1752 01:25:58,840 --> 01:25:59,400 PRIMARY ANALYSIS. 1753 01:25:59,400 --> 01:26:00,800 WHAT YOU SEE AS YOU LOOK AT 1754 01:26:00,800 --> 01:26:03,400 THOSE TWO CURVES IS FIRST IT 1755 01:26:03,400 --> 01:26:06,200 LOOKS LIKE IT'S RUNNING PARALLEL 1756 01:26:06,200 --> 01:26:09,800 AND ACTUALLY THE TWO LINES COME 1757 01:26:09,800 --> 01:26:11,040 CLOSER TOGETHER WITH THE 1758 01:26:11,040 --> 01:26:13,400 SMALLEST DIFFERENCE IN MORTALITY 1759 01:26:13,400 --> 01:26:17,560 FROM 2011 WE FOUND THAT THE 1760 01:26:17,560 --> 01:26:19,560 DIFFERENCE IN MORTALITY 1761 01:26:19,560 --> 01:26:22,000 INCREASING AFTER 2011 WITH THE 1762 01:26:22,000 --> 01:26:23,960 PEAK DIFFERENCE BEING IN 2019 1763 01:26:23,960 --> 01:26:27,120 WHICH IS OUR LAST DATA POINT. 1764 01:26:27,120 --> 01:26:28,720 THE DATA SUGGESTS NOT ONLY ARE 1765 01:26:28,720 --> 01:26:30,160 WE NOT STABLE IN THE DISPARITY 1766 01:26:30,160 --> 01:26:33,120 OF MORTALITY BETWEEN THE TWO 1767 01:26:33,120 --> 01:26:35,040 GROUPS AND IT'S NOT DECREASING 1768 01:26:35,040 --> 01:26:39,520 FOR SURE. 1769 01:26:39,520 --> 01:26:42,000 IT'S CONTINUING TO INCREASE. 1770 01:26:42,000 --> 01:26:44,640 AND WE GATHERED OTHER 1771 01:26:44,640 --> 01:26:48,560 POPULATIONS BY RACE AND 1772 01:26:48,560 --> 01:26:55,560 ETHNICITY AND THE PURPLE LINE 1773 01:26:55,560 --> 01:26:57,800 YOU SEE AND THE AQUA LINE IS 1774 01:26:57,800 --> 01:26:59,280 HISPANIC AND THE GREEN LINE ON 1775 01:26:59,280 --> 01:27:02,800 THE BOTTOM IS THE NON-HISPANIC 1776 01:27:02,800 --> 01:27:03,440 ASIAN HAWAIIAN POPULATION WITH 1777 01:27:03,440 --> 01:27:14,200 THE LOWEST MORTALITY. 1778 01:27:14,200 --> 01:27:15,760 IT'S A STRIKING DIFFERENCE FROM 1779 01:27:15,760 --> 01:27:19,160 THE HIGHEST AND LOWEST MORTALITY 1780 01:27:19,160 --> 01:27:22,160 GROUP AND THE DEFINITION OF 1781 01:27:22,160 --> 01:27:23,920 MORTALITY DISPARITY. 1782 01:27:23,920 --> 01:27:34,120 OUR GOAL WAS TO QUANTIFY THE 1783 01:27:34,120 --> 01:27:38,280 DEATHS AND THIS SHOWS THE DEATH 1784 01:27:38,280 --> 01:27:39,840 BY YEAR NON-HISPANIC BLACK 1785 01:27:39,840 --> 01:27:41,000 AMERICANS THAT'D SAME MORTALITY 1786 01:27:41,000 --> 01:27:42,400 RATE AS NON-HISPANIC WHITE 1787 01:27:42,400 --> 01:27:48,040 AMERICANS. 1788 01:27:48,040 --> 01:27:52,480 EVERY YEAR THERE'S ABOUT 2500 1789 01:27:52,480 --> 01:27:58,000 AVOIDABLE DEATHS AND OVER A 1790 01:27:58,000 --> 01:28:02,400 10-YEAR PERIOD IT'S 30,000 1791 01:28:02,400 --> 01:28:06,040 PERSONS AVOIDABLE DEATHS. 1792 01:28:06,040 --> 01:28:11,480 I'LL SWITCH GEARS AND TALK ABOUT 1793 01:28:11,480 --> 01:28:16,880 THE PORTFOLIO ANALYSIS. 1794 01:28:16,880 --> 01:28:21,800 WE STARTED WITH 1900 PROJECTS OR 1795 01:28:21,800 --> 01:28:26,800 PROGRAMS AND IDENTIFIED 58 HAD 1796 01:28:26,800 --> 01:28:33,800 SOME HEALTH EQUITY COMPONENT. 1797 01:28:33,800 --> 01:28:35,400 THIS GIVES A QUICK SNAPSHOT OF 1798 01:28:35,400 --> 01:28:37,080 THE NUMBER OF PROJECTS WHICH IS 1799 01:28:37,080 --> 01:28:40,200 REPRESENTED ON THE LEFT OF THE 1800 01:28:40,200 --> 01:28:42,400 SLIDE AND THE NINDS DOLLARS ON 1801 01:28:42,400 --> 01:28:43,120 THE RIGHT SIDE. 1802 01:28:43,120 --> 01:28:47,600 AND THERE'S A COUPLE THINGS TO 1803 01:28:47,600 --> 01:28:48,680 LOOK ON THE SLIDE. 1804 01:28:48,680 --> 01:28:51,200 FIRST, THERE'S TWO DIFFERENT 1805 01:28:51,200 --> 01:28:51,520 COLORS. 1806 01:28:51,520 --> 01:28:54,200 BLUE COLOR ARE PROGRAMS THAT 1807 01:28:54,200 --> 01:28:55,800 WERE FUNDED THAT WERE 1808 01:28:55,800 --> 01:28:57,200 UNSOLICITED AND THE PROGRAMS 1809 01:28:57,200 --> 01:28:58,560 THAT HAVE FUNDING ANNOUNCEMENTS 1810 01:28:58,560 --> 01:29:00,200 AND WERE SOLICITED. 1811 01:29:00,200 --> 01:29:02,400 SO A COUPLE THINGS WE NOTICED 1812 01:29:02,400 --> 01:29:05,000 OFF THE BAT. 1813 01:29:05,000 --> 01:29:07,840 FIRST THE DOLLARS SPENT WERE 1814 01:29:07,840 --> 01:29:10,160 MODEST ACROSS THE BOARD AND SEE 1815 01:29:10,160 --> 01:29:11,400 SOMETHING HAPPENED IN 2019. 1816 01:29:11,400 --> 01:29:14,200 THE NUMBER OF PROJECTS AND 1817 01:29:14,200 --> 01:29:16,080 DOLLARS SPENT SUDDENLY DOUBLED. 1818 01:29:16,080 --> 01:29:18,240 AND WHAT WE FOUND WHEN WE 1819 01:29:18,240 --> 01:29:20,400 DRILLED DOWN INTO 2019 IS THAT 1820 01:29:20,400 --> 01:29:23,480 IN 2019 THE NINDS PARTNERED WITH 1821 01:29:23,480 --> 01:29:26,200 THE NIHLBI TO PUT A FUNDING 1822 01:29:26,200 --> 01:29:29,160 ANNOUNCEMENT AND FUND A SERIES 1823 01:29:29,160 --> 01:29:32,760 OF UL1 PROGRAMS TO INCREASE THE 1824 01:29:32,760 --> 01:29:34,800 NUMBER AND FUNDING. 1825 01:29:34,800 --> 01:29:36,560 WE THINK IT'S A LOW HANGING 1826 01:29:36,560 --> 01:29:38,400 FRUIT WAY TO INCREASE THE 1827 01:29:38,400 --> 01:29:40,160 PORTFOLIO. 1828 01:29:40,160 --> 01:29:43,080 THE OTHER THING WE FOUND IS IN A 1829 01:29:43,080 --> 01:29:46,480 FIVE-YEAR PERIOD THE TOTAL 1830 01:29:46,480 --> 01:29:47,920 ALLOWANCE SPENT ON THE HEALTH 1831 01:29:47,920 --> 01:29:49,920 EQUITY PROGRAMS WAS $30.6 1832 01:29:49,920 --> 01:29:50,160 MILLION. 1833 01:29:50,160 --> 01:29:53,040 TO GIVE PERSPECTIVE THE OVERALL 1834 01:29:53,040 --> 01:29:55,000 FUNDING FOR ALL 1900 PROGRAMS 1835 01:29:55,000 --> 01:29:58,560 DURING THAT YEAR WAS $3.6 1836 01:29:58,560 --> 01:29:59,680 BILLION. 1837 01:29:59,680 --> 01:30:02,360 AGAIN A VERY MODEST PORTFOLIO OF 1838 01:30:02,360 --> 01:30:10,800 HEALTH EQUITY RESEARCH. 1839 01:30:10,800 --> 01:30:15,200 THEN WE LOOKED AT THE PHASE OF 1840 01:30:15,200 --> 01:30:17,320 RESEARCH AND YOU CAN SEE 1841 01:30:17,320 --> 01:30:18,320 CLINICCLINI 1842 01:30:18,320 --> 01:30:21,160 CLINICAL WAS THE MAJORITY 1843 01:30:21,160 --> 01:30:21,400 FUNDED. 1844 01:30:21,400 --> 01:30:23,560 WE LOOKED AT THE DISTRIBUTION OF 1845 01:30:23,560 --> 01:30:28,000 THE TYPE OF RESEARCH AND FOUND 1846 01:30:28,000 --> 01:30:31,680 OBSERVATIONAL STUDIES WERE MOST 1847 01:30:31,680 --> 01:30:33,080 FUNDED AND INTERVENTIONAL 1848 01:30:33,080 --> 01:30:37,840 STUDIES WERE A SMALL PROPORTION 1849 01:30:37,840 --> 01:30:38,080 FUNDED. 1850 01:30:38,080 --> 01:30:42,000 THIS IS ANOTHER OPPORTUNITY THAT 1851 01:30:42,000 --> 01:30:45,400 MAYBE IN TERNLZ OF -- IN TERMS 1852 01:30:45,400 --> 01:30:48,080 OF NEW INITIATIVES TO SUPPORT 1853 01:30:48,080 --> 01:30:48,960 AND WANTED TO LOOK AT DISEASE 1854 01:30:48,960 --> 01:30:50,400 AREAS FUNDED. 1855 01:30:50,400 --> 01:30:53,480 YOU CAN SEE STROKE AND HIV WERE 1856 01:30:53,480 --> 01:30:59,120 THE TWO MOST HIGHLY FUNDED 1857 01:30:59,120 --> 01:31:01,720 PROGRAMTERMS. 1858 01:31:01,720 --> 01:31:02,520 AND A WANT TO HIGHLIGHT A FEW OF 1859 01:31:02,520 --> 01:31:05,000 THEMES. 1860 01:31:05,000 --> 01:31:09,240 SO EXAMPLES OF RESEARCH GAPS 1861 01:31:09,240 --> 01:31:15,080 INCLUDED EPILEPSY, CEREBRAL 1862 01:31:15,080 --> 01:31:17,600 PALSY AND WE FOUND IN MORTALITY 1863 01:31:17,600 --> 01:31:18,920 ANALYSIS WHICH I DIDN'T SHOW 1864 01:31:18,920 --> 01:31:22,080 YOU, BUT WE FOUND THERE'S ALSO 1865 01:31:22,080 --> 01:31:26,320 AN INCREASE IN MORTALITY IN THE 1866 01:31:26,320 --> 01:31:27,400 MIDDLE AGE POPULATION. 1867 01:31:27,400 --> 01:31:32,800 STARTED TO THINK ABOUT WHETHER 1868 01:31:32,800 --> 01:31:37,720 DISEASE IS THE AFFECT OF 1869 01:31:37,720 --> 01:31:39,800 EPILEPSY AND CEREBRAL PALSY AND 1870 01:31:39,800 --> 01:31:41,400 STARTING TO LOOK AT DISPARITIES 1871 01:31:41,400 --> 01:31:47,520 IN POPULATIONS. 1872 01:31:47,520 --> 01:31:50,680 I'LL PASS IT OVER TO TALK ABOUT 1873 01:31:50,680 --> 01:31:56,200 THE RECOMMENDATIONS. 1874 01:31:56,200 --> 01:31:58,400 >> ALL THE SUBCOMMITTEE 1875 01:31:58,400 --> 01:32:00,440 RECOMMENDATIONS WERE COMPLIED IN 1876 01:32:00,440 --> 01:32:02,800 ASSEMBLED INTO A SINGLE EXCEL 1877 01:32:02,800 --> 01:32:06,360 FILE AFTER COMBINING AND 1878 01:32:06,360 --> 01:32:10,680 ELIMINATING REDUNDANCIES IN SOME 1879 01:32:10,680 --> 01:32:11,040 RECOMMENDATIONS. 1880 01:32:11,040 --> 01:32:12,520 THIS INFORMATION FOR THE COUNCIL 1881 01:32:12,520 --> 01:32:14,360 MEMBERS IS INCLUDED UNDER THE 1882 01:32:14,360 --> 01:32:17,080 HEALTH DISPARITIES 1883 01:32:17,080 --> 01:32:17,440 RECOMMENDATIONS. 1884 01:32:17,440 --> 01:32:23,880 I'M GOING JUST GO OVER BRIEFLY A 1885 01:32:23,880 --> 01:32:30,160 VIM OF THE RECOMMENDATIONS MORE 1886 01:32:30,160 --> 01:32:34,080 CONDENSED BUT STILL SUBSTANTIAL 1887 01:32:34,080 --> 01:32:40,920 AND SERVE TO ELABORATE IN THE 1888 01:32:40,920 --> 01:32:46,160 EXECUTIVE VIM FOR THE NEUROLOGY 1889 01:32:46,160 --> 01:32:47,840 DR. BENSON DESCRIBED. 1890 01:32:47,840 --> 01:32:53,240 AS YOU'RE SCREENING THROUGH THE 1891 01:32:53,240 --> 01:32:55,640 FIRST FIVE YOU'LL SEE A FEW 1892 01:32:55,640 --> 01:32:58,800 GENERAL THEMES. 1893 01:32:58,800 --> 01:33:00,760 ONE IS WE'RE MAKE 1894 01:33:00,760 --> 01:33:01,360 RECOMMENDATIONS THAT REQUIRE 1895 01:33:01,360 --> 01:33:06,360 NINDS TO NOT DO THINGS ALONE BUT 1896 01:33:06,360 --> 01:33:12,200 TO ENGAGE IN COLLABORATIVE 1897 01:33:12,200 --> 01:33:13,560 PARTNERSHIPS AND ANOTHER IS THE 1898 01:33:13,560 --> 01:33:16,760 NEED TO REACH OUT TO COMMUNITIES 1899 01:33:16,760 --> 01:33:19,800 THAT HAVE HIGH MINORITY AND 1900 01:33:19,800 --> 01:33:24,400 UNDER REPRESENTED POPULATIONS. 1901 01:33:24,400 --> 01:33:30,200 AND TO PUSH INTO AREAS OF 1902 01:33:30,200 --> 01:33:31,880 RESEARCH THAT REQUIRE 1903 01:33:31,880 --> 01:33:34,000 COLLABORATIONS ON THE PART OF 1904 01:33:34,000 --> 01:33:34,360 INVESTIGATORS. 1905 01:33:34,360 --> 01:33:36,560 WE SUGGEST THERE'S AN INCREASE 1906 01:33:36,560 --> 01:33:38,040 IN HEALTH EQUITY RESEARCH 1907 01:33:38,040 --> 01:33:40,200 FUNDING ACROSS ALL NEUROLOGICAL 1908 01:33:40,200 --> 01:33:47,560 DISEASES AND ESPECIALLY LOOKING 1909 01:33:47,560 --> 01:33:49,400 AT HOW SOCIAL DETERMINATES OF 1910 01:33:49,400 --> 01:33:52,160 HEALTH AND DISEASE AND BIAS CAN 1911 01:33:52,160 --> 01:33:54,560 DRIVE INEQUITY AND WHAT CAN WE 1912 01:33:54,560 --> 01:33:58,960 DO TO INCREASE MINORITY 1913 01:33:58,960 --> 01:34:00,560 PARTICIPATION IN ALL RESEARCH 1914 01:34:00,560 --> 01:34:04,040 AND NEUROLOGICAL SCIENCES BUT 1915 01:34:04,040 --> 01:34:05,760 ESPECIALLY IN CLINICAL TRIALS. 1916 01:34:05,760 --> 01:34:10,880 DEVELOP PRIORITY AREAS TO 1917 01:34:10,880 --> 01:34:12,840 ADDRESS SPECIFIC SOCIAL 1918 01:34:12,840 --> 01:34:14,080 DETERMINATED RELATED QUESTIONS 1919 01:34:14,080 --> 01:34:17,000 ACROSS THE LIFE SPAN AND LOOKING 1920 01:34:17,000 --> 01:34:20,560 AT MULTIDISCIPLINARY TARGETED 1921 01:34:20,560 --> 01:34:22,120 INVENTIONS AND TO WORK WITH 1922 01:34:22,120 --> 01:34:26,800 FAMILIES, COMMUNITY STAKEHOLDERS 1923 01:34:26,800 --> 01:34:31,240 AND OTHERS TO ADDRESS THESE 1924 01:34:31,240 --> 01:34:31,800 ISSUES. 1925 01:34:31,800 --> 01:34:34,160 WE ARE RECOMMENDED THERE'S A 1926 01:34:34,160 --> 01:34:37,800 MEASUREMENT AND INTERVENTIONS ON 1927 01:34:37,800 --> 01:34:38,440 SOCIAL DETERMINATES OF HEALTH 1928 01:34:38,440 --> 01:34:40,280 AND DISEASE RELATED TO DISORDER 1929 01:34:40,280 --> 01:34:41,960 AND DEVELOPING GUIDELINES FOR 1930 01:34:41,960 --> 01:34:45,200 RESEARCHERS AND TO LEVERAGE SOME 1931 01:34:45,200 --> 01:34:48,080 OF THE POWER OF EXPANDING AND 1932 01:34:48,080 --> 01:34:50,320 UTILIZING THE EXISTING COMMON 1933 01:34:50,320 --> 01:34:52,200 DATA ELEMENTS AND THERE'S 1934 01:34:52,200 --> 01:34:54,880 SEVERAL EXAMPLES BUT WE DO POINT 1935 01:34:54,880 --> 01:34:59,160 OUT THE PHOENIX TOOL KIT AS ONE 1936 01:34:59,160 --> 01:35:02,880 EXAMPLE OF THE TYPE OF TOOL KIT 1937 01:35:02,880 --> 01:35:05,680 THAT CAN BE USED. 1938 01:35:05,680 --> 01:35:07,080 PRIORITIZING THE EVALUATION OF 1939 01:35:07,080 --> 01:35:09,280 THE MOST IMPACTFUL INTERVENTIONS 1940 01:35:09,280 --> 01:35:11,800 DISCOVERED AND LOOK AT THE 1941 01:35:11,800 --> 01:35:15,480 IMPACT ON NEUROLOGICAL HEALTH. 1942 01:35:15,480 --> 01:35:18,040 WHEN ADDRESSING THE DRIVERS OF 1943 01:35:18,040 --> 01:35:21,880 ECONOMIC INSTABILITY, THAT'S 1944 01:35:21,880 --> 01:35:24,560 OBVIOUSLY AN AREA IN WHICH IT 1945 01:35:24,560 --> 01:35:25,440 REQUIRES PARTNERSHIPS BY 1946 01:35:25,440 --> 01:35:26,080 INVESTIGATORS AND NINDS AND 1947 01:35:26,080 --> 01:35:32,520 OTHER ENTITIES. 1948 01:35:32,520 --> 01:35:35,640 DEVELOPING AND VALIDATING SOCIAL 1949 01:35:35,640 --> 01:35:38,440 DETERMINATES OF HEALTH TO LOOK 1950 01:35:38,440 --> 01:35:40,200 AT ASSESSMENT OF NEUROLOGICAL 1951 01:35:40,200 --> 01:35:40,800 DISORDER IS CONSIDERED TO BE 1952 01:35:40,800 --> 01:35:46,200 ESSENTIAL. 1953 01:35:46,200 --> 01:35:51,200 EVERYTHING ON THE SLIDE IS PART 1954 01:35:51,200 --> 01:35:54,400 OF THE COMMUNITY ENGAGEMENT 1955 01:35:54,400 --> 01:35:54,760 EMPHASIS. 1956 01:35:54,760 --> 01:35:58,200 THIS CAME FROM THE GROUPS 1957 01:35:58,200 --> 01:36:02,400 INVOLVED. 1958 01:36:02,400 --> 01:36:04,160 FIRST, WAS TO INVOLVE THE 1959 01:36:04,160 --> 01:36:04,720 COMMUNITY EARLY. 1960 01:36:04,720 --> 01:36:09,160 THE RECOMMENDATIONS TO BEGIN 1961 01:36:09,160 --> 01:36:10,840 COMMUNITY ENGAGEMENT WITH 1962 01:36:10,840 --> 01:36:12,120 COMMUNITIES WITH HIGH 1963 01:36:12,120 --> 01:36:13,640 POPULATIONS OF MINORITY AND 1964 01:36:13,640 --> 01:36:15,200 UNDER REPRESENTED POPULATIONS AT 1965 01:36:15,200 --> 01:36:17,480 THE TIME OF DEVELOPMENT OF THE 1966 01:36:17,480 --> 01:36:21,320 RESEARCH QUESTIONS AND DESIGN OF 1967 01:36:21,320 --> 01:36:25,200 THE STUDY AND THIS NEEDS TO BE 1968 01:36:25,200 --> 01:36:26,400 EMPHASIZED IN FUNDING 1969 01:36:26,400 --> 01:36:28,560 OPPORTUNITY ANNOUNCEMENTS AND A 1970 01:36:28,560 --> 01:36:34,120 COMPONENT OF REVIEWER 1971 01:36:34,120 --> 01:36:35,400 EVALUATIONS. 1972 01:36:35,400 --> 01:36:37,480 SEVERAL ARE REQUIRING COMMUNITY 1973 01:36:37,480 --> 01:36:39,480 ENGAGEMENT STRATEGIES AND WE 1974 01:36:39,480 --> 01:36:44,400 THINK NIH COULD REALLY PUSH THIS 1975 01:36:44,400 --> 01:36:45,840 AND REQUIRE REPORTING OF 1976 01:36:45,840 --> 01:36:47,400 COMMUNITY ENGAGEMENT STRATEGIES 1977 01:36:47,400 --> 01:36:51,200 IN PEER-REVIEWED PUBLICATIONS OF 1978 01:36:51,200 --> 01:36:54,400 NINDS FUNDED PROJECTS. 1979 01:36:54,400 --> 01:36:57,280 AND SPECIFYING THE IMPORTANCE IN 1980 01:36:57,280 --> 01:36:58,760 ENGAGING WITH UNDER REPRESENTED 1981 01:36:58,760 --> 01:36:59,440 COMMUNITIES IN THE FOA REVIEW 1982 01:36:59,440 --> 01:37:03,240 APPLICATIONS IS KEY. 1983 01:37:03,240 --> 01:37:07,880 THE NINDS SHOULD TRY A RANGE OF 1984 01:37:07,880 --> 01:37:09,440 RESEARCH EFFORTS AND IDENTIFYING 1985 01:37:09,440 --> 01:37:15,080 AND IMPLEMENTING STRATEGIES TO 1986 01:37:15,080 --> 01:37:18,240 INCREASE COMMUNITY DISTRUST AND 1987 01:37:18,240 --> 01:37:19,200 WE ALL UNDERSTAND HOW IMPORTANT 1988 01:37:19,200 --> 01:37:19,640 THAT IS. 1989 01:37:19,640 --> 01:37:21,640 WE CAN GET THE SCIENCE RATE BUT 1990 01:37:21,640 --> 01:37:22,960 IF WE DON'T ADDRESS THE 1991 01:37:22,960 --> 01:37:27,200 COMMUNITY EN DPAJMENT 1992 01:37:27,200 --> 01:37:28,720 COMMUNICATION AND ADDRESS 1993 01:37:28,720 --> 01:37:30,280 DISTRUST AND FOSTER TRUST OUR 1994 01:37:30,280 --> 01:37:32,280 WORK IS OFTEN NOT HAVING THE 1995 01:37:32,280 --> 01:37:43,560 IMPACT THAT WE NEED. 1996 01:37:43,560 --> 01:37:46,160 AND NINDS NEEDS TO TARGET THE AT 1997 01:37:46,160 --> 01:37:47,840 RISK POPULATIONS TO UNDERSTAND 1998 01:37:47,840 --> 01:37:49,400 HOW THEY MAKE DECISIONS. 1999 01:37:49,400 --> 01:37:51,560 THIS OF COURSE IS CONNECTED TO 2000 01:37:51,560 --> 01:37:55,200 THIS ISSUE OF COMMUNITY DISTRUST 2001 01:37:55,200 --> 01:37:56,960 AND MORE FOCUSSED ON HOW 2002 01:37:56,960 --> 01:37:59,640 COMMUNITIES AND INDIVIDUALS IN 2003 01:37:59,640 --> 01:38:02,400 THESE COMMUNITIES MAKE IMPORTANT 2004 01:38:02,400 --> 01:38:05,400 HEALTH DECISIONS THAT IMPACT THE 2005 01:38:05,400 --> 01:38:06,560 OUTCOME FROM NEUROLOGICAL 2006 01:38:06,560 --> 01:38:09,400 DISORDER AND PERHAPS IMPACT 2007 01:38:09,400 --> 01:38:12,280 PEOPLE'S RISK OF DEVELOPING 2008 01:38:12,280 --> 01:38:13,480 NEURO LOGICAL DISORDER. 2009 01:38:13,480 --> 01:38:16,200 BOTH BUILD AND DISSEMINATE 2010 01:38:16,200 --> 01:38:18,320 CURRICULUM THAT ADDRESS 2011 01:38:18,320 --> 01:38:21,360 CHALLENGES IN COMMUNITY-BASED 2012 01:38:21,360 --> 01:38:21,960 PARTS PA RESEARCH. 2013 01:38:21,960 --> 01:38:24,760 WE THINK THIS WILL BE REALLY 2014 01:38:24,760 --> 01:38:26,400 EFFECTIVE FOR INVESTIGATORS AND 2015 01:38:26,400 --> 01:38:30,040 THERE'S PROBABLY NONE OF US THAT 2016 01:38:30,040 --> 01:38:31,440 COULDN'T LEARN FROM EACH OTHER 2017 01:38:31,440 --> 01:38:32,880 AND BEST PRACTICES AND 2018 01:38:32,880 --> 01:38:35,280 PARTNERING WITH COMMUNITY 2019 01:38:35,280 --> 01:38:38,040 ORGANIZATIONS AS PART OF THE 2020 01:38:38,040 --> 01:38:42,320 HEALTH INEQUITY RESEARCH 2021 01:38:42,320 --> 01:38:49,720 TRAINING FOR ALL NINDS 2022 01:38:49,720 --> 01:38:50,440 APPLICANTS AND RESEARCHERS. 2023 01:38:50,440 --> 01:38:55,400 AND SUPPORT NETWORK OF 2024 01:38:55,400 --> 01:38:58,200 PARTNERSHIPS INCLUDING 2025 01:38:58,200 --> 01:39:03,000 PARTNERSHIPS BETWEEN 2026 01:39:03,000 --> 01:39:04,200 INSTITUTIONS AN HISTORICALLY 2027 01:39:04,200 --> 01:39:05,880 MINORITY COLLEGE AND 2028 01:39:05,880 --> 01:39:06,200 UNIVERSITIES. 2029 01:39:06,200 --> 01:39:07,200 THIS HAS ALREADY HAPPENED TO 2030 01:39:07,200 --> 01:39:09,000 SOME DEGREE AND SOME 2031 01:39:09,000 --> 01:39:10,000 PARTNERSHIPS HAVE BEEN EXTREMELY 2032 01:39:10,000 --> 01:39:14,000 SUCCESSFUL AND SO WE THINK 2033 01:39:14,000 --> 01:39:16,200 BUILDING UPON THAT WOULD BE 2034 01:39:16,200 --> 01:39:18,560 IMPORTANT WE THINK THE GROUP 2035 01:39:18,560 --> 01:39:22,200 FELT CONTINUING TO SUPPORT THE 2036 01:39:22,200 --> 01:39:23,640 CAREER DEVELOPMENT FOR MINORITY 2037 01:39:23,640 --> 01:39:24,920 JUNIOR INVESTIGATORS THROUGH 2038 01:39:24,920 --> 01:39:25,920 MECHANISMS IS CRITICALLY 2039 01:39:25,920 --> 01:39:26,360 IMPORTANT. 2040 01:39:26,360 --> 01:39:32,040 WALTER HIGHLIGHTED SOME OF THESE 2041 01:39:32,040 --> 01:39:37,160 MECHANISMS IN HIS ADDRESS WE 2042 01:39:37,160 --> 01:39:40,560 ENCOURAGE CONTINUED SUPPORT AND 2043 01:39:40,560 --> 01:39:44,400 AN AREA OF CHALLENGE IS THE LOW 2044 01:39:44,400 --> 01:39:46,000 SALARY CAP AND THE K AWARDS 2045 01:39:46,000 --> 01:39:49,400 WHICH CAN BE IMPORTANT FOR SOME 2046 01:39:49,400 --> 01:39:51,040 OF THE MINORITY JUNIOR 2047 01:39:51,040 --> 01:39:52,080 INVESTIGATORS AND NEED MORE TIME 2048 01:39:52,080 --> 01:39:54,240 AND PROTECTED RESEARCH, 2049 01:39:54,240 --> 01:39:59,560 EXPERIENCE AND MENTORING BEFORE 2050 01:39:59,560 --> 01:40:04,200 THEY CAN SUCCESSFULLY SUBMIT R 2051 01:40:04,200 --> 01:40:06,560 TYPE APPLICATIONS. 2052 01:40:06,560 --> 01:40:07,440 REQUIRE CERTIFICATE OF 2053 01:40:07,440 --> 01:40:09,280 COMPLETION FOLLOWING TRAINING 2054 01:40:09,280 --> 01:40:12,000 ACTIVITIES TO ENSURE THERE'S A 2055 01:40:12,000 --> 01:40:15,200 COMMON UNDERSTANDING OF HEALTH 2056 01:40:15,200 --> 01:40:17,200 DISPARITIES AMONG INVESTIGATORS. 2057 01:40:17,200 --> 01:40:20,120 CREATE NEW IDEAS FUNDING 2058 01:40:20,120 --> 01:40:22,080 MECHANISM TO PROMOTE HEALTH 2059 01:40:22,080 --> 01:40:24,600 EQUITY RESEARCH AIMED AT NOT 2060 01:40:24,600 --> 01:40:29,160 ONLY URM INVESTIGATORS BUT ALSO 2061 01:40:29,160 --> 01:40:30,360 ALL SCIENTISTS AND 2062 01:40:30,360 --> 01:40:33,240 INVESTIGATORS. 2063 01:40:33,240 --> 01:40:35,960 PROVIDE FUNDING AND LOGISTICAL 2064 01:40:35,960 --> 01:40:39,280 SUPPORT FOR WORKSHOPS AND 2065 01:40:39,280 --> 01:40:40,880 TRAINEES FROM UNDER REPRESENTED 2066 01:40:40,880 --> 01:40:41,200 BACKGROUNDS. 2067 01:40:41,200 --> 01:40:46,200 THESE TYPES OF ACTIVITIES HAVE 2068 01:40:46,200 --> 01:40:48,680 BEEN QUITE SUCCESSFUL WHEN 2069 01:40:48,680 --> 01:40:50,400 APPLIED ON THE SMALLER SCALE WE 2070 01:40:50,400 --> 01:40:53,080 THINK NINDS CAN DO A GREAT JOB 2071 01:40:53,080 --> 01:41:02,040 IF THIS IS EXPANDED. 2072 01:41:02,040 --> 01:41:04,200 EMPHASIZE INTERVENTIONAL 2073 01:41:04,200 --> 01:41:10,120 RESEARCH FOCUSSED ON HEALTH 2074 01:41:10,120 --> 01:41:11,040 INEQUITIES RESEARCH AND 2075 01:41:11,040 --> 01:41:11,840 INCREASING THE QUALITY OF THE 2076 01:41:11,840 --> 01:41:13,400 SCIENCE WE THINK THE 2077 01:41:13,400 --> 01:41:13,920 INTERVENTIONAL RESEARCH 2078 01:41:13,920 --> 01:41:14,480 COMPONENTS ARE GOING TO BE 2079 01:41:14,480 --> 01:41:21,520 CRITICAL. 2080 01:41:21,520 --> 01:41:22,480 FINALLY TO TIES THE SOCIAL 2081 01:41:22,480 --> 01:41:24,400 DETERMINATES OF HEALTH AN 2082 01:41:24,400 --> 01:41:27,760 DISEASE AND FORMED NATIONAL HD 2083 01:41:27,760 --> 01:41:28,360 AND NEUROLOGICAL DISEASE 2084 01:41:28,360 --> 01:41:32,320 SURVEILLANCE AND CENTRALIZED 2085 01:41:32,320 --> 01:41:33,400 NEURO LOGICAL DISORDER HEALTH 2086 01:41:33,400 --> 01:41:34,160 EQUITIES DATABASE. 2087 01:41:34,160 --> 01:41:38,400 THIS IS ANOTHER EXAMPLE WHERE 2088 01:41:38,400 --> 01:41:40,440 PARTNERING PERHAPS WITH OTHER 2089 01:41:40,440 --> 01:41:42,400 AGENCIES WILL BE IMPORTANT. 2090 01:41:42,400 --> 01:41:46,000 CDC OFTEN TAKES THE LEAD IN 2091 01:41:46,000 --> 01:41:48,280 NEUROLOGICAL DISORDER DISEASE 2092 01:41:48,280 --> 01:41:49,560 SURVEILLANCE IN ORDER TO DEVELOP 2093 01:41:49,560 --> 01:41:50,120 DATA. 2094 01:41:50,120 --> 01:41:52,440 THE GROUP FELT LIKE IT WOULD BE 2095 01:41:52,440 --> 01:41:54,440 HELPFUL AND PERHAPS ESSENTIAL TO 2096 01:41:54,440 --> 01:42:03,760 MOVE FORWARD. 2097 01:42:03,760 --> 01:42:07,040 FINALLY, TO THANK EVERYBODY 2098 01:42:07,040 --> 01:42:07,320 INVOLVED. 2099 01:42:07,320 --> 01:42:09,560 YOU SEE THOSE MENTIONED BEFORE 2100 01:42:09,560 --> 01:42:14,400 MENTION THE NUMBERS OF THE 2101 01:42:14,400 --> 01:42:17,560 ADVISORY COUNCIL AND MANY OTHERS 2102 01:42:17,560 --> 01:42:23,360 THAT PRODUCED THE MANUSCRIPTS TO 2103 01:42:23,360 --> 01:42:32,320 BE IN THE NEUROLOGY SUPPLEMENT. 2104 01:42:32,320 --> 01:42:32,640 TI 2105 01:42:32,640 --> 01:42:33,920 FINALLY, WE HAVE TIME FOR 2106 01:42:33,920 --> 01:42:35,200 DISCUSSION AND WE'RE TRIND 2107 01:42:35,200 --> 01:42:37,640 HEARING FROM THE GROUP AND WHAT 2108 01:42:37,640 --> 01:42:40,200 ARE PRIORITY ACTION ITEMS OR 2109 01:42:40,200 --> 01:42:42,040 LOW-HANG FRUIT FROM WHAT YOU 2110 01:42:42,040 --> 01:42:44,880 HEARD. 2111 01:42:44,880 --> 01:42:46,200 WHAT CAN WE START TO CHANGE TO 2112 01:42:46,200 --> 01:42:47,960 MAKE A DIFFERENCE? 2113 01:42:47,960 --> 01:42:52,200 IS THERE ANYTHING WE'RE MISSING 2114 01:42:52,200 --> 01:42:53,680 AND ANY OTHER THOUGHTS. 2115 01:42:53,680 --> 01:42:54,560 THANK YOU VERY MUCH? 2116 01:42:54,560 --> 01:42:57,400 >> GIVEN THOSE CLEAR-CUT 2117 01:42:57,400 --> 01:42:58,200 QUESTIONS, I WAS GOING TO 2118 01:42:58,200 --> 01:43:11,320 SUGGEST TAKING DOWN THE SLIDE. 2119 01:43:11,320 --> 01:43:14,720 >> I LOVE THE FACT FINDING. 2120 01:43:14,720 --> 01:43:18,400 BASICALLY THE BACK OF THE 2121 01:43:18,400 --> 01:43:21,960 ENVELOPE CALCULATION ONLY $2,000 2122 01:43:21,960 --> 01:43:23,400 PER NEUROLOGICAL DEATH HAS BEEN 2123 01:43:23,400 --> 01:43:25,040 SPENT OVER THE PAST 10 YEARS. 2124 01:43:25,040 --> 01:43:27,120 HOW MUCH IS A LIFE WORTH? 2125 01:43:27,120 --> 01:43:32,480 I THINK IT'S A LOT MORE THAN 2126 01:43:32,480 --> 01:43:32,680 THAT. 2127 01:43:32,680 --> 01:43:36,560 I SUPPORT THE IDEA GOING FORWARD 2128 01:43:36,560 --> 01:43:37,760 OF INCREASING RESEARCH IN THE 2129 01:43:37,760 --> 01:43:38,080 AREA. 2130 01:43:38,080 --> 01:43:40,200 I THINK ONE OF THE LOW-HANGING 2131 01:43:40,200 --> 01:43:42,920 FRUIT AREA, I LOVE ALL THE 2132 01:43:42,920 --> 01:43:44,040 RECOMMENDATIONS YOU CAME UP 2133 01:43:44,040 --> 01:43:44,520 WITH. 2134 01:43:44,520 --> 01:43:45,920 IT'S BRILLIANT. 2135 01:43:45,920 --> 01:43:47,600 ONE AREA I'D LIKE TO EMPHASIZE 2136 01:43:47,600 --> 01:43:52,600 IS THE FACT THERE'S ALREADY A 2137 01:43:52,600 --> 01:43:54,160 LOT OF PEOPLE OUT THERE DOING 2138 01:43:54,160 --> 01:43:56,000 THIS BECAUSE THEY'VE HAD A HEART 2139 01:43:56,000 --> 01:43:57,720 FOR IT BUT IT'S BEEN UNDER 2140 01:43:57,720 --> 01:43:59,120 FUNDED AND HAVEN'T BEEN ABLE TO 2141 01:43:59,120 --> 01:44:01,120 GET IT FUNDED IN THE PAST 10 2142 01:44:01,120 --> 01:44:01,680 YEARS. 2143 01:44:01,680 --> 01:44:02,960 THERE MIGHT BE A WAY TO REACH 2144 01:44:02,960 --> 01:44:04,960 OUT TO THOSE WHO HAVE BEEN 2145 01:44:04,960 --> 01:44:06,360 PUBLISHING AND DOING RESEARCH IN 2146 01:44:06,360 --> 01:44:09,400 THIS AREA AND SAY HEY, WE'RE 2147 01:44:09,400 --> 01:44:14,400 READY NOW TO INVEST IN THIS 2148 01:44:14,400 --> 01:44:17,720 BECAUSE THEY ALREADY HAVE A LOT 2149 01:44:17,720 --> 01:44:18,960 OF TOOLS AND HAVE A POPULATION 2150 01:44:18,960 --> 01:44:20,880 OF PEOPLE STUDYING ALREADY IN 2151 01:44:20,880 --> 01:44:26,000 HAND AND THAT MIGHT BE A VERY 2152 01:44:26,000 --> 01:44:28,280 FAST WAY TO GET GREAT RESEARCH 2153 01:44:28,280 --> 01:44:35,480 STREAMLINED AND JUMP STARTED. 2154 01:44:35,480 --> 01:44:38,560 >> I APPRECIATE THE IMPORTANT 2155 01:44:38,560 --> 01:44:38,960 WORK. 2156 01:44:38,960 --> 01:44:40,840 THE CLEAR PRESENTATION AND 2157 01:44:40,840 --> 01:44:44,360 TARGETED EFFORTS AND THE FOCUS 2158 01:44:44,360 --> 01:44:46,040 ON THE ENGAGEMENT OF THE 2159 01:44:46,040 --> 01:44:49,600 POPULATIONS BEING INCLUDED IN 2160 01:44:49,600 --> 01:44:50,760 RESEARCH. 2161 01:44:50,760 --> 01:44:52,280 THERE'S A FOCUS ON EXPANDING THE 2162 01:44:52,280 --> 01:44:58,200 PORTFOLIO FOR HEALTH EQUITY 2163 01:44:58,200 --> 01:45:05,320 RESEARCH. 2164 01:45:05,320 --> 01:45:07,080 THERE'S OPPORTUNITIES TO LOOK AT 2165 01:45:07,080 --> 01:45:11,800 STUDY SECTIONS AND PROGRAM 2166 01:45:11,800 --> 01:45:17,440 OFFICERS BECAUSE I THINK AND 2167 01:45:17,440 --> 01:45:19,480 ADVANCING HEALTH EQUITY IS NOT 2168 01:45:19,480 --> 01:45:20,160 STRICTLY MEASURED BY THE DIVERSE 2169 01:45:20,160 --> 01:45:21,320 REPRESENTATION IN YOUR STUDY PAP 2170 01:45:21,320 --> 01:45:32,240 IT'S ONE ELEMENT. 2171 01:45:32,240 --> 01:45:33,240 AND HELPING PEOPLE UNDERSTAND 2172 01:45:33,240 --> 01:45:35,640 WHERE THE RISKS OF EXACERBATING 2173 01:45:35,640 --> 01:45:36,520 DISPARITIES IN THE RESEARCH 2174 01:45:36,520 --> 01:45:40,280 WE'RE DOING TODAY IN OUR 2175 01:45:40,280 --> 01:45:43,120 PORTFOLIOS FOR EXAMPLE, GENETIC 2176 01:45:43,120 --> 01:45:44,840 RESEARCH AND THE APPROACH STILL 2177 01:45:44,840 --> 01:45:46,680 DOESN'T HAVE STANDARDIZED 2178 01:45:46,680 --> 01:45:48,400 DEFINITIONS OF RACE AND 2179 01:45:48,400 --> 01:45:49,720 ETHNICITY ACROSS PRECISION 2180 01:45:49,720 --> 01:45:53,040 MEDICINE SO IT CONTINUES TO LEAD 2181 01:45:53,040 --> 01:45:57,400 TO INCONSISTENCIES AND THERE MAY 2182 01:45:57,400 --> 01:45:58,600 BE OPPORTUNITIES FOR HOW WE'RE 2183 01:45:58,600 --> 01:46:00,560 LOOKING AT THAT IN PARTICULAR. 2184 01:46:00,560 --> 01:46:03,480 THE SECOND AREA IS ELIGIBILITY 2185 01:46:03,480 --> 01:46:05,200 CRITERIA FOR STUDIES. 2186 01:46:05,200 --> 01:46:08,240 WE CAN ANALYZE THE STATISTICS OF 2187 01:46:08,240 --> 01:46:12,200 WHAT'S HAPPENING AND IT GETS A 2188 01:46:12,200 --> 01:46:16,200 MORE AND MORE HOMOGENOUS 2189 01:46:16,200 --> 01:46:18,400 POPULATION AND THEY'RE DESIGNED 2190 01:46:18,400 --> 01:46:20,200 FOR MAXIMUM STATISTICAL IMPACT 2191 01:46:20,200 --> 01:46:21,320 BUT NOT HEALTH EQUITY IMPACT. 2192 01:46:21,320 --> 01:46:23,880 WE NEED TO GET MORE FAMILIAR AND 2193 01:46:23,880 --> 01:46:26,400 BE MORE RIGOROUS HOW WE'RE 2194 01:46:26,400 --> 01:46:27,560 LOOKING AT THE 2195 01:46:27,560 --> 01:46:28,600 INCLUSION/EXCLUSION CRITERIA IN 2196 01:46:28,600 --> 01:46:30,800 STUDIES WHETHER THEY'RE TRIALS, 2197 01:46:30,800 --> 01:46:32,920 INTERVENTIONS OR OTHERS OR WHEN 2198 01:46:32,920 --> 01:46:36,120 THEY'RE MORE LIBERALIZED IT 2199 01:46:36,120 --> 01:46:37,160 OPENS UP OPPORTUNITIES TO ENGAGE 2200 01:46:37,160 --> 01:46:38,920 OTHER POPULATIONS AND FINALLY 2201 01:46:38,920 --> 01:46:42,000 THE WHOLE AREA OF DATA ANALYSIS 2202 01:46:42,000 --> 01:46:45,120 AND A.I. WE CONTINUE TO FRAME 2203 01:46:45,120 --> 01:46:48,200 AND SELECT ANALYTICAL PROBLEMS 2204 01:46:48,200 --> 01:46:50,080 INFLUENCED BY FACTORS OF THERE'S 2205 01:46:50,080 --> 01:46:52,200 A LOT OF RACISM BAKED INTO THE 2206 01:46:52,200 --> 01:46:52,560 SYSTEM. 2207 01:46:52,560 --> 01:46:53,800 I DO THINK THAT WHEN WE'RE 2208 01:46:53,800 --> 01:46:59,120 LOOKING AT THE DATA AND HOW WE 2209 01:46:59,120 --> 01:47:01,880 TRAIN AND LEARN AND TRIAL 2210 01:47:01,880 --> 01:47:02,760 DESIGNS, ETCETERA. 2211 01:47:02,760 --> 01:47:05,440 THAT WILL WILL BE INCREASINGLY 2212 01:47:05,440 --> 01:47:06,280 IMPORTANT TO DEVELOP SOME 2213 01:47:06,280 --> 01:47:08,160 EXPERTISE BY THE STUDY SECTIONS 2214 01:47:08,160 --> 01:47:10,680 IN THAT REALM AND SO WHEN YOU 2215 01:47:10,680 --> 01:47:12,120 THINK ABOUT GREAT WORK YOU'VE 2216 01:47:12,120 --> 01:47:15,080 ALREADY DONE WHICH IS HEAVILY 2217 01:47:15,080 --> 01:47:16,080 FOCUSSED ON THE COMMUNITY 2218 01:47:16,080 --> 01:47:18,360 ENGAGEMENT SIDE AND THE 2219 01:47:18,360 --> 01:47:22,400 POPULATION ENGAGEMENT, I'M JUST 2220 01:47:22,400 --> 01:47:24,200 CURIOUS YOUR THOUGHTS ON 2221 01:47:24,200 --> 01:47:29,200 EDUCATION AND EXECUTION ON THE 2222 01:47:29,200 --> 01:47:33,200 VERY WAYS THAT POTENTIALLY 2223 01:47:33,200 --> 01:47:34,200 FURTHER EXACERBATE HEALTH 2224 01:47:34,200 --> 01:47:45,000 DISPARITIES. 2225 01:47:45,000 --> 01:47:48,600 >> I WANTED TO ASK IF YOU WANTED 2226 01:47:48,600 --> 01:47:49,680 TO RESPOND. 2227 01:47:49,680 --> 01:47:52,200 >> FIRST, THANK YOU FOR YOUR 2228 01:47:52,200 --> 01:47:52,640 COMMENTS. 2229 01:47:52,640 --> 01:47:54,400 I THINK THEY'RE INCREDIBLY ON 2230 01:47:54,400 --> 01:47:58,200 TARGET. 2231 01:47:58,200 --> 01:48:00,600 I WILL SAY THAT I THINK I FEEL 2232 01:48:00,600 --> 01:48:02,360 IS THIS IS A TOTAL CULTURE 2233 01:48:02,360 --> 01:48:03,240 CHANGE. 2234 01:48:03,240 --> 01:48:05,720 THIS HAS TO BE AN INTENTIONAL 2235 01:48:05,720 --> 01:48:08,560 SET OF APPROACHES IN EVERYTHING 2236 01:48:08,560 --> 01:48:10,040 WE DO RELATED TO RESEARCH 2237 01:48:10,040 --> 01:48:18,400 BECAUSE YOU'RE RIGHT, IT'S BUILT 2238 01:48:18,400 --> 01:48:24,200 IN AND YOUR EXAMPLE IS THE 2239 01:48:24,200 --> 01:48:24,960 BIASES INTO RESEARCH. 2240 01:48:24,960 --> 01:48:26,400 I WANT TO COMMENT ON THE STUDY 2241 01:48:26,400 --> 01:48:27,400 SECTION ISSUE. 2242 01:48:27,400 --> 01:48:28,600 WE TALKED ABOUT WHAT WE SHOULD 2243 01:48:28,600 --> 01:48:45,160 BE DOING TO TRAIN STUDY SECTIONS 2244 01:48:45,160 --> 01:48:46,200 AND IS THERE AN OPPORTUNITY TO 2245 01:48:46,200 --> 01:48:49,120 INCLUDE COMMUNITY MEMBERS IN 2246 01:48:49,120 --> 01:48:51,920 THESE ENVIRONMENTS TO SHARE THE 2247 01:48:51,920 --> 01:48:52,680 DIVERSE PERSPECTIVE. 2248 01:48:52,680 --> 01:48:58,200 STARTING TO THINK OUTSIDE THE 2249 01:48:58,200 --> 01:49:02,800 BOX HOW WE DO IN THESE GROUPS IS 2250 01:49:02,800 --> 01:49:04,520 SOMETHING TO CONSIDER. 2251 01:49:04,520 --> 01:49:10,320 THAT'S MY TWO CENTS. 2252 01:49:16,200 --> 01:49:19,400 >> THANKS FOR THE CLEAR 2253 01:49:19,400 --> 01:49:19,760 PRESENTATION. 2254 01:49:19,760 --> 01:49:21,840 IN RESPECT TO LOW HANGING FRUIT 2255 01:49:21,840 --> 01:49:24,520 YOU MENTIONED AN INCREASE IN 2256 01:49:24,520 --> 01:49:25,640 DIVERSITY SUPPLEMENT AND 2257 01:49:25,640 --> 01:49:28,480 INCREASED IN K AWARD AMOUNTS FOR 2258 01:49:28,480 --> 01:49:29,920 UNDER REPRESENTED MINORITIES. 2259 01:49:29,920 --> 01:49:32,480 DO YOU ALL HAVE A RECOMMENDATION 2260 01:49:32,480 --> 01:49:35,320 AROUND HOW MUCH -- WHAT IS THE 2261 01:49:35,320 --> 01:49:37,200 AMOUNT WE'RE TALKING ABOUT PER K 2262 01:49:37,200 --> 01:49:37,720 AWARD? 2263 01:49:37,720 --> 01:49:40,840 I WANT TO GET A SENSE OF THE 2264 01:49:40,840 --> 01:49:41,040 SCALE. 2265 01:49:41,040 --> 01:49:43,400 HOW MUCH MORE MONEY DOES THIS 2266 01:49:43,400 --> 01:49:43,840 COST. 2267 01:49:43,840 --> 01:49:46,200 I FEEL LIKE WE KEEP HEARING IT'S 2268 01:49:46,200 --> 01:49:48,080 ABOUT RESOURCES AND IT IS. 2269 01:49:48,080 --> 01:49:52,960 I'D LIKE AN IDEA OF SCALE. 2270 01:49:52,960 --> 01:49:55,960 IS THERE AN EARLY PRELIMINARY 2271 01:49:55,960 --> 01:50:04,920 NUMBER ARE WE TALKING 20,000 2272 01:50:04,920 --> 01:50:17,200 MORE, 50,000 MORE? 2273 01:50:17,200 --> 01:50:18,840 >> THAT'S A GREAT QUESTION. 2274 01:50:18,840 --> 01:50:21,200 IF YOU HAVE A NEW NEUROLOGIST 2275 01:50:21,200 --> 01:50:24,200 WHO WANTS TO GAIN RESEARCH 2276 01:50:24,200 --> 01:50:26,200 EXPERIENCE WORKING WITH AN 2277 01:50:26,200 --> 01:50:31,240 ESTABLISHED INVESTIGATOR, THE 2278 01:50:31,240 --> 01:50:35,720 DIVERSITY SUPPLEMENT SALARY CAP 2279 01:50:35,720 --> 01:50:39,560 IS $75,000 AND THE OVERALL IS 2280 01:50:39,560 --> 01:50:40,000 $200,000. 2281 01:50:40,000 --> 01:50:43,720 THE TYPICAL STARTING SALARY FOR 2282 01:50:43,720 --> 01:50:50,360 A NEUROLOGY FACULTY IS ABOUT 2283 01:50:50,360 --> 01:50:53,080 $200,000. 2284 01:50:53,080 --> 01:50:53,800 THAT PLACES DOWNWARD PRESSURE 2285 01:50:53,800 --> 01:50:58,200 AND CONCERNED ABOUT THE INITIAL 2286 01:50:58,200 --> 01:51:03,360 STARTING SALARY OF THE NEW 2287 01:51:03,360 --> 01:51:06,360 FACULTY MEMBER OR HAVE LESS 2288 01:51:06,360 --> 01:51:08,840 PROTECTED TIME IN RESEARCH THEY 2289 01:51:08,840 --> 01:51:10,160 NEED TO BE SUCCESSFUL IN 2290 01:51:10,160 --> 01:51:14,360 SUBMITTING THEIR OWN K AWARD OR 2291 01:51:14,360 --> 01:51:23,200 R APPLICATIONS LATER. 2292 01:51:23,200 --> 01:51:24,920 THE DIFFERENCE IS PRETTY 2293 01:51:24,920 --> 01:51:25,560 SUBSTANTIAL INSTITUTIONS HAVE TO 2294 01:51:25,560 --> 01:51:26,600 COME UP IN. 2295 01:51:26,600 --> 01:51:32,040 I THINK CREATIVELY LOOKING AT 2296 01:51:32,040 --> 01:51:35,920 THIS TO THE RANGE AT NIH I SAW 2297 01:51:35,920 --> 01:51:42,400 IS BETWEEN $75,000 AND ABOUT 2298 01:51:42,400 --> 01:51:46,200 $100,000 THERE COULD BE BROADER 2299 01:51:46,200 --> 01:51:50,000 NIH-WIDE IMPLICATIONS I'M SURE 2300 01:51:50,000 --> 01:51:52,200 THE NIH FOLKS WOULD UNDERSTAND. 2301 01:51:52,200 --> 01:51:55,520 >> AND ONE COULD GET CREATIVE IN 2302 01:51:55,520 --> 01:51:58,400 TERMS OF SCALE AND WHAT A P.I. 2303 01:51:58,400 --> 01:52:02,400 COULD REQUEST DEPENDING ON THE 2304 01:52:02,400 --> 01:52:05,200 PARTICULAR SITUATION. 2305 01:52:05,200 --> 01:52:09,160 IF WE'RE SERIOUS ABOUT MOVING 2306 01:52:09,160 --> 01:52:11,200 FORWARD WITH LOW-HANG FRUIT I 2307 01:52:11,200 --> 01:52:17,000 IMAGINE WE CAN BE CREATIVE. 2308 01:52:17,000 --> 01:52:31,360 >> THE DIRECTOR OF PAIN POLICY, 2309 01:52:31,360 --> 01:52:36,720 WE CO-CHAIR SUBCOMMITTEE OF THE 2310 01:52:36,720 --> 01:52:37,520 INTERGOVERNMENTAL PAIN RESEARCH 2311 01:52:37,520 --> 01:52:42,560 COORDINATING COMMITTEE A FEW 2312 01:52:42,560 --> 01:52:45,200 YEARS. 2313 01:52:45,200 --> 01:52:53,400 AND WORK GROUP WAS ON DISPART OF 2314 01:52:53,400 --> 01:52:58,200 DISPARITIES AND PAIN MANAGEMENT 2315 01:52:58,200 --> 01:53:00,800 TO GENERATE NATIONAL PAIN 2316 01:53:00,800 --> 01:53:02,640 RESEARCH STRATEGY AND THE FIFTH 2317 01:53:02,640 --> 01:53:03,800 WORK GROUP WAS DISPARITIES. 2318 01:53:03,800 --> 01:53:07,480 MY QUESTION IS TO WHAT EXTENT 2319 01:53:07,480 --> 01:53:09,040 HAS THAT REPORT WHICH IS 2320 01:53:09,040 --> 01:53:13,200 PUBLISHED AND EASILY ACCESSIBLE, 2321 01:53:13,200 --> 01:53:18,360 ACTUALLY LED TO SPECIFIC FUNDING 2322 01:53:18,360 --> 01:53:21,680 DIRECTION EITHER THROUGH HEAL 2323 01:53:21,680 --> 01:53:23,680 VERSUS THROUGH AND IT WASN'T 2324 01:53:23,680 --> 01:53:27,400 JUST NIH, DOD, YOU NAME IT. 2325 01:53:27,400 --> 01:53:31,480 WIDESPREAD DIRECTION TO BRING 2326 01:53:31,480 --> 01:53:33,560 MORE MONEY IN THIS CASE TO A 2327 01:53:33,560 --> 01:53:34,840 NATIONAL PAIN RESEARCH STRATEGY 2328 01:53:34,840 --> 01:53:37,080 BUT THAT WAS SPECIFICALLY 2329 01:53:37,080 --> 01:53:38,840 DIRECTED AT DISPARITIES AND 2330 01:53:38,840 --> 01:53:42,200 LOOKING AT TO WHAT EXTENT IT 2331 01:53:42,200 --> 01:53:46,200 BECAME A DOCUMENT THAT DIRECTED 2332 01:53:46,200 --> 01:53:57,840 FUNDING CHOICES. 2333 01:53:57,840 --> 01:54:01,520 >> THERE'S WORK ON DISPARITIES 2334 01:54:01,520 --> 01:54:03,520 RELATED TO THAT AND NEW FUNDING 2335 01:54:03,520 --> 01:54:06,960 ANNOUNCEMENT AND ONE OUT NOW 2336 01:54:06,960 --> 01:54:07,960 RELATED SPECIFICALLY TO HEALTH 2337 01:54:07,960 --> 01:54:09,240 POPULATIONS THAT EXPERIENCE 2338 01:54:09,240 --> 01:54:12,320 HEALTH DISPARITIES IN PAIN. 2339 01:54:12,320 --> 01:54:14,400 SO THAT'S ONE OF THE 2340 01:54:14,400 --> 01:54:15,320 ANNOUNCEMENTS OUT THERE. 2341 01:54:15,320 --> 01:54:19,560 WE HAVE OTHER S THAT WILL COME 2342 01:54:19,560 --> 01:54:21,040 OUT AND WORKING TO IMPLEMENT 2343 01:54:21,040 --> 01:54:25,480 THAT AS WELL. 2344 01:54:25,480 --> 01:54:48,640 >> THANK YOU. 2345 01:54:48,640 --> 01:54:50,440 >> TRIPLE RESPONSE TO THE VALUE 2346 01:54:50,440 --> 01:54:52,240 OF THE DETAIL HERE. 2347 01:54:52,240 --> 01:54:53,080 PARTICULARLY AROUND 2348 01:54:53,080 --> 01:54:56,880 COLLABORATING AND WORK WITH 2349 01:54:56,880 --> 01:54:58,000 OTHER FUNDERS. 2350 01:54:58,000 --> 01:55:07,960 NONE WAS IN EPILEPSY. 2351 01:55:07,960 --> 01:55:09,800 OTHER SOCIETIES AND FOUNDATIONS 2352 01:55:09,800 --> 01:55:13,360 ARE STARTING DOWN THE PATH AND 2353 01:55:13,360 --> 01:55:13,880 ENCOURAGING GETTING THE 2354 01:55:13,880 --> 01:55:17,480 INFORMATION OUT THERE AND MAKING 2355 01:55:17,480 --> 01:55:28,920 SURE WE'RE ALL WORK IN A LINED 2356 01:55:28,920 --> 01:55:31,960 WAY AND LOOKING AT EQUITY IT'S 2357 01:55:31,960 --> 01:55:32,960 HELPFUL HAVE THIS KIND OF 2358 01:55:32,960 --> 01:55:34,120 INFORMATION AND THE RESOURCES 2359 01:55:34,120 --> 01:55:39,760 YOU PUT BEHIND IT AND I DON'T 2360 01:55:39,760 --> 01:55:43,120 KNOW HOW SOON AND ONES APPROVED 2361 01:55:43,120 --> 01:55:45,960 ARE WE ABLE TO START TO SHARE 2362 01:55:45,960 --> 01:55:48,400 THE INFORMATION, ZIT NEED TO 2363 01:55:48,400 --> 01:55:51,520 WAIT FOR FORMAL PUBLICATION AND 2364 01:55:51,520 --> 01:55:53,200 APPLAUD EFFORTS TO REALLY 2365 01:55:53,200 --> 01:55:54,400 COLLABORATE ACROSS THE ENTIRE 2366 01:55:54,400 --> 01:56:02,000 COMMUNITY TO LEVERAGE THIS. 2367 01:56:02,000 --> 01:56:04,120 >> IT'S PUBLIC NOW. 2368 01:56:04,120 --> 01:56:06,400 ANYTHING HEARD DOES HE IS 2369 01:56:06,400 --> 01:56:16,240 PUBLIC. 2370 01:56:16,240 --> 01:56:17,160 IT WOULD BE GREAT TO COLLABORATE 2371 01:56:17,160 --> 01:56:29,720 WITH YOU GUYS. 2372 01:56:29,720 --> 01:56:30,560 >> THE SOCIAL DETERMINATE FOR 2373 01:56:30,560 --> 01:56:34,400 HEALTH CARE IS AN AREA THAT CAN 2374 01:56:34,400 --> 01:56:39,440 BE WORKED ON ALMOST IMMEDIATELY. 2375 01:56:39,440 --> 01:56:42,280 RELATED TO DIVERSITY IN CLINICAL 2376 01:56:42,280 --> 01:56:42,520 TRIALS. 2377 01:56:42,520 --> 01:56:49,520 WE ALREADY HAVE SOME MANDATES IN 2378 01:56:49,520 --> 01:56:49,880 CLINICAL TRIALS. 2379 01:56:49,880 --> 01:56:52,720 IT WON'T BE HARD TO ENCOURAGE 2380 01:56:52,720 --> 01:56:52,920 THAT. 2381 01:56:52,920 --> 01:56:57,480 MANY OF THE I WOULD SAY GLOBAL 2382 01:56:57,480 --> 01:56:58,200 LEADING PHARMACEUTICAL COMPANIES 2383 01:56:58,200 --> 01:57:01,760 OVER THE LAST THREE TO FIVE 2384 01:57:01,760 --> 01:57:03,160 YEARS OR SO HAVE LAUNCHED 2385 01:57:03,160 --> 01:57:04,280 INITIATIVES AND PARTNERSHIPS 2386 01:57:04,280 --> 01:57:09,320 AIMED AT ADDRESSING THE IMPACT 2387 01:57:09,320 --> 01:57:12,240 OF SOCIAL DETERMINATES ON HEALTH 2388 01:57:12,240 --> 01:57:13,120 CARE. 2389 01:57:13,120 --> 01:57:16,960 A LOT OF IT IS RELATED TO RISING 2390 01:57:16,960 --> 01:57:19,560 COSTS OF HEALTH CARE ALSO VERY 2391 01:57:19,560 --> 01:57:22,240 RELEVANT FOR INCLUSION IN 2392 01:57:22,240 --> 01:57:28,200 CLINICAL TRIALS. 2393 01:57:28,200 --> 01:57:31,200 MANY WHITE PAPERS HAVE BEEN 2394 01:57:31,200 --> 01:57:33,560 WRITTEN ABOUT THIS AND AN AREA 2395 01:57:33,560 --> 01:57:34,200 THAT CAN IMMEDIATELY BEING 2396 01:57:34,200 --> 01:57:35,720 WORKED ON. 2397 01:57:35,720 --> 01:57:45,840 >> WE HAVE A FEW MORE MINUTES. 2398 01:57:45,840 --> 01:57:46,960 ANY OTHER QUESTION OR COMMENTS 2399 01:57:46,960 --> 01:57:51,960 OR RICHARD, ANYTHING YOU WANT TO 2400 01:57:51,960 --> 01:57:52,120 SAY? 2401 01:57:52,120 --> 01:57:57,800 >> GREAT DISCUSSION TODAY AND WE 2402 01:57:57,800 --> 01:57:59,480 LOOK FORWARD TO THE COUNCIL'S 2403 01:57:59,480 --> 01:58:00,680 FINAL VOTE. 2404 01:58:00,680 --> 01:58:04,280 I'LL HAND IT BACK TO JOHNSTON 2405 01:58:04,280 --> 01:58:08,000 AND TREVATHAN IF THEY HAVE FINAL 2406 01:58:08,000 --> 01:58:08,280 COMMENTS. 2407 01:58:08,280 --> 01:58:13,360 >> WE APPRECIATE EVERYONE'S 2408 01:58:13,360 --> 01:58:19,120 INPUT ON THIS AND I AGREE IT'S 2409 01:58:19,120 --> 01:58:20,240 AN OPPORTUNITY FOR SOCIAL 2410 01:58:20,240 --> 01:58:22,080 DETERMINATES OF HEALTH AND IT'S 2411 01:58:22,080 --> 01:58:22,960 ABOUT CHANGING THE CULTURE. 2412 01:58:22,960 --> 01:58:25,000 IT'S CHANGING THE WAY WE THINK 2413 01:58:25,000 --> 01:58:27,600 ABOUT THE RIGOROUS SCIENCE AND 2414 01:58:27,600 --> 01:58:30,400 IF WE CAN DO THAT IN THE NEXT 2415 01:58:30,400 --> 01:58:41,880 DECADE WE'LL HAVE REAL PROGRESS. 2416 01:58:41,880 --> 01:58:42,240 GINA. 2417 01:58:42,240 --> 01:58:46,280 >> I KNOW MICHELLE JONES IS 2418 01:58:46,280 --> 01:58:50,120 DOING FANTASTIC WORK AND WAS THE 2419 01:58:50,120 --> 01:58:54,120 TARGETED TERMS THAT COULD HELP 2420 01:58:54,120 --> 01:58:56,800 ALL OF THIS AND IN TERMS OF LOW 2421 01:58:56,800 --> 01:58:58,400 HANGING FRUIT, ASK MICHELLE WHAT 2422 01:58:58,400 --> 01:59:02,960 MORE WE CAN DO BECAUSE HER TERMS 2423 01:59:02,960 --> 01:59:10,280 HAVE BEEN WIDELY SUCCESSFUL AND 2424 01:59:10,280 --> 01:59:19,280 WE SHOULD INVEST MORE. 2425 01:59:19,280 --> 01:59:32,040 IS MICHELLE THERE. 2426 01:59:32,040 --> 01:59:33,880 >> WE SIGNIFICANTLY INCREASED 2427 01:59:33,880 --> 01:59:34,640 THE NUMBER OF DIVERSITY 2428 01:59:34,640 --> 01:59:36,640 SUPPLEMENT WE GIVE BUT THE 2429 01:59:36,640 --> 01:59:40,720 AMOUNT IS A DIFFERENT ISSUE. 2430 01:59:40,720 --> 01:59:42,280 MICHELLE RUNS A HUGE UNIVERSE OF 2431 01:59:42,280 --> 01:59:47,480 TERMS RELATED TO THIS. 2432 01:59:47,480 --> 01:59:56,040 I DON'T -- DO YOU WANT TO 2433 01:59:56,040 --> 01:59:56,280 COMMENT? 2434 01:59:56,280 --> 02:00:00,600 THERE'S A LOT YOU COULD SAY. 2435 02:00:00,600 --> 02:00:05,000 >> WE'RE THINK ABOUT WAYS TO GO 2436 02:00:05,000 --> 02:00:10,160 BETWEEN THIS INTERSECTION OF 2437 02:00:10,160 --> 02:00:25,240 HEALTH DISPARITYIES AND WE'RE 2438 02:00:25,240 --> 02:00:26,320 THINKING ABOUT ATTORNEY GENERAL 2439 02:00:26,320 --> 02:00:29,480 S WITH HEALTH DISPARITIES IS A 2440 02:00:29,480 --> 02:00:30,440 DIFFERENT ASPECT. 2441 02:00:30,440 --> 02:00:32,280 THIS WORK GROUP HAS PROVIDED US 2442 02:00:32,280 --> 02:00:35,000 WITH SOME REALLY GOOD IDEAS TO 2443 02:00:35,000 --> 02:00:36,880 LOOK AT THE SIMILARITIES AND 2444 02:00:36,880 --> 02:00:39,400 ALSO RECOGNIZE WHERE BECAUSE OF 2445 02:00:39,400 --> 02:00:43,640 THE RESEARCH AREA WE MAY HAVE TO 2446 02:00:43,640 --> 02:00:46,040 DO THINGS A BIT DIFFERENTLY AND 2447 02:00:46,040 --> 02:00:48,400 TO BRING IN OUR COLLEAGUE 2448 02:00:48,400 --> 02:00:50,400 DR. STEVE CORN WHO OVERSEE THE 2449 02:00:50,400 --> 02:00:54,400 TRAINING OFFICE AND AS THE BULK 2450 02:00:54,400 --> 02:00:56,360 OF THE RESEARCHER MECHANISMS. 2451 02:00:56,360 --> 02:00:58,800 HE ALSO HAS BEEN ACTIVELY THINK 2452 02:00:58,800 --> 02:01:05,200 OF WAYS TO IMPROVE DIVERSITY IN 2453 02:01:05,200 --> 02:01:06,800 THAT REALM TOO. 2454 02:01:06,800 --> 02:01:10,160 IT'S GOING TO BE ACROSS THE 2455 02:01:10,160 --> 02:01:11,440 ENTIRE INSTITUTE AND THINKING 2456 02:01:11,440 --> 02:01:13,800 ABOUT NOT RE-INVENTING THE WHEEL 2457 02:01:13,800 --> 02:01:16,240 WHEN WE DON'T HAVE TO AND THINK 2458 02:01:16,240 --> 02:01:17,800 OUTSIDE THE BOX WITH HEALTH 2459 02:01:17,800 --> 02:01:18,240 DISPARITIES. 2460 02:01:18,240 --> 02:01:21,080 >> I WAS INVOLVED IN THE LAST 2461 02:01:21,080 --> 02:01:23,800 HEALTH DISPARITIES PLANNING 2462 02:01:23,800 --> 02:01:26,720 EFFORT AND THIS IS MORE SPECIFIC 2463 02:01:26,720 --> 02:01:27,600 AND USEFUL. 2464 02:01:27,600 --> 02:01:29,440 >> DO YOU WANT TO SAY ANYTHING 2465 02:01:29,440 --> 02:01:34,200 WALTER OR SHOULD WE MOVE INTO A 2466 02:01:34,200 --> 02:01:37,000 BREAK? 2467 02:01:37,000 --> 02:01:53,800 >> THANKS FOR ALL THE WORK DONE 2468 02:01:53,800 --> 02:01:58,240 AND THIS IS A HARD PROBLEM AND 2469 02:01:58,240 --> 02:02:02,400 SAD WE HAVEN'T MADE MORE 2470 02:02:02,400 --> 02:02:14,440 PROGRESS WE NEED TO BUILD A 2471 02:02:14,440 --> 02:02:18,000 PROBLEM TO WORK THE PROBLEM OUT. 2472 02:02:18,000 --> 02:02:20,160 -- BUILD A NEW ARMY TO WORK THE 2473 02:02:20,160 --> 02:02:21,600 PROBLEM OUT. 2474 02:02:21,600 --> 02:02:23,640 >> CHRIS HAS A COMPREHENSIVE 2475 02:02:23,640 --> 02:02:24,640 COMMENT IN THE CHAT I ENCOURAGE 2476 02:02:24,640 --> 02:02:27,520 YOU ALL TO TAKE A LOOK AT. 2477 02:02:27,520 --> 02:02:30,480 WHY DON'T WE TAKE WE AREN'T TOO 2478 02:02:30,480 --> 02:02:33,200 FAR BEHIND SCHEDULE, WHY DON'T 2479 02:02:33,200 --> 02:02:35,680 WE TAKE A BREAK TO 3:15. 2480 02:02:35,680 --> 02:02:37,000 >> I FORGOT TO SHOW THE LAST 2481 02:02:37,000 --> 02:02:38,640 SLIDE IN MY TALK. 2482 02:02:38,640 --> 02:02:50,080 DOES ANYBODY HAVE THAT TO SHOW? 2483 02:02:50,080 --> 02:02:51,120 >> SORRY ABOUT THAT. 2484 02:02:51,120 --> 02:02:56,600 ONE AREA I WANTED TO LET PEOPLE 2485 02:02:56,600 --> 02:03:01,480 KNOW ABOUT. 2486 02:03:01,480 --> 02:03:03,720 BASICALLY WE'RE LOOKING HARD TO 2487 02:03:03,720 --> 02:03:06,600 SEE IF WE CAN LEARN MORE ABOUT 2488 02:03:06,600 --> 02:03:08,480 THE ENVIRONMENTAL DRIVERS OF 2489 02:03:08,480 --> 02:03:10,840 NEUROLOGICAL DISORDER. 2490 02:03:10,840 --> 02:03:16,800 WE KNOW A LOT ABOUT THE GENETICS 2491 02:03:16,800 --> 02:03:21,720 AND WE REALIZE THE RISK FACTORS 2492 02:03:21,720 --> 02:03:24,680 ARE IN THE INTERACTION WITH THE 2493 02:03:24,680 --> 02:03:26,560 GENETICS AND THE ENVIRONMENT 2494 02:03:26,560 --> 02:03:29,840 SIDE SO WANTED TO SAY THERE'S 2495 02:03:29,840 --> 02:03:35,000 WE'RE HOPING TO LAUNCH AN OFFICE 2496 02:03:35,000 --> 02:03:39,440 FOR ENVIRONMENT AL RESEARCH THAT 2497 02:03:39,440 --> 02:03:45,000 WOULD BE COMBINED WITH OUR 2498 02:03:45,000 --> 02:03:53,840 TOXICOLOGY WORK AND BEING DONE 2499 02:03:53,840 --> 02:04:03,640 OFFICE -- AND IT'S LOOKING AT 2500 02:04:03,640 --> 02:04:07,760 TRYING TO GET INPUT ON THE BEST 2501 02:04:07,760 --> 02:04:10,480 BASE TO TRY AND MAKE A DENT IN 2502 02:04:10,480 --> 02:04:12,320 THE BIG BLACK HOLE OF IGNORANCE 2503 02:04:12,320 --> 02:04:17,800 IN TERMS OF THE ENVIRONMENTAL 2504 02:04:17,800 --> 02:04:20,080 DRIVERS. 2505 02:04:20,080 --> 02:04:22,320 WE CAN SEND A LINK WHEN THE RFI 2506 02:04:22,320 --> 02:04:23,240 COMES OUT. 2507 02:04:23,240 --> 02:04:25,800 THANKS VERY MUCH. 2508 02:04:25,800 --> 02:04:31,200 >> THANKS, WALTER. 2509 02:04:31,200 --> 02:04:35,400 >> THERE'S A REPORT ON HEALTH 2510 02:04:35,400 --> 02:04:35,920 DISPARITIES. 2511 02:04:35,920 --> 02:04:38,080 VOTING DOESN'T MEAN YOU 2512 02:04:38,080 --> 02:04:39,320 NECESSARILY APPROVE EVERY THING 2513 02:04:39,320 --> 02:04:42,440 IN IT BUT ENDORSE THE MAJOR 2514 02:04:42,440 --> 02:04:45,160 MESSAGES OF THE REPORT AND CAN 2515 02:04:45,160 --> 02:04:46,400 POTENTIALLY INCORPORATE COUNCIL 2516 02:04:46,400 --> 02:04:49,480 COMMENTS AS AN ADDENDUM TO THE 2517 02:04:49,480 --> 02:04:49,800 REPORT. 2518 02:04:49,800 --> 02:04:50,880 UNLESS THERE'S ANY QUESTIONS 2519 02:04:50,880 --> 02:04:57,760 ABOUT THAT, I NEED A MOTION TO 2520 02:04:57,760 --> 02:05:15,760 APPROVE THE REPORT AND A -- 2521 02:05:15,760 --> 02:05:16,600 THANKS. 2522 02:05:16,600 --> 02:05:19,480 WE ARE REQUIRED TO DO AN 2523 02:05:19,480 --> 02:05:22,280 INCLUSION REPORT ON WOMEN AND 2524 02:05:22,280 --> 02:05:23,840 MINORITIES ON RESEARCH. 2525 02:05:23,840 --> 02:05:25,280 WE HAVE 10 OR 15 MINUTES TO DO 2526 02:05:25,280 --> 02:05:31,960 THAT AND BACK OVER TO RICHARD. 2527 02:05:31,960 --> 02:05:33,720 >> THIS WILL BE SHORTER. 2528 02:05:33,720 --> 02:05:36,000 I'D LIKE TO PRESENT THE NINDS 2529 02:05:36,000 --> 02:05:38,000 2019 TO 2021 TRIENNIAL REPORT ON 2530 02:05:38,000 --> 02:05:41,320 THE INCLUSION OF WOMEN AND 2531 02:05:41,320 --> 02:05:46,480 MINORITIES AS PARTICIPANTS IN 2532 02:05:46,480 --> 02:05:48,600 CLINICAL RESEARCH. 2533 02:05:48,600 --> 02:05:52,200 THE NIH MANDATED BY THE PUBLIC 2534 02:05:52,200 --> 02:05:54,360 HEALTH SERVICE ACT TO INCLUDE 2535 02:05:54,360 --> 02:05:57,800 WOMEN AND MINORITIES IN ALL NIH 2536 02:05:57,800 --> 02:06:00,000 FUNDED CLINICAL RESEARCH IN A 2537 02:06:00,000 --> 02:06:00,600 MANNER APPROPRIATE TO THE 2538 02:06:00,600 --> 02:06:01,840 SCIENTIFIC QUESTION UNDER STUDY. 2539 02:06:01,840 --> 02:06:04,160 THE PRIMARY GOAL OF THIS LAW IS 2540 02:06:04,160 --> 02:06:07,520 TO ENSURE RESEARCH FINDINGS CAN 2541 02:06:07,520 --> 02:06:08,680 BE GENERALIZABLE TO THE ENTIRE 2542 02:06:08,680 --> 02:06:12,800 POPULATION. 2543 02:06:12,800 --> 02:06:15,480 ADDITIONALLY, THE STATUTE 2544 02:06:15,480 --> 02:06:16,600 REQUIRES CLINICAL TRIALS TO FIND 2545 02:06:16,600 --> 02:06:19,000 DIFFERENCES BY SEX, GENDER, RACE 2546 02:06:19,000 --> 02:06:27,440 AND/OR ETHNICITY. 2547 02:06:27,440 --> 02:06:32,680 YOU CAN FIND THE ACTUAL REPORT 2548 02:06:32,680 --> 02:06:33,800 IN YOUR MATERIALS. 2549 02:06:33,800 --> 02:06:37,800 WE HAVE ONE QUESTION FINALIZE AT 2550 02:06:37,800 --> 02:06:41,800 THE END OF THE PRESENTATION 2551 02:06:41,800 --> 02:06:45,200 WHICH IS THE INTERPRETATION OF 2552 02:06:45,200 --> 02:06:47,080 RESULTS AND ALL NIN FUNDED 2553 02:06:47,080 --> 02:06:50,200 STUDIES THAT MEET THE DEFINITION 2554 02:06:50,200 --> 02:06:51,160 OF CLINICAL RESEARCH MUST 2555 02:06:51,160 --> 02:06:52,440 INCLUDE PLANS FOR THE INCLUSION 2556 02:06:52,440 --> 02:06:53,800 OF WOMEN AND MINORITIES WITHIN 2557 02:06:53,800 --> 02:06:56,400 THE APPLICATION PROPOSAL. 2558 02:06:56,400 --> 02:06:57,680 SCIENTIFIC REVIEW GROUPS ASSESS 2559 02:06:57,680 --> 02:07:00,440 EACH PROPOSAL AS BEING 2560 02:07:00,440 --> 02:07:02,600 ACCEPTABLE OR UNACCEPTABLE WITH 2561 02:07:02,600 --> 02:07:05,200 REGARD TO INCLUSION OF 2562 02:07:05,200 --> 02:07:10,040 MINORITIES AND GENDERS AND 2563 02:07:10,040 --> 02:07:13,800 RESEARCH PROJECTS AND REPORT 2564 02:07:13,800 --> 02:07:16,640 INFORMATION ON SEX, GENDER, 2565 02:07:16,640 --> 02:07:21,680 RACE AND THIS IS THE INFORMATION 2566 02:07:21,680 --> 02:07:27,520 YOU'LL SEE IF THE PROPOSED 2567 02:07:27,520 --> 02:07:29,520 RESEARCH INCLUDES AN NIH DEFINED 2568 02:07:29,520 --> 02:07:30,200 PHASE 3 CLINICAL TRIAL, EVIDENCE 2569 02:07:30,200 --> 02:07:34,480 MUST BE REVIEWED TO SLOW WHETHER 2570 02:07:34,480 --> 02:07:41,600 OR NOT IMPORTANT SEX, GENDERS, 2571 02:07:41,600 --> 02:07:44,000 RACE OR ETHNICITY EFFECTS ARE 2572 02:07:44,000 --> 02:07:45,600 EXPECTED AND THE CLINICAL TRIAL 2573 02:07:45,600 --> 02:07:47,840 MEET THE DEFINITION OR MEET THE 2574 02:07:47,840 --> 02:07:50,080 DEFINITION OF BEING AN 2575 02:07:50,080 --> 02:07:50,800 APPLICABLE CLINICAL TRIAL MUST 2576 02:07:50,800 --> 02:07:53,560 REPORT THE RESULTS OF WHAT THEY 2577 02:07:53,560 --> 02:07:57,720 CALL A VALID ANALYSIS AND 2578 02:07:57,720 --> 02:08:04,400 SUGGESTS PATIENTS ARE RANDOMIZED 2579 02:08:04,400 --> 02:08:09,720 INTO GROUPS AND A VALID WAY OF 2580 02:08:09,720 --> 02:08:14,080 PUTTING PEOPLE IN THE PHASE 3 2581 02:08:14,080 --> 02:08:15,680 CLINICAL TRIALS AND TO THE 2582 02:08:15,680 --> 02:08:19,760 INFORMATION IS REPORTED AS WELL. 2583 02:08:19,760 --> 02:08:22,640 WHAT I'M ASKING PART OF OUR 2584 02:08:22,640 --> 02:08:25,000 REPORTING PROCESS IS FOR THE 2585 02:08:25,000 --> 02:08:28,680 COUNCIL TO CERTIFY THE NINDS IS 2586 02:08:28,680 --> 02:08:29,320 COMPLIANT WITH THIS NIH POLICY 2587 02:08:29,320 --> 02:08:44,160 OF INCLUSION. 2588 02:08:44,160 --> 02:08:47,920 AND THERE'S INCLUSION REPORTS 2589 02:08:47,920 --> 02:08:50,800 SUBMITTED IN 2019, 2020 AND 2021 2590 02:08:50,800 --> 02:08:51,720 AND SEE THE NUMBERS FOR EACH OF 2591 02:08:51,720 --> 02:08:52,920 THE YEARS. 2592 02:08:52,920 --> 02:08:54,760 WE LISTED THOSE WITHOUT 2593 02:08:54,760 --> 02:08:55,760 ENROLLMENT DURING THAT PERIOD 2594 02:08:55,760 --> 02:08:57,240 AND THOSE THAT DID HAVE 2595 02:08:57,240 --> 02:08:57,720 ENROLLMENT. 2596 02:08:57,720 --> 02:09:00,160 WE SEPARATED THIS OUT BY THOSE 2597 02:09:00,160 --> 02:09:04,680 THAT WERE IN THE U.S. AND THOSE 2598 02:09:04,680 --> 02:09:06,240 THAT WERE CLINICAL TRIALS 2599 02:09:06,240 --> 02:09:07,800 ENROLLING PATIENTS 2600 02:09:07,800 --> 02:09:13,120 NON-U.S. SITES AND THOSE THAT 2601 02:09:13,120 --> 02:09:21,360 HAD MALE AND FEMALE AS WELL I 2602 02:09:21,360 --> 02:09:23,440 HAVE DIAGRAMS FOR EASE OF 2603 02:09:23,440 --> 02:09:24,000 COMMUNICATION IN SUBSEQUENT 2604 02:09:24,000 --> 02:09:25,000 SLIDES BUT IN THE REPORTS YOU 2605 02:09:25,000 --> 02:09:27,680 HAVE IN YOUR BOOKLET I HAVE THE 2606 02:09:27,680 --> 02:09:45,920 RAW DATA THERE AS WELL. 2607 02:09:45,920 --> 02:09:52,480 AND ASIAN PACIFIC ISLANDERS AND 2608 02:09:52,480 --> 02:09:53,280 ALASKAN NATIVE AND INDIVIDUALS 2609 02:09:53,280 --> 02:09:54,920 WITH MORE THAN ONE RACE OR 2610 02:09:54,920 --> 02:09:57,720 UNKNOWN. 2611 02:09:57,720 --> 02:10:07,680 THERE WAS NO BIG DIFFERENCE. 2612 02:10:07,680 --> 02:10:08,840 WE LOOKED AT ALL CLINICAL TRIAL 2613 02:10:08,840 --> 02:10:09,760 AND ENROLLMENT BASED ON SEX AND 2614 02:10:09,760 --> 02:10:15,720 GENDER. 2615 02:10:15,720 --> 02:10:17,800 WHEN WE LOOK AT THE PHASE 3 2616 02:10:17,800 --> 02:10:20,240 CLINICAL TRIALS BY SEX AND 2617 02:10:20,240 --> 02:10:21,600 GENDER ACROSS THE YEARS AGAIN 2618 02:10:21,600 --> 02:10:23,800 THERE SEEMS TO BE STABLE 2619 02:10:23,800 --> 02:10:25,360 ENROLLMENT THROUGHOUT THE THREE 2620 02:10:25,360 --> 02:10:25,760 YEARS. 2621 02:10:25,760 --> 02:10:26,760 THERE MAY BE SLIGHT DIFFERENCES 2622 02:10:26,760 --> 02:10:29,280 IN CERTAIN YEARS. 2623 02:10:29,280 --> 02:10:31,280 WE GO AND LOOK AT THE TRIALS TO 2624 02:10:31,280 --> 02:10:32,640 SEE IF THERE WERE ANY MAJOR 2625 02:10:32,640 --> 02:10:33,440 DIFFERENCES IN TERMS OF TRIALS 2626 02:10:33,440 --> 02:10:36,680 AND WHAT WE DID FIND IN SOME OF 2627 02:10:36,680 --> 02:10:38,760 THE YEARS LIKE 2020 THERE WAS A 2628 02:10:38,760 --> 02:10:41,760 TRIAL IN PERU THAT ENROLLED 2629 02:10:41,760 --> 02:10:42,000 PATIENTS. 2630 02:10:42,000 --> 02:10:44,360 THAT WOULD IMPACT THE HISPANIC 2631 02:10:44,360 --> 02:10:46,280 POPULATION AND THERE WERE OTHER 2632 02:10:46,280 --> 02:10:47,600 PHASE 3 CLINICAL TRIALS WE 2633 02:10:47,600 --> 02:10:51,120 LOOKED AT AS WELL THAT AFFECTED 2634 02:10:51,120 --> 02:10:57,400 THIS POPULATION, 2020. 2635 02:10:57,400 --> 02:11:00,200 HERE'S INFORMATION BASED ON 2636 02:11:00,200 --> 02:11:01,520 ETHNICITY AND THE SLIGHT 2637 02:11:01,520 --> 02:11:03,320 INCREASE THERE BUT AGAIN NO 2638 02:11:03,320 --> 02:11:04,000 MAJOR CHANGES ACROSS THE THREE 2639 02:11:04,000 --> 02:11:19,160 YEARS. 2640 02:11:19,160 --> 02:11:21,200 THIS SHOWS THE PHASE 3 CLINICAL 2641 02:11:21,200 --> 02:11:23,080 TRIALS VERSUS OTHERS. 2642 02:11:23,080 --> 02:11:25,600 WHEN YOU LOOK AT THE PHASE 3 2643 02:11:25,600 --> 02:11:27,040 CLINICAL TRIALS THERE WAS A 2644 02:11:27,040 --> 02:11:27,360 DIFFERENCE. 2645 02:11:27,360 --> 02:11:31,320 THIS WAS TO GO BACK AND LOOK AT 2646 02:11:31,320 --> 02:11:33,600 THE PARTICULAR TRIALS AND AGAIN 2647 02:11:33,600 --> 02:11:36,600 THERE WAS A PARTICULAR TRIAL IN 2648 02:11:36,600 --> 02:11:40,480 2020 THAT HAD A VERY CLEAR 2649 02:11:40,480 --> 02:11:42,280 ENGAGEMENT WHERE THEY WENT OUT 2650 02:11:42,280 --> 02:11:44,560 AND ENROLLED A LARGE NUMBER OF 2651 02:11:44,560 --> 02:11:46,000 HISPANIC PATIENTS AND I THINK 2652 02:11:46,000 --> 02:11:47,840 THAT MADE THE DIFFERENCE IN 2020 2653 02:11:47,840 --> 02:11:52,400 IN THOSE NUMBERS. 2654 02:11:52,400 --> 02:11:55,960 HERE THIS IS NEW DATA THAT WE 2655 02:11:55,960 --> 02:11:59,080 HAVE FOR 2020 IN ADDITION FOR 2656 02:11:59,080 --> 02:12:00,680 INFORMATION BEING TRACKED NOW 2657 02:12:00,680 --> 02:12:02,960 BASED ON SEX AND GENDER AND RACE 2658 02:12:02,960 --> 02:12:05,040 AND ETHNICITY. 2659 02:12:05,040 --> 02:12:06,600 WE ALSO TRACKED INFORMATION ON 2660 02:12:06,600 --> 02:12:09,000 AGE AND SO WHAT YOU SEE HERE 2661 02:12:09,000 --> 02:12:10,760 WHICH IS INTERESTING WHEN WE 2662 02:12:10,760 --> 02:12:15,720 LOOK AT 2020, THIS BLUE PORTION 2663 02:12:15,720 --> 02:12:22,840 OF THE PIE DIAGRAM IT REPRESENTS 2664 02:12:22,840 --> 02:12:27,080 CHILDREN UNDER AND A PROPORTION 2665 02:12:27,080 --> 02:12:28,720 OF CHILDREN LESS THAN 18 WE 2666 02:12:28,720 --> 02:12:32,600 LOOKED AT LARGE CATEGORIES FOR 2667 02:12:32,600 --> 02:12:34,800 THE ADULT POPULATION WE LOOKED 2668 02:12:34,800 --> 02:12:37,760 FROM 18 TO 64 AND ABOVE 65 AND 2669 02:12:37,760 --> 02:12:39,680 SEE THAT REPRESENTS THE REST OF 2670 02:12:39,680 --> 02:12:45,680 THIS PARTICULAR DIAGRAM. 2671 02:12:45,680 --> 02:12:47,600 SO WE PRESENTED THIS INFORMATION 2672 02:12:47,600 --> 02:12:50,440 AND THE REPORT TO SAYING WE ARE 2673 02:12:50,440 --> 02:12:52,640 COMPLIANT IN TERMS OF COLLECTING 2674 02:12:52,640 --> 02:12:54,280 THIS INFORMATION. 2675 02:12:54,280 --> 02:12:55,680 HOWEVER, WE DO KNOW THAT WE HAVE 2676 02:12:55,680 --> 02:13:01,880 TO DO BETTER IN TERMS OF 2677 02:13:01,880 --> 02:13:04,160 CONCLUDING WOMEN AND MINORITIES 2678 02:13:04,160 --> 02:13:10,280 IN I LISTED STRATEGIES IN TERMS 2679 02:13:10,280 --> 02:13:12,600 OF PEER REVIEW AND TALKED ABOUT 2680 02:13:12,600 --> 02:13:14,600 SINCE A PREVIOUS CONVERSATION. 2681 02:13:14,600 --> 02:13:16,040 WE ARE WORKING WITH NINDS STAFF 2682 02:13:16,040 --> 02:13:21,720 IN TERM OF BETTER MONITORING AS 2683 02:13:21,720 --> 02:13:22,280 WELL AS GRANTS OVERSIGHT AS 2684 02:13:22,280 --> 02:13:23,560 WELL. 2685 02:13:23,560 --> 02:13:25,000 THROUGH THE DIVISION OF CLINICAL 2686 02:13:25,000 --> 02:13:29,800 RESEARCH AND I'D LIKE TO THANK 2687 02:13:29,800 --> 02:13:32,000 MY COLLEAGUES PARTICULARLY 2688 02:13:32,000 --> 02:13:33,000 KATHERINE AND EVERYONE IN MY 2689 02:13:33,000 --> 02:13:35,200 OFFICE FOR HELPING PUT TOGETHER 2690 02:13:35,200 --> 02:13:37,840 THIS GREAT REPORT THAT YOU HAVE 2691 02:13:37,840 --> 02:13:43,840 THERE IN YOUR PACKETED. 2692 02:13:43,840 --> 02:13:45,000 -- PACKET. 2693 02:13:45,000 --> 02:13:51,280 WE RECENTLY DID AN OUTREACH TO 2694 02:13:51,280 --> 02:13:52,200 NINDS EXTRAMURAL AND TALKED 2695 02:13:52,200 --> 02:13:55,720 ABOUT THE ISSUE OF INCLUSION AND 2696 02:13:55,720 --> 02:13:56,680 ENROLLMENT AND GET BETTER 2697 02:13:56,680 --> 02:13:59,680 OVERSIGHT OF THE TERMS. 2698 02:13:59,680 --> 02:14:01,800 WE ALSO WORK WITH SPECIFIC 2699 02:14:01,800 --> 02:14:02,560 INVESTIGATORS IT HAVING 2700 02:14:02,560 --> 02:14:05,600 DIFFICULTY WITH DIVERSITY 2701 02:14:05,600 --> 02:14:05,920 ENROLLMENT. 2702 02:14:05,920 --> 02:14:07,200 THERE WERE SOME OTHER STRATEGIES 2703 02:14:07,200 --> 02:14:09,200 WE TALKED ABOUT IN THE PREVIOUS 2704 02:14:09,200 --> 02:14:11,040 REPORT WE'LL IMPLEMENT IN TERMS 2705 02:14:11,040 --> 02:14:14,400 OF HAVING INVESTIGATORS ENGAGE 2706 02:14:14,400 --> 02:14:16,880 COMMUNITY PRESUBMISSION AS WELL. 2707 02:14:16,880 --> 02:14:18,440 I'D LIKE TO MENTION AS WELL 2708 02:14:18,440 --> 02:14:21,760 YOU'LL HEAR THIS AFTERNOON BUT 2709 02:14:21,760 --> 02:14:24,400 TWO OF THE NETWORK HAVE MINORITY 2710 02:14:24,400 --> 02:14:28,640 RECRUITMENT AND DIVERSITY 2711 02:14:28,640 --> 02:14:28,960 COMMITTEES. 2712 02:14:28,960 --> 02:14:29,760 THIS IS SOMETHING WE CONSIDERED 2713 02:14:29,760 --> 02:14:32,640 WORKING ON AND WE HAVE A WORK 2714 02:14:32,640 --> 02:14:36,200 GROUP WITHIN THE DIVISION OF 2715 02:14:36,200 --> 02:14:37,800 CLINICAL RESEARCH UNDER CLINT 2716 02:14:37,800 --> 02:14:39,720 WRIGHT WHERE WE'VE LOOKED AT 2717 02:14:39,720 --> 02:14:45,720 BEST PRACTICES AND INCLUSION AND 2718 02:14:45,720 --> 02:14:51,320 TECHNIQUES AS WELL. 2719 02:14:51,320 --> 02:14:52,640 THANK YOU AND THIS WE NEED A 2720 02:14:52,640 --> 02:15:01,720 VOTE TO APPROVE THIS REPORT. 2721 02:15:01,720 --> 02:15:05,800 >> ARE THE DATA COLLECTED FOR 2722 02:15:05,800 --> 02:15:08,080 THE PREVALENCE FOR A SPECIFIC 2723 02:15:08,080 --> 02:15:08,680 DISEASE OR NOT THAT DETAILED 2724 02:15:08,680 --> 02:15:11,480 YET? 2725 02:15:11,480 --> 02:15:13,520 >> WE CAN GO BACK AND TRY TO 2726 02:15:13,520 --> 02:15:15,200 SORT IT OUT THE WAY IT'S 2727 02:15:15,200 --> 02:15:17,200 PRESENTED NOW IT'S NOT COLLECTED 2728 02:15:17,200 --> 02:15:18,600 BY THE DISEASE PROCESSES BUT WE 2729 02:15:18,600 --> 02:15:23,440 CAN GO BACK AND PULL THAT 2730 02:15:23,440 --> 02:15:25,800 INFORMATION OUT WE CAN DO THAT 2731 02:15:25,800 --> 02:15:28,280 AND LOOK BY ENROLLING SAY A 2732 02:15:28,280 --> 02:15:30,240 STROKE STUDY OR M.S. AND THEN GO 2733 02:15:30,240 --> 02:15:31,400 TO THE INVESTIGATOR AND THAT'S 2734 02:15:31,400 --> 02:15:33,720 HOW I WAS ABLE TO PARS OUT SOME 2735 02:15:33,720 --> 02:15:38,600 OF THE INFORMATION FROM 2020. 2736 02:15:38,600 --> 02:15:39,680 I DIDN'T PRESENT THAT TODAY BUT 2737 02:15:39,680 --> 02:15:41,800 WE DID A DEEPER DIVE TO 2738 02:15:41,800 --> 02:15:43,880 UNDERSTAND THE DATA BETTER. 2739 02:15:43,880 --> 02:15:45,800 >> SOMETIMES TOO RELEVANT FOR 2740 02:15:45,800 --> 02:15:49,160 STROKE STUDIES IS SOME OF THE 2741 02:15:49,160 --> 02:15:50,680 TRIALS HAVE EXCLUSION CRITERIAS 2742 02:15:50,680 --> 02:16:02,440 FOR PEOPLE OVER THE AGE OF 80. 2743 02:16:02,440 --> 02:16:05,120 THERE'S NUANCES IN THE DATA IF 2744 02:16:05,120 --> 02:16:06,800 THE PATIENT WAS EVEN ELIGIBLE 2745 02:16:06,800 --> 02:16:09,760 AND WHAT THE DISEASE ASSOCIATED 2746 02:16:09,760 --> 02:16:10,240 PREVALENCE IS. 2747 02:16:10,240 --> 02:16:12,880 >> GREAT POINT. 2748 02:16:12,880 --> 02:16:14,400 I THINK THIS YEAR WE STARTED 2749 02:16:14,400 --> 02:16:17,800 TRACKING THE AGE AND THAT IS 2750 02:16:17,800 --> 02:16:21,400 SOMETHING THAT WE CAN GET AT 2751 02:16:21,400 --> 02:16:22,800 BECAUSE IT'S ARBITRARY IN TERMS 2752 02:16:22,800 --> 02:16:25,600 OF THE CUT OFF. 2753 02:16:25,600 --> 02:16:26,400 >> OKAY. 2754 02:16:26,400 --> 02:16:27,640 WE HAVE A LOT OF REPORTS AND A 2755 02:16:27,640 --> 02:16:31,960 LOT OF VOTING THAT WE NEED TO DO 2756 02:16:31,960 --> 02:16:33,160 TODAY SO IF THERE'S NO OTHER 2757 02:16:33,160 --> 02:16:36,000 QUESTIONS ABOUT THE INCLUSION 2758 02:16:36,000 --> 02:16:40,520 REPORT -- WE NEED A MOTION 2759 02:16:40,520 --> 02:16:45,720 COUNCIL HAS ACCEPTED THAT 2760 02:16:45,720 --> 02:16:45,960 REPORT. 2761 02:16:45,960 --> 02:16:47,960 THE MOTION IS IN THE CHAT. 2762 02:16:47,960 --> 02:16:48,760 THANKS A LOT AND RICHARD THANK 2763 02:16:48,760 --> 02:16:50,600 YOU FOR DOING THE HEAVY LIFTING 2764 02:16:50,600 --> 02:16:56,560 WITH THE COUNCIL MEMBERS. 2765 02:16:56,560 --> 02:16:57,680 OKAY. 2766 02:16:57,680 --> 02:17:03,680 SO SPEAKING OF NEURO NEXT IS A 2767 02:17:03,680 --> 02:17:07,640 REPORT ON THE IMPORTANT CLINICAL 2768 02:17:07,640 --> 02:17:08,120 TRIAL NETWORK. 2769 02:17:08,120 --> 02:17:10,680 CLINT WRIGHT I BELIEVE IS GOING 2770 02:17:10,680 --> 02:17:15,600 TO GIVE A BRIEF INTRO TO THE 2771 02:17:15,600 --> 02:17:15,800 SEGMENT. 2772 02:17:15,800 --> 02:17:16,320 >> I AM. 2773 02:17:16,320 --> 02:17:18,280 CAN YOU HEAR ME? 2774 02:17:18,280 --> 02:17:21,400 >> HEAR YOU AND SEE. 2775 02:17:21,400 --> 02:17:22,720 >> PERIODICALLY THE NINDS 2776 02:17:22,720 --> 02:17:25,760 REVIEWS AND ASKS FOR REVIEW OF 2777 02:17:25,760 --> 02:17:29,640 OUR CLINICAL TRIAL NETWORK UNDER 2778 02:17:29,640 --> 02:17:35,040 THE OFFICE OF SCIENCE POLICY AND 2779 02:17:35,040 --> 02:17:38,640 PLANNING AND BECAUSE THEY'RE 2780 02:17:38,640 --> 02:17:39,800 NEARING THE END OF THE 2781 02:17:39,800 --> 02:17:42,440 INFRASTRUCTURAL AWARDS, WE 2782 02:17:42,440 --> 02:17:43,920 THOUGHT WE'D HAVE THEM EVALUATE 2783 02:17:43,920 --> 02:17:45,600 TOGETHER AND WE ASKED FOR A 2784 02:17:45,600 --> 02:17:48,000 WORKING GROUP OF COUNCIL TO DO 2785 02:17:48,000 --> 02:17:48,280 THAT. 2786 02:17:48,280 --> 02:17:50,600 AND I WILL INTRODUCE YOU TO THE 2787 02:17:50,600 --> 02:17:52,640 TWO CO-CHAIRS OF THE WORKING 2788 02:17:52,640 --> 02:17:54,320 GROUP BUT BEFORE I DO THAT I 2789 02:17:54,320 --> 02:17:57,000 WOULD LIKE TO REALLY CALL OUT 2790 02:17:57,000 --> 02:18:02,680 MEMBERS OF THE OSPP AND 2791 02:18:02,680 --> 02:18:05,320 CHRISTINA FOR ALL THE HEAVY 2792 02:18:05,320 --> 02:18:07,000 LIFTING THEY DID TO PULL THIS 2793 02:18:07,000 --> 02:18:12,360 TOGETHER IN ADDITION TO MEMBERS 2794 02:18:12,360 --> 02:18:17,800 OF DCR AND OTHERS WHO HAD TO 2795 02:18:17,800 --> 02:18:19,880 GATHER DATA TO DO THIS. 2796 02:18:19,880 --> 02:18:22,640 THE TWO CO-CHAIRS. 2797 02:18:22,640 --> 02:18:24,720 THE FIRST IS DR. VICKREY. 2798 02:18:24,720 --> 02:18:27,600 PROFESSOR AND SYSTEM CHAIR OF 2799 02:18:27,600 --> 02:18:31,800 VIROLOGY AT THE ICAH SCHOOL OF 2800 02:18:31,800 --> 02:18:33,040 MEDICINE IN MOUNT SINAI IN NEW 2801 02:18:33,040 --> 02:18:36,480 YORK AND FORMER PRESIDENT OF THE 2802 02:18:36,480 --> 02:18:37,480 AMERICAN NEUROLOGICAL 2803 02:18:37,480 --> 02:18:37,800 ASSOCIATION. 2804 02:18:37,800 --> 02:18:41,080 DR. VICKREY'S FOCUS HAS BEEN ON 2805 02:18:41,080 --> 02:18:43,320 INNOVATIVE HEALTH CARE 2806 02:18:43,320 --> 02:18:45,440 DELIVERIES RANGING FROM TEAM 2807 02:18:45,440 --> 02:18:48,160 BASED AND COMMUNITY BASED 2808 02:18:48,160 --> 02:18:51,040 PARTNERED MODELS FOR CONTROLLING 2809 02:18:51,040 --> 02:18:53,800 STROKE RISK FACTORS TO CARING 2810 02:18:53,800 --> 02:19:00,000 FOR VETERANS WITH PARKINSON'S 2811 02:19:00,000 --> 02:19:00,600 DISEASE. 2812 02:19:00,600 --> 02:19:05,280 DR. RICHARD RUDICK IS A LEADER 2813 02:19:05,280 --> 02:19:09,240 IN PHARMA AND ACADEMIC MEDICINE 2814 02:19:09,240 --> 02:19:11,640 HOLDING ROLES IN CLINIC RESEARCH 2815 02:19:11,640 --> 02:19:12,600 AND NEUROSCIENCE AT THE 2816 02:19:12,600 --> 02:19:15,480 CLEVELAND CLINIC AND BIO GEN AND 2817 02:19:15,480 --> 02:19:17,720 HIS WORK IS AN EMPHASIS ON 2818 02:19:17,720 --> 02:19:20,040 INNOVATION AND COLLABORATION AND 2819 02:19:20,040 --> 02:19:21,600 EMPOWERING LEADERSHIP TO MAKE 2820 02:19:21,600 --> 02:19:22,600 CHANGE. 2821 02:19:22,600 --> 02:19:25,720 I'M NOT SURE WHO WILL TAKE THE 2822 02:19:25,720 --> 02:19:27,600 LEAD ON THE WORKING GROUP 2823 02:19:27,600 --> 02:19:29,760 PRESENCE BUT I'LL HAND THE BAT 2824 02:19:29,760 --> 02:19:42,480 ON. 2825 02:19:42,480 --> 02:19:45,680 AS YOU HEARD THIS IS TO CONDUCT 2826 02:19:45,680 --> 02:19:48,200 AN EVALUATION OF THE TWO 2827 02:19:48,200 --> 02:19:51,720 NETWORKS FOCUSSING ON THE EXTENT 2828 02:19:51,720 --> 02:19:53,800 TO WHICH THE PROGRAM GOALS AND 2829 02:19:53,800 --> 02:20:00,720 OUTCOMES AND IMPACTS, EXTENT OF 2830 02:20:00,720 --> 02:20:01,800 COLLABORATION BUT THE 2831 02:20:01,800 --> 02:20:02,600 PRESENTATION AND REPORT IS WHERE 2832 02:20:02,600 --> 02:20:03,760 THE OPPORTUNITIES TO IMPROVE THE 2833 02:20:03,760 --> 02:20:08,720 NETWORKS. 2834 02:20:08,720 --> 02:20:10,560 THE NETWORKS WERE JOINTLY 2835 02:20:10,560 --> 02:20:12,080 EVALUATED AND WE USED A COMMON 2836 02:20:12,080 --> 02:20:13,520 FRAMEWORK AND DID NOTE WHEN 2837 02:20:13,520 --> 02:20:23,200 THERE WERE UNIQUE ASPECTS. 2838 02:20:23,200 --> 02:20:25,800 RICK AND I WOULD LIKE TO 2839 02:20:25,800 --> 02:20:31,440 ACKNOWLEDGE THE TERRIFIC WORKING 2840 02:20:31,440 --> 02:20:33,720 GROUP. 2841 02:20:33,720 --> 02:20:44,520 [LISTING NAMES] 2842 02:20:44,520 --> 02:20:46,000 AND THIS INCLUDED INDIVIDUALS 2843 02:20:46,000 --> 02:20:47,800 FROM INDUSTRY AND PATIENT 2844 02:20:47,800 --> 02:20:49,000 ORGANIZATIONS AS WELL AS 2845 02:20:49,000 --> 02:20:51,120 ACADEMICS AND WE WOULD ECHO THAT 2846 02:20:51,120 --> 02:20:54,520 THERE WAS FANTASTIC SUPPORT FROM 2847 02:20:54,520 --> 02:20:57,760 THE NINDS STAFF IN THE OFFICE OF 2848 02:20:57,760 --> 02:21:04,320 SCIENCE PLANNING AND POLICY. 2849 02:21:04,320 --> 02:21:06,920 WE MET SIX TIMES OVER EIGHT 2850 02:21:06,920 --> 02:21:07,640 MONTHS. 2851 02:21:07,640 --> 02:21:10,000 WE HAD PRESENTATIONS FROM 2852 02:21:10,000 --> 02:21:11,720 PROGRAM STAFF AND REVIEWED A TON 2853 02:21:11,720 --> 02:21:13,800 OF DOCUMENTS WITH ALL KINDS OF 2854 02:21:13,800 --> 02:21:16,240 DATA AS YOU SEE HERE ON 2855 02:21:16,240 --> 02:21:17,560 OPERATIONS, ORGANIZATIONS, 2856 02:21:17,560 --> 02:21:21,360 FUNDING, TIME LINE METRICS FOR 2857 02:21:21,360 --> 02:21:24,200 PROPOSALS, RECRUITMENT, TRAINING 2858 02:21:24,200 --> 02:21:25,800 ACTIVITIES AND SO FORTH. 2859 02:21:25,800 --> 02:21:30,440 I WOULD LIKE TO NOTE THAT WE DID 2860 02:21:30,440 --> 02:21:32,440 REVIEW PRIOR RECOMMENDATIONS 2861 02:21:32,440 --> 02:21:35,160 FROM THE NETWORKS EXTERNAL 2862 02:21:35,160 --> 02:21:37,760 OVERSIGHT BOARDS THAT MET ABOUT 2863 02:21:37,760 --> 02:21:39,720 ANNUALLY. 2864 02:21:39,720 --> 02:21:42,080 WE ONLY REVIEWED THOSE AFTER THE 2865 02:21:42,080 --> 02:21:43,400 WORKING GROUP HAD ALREADY 2866 02:21:43,400 --> 02:21:44,880 DEVELOPED OUR RECOMMENDATIONS SO 2867 02:21:44,880 --> 02:21:47,040 WE SAW THOSE TOWARDS THE END OF 2868 02:21:47,040 --> 02:21:47,840 THE PROCESS. 2869 02:21:47,840 --> 02:21:50,800 THERE WAS ALSO VERY EXTENSIVE 2870 02:21:50,800 --> 02:21:53,960 SURVEY OF NETWORK LEADERSHIP 2871 02:21:53,960 --> 02:21:56,800 STAFF, FRONT LINE TRIAL AND SITE 2872 02:21:56,800 --> 02:21:58,360 INVESTIGATORS AND LITERALLY 2873 02:21:58,360 --> 02:22:00,800 HUNDREDS OF RESPONSES AND THEN 2874 02:22:00,800 --> 02:22:02,640 WE WANTED TO DO SOME DRILL DOWN 2875 02:22:02,640 --> 02:22:05,600 AND HAVE SOME MORE IN DEPTH 2876 02:22:05,600 --> 02:22:07,600 INFORMATION SO THERE WERE SIX 2877 02:22:07,600 --> 02:22:09,760 SMALL GROUP DISCUSSIONS WITH 2878 02:22:09,760 --> 02:22:13,000 NETWORK LEADERSHIP AND FRONT 2879 02:22:13,000 --> 02:22:17,000 LINE INVESTIGATORS THAT TRACY 2880 02:22:17,000 --> 02:22:17,800 CLEMENTS FACILITATED ACROSS THE 2881 02:22:17,800 --> 02:22:24,080 SIX GROUPS. 2882 02:22:24,080 --> 02:22:25,800 WE HAVE FOUR SLIDES THAT 2883 02:22:25,800 --> 02:22:27,760 SUMMARIZE THE CONTEXT AND KEY 2884 02:22:27,760 --> 02:22:31,200 ASPECT OF EACH NETWORK. 2885 02:22:31,200 --> 02:22:33,200 I'LL GO THROUGH THESE BRIEFLY. 2886 02:22:33,200 --> 02:22:38,280 ONE POINT TO MAKE BOTH ARE OPEN 2887 02:22:38,280 --> 02:22:40,440 NETWORK MEANING INVESTIGATORS 2888 02:22:40,440 --> 02:22:43,120 ACADEMICS FROM OUTSIDE THE SITE 2889 02:22:43,120 --> 02:22:44,920 AND INDUSTRY CAN APPLY TO RUN 2890 02:22:44,920 --> 02:22:46,240 STUDIES THROUGH THE NETWORK. 2891 02:22:46,240 --> 02:22:47,720 IT'S NOT LIMITED TO 2892 02:22:47,720 --> 02:22:48,240 INVESTIGATORS WITHIN THE 2893 02:22:48,240 --> 02:22:57,200 NETWORK. 2894 02:22:57,200 --> 02:23:01,400 AND WE PLAN FOR RENEWAL IN 2023 2895 02:23:01,400 --> 02:23:02,600 SUPPORTS PRIMARILY PHASE 2 2896 02:23:02,600 --> 02:23:07,200 TRIALS OF BIOMARKER VALIDATION 2897 02:23:07,200 --> 02:23:07,400 STUDIES. 2898 02:23:07,400 --> 02:23:09,080 THE INFRASTRUCTURE WAS FOR DATA 2899 02:23:09,080 --> 02:23:10,800 AND CLINICAL COORDINATING 2900 02:23:10,800 --> 02:23:15,280 CENTERS WITH 25 SITES AROUND THE 2901 02:23:15,280 --> 02:23:15,440 U.S. 2902 02:23:15,440 --> 02:23:19,320 THE RENEWAL IN 2018 ADDED A 2903 02:23:19,320 --> 02:23:21,440 FELLOWSHIP PROGRAM WITH A SMALL 2904 02:23:21,440 --> 02:23:24,960 STIPEND AND IN THE TABLE YOU CAN 2905 02:23:24,960 --> 02:23:29,080 SEE THAT OVER THE YEARS FROM 2906 02:23:29,080 --> 02:23:32,080 2011 TO 2020 ABOUT $180 MILLION 2907 02:23:32,080 --> 02:23:33,200 WAS SPENT IN TOTAL. 2908 02:23:33,200 --> 02:23:36,400 36% OF THAT WENT DIRECTLY TO 2909 02:23:36,400 --> 02:23:36,720 TRIAL COSTS. 2910 02:23:36,720 --> 02:23:38,920 BUT WE WOULD LIKE TO POINT OUT 2911 02:23:38,920 --> 02:23:40,880 THAT WHILE WE'VE INCLUDE THE 2912 02:23:40,880 --> 02:23:42,200 TRIAL COSTS IN THE TABLE, THE 2913 02:23:42,200 --> 02:23:45,880 TRIALS THEMSELVES ARE FUNDED 2914 02:23:45,880 --> 02:23:49,840 SEPARATELY FROM THE 2915 02:23:49,840 --> 02:23:58,680 INFRASTRUCTURE. 2916 02:23:58,680 --> 02:23:59,720 AS THE BEEN ONGOING TRIALS AND 2917 02:23:59,720 --> 02:24:03,240 TWO ARE BIOMARKERS OF THE 2918 02:24:03,240 --> 02:24:04,800 INTERVENTION SMALL MOLECULE AND 2919 02:24:04,800 --> 02:24:08,000 A RANGE OF NEUROLOGIC CONDITIONS 2920 02:24:08,000 --> 02:24:10,000 BUT THERE'S FOUR IN 2921 02:24:10,000 --> 02:24:13,360 NEUROMUSCULAR DISEASE ALBEIT A 2922 02:24:13,360 --> 02:24:17,000 RANGE OF DIFFERENT NEURO 2923 02:24:17,000 --> 02:24:18,280 MUSCULAR DISEASES. 2924 02:24:18,280 --> 02:24:20,280 THE INFRASTRUCTURE WAS 2925 02:24:20,280 --> 02:24:23,560 ESTABLISHED IN 2013, RENEWED IN 2926 02:24:23,560 --> 02:24:24,720 2018 WITH THE GOAL PLANNED FOR 2927 02:24:24,720 --> 02:24:33,720 2023. 2928 02:24:33,720 --> 02:24:38,600 IN CONTRAST THAT WAS A BALANCED 2929 02:24:38,600 --> 02:24:42,480 PORTFOLIO OF CLINICAL TRIALS AND 2930 02:24:42,480 --> 02:24:45,160 BIOMARKER VALIDATION AND 2931 02:24:45,160 --> 02:24:46,720 TRAINING OF FUTURE STROKE 2932 02:24:46,720 --> 02:24:49,200 RESEARCHERS AND A MANAGEMENT 2933 02:24:49,200 --> 02:24:53,880 CENTER, 27 REGIONAL COORDINATING 2934 02:24:53,880 --> 02:24:56,440 CENTERS AND VERY IMPORTANTLY 2935 02:24:56,440 --> 02:24:58,600 SPOKES TO ALL THE CENTERS SO IT 2936 02:24:58,600 --> 02:25:01,840 INVOLVES ABOUT 500 HOSPITALS 2937 02:25:01,840 --> 02:25:06,800 ACROSS THE U.S. 2938 02:25:06,800 --> 02:25:10,800 THERE IS SOME SUPPORT FOR 2939 02:25:10,800 --> 02:25:12,640 TRAINING AND IN THE YEARS ABOUT 2940 02:25:12,640 --> 02:25:15,760 $258 MILLION HAS BEEN SPENT WITH 2941 02:25:15,760 --> 02:25:19,440 63% TOWARDS TRIALS. 2942 02:25:19,440 --> 02:25:25,080 A HIGHER PERCENTAGE IN NEURO NEX 2943 02:25:25,080 --> 02:25:27,120 FUND SEPARATELY FROM THE 2944 02:25:27,120 --> 02:25:27,520 INFRASTRUCTURE. 2945 02:25:27,520 --> 02:25:31,120 OF THE 14 COMPLETED AND ONGOING 2946 02:25:31,120 --> 02:25:33,760 STUDIES, THE FOUR UNDERWAY AT 2947 02:25:33,760 --> 02:25:36,080 THE TIME THAT STROKE NET WAS 2948 02:25:36,080 --> 02:25:37,680 INITIATED, THERE'S A GOOD 2949 02:25:37,680 --> 02:25:41,800 BALANCE OF ACUTE PREVENTION AND 2950 02:25:41,800 --> 02:25:43,600 RECOVERY TRIALS AS YOU CAN SEE 2951 02:25:43,600 --> 02:25:44,480 IN THE TABLE. 2952 02:25:44,480 --> 02:25:49,640 MOST HAVE BEEN PHASE 3. 2953 02:25:49,640 --> 02:25:51,520 A COUPLE PHASE 2 AND ONE 2954 02:25:51,520 --> 02:25:56,480 ANCILLARY STUDY. 2955 02:25:56,480 --> 02:25:57,480 SO THERE WAS CERTAINLY A CENSUS 2956 02:25:57,480 --> 02:26:01,840 OF THE WORKING GROUP THAT 2957 02:26:01,840 --> 02:26:05,840 CONTINUED SUPPORT WAS JUSTIFIED 2958 02:26:05,840 --> 02:26:07,800 FOR NEURO NEX AND THERE'S BEEN 2959 02:26:07,800 --> 02:26:10,520 HIGH IMPACT STUDIES AND THERE'S 2960 02:26:10,520 --> 02:26:13,840 BEEN A LOT OF IN PLACE TO BUILD 2961 02:26:13,840 --> 02:26:22,320 THE INFRASTRUCTURE FROM SCRATCH. 2962 02:26:22,320 --> 02:26:26,600 IN TERMS OF IMPACT, THE ONES 2963 02:26:26,600 --> 02:26:31,400 COMPLETED THERE WAS AN 2964 02:26:31,400 --> 02:26:33,760 OBSERVATIONAL STUDY TO THE 2965 02:26:33,760 --> 02:26:34,760 SUBSEQUENT TRIALS THAT LED TO 2966 02:26:34,760 --> 02:26:39,480 THE EVIDENCE FOR GENE-TARGETED 2967 02:26:39,480 --> 02:26:42,480 THERAPY AND A PHASE 2 TRIAL THAT 2968 02:26:42,480 --> 02:26:44,120 PROVIDED EVIDENCE FOR 2969 02:26:44,120 --> 02:26:47,120 PROGRESSIVE M.S. WITH GAPS IN 2970 02:26:47,120 --> 02:26:49,440 TREATMENTS AND THE DIFFUSE 3 2971 02:26:49,440 --> 02:26:50,560 TRIAL ANOTHER EXAMPLE FROM 2972 02:26:50,560 --> 02:26:52,600 STROKE NET THAT LED TO CHANGES 2973 02:26:52,600 --> 02:26:58,280 IN PRACTICE GUIDELINES. 2974 02:26:58,280 --> 02:27:00,280 IN TERMS OF EFFICIENCY, I WANT 2975 02:27:00,280 --> 02:27:09,760 TO HIGHLIGHT ONCE TRIALS ARE 2976 02:27:09,760 --> 02:27:13,080 ACTIVATED, THE NETWORKS WERE 2977 02:27:13,080 --> 02:27:14,760 TRACKING THEIR METRICS AND THERE 2978 02:27:14,760 --> 02:27:17,200 WERE CERTAINLY SOME IMPROVEMENTS 2979 02:27:17,200 --> 02:27:19,120 OVER TIME. 2980 02:27:19,120 --> 02:27:21,760 FOR EXAMPLE, THERE'S A RECENT 2981 02:27:21,760 --> 02:27:24,920 ANNOUNCEMENT TO ADD PLATFORM 2982 02:27:24,920 --> 02:27:30,520 TRIALS RELATED TO THROMB 2983 02:27:30,520 --> 02:27:31,000 INFORMATIONECTOMY AND 2984 02:27:31,000 --> 02:27:31,640 COLLABORATIONS TO THE COMMUNITY. 2985 02:27:31,640 --> 02:27:31,760 2986 02:27:39,000 --> 02:27:40,920 THROMBECTOMY AND SOME WERE 2987 02:27:40,920 --> 02:27:41,880 FUNDED FROM INVESTIGATORS FROM 2988 02:27:41,880 --> 02:27:45,720 OUTSIDE THE NETWORK. 2989 02:27:45,720 --> 02:27:47,080 THERE'S SUPPORT FOR CLINICAL 2990 02:27:47,080 --> 02:27:48,800 INVESTIGATORS AS WE DISCUSSED. 2991 02:27:48,800 --> 02:27:51,640 THERE WAS SOME INVOLVEMENT OF 2992 02:27:51,640 --> 02:27:54,040 PATIENT ADVOCACY GROUPS THOUGH 2993 02:27:54,040 --> 02:27:56,600 THAT WAS SOMEWHAT VARIABLE 2994 02:27:56,600 --> 02:27:57,720 ACROSS TRIALS AND THERE WERE 2995 02:27:57,720 --> 02:27:59,840 SOME INDUSTRY ENGAGEMENT. 2996 02:27:59,840 --> 02:28:02,600 FOR EXAMPLE, SEVERAL TRIALS WERE 2997 02:28:02,600 --> 02:28:05,720 CO-LED BY INDUSTRY SPONSORS AND 2998 02:28:05,720 --> 02:28:07,040 COMPANIES THAT PROVIDED 2999 02:28:07,040 --> 02:28:08,280 MEDICATIONS AND OTHER TYPES OF 3000 02:28:08,280 --> 02:28:21,640 SUPPORT TO SEVERAL TRIALS. 3001 02:28:21,640 --> 02:28:24,000 I'LL TURN IT OVER TO RICK. 3002 02:28:24,000 --> 02:28:26,840 >> I WANT TO ADD MY THANKS TO 3003 02:28:26,840 --> 02:28:28,640 NOT ONLY BARBARA AND CLINT AND 3004 02:28:28,640 --> 02:28:33,760 THE LEADERSHIP OF THE NETWORKS 3005 02:28:33,760 --> 02:28:37,040 AT NINDS ESPECIALLY KARA, SARA 3006 02:28:37,040 --> 02:28:40,560 AND CHRISTINA WITHOUT WHOM WE 3007 02:28:40,560 --> 02:28:41,920 WOULD NOT HAVE BEEN ABLE TO DO 3008 02:28:41,920 --> 02:28:42,480 THE PROJECT. 3009 02:28:42,480 --> 02:28:44,480 WE'RE VERY GRATEFUL FOR THAT. 3010 02:28:44,480 --> 02:28:48,200 I ALSO WANT TO ENDORSE THE 3011 02:28:48,200 --> 02:28:50,800 COMMENT THAT THE PROGRESS AND 3012 02:28:50,800 --> 02:28:52,360 ACCOMPLISHMENTS STARTING THESE 3013 02:28:52,360 --> 02:28:53,800 NETWORKS FROM SCRATCH HAS BEEN 3014 02:28:53,800 --> 02:28:55,920 PRETTY IMPRESSIVE. 3015 02:28:55,920 --> 02:28:59,000 WE DEFINITELY RECOMMEND BUILDING 3016 02:28:59,000 --> 02:29:01,920 FROM WHERE THEY ARE NOW. 3017 02:29:01,920 --> 02:29:04,840 WE CAME UP WITH SIX 3018 02:29:04,840 --> 02:29:06,840 RECOMMENDATIONS SLIGHTLY 3019 02:29:06,840 --> 02:29:07,720 DECEPTIVE BECAUSE THERE'S THREE 3020 02:29:07,720 --> 02:29:09,800 WITHIN THE COMMUNITY ENGAGEMENT 3021 02:29:09,800 --> 02:29:13,800 BUDGET BUT GENERALLY SIX 3022 02:29:13,800 --> 02:29:17,960 RECOMMENDATION EED -- 3023 02:29:17,960 --> 02:29:21,760 RECOMMENDATIONS WELL GO THROUGH 3024 02:29:21,760 --> 02:29:32,200 NOW. 3025 02:29:32,200 --> 02:29:34,840 AND THESE TOP TWO ARE CRITICAL 3026 02:29:34,840 --> 02:29:40,960 TO THE FUTURE HEALTH AND 3027 02:29:40,960 --> 02:29:45,200 POSSIBLY EVEN VIABILITY OF THE 3028 02:29:45,200 --> 02:29:46,360 NETWORK AND WANT TO EMPHASIZE 3029 02:29:46,360 --> 02:29:47,040 THOSE TWO. 3030 02:29:47,040 --> 02:29:50,520 IN ADDITION AT THE END WE WANT 3031 02:29:50,520 --> 02:29:51,800 TO FRAME TWO ADDITIONAL 3032 02:29:51,800 --> 02:29:55,080 IMPORTANT STRATEGIC ISSUES THAT 3033 02:29:55,080 --> 02:29:56,760 MIGHT BE CONSIDERED BY NINDS 3034 02:29:56,760 --> 02:30:01,160 LEADERSHIP BEYOND THE SCOPE OF 3035 02:30:01,160 --> 02:30:05,800 THESE SIX RECOMMENDATIONS. 3036 02:30:05,800 --> 02:30:08,000 SOW FOR THE FIRST RECOMMENDATION 3037 02:30:08,000 --> 02:30:09,800 AND BY THE WAY THESE WERE RANK 3038 02:30:09,800 --> 02:30:13,800 ORDERED AND THE TOP TWO 3039 02:30:13,800 --> 02:30:15,400 RECOMMENDATIONS THERE WAS ALWAYS 3040 02:30:15,400 --> 02:30:16,520 A STRONG AGREEMENT THESE ARE THE 3041 02:30:16,520 --> 02:30:21,120 TOP TWO AND THIS WAS THE FIRST. 3042 02:30:21,120 --> 02:30:22,920 SO THE PANEL RECOGNIZE THE VALUE 3043 02:30:22,920 --> 02:30:26,440 OF IDEAS AND PROPOSALS THAT 3044 02:30:26,440 --> 02:30:31,480 BUBBLE UP FROM THE RESEARCH 3045 02:30:31,480 --> 02:30:33,320 COMMUNITY BUT FEEL THERE WOULD 3046 02:30:33,320 --> 02:30:36,680 BE MAJOR ADVANTAGES TO SOME 3047 02:30:36,680 --> 02:30:37,680 PROACTIVE PRIORITY SETTING. 3048 02:30:37,680 --> 02:30:39,760 THIS COULD SERVE AS A MECHANISM 3049 02:30:39,760 --> 02:30:44,800 TO ENGAGE THE COMMUNITY AND IN 3050 02:30:44,800 --> 02:30:45,800 ESTABLISHING WHAT THE AREAS OF 3051 02:30:45,800 --> 02:30:47,280 HIGH OPPORTUNITY ARE. 3052 02:30:47,280 --> 02:30:51,120 IT COULD GENERATE COLLABORATIONS 3053 02:30:51,120 --> 02:30:53,320 FROM THE RESEARCH COMMUNITY AND 3054 02:30:53,320 --> 02:30:57,640 REDUCE THE AMOUNT OF COMPETITION 3055 02:30:57,640 --> 02:30:59,080 BETWEEN INVESTIGATORS WHO MIGHT 3056 02:30:59,080 --> 02:31:01,040 COME IN WITH COLLABORATIVE 3057 02:31:01,040 --> 02:31:03,080 APPLICATIONS AND IT COULD BE 3058 02:31:03,080 --> 02:31:04,320 THEORETICALLY LEAD TO HIGHER 3059 02:31:04,320 --> 02:31:08,600 IMPACT PROPOSALS AND PROJECTS. 3060 02:31:08,600 --> 02:31:10,280 WE DID HEAR DURING THE 3061 02:31:10,280 --> 02:31:13,000 INTERVIEWS AND FROM SOME SURVEY 3062 02:31:13,000 --> 02:31:14,400 QUESTIONS THERE WASN'T TOO CLEAR 3063 02:31:14,400 --> 02:31:15,880 TO A LOT OF INVESTIGATORS WHAT 3064 02:31:15,880 --> 02:31:19,960 WAS A PRIORITY. 3065 02:31:19,960 --> 02:31:21,800 I WANT TO EMPHASIZE THIS MAY BE 3066 02:31:21,800 --> 02:31:25,800 THE CONCURRENT APPROACH BUT 3067 02:31:25,800 --> 02:31:27,800 HARDLY UNIQUE ACROSS THE AREA. 3068 02:31:27,800 --> 02:31:30,800 MANY INSTITUTES AND CENTERS 3069 02:31:30,800 --> 02:31:33,080 PRIORITIZE NEEDS USING COMMUNITY 3070 02:31:33,080 --> 02:31:35,840 ENGAGEMENT AS A WAY TO 3071 02:31:35,840 --> 02:31:37,640 COLLABORATIVELY FUND PRIORITIES 3072 02:31:37,640 --> 02:31:40,400 AND THEN ISSUE ANNOUNCEMENTS 3073 02:31:40,400 --> 02:31:42,160 REGARDING THOSE PRIORITIES TO 3074 02:31:42,160 --> 02:31:44,240 GUIDE THE APPLICATIONS. 3075 02:31:44,240 --> 02:31:46,120 AGAIN, WE'RE NOT GOING TO 3076 02:31:46,120 --> 02:31:49,800 PROPOSE ELIMINATING THE 3077 02:31:49,800 --> 02:31:52,760 INVESTIGATOR INITIATED BUBBLE UP 3078 02:31:52,760 --> 02:31:55,120 APPROACH BUT RATHER TO AUGMENT 3079 02:31:55,120 --> 02:32:02,400 THAT WITH THIS RECOMMENDATION. 3080 02:32:02,400 --> 02:32:09,200 WE DO RECOMMEND IMPLEMENTING THE 3081 02:32:09,200 --> 02:32:09,800 MULTISTAKEHOLDER STUDIES FOR 3082 02:32:09,800 --> 02:32:11,600 SCIENTIFIC PROMISE AND ISSUE 3083 02:32:11,600 --> 02:32:13,720 FUNDING OPPORTUNITY 3084 02:32:13,720 --> 02:32:15,240 ANNOUNCEMENTS FOR THE IDENTIFIED 3085 02:32:15,240 --> 02:32:18,560 PRIORITY TO GUIDE THE 3086 02:32:18,560 --> 02:32:18,880 INVESTIGATORS. 3087 02:32:18,880 --> 02:32:20,720 LEVERAGE THIS APPROACH TO 3088 02:32:20,720 --> 02:32:23,080 ADVANCE THE USE OF INNOVATIVE 3089 02:32:23,080 --> 02:32:25,400 STUDY DESIGNS AND METHODS LIKE 3090 02:32:25,400 --> 02:32:26,680 PLATFORM TRIALS OR VIRTUAL 3091 02:32:26,680 --> 02:32:31,600 TRIALS AND PROMISING EMERGING 3092 02:32:31,600 --> 02:32:32,880 TECHNOLOGIES THAT COULD HAVE A 3093 02:32:32,880 --> 02:32:35,600 BIG IMPACT. 3094 02:32:35,600 --> 02:32:38,720 BECAUSE OF THE IMPORTANCE OF 3095 02:32:38,720 --> 02:32:42,440 PEDIATRIC STUDIES, WE STRONGLY 3096 02:32:42,440 --> 02:32:44,560 RECOMMEND THERE BE A REQUIREMENT 3097 02:32:44,560 --> 02:32:48,400 FOR TWO PEDIATRIC TRIALS PER 3098 02:32:48,400 --> 02:32:49,720 NETWORK AND POTENTIALLY TO 3099 02:32:49,720 --> 02:32:51,400 INCLUDE LONG-TERM OUTCOME 3100 02:32:51,400 --> 02:32:53,800 STUDIES GIVEN THE UNIQUE ISSUES 3101 02:32:53,800 --> 02:33:00,640 WITH PEDIATRIC TRIALS. 3102 02:33:00,640 --> 02:33:05,800 THE SECOND TOP RECOMMENDATION IS 3103 02:33:05,800 --> 02:33:13,800 TO MONUMENTALLY IMPROVE THE 3104 02:33:13,800 --> 02:33:14,200 PRE 3105 02:33:14,200 --> 02:33:21,280 PREPRE 3106 02:33:21,280 --> 02:33:26,240 PRE-AWARD REVIEW AND THE TIMES 3107 02:33:26,240 --> 02:33:29,080 FROM CONCEPT PROPOSAL SUBMISSION 3108 02:33:29,080 --> 02:33:32,480 TO STUDY ACTIVATION ARE ABOUT 3109 02:33:32,480 --> 02:33:33,960 THREE YEARS ON AVERAGE IN 3110 02:33:33,960 --> 02:33:37,800 NEURONEX AND TWO YEARS ON 3111 02:33:37,800 --> 02:33:39,000 AVERAGE FOR STROKE NET. 3112 02:33:39,000 --> 02:33:40,440 THAT UNDER STATES WHAT THE 3113 02:33:40,440 --> 02:33:42,280 PROBLEM IS BECAUSE THE SUCCESS 3114 02:33:42,280 --> 02:33:45,760 RATES OF PROPOSALS SUBMITTED ARE 3115 02:33:45,760 --> 02:33:56,280 PRETTY LOW, 5.5% FOR NEURONEXT 3116 02:33:56,280 --> 02:34:00,160 AND THE TIME LINES AND LOW 3117 02:34:00,160 --> 02:34:01,280 SUCCESS RATES AND WE FOUND THAT 3118 02:34:01,280 --> 02:34:04,520 NETWORK STAFF AND APPLICATIONS 3119 02:34:04,520 --> 02:34:08,800 SPENT A LOT OF TIME CONDUCTING 3120 02:34:08,800 --> 02:34:10,800 INTERNAL NETWORK REVIEWS AND 3121 02:34:10,800 --> 02:34:12,480 DOING METICULOUS AND OUTSTANDING 3122 02:34:12,480 --> 02:34:14,480 PLANNING FOR MANY PROPOSALS THAT 3123 02:34:14,480 --> 02:34:17,800 WERE NEVER INITIATED CONSUMING 3124 02:34:17,800 --> 02:34:21,320 SCARCE RESOURCES AND LOWERING 3125 02:34:21,320 --> 02:34:22,880 INVESTIGATOR ENTHUSIASM FOR THE 3126 02:34:22,880 --> 02:34:26,400 NETWORKS. 3127 02:34:26,400 --> 02:34:27,280 THIS CAME THROUGH CONSISTENTLY 3128 02:34:27,280 --> 02:34:30,440 IN ALL THE APPROACHES THAT WE 3129 02:34:30,440 --> 02:34:33,720 TOOK TO GET FEEDBACK. 3130 02:34:33,720 --> 02:34:38,880 SO WE ALSO SAW SOME DATA FROM 3131 02:34:38,880 --> 02:34:41,800 NEURONEXT THAT WERE A LITTLE BIT 3132 02:34:41,800 --> 02:34:44,000 WORRISOME AND MIGHT BE 3133 02:34:44,000 --> 02:34:45,720 CONSISTENT WITH LOWERED 3134 02:34:45,720 --> 02:34:49,480 ENTHUSIASM FOR THE NETWORKS. 3135 02:34:49,480 --> 02:34:53,800 EXCLUDING THE FIRST TWO YEARS OF 3136 02:34:53,800 --> 02:34:55,520 NEURONEXT IN THE FOUR YEAR 3137 02:34:55,520 --> 02:34:59,480 PERIOD FROM 2016 TO 2020, THERE 3138 02:34:59,480 --> 02:35:02,560 WERE 27 APPLICATIONS. 3139 02:35:02,560 --> 02:35:04,120 IN THE FOUR YEARS PROCEEDING 3140 02:35:04,120 --> 02:35:06,240 THAT, SO WE'RE LOOKING AT FOUR 3141 02:35:06,240 --> 02:35:07,560 YEARS COMPARED TO FOUR THERE 3142 02:35:07,560 --> 02:35:08,240 WERE 87. 3143 02:35:08,240 --> 02:35:11,640 SO IGNORING THE START UP TWO 3144 02:35:11,640 --> 02:35:15,040 YEARS, IT WENT FROM 87 PROPOSALS 3145 02:35:15,040 --> 02:35:17,200 DOWN TO 27. 3146 02:35:17,200 --> 02:35:18,960 NOW, THERE MAY BE REASONS FOR 3147 02:35:18,960 --> 02:35:21,800 THAT BEYOND LOWERED ENTHUSIASM 3148 02:35:21,800 --> 02:35:25,440 BUT WE WERE CONCERNED GIVEN THE 3149 02:35:25,440 --> 02:35:27,600 OTHER FEEDBACK ON THE POINT AND 3150 02:35:27,600 --> 02:35:31,080 THE RECOMMENDATION IS WE 3151 02:35:31,080 --> 02:35:34,240 RECOMMEND THE TIME BETWEEN 3152 02:35:34,240 --> 02:35:37,680 CONCEPT SUBMISSION TO NOGA BE 3153 02:35:37,680 --> 02:35:39,960 REDUCED BY AT LEAST 50%. 3154 02:35:39,960 --> 02:35:41,640 THAT'S A VERY AMBITIOUS 3155 02:35:41,640 --> 02:35:44,200 RECOMMENDATION BUT WE THINK THAT 3156 02:35:44,200 --> 02:35:46,360 WOULD REALLY BE IMPORTANT FOR 3157 02:35:46,360 --> 02:35:49,560 THE HEALTH AND VIABILITY OF THE 3158 02:35:49,560 --> 02:35:53,200 NETWORKS OVER TIME. 3159 02:35:53,200 --> 02:35:56,600 AND AS PART OF THAT WE THINK IT 3160 02:35:56,600 --> 02:35:57,800 MAY BE ADVISABLE TO MOVE THE 3161 02:35:57,800 --> 02:36:00,520 PEER REVIEW EARLIER IN THE 3162 02:36:00,520 --> 02:36:00,760 PROCESS. 3163 02:36:00,760 --> 02:36:04,400 SO PROPOSALS NOT GOING TO DO 3164 02:36:04,400 --> 02:36:08,800 WELL DON'T CONSUME OUR RESOURCES 3165 02:36:08,800 --> 02:36:09,400 IN METICULOUS PLANNING. 3166 02:36:09,400 --> 02:36:13,240 WE HEARD FROM MORE THAN ONE 3167 02:36:13,240 --> 02:36:15,840 INVESTIGATOR OR NETWORK 3168 02:36:15,840 --> 02:36:18,040 PARTICIPANT THAT IT'S EXTREMELY 3169 02:36:18,040 --> 02:36:18,920 DEMORALIZING TO SPEND TWO TO 3170 02:36:18,920 --> 02:36:23,640 THREE YEARS ONLY TO FIND OUT IT 3171 02:36:23,640 --> 02:36:24,840 WASN'T CONSIDERED HIGH ENOUGH 3172 02:36:24,840 --> 02:36:27,600 PRIORITY TO ACHIEVE A FUNDABLE 3173 02:36:27,600 --> 02:36:29,720 SCORE IN THE STUDY SECTION. 3174 02:36:29,720 --> 02:36:33,800 ONE IDEA THAT WE HAD, WHICH 3175 02:36:33,800 --> 02:36:40,560 COULD BE CONSIDERED WOULD BE TO 3176 02:36:40,560 --> 02:36:42,080 NOT ONLY MOVE THE PEER REVIEW 3177 02:36:42,080 --> 02:36:43,440 BUT INCLUDE THE FUNDING FOR 3178 02:36:43,440 --> 02:36:45,960 TRIALS WITHIN THE NETWORK 3179 02:36:45,960 --> 02:36:48,480 THEMSELVES SO THE NETWORKS WOULD 3180 02:36:48,480 --> 02:36:49,800 HAVE CONTROL OVER THE 3181 02:36:49,800 --> 02:36:50,880 PEER-REVIEW PROCESS AND THE 3182 02:36:50,880 --> 02:36:57,000 FUNDING OF PROPOSALS THAT THEY 3183 02:36:57,000 --> 02:36:57,560 HAVE WORK ON. 3184 02:36:57,560 --> 02:37:01,800 THIS COMBINED WITH THE FIRST 3185 02:37:01,800 --> 02:37:05,640 PROACIVELY -- PROACTIVELY 3186 02:37:05,640 --> 02:37:07,000 DEFINING PRIORITIES WE BELIEVE 3187 02:37:07,000 --> 02:37:09,440 WOULD BE THE TOP TWO 3188 02:37:09,440 --> 02:37:24,840 RECOMMENDATIONS. 3189 02:37:24,840 --> 02:37:32,640 >> WE HAVE INTERNAL AND EXTERNAL 3190 02:37:32,640 --> 02:37:33,360 COMMUNITI 3191 02:37:33,360 --> 02:37:34,800 COMMUNITY ENGAGEMENT AND STARTED 3192 02:37:34,800 --> 02:37:36,840 WITH ADVOCACY GROUP ENGAGEMENT. 3193 02:37:36,840 --> 02:37:39,760 WE HEARD IT WAS IMPORTANT AND 3194 02:37:39,760 --> 02:37:41,320 EVIDENCE OF IT BUT IT SEEMED 3195 02:37:41,320 --> 02:37:43,040 PRETTY INCONSISTENT AND I THINK 3196 02:37:43,040 --> 02:37:44,920 ONE OF THE THEMES HERE IS THE 3197 02:37:44,920 --> 02:37:49,800 NOTION OF INTENTIONALITY AND 3198 02:37:49,800 --> 02:37:51,800 WITH THE NEXT FUNDING CYCLE 3199 02:37:51,800 --> 02:37:53,440 THERE'S OPPORTUNITY FOR 3200 02:37:53,440 --> 02:37:57,800 INTENTIONALITY ABOUT ENROLLMENT 3201 02:37:57,800 --> 02:38:00,680 AND PLACEMENT OF PATIENT 3202 02:38:00,680 --> 02:38:03,000 ADVOCACY GROUPS IT ALSO SEEMED 3203 02:38:03,000 --> 02:38:04,680 LIKE WHERE THERE WAS INVOLVEMENT 3204 02:38:04,680 --> 02:38:09,800 IT WAS FOCUSSED ON RECRUITMENT 3205 02:38:09,800 --> 02:38:12,520 AN RETENTION WITH A BROADER 3206 02:38:12,520 --> 02:38:13,760 STAGES OF PROTOCOL DEVELOPMENT 3207 02:38:13,760 --> 02:38:17,800 AND REPORTING AND SO FORTH. 3208 02:38:17,800 --> 02:38:20,000 AND THERE WEREN'T REALLY THAT WE 3209 02:38:20,000 --> 02:38:24,000 COULD IDENTIFY EXPLICIT AND 3210 02:38:24,000 --> 02:38:25,760 CONSISTENT EXPECTATIONS ON WHAT 3211 02:38:25,760 --> 02:38:27,000 THE PACK WOULD DO AND WHERE 3212 02:38:27,000 --> 02:38:32,800 SHOULD BE PLACED. 3213 02:38:32,800 --> 02:38:34,520 SO THE WORKING GROUP'S 3214 02:38:34,520 --> 02:38:37,120 RECOMMENDATION WAS TO ELEVATE 3215 02:38:37,120 --> 02:38:41,360 THE ROLE TO MAKE IT 3216 02:38:41,360 --> 02:38:43,040 INTENTIONALLY AN INTRINSIC 3217 02:38:43,040 --> 02:38:43,880 PRINCIPLE IN ALL STAGES OF 3218 02:38:43,880 --> 02:38:45,720 RESEARCH NOT JUST RECRUITMENT 3219 02:38:45,720 --> 02:38:47,440 AND RETENTION BUT EVERYTHING 3220 02:38:47,440 --> 02:38:48,640 FROM PROJECT DEVELOPMENT TO 3221 02:38:48,640 --> 02:38:49,800 DISSEMINATION AND EVERYTHING IN 3222 02:38:49,800 --> 02:38:59,600 BETWEEN. 3223 02:38:59,600 --> 02:39:02,480 ONE WAY WOULD BE TO INCLUDE 3224 02:39:02,480 --> 02:39:03,800 REPRESENTATION OF LEADERSHIP OF 3225 02:39:03,800 --> 02:39:07,120 THE NETWORKS AND TRIALS AND 3226 02:39:07,120 --> 02:39:10,800 SITES AND THOUGHT THE PACK 3227 02:39:10,800 --> 02:39:13,760 SHOULD BE AT THE GOVERNANCE 3228 02:39:13,760 --> 02:39:15,520 STRUCTURE REFLECTING MAXIMAL 3229 02:39:15,520 --> 02:39:15,800 IMPACT. 3230 02:39:15,800 --> 02:39:17,480 YOU'LL HEAR A THEME AS YOU HEARD 3231 02:39:17,480 --> 02:39:20,040 BEFORE, THERE HAS TO BE RESOURCE 3232 02:39:20,040 --> 02:39:20,920 TO DO THIS. 3233 02:39:20,920 --> 02:39:22,440 THESE AREN'T ENTITIES THAT COULD 3234 02:39:22,440 --> 02:39:25,760 BE SET UP WITHOUT HAVING THE 3235 02:39:25,760 --> 02:39:30,880 RESOURCES TO DO SO. 3236 02:39:30,880 --> 02:39:34,560 IN THE AREA OF THE INDUSTRY, IT 3237 02:39:34,560 --> 02:39:36,000 APPEARED THAT INDUSTRY 3238 02:39:36,000 --> 02:39:37,760 INVOLVEMENT HAVE BEEN LIMITED 3239 02:39:37,760 --> 02:39:40,200 AND MAY EVEN BE DECLINING 3240 02:39:40,200 --> 02:39:41,760 POSSIBLY BECAUSE OF THE LONG 3241 02:39:41,760 --> 02:39:44,120 TIME LINES AND THE NEED FOR 3242 02:39:44,120 --> 02:39:46,200 SEPARATE PEER REVIEW AND YET 3243 02:39:46,200 --> 02:39:47,960 THERE WAS CERTAINLY A SENSE THAT 3244 02:39:47,960 --> 02:39:49,800 THERE WERE A LOT OF POTENTIAL 3245 02:39:49,800 --> 02:39:53,520 BENEFITS. 3246 02:39:53,520 --> 02:39:57,480 SO THE WORKING GROUP RECOMMENDS 3247 02:39:57,480 --> 02:39:58,920 CONSULTING BOARDS FOR EACH 3248 02:39:58,920 --> 02:40:01,600 NETWORK AND TO THINK CREATIVELY 3249 02:40:01,600 --> 02:40:03,880 ABOUT WAYS THAT COULD BE MUTUAL 3250 02:40:03,880 --> 02:40:04,320 BENEFIT. 3251 02:40:04,320 --> 02:40:05,600 FOR EXAMPLE, ADVISORY ON STUDY 3252 02:40:05,600 --> 02:40:11,000 DESIGN AND REGULATORY ISSUES. 3253 02:40:11,000 --> 02:40:12,440 PERHAPS INFORMATION ON PROMISING 3254 02:40:12,440 --> 02:40:15,240 COMPOUNDS AND CERTAINLY 3255 02:40:15,240 --> 02:40:15,880 INVOLVEMENT IN TRAINING IS OF 3256 02:40:15,880 --> 02:40:22,600 FUTURE INVESTIGATORS. 3257 02:40:22,600 --> 02:40:23,320 THERE MAY BE MORE OPPORTUNITIES 3258 02:40:23,320 --> 02:40:25,760 FOR PARTNERSHIPS TO BRING IN 3259 02:40:25,760 --> 02:40:33,760 PRODUCT AND SO FORTH. 3260 02:40:33,760 --> 02:40:37,560 AS WELL AS CHANGES WITH 3261 02:40:37,560 --> 02:40:39,000 RECOMMENDATIONS 1 AND 2 3262 02:40:39,000 --> 02:40:40,800 ENCOURAGE COMPANIES TO BE 3263 02:40:40,800 --> 02:40:41,760 INVOLVED IN THE NETWORKS FOR 3264 02:40:41,760 --> 02:40:45,640 THEIR TRIALS. 3265 02:40:45,640 --> 02:40:47,920 AND FOR THE THIRD PART OF THE 3266 02:40:47,920 --> 02:40:51,800 RECOMMENDATION, THIS HAS TO DO 3267 02:40:51,800 --> 02:40:54,560 WITH THE INTERNAL COMMUNITY AND 3268 02:40:54,560 --> 02:40:58,360 THERE SEEMED TO BE A SCARCITY OR 3269 02:40:58,360 --> 02:40:59,520 AT LEAST WE WERE HEARING FROM 3270 02:40:59,520 --> 02:41:01,400 SITES CHALLENGES IN TERMS OF 3271 02:41:01,400 --> 02:41:03,600 ADEQUATE RESOURCES FOR COMMUNITY 3272 02:41:03,600 --> 02:41:05,800 OUTREACH FOR SUBJECT 3273 02:41:05,800 --> 02:41:11,280 IDENTIFICATION AND RECRUITMENT. 3274 02:41:11,280 --> 02:41:13,000 WE HEARD SOME INVESTIGATORS WERE 3275 02:41:13,000 --> 02:41:16,000 MAKE CHOICE IN RECRUITING FOR A 3276 02:41:16,000 --> 02:41:17,720 BETTER PAYING TRIAL FROM 3277 02:41:17,720 --> 02:41:25,800 INDUSTRY VERSUS ONE FROM THE 3278 02:41:25,800 --> 02:41:26,280 NETWORK. 3279 02:41:26,280 --> 02:41:29,760 THERE WAS ALSO A NUMBER OF 3280 02:41:29,760 --> 02:41:34,600 COMMENTS ABOUT TURNOVER OR HOW 3281 02:41:34,600 --> 02:41:38,160 TO MAKE COORDINATOR RETENTION 3282 02:41:38,160 --> 02:41:39,560 STRONGER AND A LOT OF GOOD IDEAS 3283 02:41:39,560 --> 02:41:47,640 ABOUT HOW TO DO THIS. 3284 02:41:47,640 --> 02:41:51,800 SO WE RECOMMENDED INCREASING 3285 02:41:51,800 --> 02:41:53,800 ATTENTION TO AND INCREASING 3286 02:41:53,800 --> 02:41:55,680 RECRUITMENT FROM UNDER 3287 02:41:55,680 --> 02:41:57,520 REPRESENTED GROUPS WHICH COULD 3288 02:41:57,520 --> 02:42:00,640 BE GROUPS WITH RARE CONDITIONS 3289 02:42:00,640 --> 02:42:02,360 AND BETTER RESOURCING AND 3290 02:42:02,360 --> 02:42:03,800 RECOGNIZING THE ROLE OF 3291 02:42:03,800 --> 02:42:08,800 COORDINATORS. 3292 02:42:08,800 --> 02:42:10,480 WE HAVE A FIFTH RECOMMENDATION 3293 02:42:10,480 --> 02:42:13,320 WAS TO SET EXPLICIT GOALS TO 3294 02:42:13,320 --> 02:42:15,800 ADDRESS DIVERSITY, EQUITY AND 3295 02:42:15,800 --> 02:42:16,360 INCLUSION AND THEN RESOURCE 3296 02:42:16,360 --> 02:42:18,400 THOSE. 3297 02:42:18,400 --> 02:42:22,560 AND WE RECOGNIZE THE NETWORKS 3298 02:42:22,560 --> 02:42:27,440 HAD MADE EFFORTS TO TRY TO 3299 02:42:27,440 --> 02:42:31,520 RECRUIT STUDY PARTICIPANTS FROM 3300 02:42:31,520 --> 02:42:37,360 RACES AND ETHNICITIES. 3301 02:42:37,360 --> 02:42:41,600 WE LOOKED AT THE DATA OF ALL 3302 02:42:41,600 --> 02:42:43,280 NEURONEXT PARTICIPANTS AND 3303 02:42:43,280 --> 02:42:44,240 STROKENET PARTICIPANTS SINCE 3304 02:42:44,240 --> 02:42:45,000 INCEPTION. 3305 02:42:45,000 --> 02:42:47,400 WE COMPARED THIS TO 2020 3306 02:42:47,400 --> 02:42:49,720 U.S. CENSUS DATA IN THE AREA OF 3307 02:42:49,720 --> 02:42:53,800 HISPANIC AND LATINO TRIAL 3308 02:42:53,800 --> 02:42:57,000 PARTICIPANTS WE WERE FAR UNDER 3309 02:42:57,000 --> 02:43:01,800 IN THE NETWORKS THEN THE CENSUS 3310 02:43:01,800 --> 02:43:02,000 DATA. 3311 02:43:02,000 --> 02:43:03,800 AND WITH THE EXCEPTION OF BLACK 3312 02:43:03,800 --> 02:43:06,640 PARTICIPANTS IN STROKENET, THERE 3313 02:43:06,640 --> 02:43:09,800 WAS ALSO UNDER REPRESENTATION OF 3314 02:43:09,800 --> 02:43:13,800 NON-WHITE RACES. 3315 02:43:13,800 --> 02:43:15,800 EVEN WITHIN THE BLACK 3316 02:43:15,800 --> 02:43:18,280 PARTICIPANTS OF STROKENET, THERE 3317 02:43:18,280 --> 02:43:19,360 WAS VARIABILITY. 3318 02:43:19,360 --> 02:43:21,000 SOME TRIALS IT WAS VERY LOW AND 3319 02:43:21,000 --> 02:43:27,760 SOME WERE UP TO 50%. 3320 02:43:27,760 --> 02:43:33,000 WE ALSO NOTED THE DIVERSITY OF 3321 02:43:33,000 --> 02:43:35,800 THE WORKFORCE AND TRAINEES WAS 3322 02:43:35,800 --> 02:43:39,760 NOT AS SKFTLY TRACKED SO IT -- 3323 02:43:39,760 --> 02:43:41,320 EXACTLY TRACKED SO IT WAS HARDER 3324 02:43:41,320 --> 02:43:43,840 TO TELL HOW THAT WAS DOING. 3325 02:43:43,840 --> 02:43:46,600 THE RECOMMENDATION IS TO SET AN 3326 02:43:46,600 --> 02:43:49,400 EXPLICIT GOAL TO ACHIEVE A 3327 02:43:49,400 --> 02:43:53,000 DISTRIBUTION OF STUDY 3328 02:43:53,000 --> 02:43:53,920 PARTICIPANTS AND TRAINEES AND 3329 02:43:53,920 --> 02:43:57,640 STAFF THAT AT LEAST REFLECT THE 3330 02:43:57,640 --> 02:43:59,280 PROPORTIONS OF INDIVIDUALS BY 3331 02:43:59,280 --> 02:44:00,040 RACE AND HISPANIC ETHNICITY 3332 02:44:00,040 --> 02:44:03,600 ACCORDING TO THE 2020 CENSUS. 3333 02:44:03,600 --> 02:44:04,800 OBVIOUSLY, THERE COULD BE 3334 02:44:04,800 --> 02:44:07,800 CONDITIONS OR STUDIES WHERE YOU 3335 02:44:07,800 --> 02:44:09,200 MAY WANT TO EXCEED THE 3336 02:44:09,200 --> 02:44:13,800 U.S. CENSUS WHICH IS WHY WE SAY 3337 02:44:13,800 --> 02:44:34,360 AT LEAST THAT PROPORTION. 3338 02:44:34,360 --> 02:44:35,800 AND WE RECOMMEND THERE BE A GOAL 3339 02:44:35,800 --> 02:44:39,800 TO ACHIEVE THIS END POINT AND 3340 02:44:39,800 --> 02:44:45,760 THAT THE DEI PLAN IS A TOOL NOT 3341 02:44:45,760 --> 02:44:52,600 AN END POINT. 3342 02:44:52,600 --> 02:44:55,920 AND THE FIFTH RECOMMENDATION ON 3343 02:44:55,920 --> 02:44:57,000 ENHANCING THE WORKFORCE 3344 02:44:57,000 --> 02:44:58,880 DEVELOPMENT, READINESS AND 3345 02:44:58,880 --> 02:45:00,200 RETENTION, IT WAS CLEAR TRAINING 3346 02:45:00,200 --> 02:45:01,400 IS AN IMPORTANT PART OF THE 3347 02:45:01,400 --> 02:45:01,640 NETWORK. 3348 02:45:01,640 --> 02:45:07,000 WE WANT THE NEXT GENERATION OF 3349 02:45:07,000 --> 02:45:07,720 CLINICAL TRIAL INVESTIGATORS, IT 3350 02:45:07,720 --> 02:45:11,120 SEEMED THERE WAS NOT ENOUGH 3351 02:45:11,120 --> 02:45:15,840 SUPPORT IN TRAINING AND IN 3352 02:45:15,840 --> 02:45:16,600 NEURONEXT AND EXPLICIT 3353 02:45:16,600 --> 02:45:19,800 INFORMATION ABOUT WHO IS THIS 3354 02:45:19,800 --> 02:45:21,720 TARGETING WHETHER THE TRAINING 3355 02:45:21,720 --> 02:45:23,040 REQUIREMENTS AND WHAT ARE WE 3356 02:45:23,040 --> 02:45:28,760 AIMING FOR WITH THE RESOURCES. 3357 02:45:28,760 --> 02:45:30,600 SO WE WOULD RECOMMEND FOR THE 3358 02:45:30,600 --> 02:45:32,840 NEXT CYCLE TO ESTABLISH SPECIFIC 3359 02:45:32,840 --> 02:45:38,120 EXPECTATIONS AND DELIVERABLES 3360 02:45:38,120 --> 02:45:42,080 FOR THE PROGRAM AND MAKE SURE 3361 02:45:42,080 --> 02:45:43,520 THERE'S AN INTENTIONAL APPROACH 3362 02:45:43,520 --> 02:45:44,360 TO THE TRAINING AND SELECTION 3363 02:45:44,360 --> 02:45:55,640 PROCESS AND SO FORTH. 3364 02:45:55,640 --> 02:45:59,040 >> THIS RECOMMENDATION IS TO 3365 02:45:59,040 --> 02:45:59,800 STRENGTHEN THE NETWORK 3366 02:45:59,800 --> 02:46:04,440 EVALUATION AND CONTINUOUS 3367 02:46:04,440 --> 02:46:04,760 IMPROVEMENT. 3368 02:46:04,760 --> 02:46:08,600 I WILL SAY AT THE OUTSET THAT 3369 02:46:08,600 --> 02:46:11,320 THERE HAS BEEN SIGNIFICANT 3370 02:46:11,320 --> 02:46:13,280 IMPROVEMENT OVER TIME WHICH WE 3371 02:46:13,280 --> 02:46:21,360 HAVE NOTED. 3372 02:46:21,360 --> 02:46:25,800 WE FEEL THIS COULD BE MORE 3373 02:46:25,800 --> 02:46:29,600 FORMAL, EXPLICIT AND CONSISTENT. 3374 02:46:29,600 --> 02:46:31,440 MANY OF THE WORKING GROUP 3375 02:46:31,440 --> 02:46:33,800 RECOMMENDATIONS AS BARBARA 3376 02:46:33,800 --> 02:46:36,360 MENTIONED WERE CITED IN PRIOR 3377 02:46:36,360 --> 02:46:37,800 EXTERNAL OVERSIGHT BOARD REPORTS 3378 02:46:37,800 --> 02:46:43,200 WE REVIEWED TOWARDS THE END WE 3379 02:46:43,200 --> 02:46:44,400 COULDN'T FIGURE OUT WHAT HAD 3380 02:46:44,400 --> 02:46:47,480 HAPPENED WITH THOSE AND FEEDBACK 3381 02:46:47,480 --> 02:46:50,080 FROM THE SITES WAS PRETTY 3382 02:46:50,080 --> 02:46:50,400 CONSISTENT. 3383 02:46:50,400 --> 02:46:53,360 THEY WERE OFTEN PROVIDED INPUT 3384 02:46:53,360 --> 02:46:57,200 THAT WAS SOMEWHAT SOLICITED AND 3385 02:46:57,200 --> 02:46:57,920 SOMETIMES SPONTANEOUS BUT MANY 3386 02:46:57,920 --> 02:46:59,880 PEOPLE SAID THEY REALLY DIDN'T 3387 02:46:59,880 --> 02:47:01,800 KNOW WHATEVER HAPPENED TO THAT 3388 02:47:01,800 --> 02:47:09,800 INPUT. 3389 02:47:09,800 --> 02:47:10,800 THE RECOMMENDATION IS TO DEVELOP 3390 02:47:10,800 --> 02:47:13,400 IN EXPLICIT FIVE-YEAR EVALUATION 3391 02:47:13,400 --> 02:47:14,080 PLAN THAEPT ONSET OF THE NEXT 3392 02:47:16,640 --> 02:47:19,960 PLAN ON THE ONSET OF THE NEXT 3393 02:47:19,960 --> 02:47:21,920 PHASE OF THE NETWORK AND 3394 02:47:21,920 --> 02:47:25,760 SYSTEMIC PROCESSES TO GET 3395 02:47:25,760 --> 02:47:28,280 FEEDBACK ACROSS PROGRAM GOALS 3396 02:47:28,280 --> 02:47:31,400 AND INCLUDING A PROCESS FOR AT 3397 02:47:31,400 --> 02:47:33,760 LEAST ANNUAL INPUT FROM ALL 3398 02:47:33,760 --> 02:47:43,920 PARTICIPANTS IN THE NETWORKS. 3399 02:47:43,920 --> 02:47:49,400 AND A PROCESS TO GET FEEDBACK 3400 02:47:49,400 --> 02:47:50,960 BACK TO THE FRONT LINE OF WHAT 3401 02:47:50,960 --> 02:47:52,800 CHANGES ARE BEING MADE AND THINK 3402 02:47:52,800 --> 02:47:54,920 THE PLAN SHOULD COME WITH 3403 02:47:54,920 --> 02:47:57,800 METRICS TO MONITOR THE PROGRESS 3404 02:47:57,800 --> 02:48:13,520 ON THE EVALUATION ITSELF. 3405 02:48:13,520 --> 02:48:15,320 AND IN SEEING BEYOND THE SCOPE 3406 02:48:15,320 --> 02:48:18,240 OF THE SIX RECOMMENDATIONS WE'RE 3407 02:48:18,240 --> 02:48:21,760 MAKING, WE THOUGHT THESE WOULD 3408 02:48:21,760 --> 02:48:25,440 BE IMPORTANT CONSIDERATIONS FOR 3409 02:48:25,440 --> 02:48:26,080 NINDS LEADERSHIP INCLUDING THE 3410 02:48:26,080 --> 02:48:28,720 COUNCIL TO THINK ABOUT. 3411 02:48:28,720 --> 02:48:32,160 NUMBER ONE, ASK THE QUESTION IF 3412 02:48:32,160 --> 02:48:35,960 WE WERE DESIGNING A NEUROSCIENCE 3413 02:48:35,960 --> 02:48:37,000 CLINICAL TRIAL NETWORK FOR THE 3414 02:48:37,000 --> 02:48:39,840 21st CENTURY IS THE CURRENT 3415 02:48:39,840 --> 02:48:41,760 ORGANIZATION OPTIMAL? 3416 02:48:41,760 --> 02:48:46,480 MAYBE IT IS. 3417 02:48:46,480 --> 02:48:48,560 THERE'S ONE NETWORK FOR STROKE 3418 02:48:48,560 --> 02:48:51,800 TRIALS ACROSS THE DEVELOPMENT 3419 02:48:51,800 --> 02:48:53,520 SPECTRUM THOUGH HEAVILY WEIGHED 3420 02:48:53,520 --> 02:48:54,680 IN THE DIRECTION OF PHASE 3 3421 02:48:54,680 --> 02:48:57,800 TRIALS AND ONE NETWORK FOR ALL 3422 02:48:57,800 --> 02:49:00,200 OTHER NEUROLOGIC CONDITIONS 3423 02:49:00,200 --> 02:49:00,800 FOCUSSED MOSTLY ON PHASE 2 3424 02:49:00,800 --> 02:49:04,880 TRIALS. 3425 02:49:04,880 --> 02:49:07,840 IS THIS OPTIMAL? 3426 02:49:07,840 --> 02:49:08,600 THAT'S SOMETHING THAT'S A 3427 02:49:08,600 --> 02:49:10,840 STRATEGIC CONSIDERATION FOR THE 3428 02:49:10,840 --> 02:49:12,560 LEADERSHIP TO THINK ABOUT. 3429 02:49:12,560 --> 02:49:16,400 THE SECOND PART OF THIS 3430 02:49:16,400 --> 02:49:21,080 CONSIDERATION IS THE RAPID 3431 02:49:21,080 --> 02:49:25,480 ADVANCES IN EXPERIMENTAL NEURAL 3432 02:49:25,480 --> 02:49:29,800 THERAPEUTICS AS A DISCIPLINE. 3433 02:49:29,800 --> 02:49:30,400 THERE'S RAPIDLY ADVANCING 3434 02:49:30,400 --> 02:49:33,320 TECHNOLOGIC IMPROVEMENTS IN 3435 02:49:33,320 --> 02:49:36,840 ANALYTIC SCIENCES, DATA SCIENCES 3436 02:49:36,840 --> 02:49:39,000 AND INFORMATICS, BIOMARKERS, 3437 02:49:39,000 --> 02:49:41,440 IMAGING METHODOLOGIES, DIGITAL 3438 02:49:41,440 --> 02:49:54,680 TECHNOLOGIES AND MANY OTHER. 3439 02:49:54,680 --> 02:49:59,640 AND THERE'S EXPERTISE FOR THE 3440 02:49:59,640 --> 02:50:00,000 ADVANCES. 3441 02:50:00,000 --> 02:50:05,320 WE WONDERED WHETHER THERE'S A 3442 02:50:05,320 --> 02:50:09,800 MECHANISM TO ENGAGE EXPERTISE IN 3443 02:50:09,800 --> 02:50:15,600 OR AT THE CLINICAL SITES TO 3444 02:50:15,600 --> 02:50:17,200 AUGMENT WHAT'S AVAILABLE AT THE 3445 02:50:17,200 --> 02:50:17,560 NETWORKS. 3446 02:50:17,560 --> 02:50:22,240 THESE ARE BIG PICTURE ISSUES FOR 3447 02:50:22,240 --> 02:50:27,360 WHETHER THIS IS OPTIMAL FOR 3448 02:50:27,360 --> 02:50:30,760 DRIVING ADVANCES IN NEURAL 3449 02:50:30,760 --> 02:50:31,080 THERAPEUTICS. 3450 02:50:31,080 --> 02:50:36,600 THE NEXT SLIDE IS JUST A 3451 02:50:36,600 --> 02:50:37,800 CLARIFICATION AND THERE SEEMED 3452 02:50:37,800 --> 02:50:39,800 TO BE CONFUSION IN THE FOCUS 3453 02:50:39,800 --> 02:50:42,280 GROUPS AND IN THE INTERVIEWS AND 3454 02:50:42,280 --> 02:50:47,520 EVEN ON SOME OF THE SURVEY 3455 02:50:47,520 --> 02:50:49,800 RESU 3456 02:50:49,800 --> 02:50:51,560 RESULTS WHERE CLINICAL TRIALS 3457 02:50:51,560 --> 02:50:56,280 TOOLS AND METHODS IN THE 3458 02:50:56,280 --> 02:50:59,080 VALIDATION OF THE TOOLS ARE IN 3459 02:50:59,080 --> 02:50:59,280 SCOPE. 3460 02:50:59,280 --> 02:51:00,520 THEY SEEM TO BE. 3461 02:51:00,520 --> 02:51:01,800 THERE WERE TWO BIOMARKER STUDIES 3462 02:51:01,800 --> 02:51:06,080 AS BARBARA MENTIONED IN 3463 02:51:06,080 --> 02:51:08,520 NEURONEXT BUT EVEN AT THE 3464 02:51:08,520 --> 02:51:11,920 LEADERSHIP LEVEL AT THE CORE 3465 02:51:11,920 --> 02:51:13,880 FACILITIES THERE WAS UNCERTAINTY 3466 02:51:13,880 --> 02:51:15,880 WHETHER THERE WAS DEVELOPMENT OF 3467 02:51:15,880 --> 02:51:18,480 TOOLS, MAKE IT ISN'T, MAYBE IT 3468 02:51:18,480 --> 02:51:22,720 IS AND MAYBE IT SHOULDN'T AND 3469 02:51:22,720 --> 02:51:30,160 WHAT SHOULD BE TARGETED. 3470 02:51:30,160 --> 02:51:35,280 BEFORE CLOSING THIS OFF AND 3471 02:51:35,280 --> 02:51:40,640 OPENING FOR QUESTIONS, ED 3472 02:51:40,640 --> 02:51:41,440 TREVATHAN PARTICIPATED IN 3473 02:51:41,440 --> 02:51:43,080 EVERYTHING WE DID AND HERE AT 3474 02:51:43,080 --> 02:51:45,800 THE MEETING AND WONDERED IF 3475 02:51:45,800 --> 02:51:51,840 THERE'S THINGS YOU WANT TO 3476 02:51:51,840 --> 02:51:52,880 ELABORATE. 3477 02:51:52,880 --> 02:51:54,760 >> I JUST WANT TO THANK RICK AND 3478 02:51:54,760 --> 02:51:59,440 BARBARA FOR DOING SUCH A 3479 02:51:59,440 --> 02:52:01,680 WONDERFUL JOB. 3480 02:52:01,680 --> 02:52:04,960 THEY SUMMARIZED IT SMOOTHLY AND 3481 02:52:04,960 --> 02:52:06,680 SUCCINCTLY BUT THOUGH WE ONLY 3482 02:52:06,680 --> 02:52:08,240 MET ABOUT A LOT TIMES, THERE'S A 3483 02:52:08,240 --> 02:52:09,920 LOT OF WORK THEY AND OTHERS DID 3484 02:52:09,920 --> 02:52:11,280 OUTSIDE THE MEETINGS. 3485 02:52:11,280 --> 02:52:13,800 I WANT TO THANK THEM AND THE 3486 02:52:13,800 --> 02:52:15,320 STAFF THAT ARE LISTED ON THE 3487 02:52:15,320 --> 02:52:18,600 SLEIGHT SLIDE FOR DOING SUCH A 3488 02:52:18,600 --> 02:52:23,600 FANTASTIC JOB OF PROVIDING THE 3489 02:52:23,600 --> 02:52:25,800 DATA REQUESTED BY THE GROUP THAT 3490 02:52:25,800 --> 02:52:29,800 DID THIS EVALUATION. 3491 02:52:29,800 --> 02:52:40,200 THERE'S A LOT OF PRETTY DEEP AND 3492 02:52:40,200 --> 02:52:40,840 INSIGHTFUL RECOMMENDATIONS THAT 3493 02:52:40,840 --> 02:52:43,440 WILL TAKE TIME TO DIGEST. 3494 02:52:43,440 --> 02:52:47,280 I'LL MENTION ONE ASPECT THAT 3495 02:52:47,280 --> 02:52:52,360 ILLUSTRATES I THINK RICK 3496 02:52:52,360 --> 02:52:53,840 MENTIONED THE ADDITIONAL 3497 02:52:53,840 --> 02:52:55,680 RECOMMENDATION 3498 02:52:55,680 --> 02:52:57,600 RECOMMENDATIONS FOR EXAMPLE THE 3499 02:52:57,600 --> 02:53:03,000 ISSUE OF AUGMENTING THE 3500 02:53:03,000 --> 02:53:05,800 EXPERTISE IN THE CORES TO MEET 3501 02:53:05,800 --> 02:53:09,840 THE GOALS AND BE MORE EFFICIENT 3502 02:53:09,840 --> 02:53:11,880 WHICH IS A CHALLENGE. 3503 02:53:11,880 --> 02:53:13,360 YOU MENTION THE LACK OF 3504 02:53:13,360 --> 02:53:14,040 PEDIATRIC STUDIES. 3505 02:53:14,040 --> 02:53:17,800 THERE'S A NEED FOR MORE 3506 02:53:17,800 --> 02:53:18,960 PEDIATRIC CLINICAL TRIALS IN 3507 02:53:18,960 --> 02:53:21,440 GENERAL AND NOBODY EXPECTS THESE 3508 02:53:21,440 --> 02:53:26,040 NETWORKS TO FULFILL THAT ENTIRE 3509 02:53:26,040 --> 02:53:31,240 GAP. 3510 02:53:31,240 --> 02:53:36,840 SINCE THE PLATFORMS AND SOME 3511 02:53:36,840 --> 02:53:37,480 CLINICAL TRIALS ARE DIFFERENT 3512 02:53:37,480 --> 02:53:41,360 FOR CHILDREN THAN ADULTS IT'S A 3513 02:53:41,360 --> 02:53:47,040 TALL ORDER TO ASK NEURONEXT AND 3514 02:53:47,040 --> 02:53:49,080 STROKE NET TO DO THOSE AND 3515 02:53:49,080 --> 02:53:49,840 FULFILL THE NEEDS. 3516 02:53:49,840 --> 02:53:53,840 AS THAT'S EVALUATED IN TERMS OF 3517 02:53:53,840 --> 02:53:56,040 IMPLEMENTING DOING MORE 3518 02:53:56,040 --> 02:53:58,320 PEDIATRIC TRIALS, SOME OF THE 3519 02:53:58,320 --> 02:54:00,760 SUGGESTS RICK OUTLINED THE 3520 02:54:00,760 --> 02:54:04,600 ADDITIONAL ONES FOR WAYS TO 3521 02:54:04,600 --> 02:54:06,840 AUGMENT CORE EXPERTISE MIGHT BE 3522 02:54:06,840 --> 02:54:07,200 HELPFUL. 3523 02:54:07,200 --> 02:54:09,800 IT'S GOING TO BE THE 3524 02:54:09,800 --> 02:54:14,720 IMPLEMENTATION THAT'S GOING TO 3525 02:54:14,720 --> 02:54:15,840 BE DIFFICULT. 3526 02:54:15,840 --> 02:54:16,720 I WANT TO THANK EVERYBODY FOR 3527 02:54:16,720 --> 02:54:25,880 THEIR HARD WORK. 3528 02:54:25,880 --> 02:54:27,200 >> WE MAY HAVE TIME FOR COMMENTS 3529 02:54:27,200 --> 02:54:39,800 AND QUESTIONS. 3530 02:54:39,800 --> 02:54:42,000 >> THIS WAS A GREAT REPORT AND 3531 02:54:42,000 --> 02:54:44,080 READING AND THE TWO MAIN THINGS 3532 02:54:44,080 --> 02:54:45,760 ARE ELEMENTS THE COMMUNITY HAS 3533 02:54:45,760 --> 02:54:46,200 RECOGNIZED. 3534 02:54:46,200 --> 02:54:47,200 THERE'S GREAT THINGS THAT HAVE 3535 02:54:47,200 --> 02:54:48,600 COME OUT PARTICULARLY AS I SPEAK 3536 02:54:48,600 --> 02:54:54,440 OF STROKE NET BUT IT'S BEEN A 3537 02:54:54,440 --> 02:54:58,200 VERY TOUGH SLOG TO GET THROUGH 3538 02:54:58,200 --> 02:55:02,640 AND HOW TO CAPTURE EMERGING 3539 02:55:02,640 --> 02:55:05,800 CUTTING EDGE SCIENCE IF IT'S ALL 3540 02:55:05,800 --> 02:55:06,840 INVESTIGATOR INITIATED. 3541 02:55:06,840 --> 02:55:09,800 I THINK THE FINDINGS FOR THE 3542 02:55:09,800 --> 02:55:21,280 TRIAL GROUP WERE IMPORTANT. 3543 02:55:21,280 --> 02:55:25,800 >> ONE THING IS ALMOST ALL THESE 3544 02:55:25,800 --> 02:55:27,080 REQUIRE SUPPLEMENTATION TO GET 3545 02:55:27,080 --> 02:55:29,040 THE RESEARCH COORDINATOR SUPPORT 3546 02:55:29,040 --> 02:55:31,440 REQUIRED TO ENROLL THE PATIENTS 3547 02:55:31,440 --> 02:55:32,600 AND FOLLOW THEM IT BECOMES VERY 3548 02:55:32,600 --> 02:55:34,720 COSTLY FOR THE INSTITUTION. 3549 02:55:34,720 --> 02:55:36,720 THERE'S LITTLE SUPPORT FOR 3550 02:55:36,720 --> 02:55:37,840 RESEARCH COORDINATORS LIKE WE'RE 3551 02:55:37,840 --> 02:55:41,680 STRUGGLING WITH SLEEP SMART NOW 3552 02:55:41,680 --> 02:55:43,520 AND GETTING SPACE IN CLINIC AND 3553 02:55:43,520 --> 02:55:44,800 PAYING FOR THAT OUT OF RESEARCH 3554 02:55:44,800 --> 02:55:45,280 FUNDS. 3555 02:55:45,280 --> 02:55:48,760 I WILL SAY I THINK THERE IS SOME 3556 02:55:48,760 --> 02:55:50,000 ADDITIONAL SUPPORT THAT WOULD 3557 02:55:50,000 --> 02:55:51,880 ENHANCE ENROLLMENT AND MAYBE I 3558 02:55:51,880 --> 02:55:55,600 MISSED IT, DID YOU GUYS TALK 3559 02:55:55,600 --> 02:55:57,840 ABOUT EXCEPTION TO INFORMED 3560 02:55:57,840 --> 02:56:11,400 CONSENT? 3561 02:56:11,400 --> 02:56:12,640 YOU HAVE TO DO THE COMMUNE 3562 02:56:12,640 --> 02:56:13,800 OUTREACH AND FACEBOOK AND SAYING 3563 02:56:13,800 --> 02:56:18,280 YOU CAN BE IN THE TRIAL AND 3564 02:56:18,280 --> 02:56:23,960 THAT'S HELPED WITH STROKE AND WE 3565 02:56:23,960 --> 02:56:26,480 FIRST STARTED DOING REMOTE 3566 02:56:26,480 --> 02:56:27,920 CONSENT AND SOME TRIALS NOW USE 3567 02:56:27,920 --> 02:56:28,400 ETHIC. 3568 02:56:28,400 --> 02:56:32,000 IT SEEMS LIKE THE MAJOR ISSUES 3569 02:56:32,000 --> 02:56:33,800 AND FUNDING LINES IN GETTING 3570 02:56:33,800 --> 02:56:34,880 THEM THROUGH THE SYSTEM. 3571 02:56:34,880 --> 02:56:36,320 I THINK THERE'S OTHER THINGS 3572 02:56:36,320 --> 02:56:39,840 THAT WOULD PROBABLY MAKE IT MORE 3573 02:56:39,840 --> 02:56:42,800 ATTRACTIVE RATHER THAN GOING TO 3574 02:56:42,800 --> 02:56:43,400 HIGHER PAYING PER PATIENT 3575 02:56:43,400 --> 02:56:49,800 INDUSTRY TRIALS. 3576 02:56:49,800 --> 02:56:51,400 >> I WANT TO MAKE A QUICK 3577 02:56:51,400 --> 02:56:53,040 COMMENT ABOUT THE ISSUE OF 3578 02:56:53,040 --> 02:56:54,600 PATIENT ENGAGEMENT AND COMMUNITY 3579 02:56:54,600 --> 02:56:56,920 ENGAGEMENT AND TYING INTO THE 3580 02:56:56,920 --> 02:57:00,720 WORK AND DISCUSSION WE JUST HAD 3581 02:57:00,720 --> 02:57:03,440 ON EQUITY INCLUSION AND 3582 02:57:03,440 --> 02:57:04,680 DIVERSITY. 3583 02:57:04,680 --> 02:57:06,840 IT SOUNDS LIKE SO I'M ON 3584 02:57:06,840 --> 02:57:07,560 MULTIPLE HEAL ADVISORY 3585 02:57:07,560 --> 02:57:09,800 COMMITTEES AND SOUNDS LIKE THE 3586 02:57:09,800 --> 02:57:11,960 ISSUES YOU'RE GRAPPLING WITH ARE 3587 02:57:11,960 --> 02:57:13,800 THE SAME YOU ARE AND THE TERMS 3588 02:57:13,800 --> 02:57:15,800 HAVE BEEN STRUCTURED AFTER THE 3589 02:57:15,800 --> 02:57:16,000 TERMS. 3590 02:57:16,000 --> 02:57:19,920 AND WHILE I'M IN FAVOR OF 3591 02:57:19,920 --> 02:57:20,600 INCORPORATING PATIENT ADVOCACY 3592 02:57:20,600 --> 02:57:22,200 GROUPS I WOULD ENCOURAGE YOU TO 3593 02:57:22,200 --> 02:57:25,200 THINK MORE BROADLY IN TERMS OF 3594 02:57:25,200 --> 02:57:25,600 RECOMMENDATION. 3595 02:57:25,600 --> 02:57:26,600 THINKING ABOUT ANYONE THAT WOULD 3596 02:57:26,600 --> 02:57:29,760 BE AN END USER OF THE DATA THAT 3597 02:57:29,760 --> 02:57:31,440 THESE CLINICAL TRIALS ARE GOING 3598 02:57:31,440 --> 02:57:33,400 TO GENERATE. 3599 02:57:33,400 --> 02:57:35,560 SO PRIMARY CARE PROVIDERS 3600 02:57:35,560 --> 02:57:39,960 ENSURE, SO ON AND SO FORTH. 3601 02:57:39,960 --> 02:57:43,480 SO BACKPAC A BACK TRAIN TRIAL 3602 02:57:43,480 --> 02:57:45,600 UNDER HEAL HAS DONE THAT WITH 3603 02:57:45,600 --> 02:57:47,200 RECOMMENDATION THINKING ABOUT 3604 02:57:47,200 --> 02:57:47,800 INCORPORATING COMMUNITY 3605 02:57:47,800 --> 02:57:49,520 ENGAGEMENT AND PATIENT 3606 02:57:49,520 --> 02:57:52,400 ENGAGEMENT AND OTHER STAKEHOLDER 3607 02:57:52,400 --> 02:57:53,920 ENGAGEMENT TO INCLUDE ANYBODY 3608 02:57:53,920 --> 02:57:56,200 WHO IS AN END USER OF THE DATA 3609 02:57:56,200 --> 02:57:56,840 YOU'RE PUTTING OUT 3610 02:57:56,840 --> 02:57:58,480 THE REASON WE WANT TO DO THAT 3611 02:57:58,480 --> 02:58:02,200 AND STROKE IS NOT MY AREA OF 3612 02:58:02,200 --> 02:58:03,320 EXPERTISE BUT THE IDEA IS WE 3613 02:58:03,320 --> 02:58:06,600 WANT TO MAKE SURE THE DATA IS 3614 02:58:06,600 --> 02:58:08,440 TRANSLATED TO CLINICAL CARE AND 3615 02:58:08,440 --> 02:58:10,400 MAKES CHANGES FOR REAL WORLD 3616 02:58:10,400 --> 02:58:11,160 POPULATIONS AS SOON AS POSSIBLE 3617 02:58:11,160 --> 02:58:14,040 NOT 10 OR 20 YEARS DOWN THE 3618 02:58:14,040 --> 02:58:16,800 LINE. 3619 02:58:16,800 --> 02:58:17,560 MY SECOND COMMENT IS THE 3620 02:58:17,560 --> 02:58:19,240 IMPORTANCE OF COMMUNITY 3621 02:58:19,240 --> 02:58:20,800 ENGAGEMENT NOT JUST FOR 3622 02:58:20,800 --> 02:58:22,200 RECRUITMENT AND RETENTION IN 3623 02:58:22,200 --> 02:58:24,520 TRIALS BUT ALSO THE OVERALL 3624 02:58:24,520 --> 02:58:26,040 IMPROVEMENT WITH WHAT WE JUST 3625 02:58:26,040 --> 02:58:29,000 TALKED ABOUT WITH STAKEHOLDER 3626 02:58:29,000 --> 02:58:29,320 ENGAGEMENT. 3627 02:58:29,320 --> 02:58:32,400 AND MY COMMENT WOULD BE AROUND 3628 02:58:32,400 --> 02:58:34,280 MAKING SURE THAT YOU HAVE AGAIN 3629 02:58:34,280 --> 02:58:36,000 AS I WROTE IN MY NOVEL IN THE 3630 02:58:36,000 --> 02:58:37,680 COMMENTS BEFORE, OFTEN TIMES 3631 02:58:37,680 --> 02:58:39,520 INVESTIGATORS ARE NOT TRAINED IN 3632 02:58:39,520 --> 02:58:40,320 ENGAGEMENT STRATEGIES AND DON'T 3633 02:58:40,320 --> 02:58:41,640 KNOW HOW TO DO IT. 3634 02:58:41,640 --> 02:58:44,640 YOU CAN REQUIRE THAT IT'S DONE 3635 02:58:44,640 --> 02:58:46,680 BUT OFTEN TIMES IT ENDS UP IN 3636 02:58:46,680 --> 02:58:48,600 TOKENISM AND CHECKING THE BOX TO 3637 02:58:48,600 --> 02:58:51,200 MAKE SURE YOU HAVE RESOURCES SET 3638 02:58:51,200 --> 02:58:54,400 ASIDE AND TRAINING TO MAKE SURE 3639 02:58:54,400 --> 02:58:59,040 THE INVESTIGATORS AND COMMUNITY 3640 02:58:59,040 --> 02:58:59,640 STAKEHOLDERS INVOLVED IN THE 3641 02:58:59,640 --> 02:59:01,680 PROJECT HAVE TRAINING TO DO 3642 02:59:01,680 --> 02:59:03,920 ENGAGEMENT THAT'S AUTHENTIC AND 3643 02:59:03,920 --> 02:59:05,800 MEANINGFUL AND RESULTING IN A 3644 02:59:05,800 --> 02:59:09,800 CHANGE IN RECRUITMENT, DIVERSITY 3645 02:59:09,800 --> 02:59:15,800 AND INCLUSION IN THE TRIALS. 3646 02:59:15,800 --> 02:59:24,640 >> I WANT TO ADD MY THANKS 3647 02:59:24,640 --> 02:59:26,000 FANTASTIC REPORT. 3648 02:59:26,000 --> 02:59:31,760 WORKING IN THE PHARMA WORLD, I 3649 02:59:31,760 --> 02:59:35,280 THINK ENGAGEMENT BETWEEN NIH AND 3650 02:59:35,280 --> 02:59:36,480 PHARMA HAS BEEN GOING ON MORE 3651 02:59:36,480 --> 02:59:39,800 THAN 10 YEARS ALREADY WHETHER 3652 02:59:39,800 --> 02:59:43,400 IT'S NCATS AND REPURPOSING OF 3653 02:59:43,400 --> 02:59:49,200 DRUGS OR THE COALITION AGAINST 3654 02:59:49,200 --> 02:59:55,400 MAJOR DISEASES I STRONGLY 3655 02:59:55,400 --> 02:59:57,080 SUPPORT GETTING THAT TOGETHER 3656 02:59:57,080 --> 02:59:58,000 WHETHER IT'S THROUGH THE 3657 02:59:58,000 --> 03:00:03,800 PROPOSAL YOU HAVE OF FORMING 3658 03:00:03,800 --> 03:00:09,200 SOME KIND OF A BOARD I'M NOTE 3659 03:00:09,200 --> 03:00:11,000 SURE IT'S THE FASTEST -- NOT 3660 03:00:11,000 --> 03:00:15,320 SURE IT'S THE FASTEST BUT IF WE 3661 03:00:15,320 --> 03:00:16,720 TOOK THAT MUCH TIME FOR IDEAS TO 3662 03:00:16,720 --> 03:00:19,120 GO FOR WARD WE'D BE OUT OF 3663 03:00:19,120 --> 03:00:19,680 BUSINESS. 3664 03:00:19,680 --> 03:00:21,440 THE NUMBERS ARE DEPENDING ON 3665 03:00:21,440 --> 03:00:24,400 WHERE YOU ARE 10 TO 15 YEARS AND 3666 03:00:24,400 --> 03:00:28,840 $2.5 MILLION TO GO FROM AHA TO A 3667 03:00:28,840 --> 03:00:30,560 DRUG WITH A BURN RATE DEPENDING 3668 03:00:30,560 --> 03:00:39,720 ON WHO YOU READ, 1 IN 5,000. 3669 03:00:39,720 --> 03:00:42,000 THE PHARMA WORLD HAS LEARN THE 3670 03:00:42,000 --> 03:00:44,120 HARD WAY HOW TO DO THIS QUICKLY. 3671 03:00:44,120 --> 03:00:46,160 AS QUICKLY AS WE POSSIBLY CAN 3672 03:00:46,160 --> 03:00:49,800 AND I THINK A STRONGER 3673 03:00:49,800 --> 03:00:51,200 PARTNERSHIP HERE IS DEFINITELY 3674 03:00:51,200 --> 03:00:57,800 WORTH IT AND WE HAVE EXAMPLES OF 3675 03:00:57,800 --> 03:01:09,800 THAT SPECIFIC FOR NINDS. 3676 03:01:09,800 --> 03:01:13,440 >> WE DIDN'T EMPHASIZE THIS 3677 03:01:13,440 --> 03:01:21,120 THROUGH THE PRESENTATION WHAT 3678 03:01:21,120 --> 03:01:32,360 CAME UP IS WHETHER THERE'S A 3679 03:01:32,360 --> 03:01:36,880 MECHANISM TO UTILIZE THE 3680 03:01:36,880 --> 03:01:37,760 EXCELLENT FACILITIES IN CLINICAL 3681 03:01:37,760 --> 03:01:40,680 SCIENCE WITHOUT GOING THROUGHOUT 3682 03:01:40,680 --> 03:01:42,440 THE SAME SCIENCE AN INVESTIGATOR 3683 03:01:42,440 --> 03:01:42,840 MIGHT GO THROUGH. 3684 03:01:42,840 --> 03:01:44,360 WE TALKED ABOUT THAT. 3685 03:01:44,360 --> 03:01:46,560 I DON'T KNOW IF THAT'S PRACTICAL 3686 03:01:46,560 --> 03:01:47,400 OR DESIRABLE. 3687 03:01:47,400 --> 03:01:51,840 IT'S SOMETHING WE DID BRING UP. 3688 03:01:51,840 --> 03:01:53,760 >> IT'S A GOOD POINT. 3689 03:01:53,760 --> 03:01:57,520 I THINK NECESSITY IS THE MOTHER 3690 03:01:57,520 --> 03:01:59,560 OF INVENTION AND YOU HAVE TO 3691 03:01:59,560 --> 03:02:01,160 LOOK OVER THE LAST TWO YEARS TO 3692 03:02:01,160 --> 03:02:03,240 SEE WHAT THE WORLD WAS ABLE TO 3693 03:02:03,240 --> 03:02:07,800 DO WHEN FACED WITH A PANDEMIC. 3694 03:02:07,800 --> 03:02:09,840 NOT THAT COLLABORATIONS WEREN'T 3695 03:02:09,840 --> 03:02:11,600 THERE BEFORE BUT THERE WAS A 3696 03:02:11,600 --> 03:02:13,800 LEVEL OF COLLABORATION THAT 3697 03:02:13,800 --> 03:02:15,520 EXCEEDED ANYTHING WE'VE DONE IN 3698 03:02:15,520 --> 03:02:17,800 PHARMA AND COLLABORATIONS WITH 3699 03:02:17,800 --> 03:02:26,120 THE GOVERNMENT AS WELL. 3700 03:02:26,120 --> 03:02:30,040 IT'S WORTHWHILE PURSUING THE 3701 03:02:30,040 --> 03:02:33,800 CONVERSATIONS UNTIL YOU HAVE TO 3702 03:02:33,800 --> 03:02:37,200 DO IT APPROPRIATELY. 3703 03:02:37,200 --> 03:02:38,600 KIDS SUFFERING FROM NEUROLOGIC 3704 03:02:38,600 --> 03:02:40,320 AND RARE DISEASES, IT'S A MATTER 3705 03:02:40,320 --> 03:02:45,800 OF LIFE OR DEATH AND FOR OTHERS 3706 03:02:45,800 --> 03:02:49,200 IT'S QUALITY OF LIFE. 3707 03:02:49,200 --> 03:02:51,600 WE'RE LIVING TO EASILY 80 AND 90 3708 03:02:51,600 --> 03:02:53,600 AND I KNOW THE NUMBERS HAVE GONE 3709 03:02:53,600 --> 03:02:54,480 DOWN BECAUSE OF THE PANDEMIC. 3710 03:02:54,480 --> 03:02:56,000 TIME IS OF THE ESSENCE. 3711 03:02:56,000 --> 03:03:03,840 WE HAVE WAYS TO DO THIS NOW. 3712 03:03:03,840 --> 03:03:09,800 WE NEED TO FIND A WAY TO MAKE IT 3713 03:03:09,800 --> 03:03:10,600 WORK BETTER. 3714 03:03:10,600 --> 03:03:19,080 >> WITH PEDIATRIC POPULATIONS I 3715 03:03:19,080 --> 03:03:23,480 STRONGLY SUPPORT THE STUDIES 3716 03:03:23,480 --> 03:03:27,000 RELEVANT IN NEUROLOGY BUT WONDER 3717 03:03:27,000 --> 03:03:29,560 THE RECOMMENDATION TO HAVE TOOLS 3718 03:03:29,560 --> 03:03:30,320 INCLUDING PEDIATRIC FOR THE 3719 03:03:30,320 --> 03:03:32,240 STROKE NET GROUP WOULD BE. 3720 03:03:32,240 --> 03:03:33,800 IT'S RARE ENOUGH TO HAVE STROKES 3721 03:03:33,800 --> 03:03:37,640 IN CHILDREN BUT TO RECOMMEND 3722 03:03:37,640 --> 03:03:38,800 THEY INCLUDE CERTAIN MINIMAL 3723 03:03:38,800 --> 03:03:41,480 NUMBER OF TRIALS FOCUSSED ON 3724 03:03:41,480 --> 03:03:41,760 CHILDREN. 3725 03:03:41,760 --> 03:03:42,200 IS THAT A PRACTICAL 3726 03:03:42,200 --> 03:03:48,400 RECOMMENDATION? 3727 03:03:48,400 --> 03:03:50,360 >> STROKE IS A RARE EVENT IN 3728 03:03:50,360 --> 03:03:51,200 CHILDREN. 3729 03:03:51,200 --> 03:03:57,240 OFTEN A PERI EVENT AND THEY COME 3730 03:03:57,240 --> 03:04:00,160 VERY LATE SO WE TRIED TO DO A 3731 03:04:00,160 --> 03:04:01,600 PDA TRIAL IN THE PEDIATRIC 3732 03:04:01,600 --> 03:04:04,160 POPULATION AND IT WAS SUPER 3733 03:04:04,160 --> 03:04:05,280 DIFFICULT BECAUSE MANY DON'T 3734 03:04:05,280 --> 03:04:07,120 HAVE THAT IN SYMPTOMS OR PRESENT 3735 03:04:07,120 --> 03:04:08,560 WITH SEIZURES AND GET MISSED. 3736 03:04:08,560 --> 03:04:10,680 I THINK IT WOULD BE DIFFICULT. 3737 03:04:10,680 --> 03:04:13,680 I THINK IT'S WORTH DOING MAYBE 3738 03:04:13,680 --> 03:04:15,840 IN A HIGH RISK POPULATION LIKE 3739 03:04:15,840 --> 03:04:17,840 KIDS WITH CONGENITAL HEART 3740 03:04:17,840 --> 03:04:20,040 DEFECTS OR SICKLE CELL. 3741 03:04:20,040 --> 03:04:21,600 THOSE ARE IMPORTANT POPULATIONS 3742 03:04:21,600 --> 03:04:24,200 AT HIGHER RISK BUT TOUGH TO 3743 03:04:24,200 --> 03:04:27,840 ENROLL UNLESS WE HAD EVERY PED 3744 03:04:27,840 --> 03:04:50,520 SITE IN THE COUNTRY. 3745 03:04:50,520 --> 03:04:53,640 >> AN ISSUE WE ALLUDED TO IS 3746 03:04:53,640 --> 03:04:55,800 WHEN YOU LOOK AT THE SITES ATHAT 3747 03:04:55,800 --> 03:04:57,840 MAYBE COULD ENROLL QUITE A LOT 3748 03:04:57,840 --> 03:05:00,320 OF ADULTS, THE SITES THAT CAN 3749 03:05:00,320 --> 03:05:02,200 ENROLL A LOT OF CHILDREN, THEY 3750 03:05:02,200 --> 03:05:04,600 AREN'T THE SAME INSTITUTIONS 3751 03:05:04,600 --> 03:05:04,800 ALWAYS. 3752 03:05:04,800 --> 03:05:10,160 UCSF MAY BE AN EXCEPTION. 3753 03:05:10,160 --> 03:05:12,080 IT GETS TO THE QUESTION OF HOW 3754 03:05:12,080 --> 03:05:13,840 DO YOU USE THE SAME NETWORK TO 3755 03:05:13,840 --> 03:05:15,840 DO BOTH TYPES OF STUDIES. 3756 03:05:15,840 --> 03:05:21,840 IT CAN BE A CHALLENGE BUT 3757 03:05:21,840 --> 03:05:29,200 THERE'S A FEW. 3758 03:05:29,200 --> 03:05:30,080 THEY HAVE PUT TOGETHER PEDIATRIC 3759 03:05:30,080 --> 03:05:38,400 STROKE TRIALS. 3760 03:05:38,400 --> 03:05:40,800 IT CAN INVOLVE MULTIPLE SITES IN 3761 03:05:40,800 --> 03:05:41,360 THE U.S. AND CANADA THOSE 3762 03:05:41,360 --> 03:05:44,520 PARTICULAR TRIALS. 3763 03:05:44,520 --> 03:05:46,200 >> THERE'S A HUGE AMOUNT TO 3764 03:05:46,200 --> 03:05:47,440 DIGEST HERE. 3765 03:05:47,440 --> 03:05:49,600 I THINK FORMALLY WE ALSO NEED A 3766 03:05:49,600 --> 03:05:51,880 MOTION TO LET COUNCIL ACCEPT 3767 03:05:51,880 --> 03:06:01,600 THIS REPORT. 3768 03:06:01,600 --> 03:06:04,320 IF YOU CAN VOTE ON THAT IN THE 3769 03:06:04,320 --> 03:06:04,640 CHAT. 3770 03:06:04,640 --> 03:06:06,320 I'M NOT GOING THROUGH COMMENTS 3771 03:06:06,320 --> 03:06:07,240 IN THE CHAT BUT THERE'S 3772 03:06:07,240 --> 03:06:09,600 INTERESTING ONES AND KELLY 3773 03:06:09,600 --> 03:06:11,160 POINTED OUT THE REPORT IS 3774 03:06:11,160 --> 03:06:12,040 AVAILABLE INCLUDING THE SUMMARY 3775 03:06:12,040 --> 03:06:13,840 IN THE ECB FOR THOSE WHO WANT TO 3776 03:06:13,840 --> 03:06:23,800 LOOK AT IT AGAIN. 3777 03:06:23,800 --> 03:06:25,800 >> THIS IS A GREAT CHALLENGE FOR 3778 03:06:25,800 --> 03:06:30,400 US TO TRY TO REFINE WHAT WE 3779 03:06:30,400 --> 03:06:33,320 BUILT AND NOT JUST LET IT GO 3780 03:06:33,320 --> 03:06:35,600 STATUS QUO. 3781 03:06:35,600 --> 03:06:41,120 I THINK A LOT OF THESE THINGS WE 3782 03:06:41,120 --> 03:06:43,560 THOUGHT ABOUT AND RICK SAID 3783 03:06:43,560 --> 03:06:45,840 THEY'VE BEEN IN THE EOB BOARD 3784 03:06:45,840 --> 03:06:51,080 MEETINGS AND THE QUESTION IS A 3785 03:06:51,080 --> 03:06:53,680 MATTER OF RESOURCES AND GETTING 3786 03:06:53,680 --> 03:06:55,040 THE MOMENTUM GOING. 3787 03:06:55,040 --> 03:06:57,800 EACH OF THESE IS $11 MILLION A 3788 03:06:57,800 --> 03:07:08,000 YEAR FOR INFRASTRUCTURE. 3789 03:07:08,000 --> 03:07:09,120 IT SEEMS CLEAR THE 3790 03:07:09,120 --> 03:07:10,600 RECOMMENDATIONS WILL HAVE TO ADD 3791 03:07:10,600 --> 03:07:15,800 PIECES ON TO MAKE THEM VIABLE IN 3792 03:07:15,800 --> 03:07:27,160 THE FUTURE THE NEXT WORKS 3793 03:07:27,160 --> 03:07:28,840 COULDN'T TAKE ANYMORE TRIALS. 3794 03:07:28,840 --> 03:07:31,000 WE BUILT IT UP AND THEN WE HAD 3795 03:07:31,000 --> 03:07:33,440 TOO MUCH AND NOT SURE WHERE THEY 3796 03:07:33,440 --> 03:07:36,520 ARE NOW AND THERE'S SOME LEFT 3797 03:07:36,520 --> 03:07:38,480 BUT THAT'S THE OTHER THING THAT 3798 03:07:38,480 --> 03:07:39,280 SLOWS THINGS DOWN IS ROOM TO PUT 3799 03:07:39,280 --> 03:07:48,320 ONE IN. 3800 03:07:48,320 --> 03:07:51,520 A LOT OF THINGS WE CAN DO MAKE 3801 03:07:51,520 --> 03:07:53,800 THINGS BETTER AND IF WE DON'T 3802 03:07:53,800 --> 03:07:54,560 THEY'LL DETERIORATE. 3803 03:07:54,560 --> 03:07:56,080 WE GOT THE MESSAGE AND I THINK 3804 03:07:56,080 --> 03:08:00,360 WE CAN MOVE THAT FORWARD. 3805 03:08:00,360 --> 03:08:02,760 DID YOU HAVE ANYTHING YOU WANTED 3806 03:08:02,760 --> 03:08:04,000 TO SAY IN TERMS OF THE REPORT OR 3807 03:08:04,000 --> 03:08:21,080 RENEWAL? 3808 03:08:21,080 --> 03:08:25,760 >> WE'LL TAKE IT BACK AND GET TO 3809 03:08:25,760 --> 03:08:30,600 WORK ON IT. 3810 03:08:30,600 --> 03:08:33,800 THERE'S A LOT OF THAT CAN BE 3811 03:08:33,800 --> 03:08:39,800 DONE AND ALSO WITH THE 3812 03:08:39,800 --> 03:08:42,160 EFFICIENCY YOU MENTIONED IN THE 3813 03:08:42,160 --> 03:08:45,760 REPORT THE NETWORK NOT BEING 3814 03:08:45,760 --> 03:08:50,120 EVALUATED HERE BUT TAKES IN 3815 03:08:50,120 --> 03:08:51,560 ASSETS AND RUNS CLINICALS AND 3816 03:08:51,560 --> 03:08:53,000 BECAUSE WE USE A DIFFERENT 3817 03:08:53,000 --> 03:08:54,120 MECHANISM WE'RE ABLE TO BRING 3818 03:08:54,120 --> 03:08:55,640 THINGS THROUGH MORE QUICKLY. 3819 03:08:55,640 --> 03:08:59,360 IT MAY BE POSSIBLE TO USE SOME 3820 03:08:59,360 --> 03:09:01,080 OF THOSE MECHANISMS GOING 3821 03:09:01,080 --> 03:09:02,600 FORWARD HERE. 3822 03:09:02,600 --> 03:09:06,360 SO YEAH, I'M GRATEFUL TO YOU ALL 3823 03:09:06,360 --> 03:09:08,520 FOR PUTTING YOUR THINKING CAPS 3824 03:09:08,520 --> 03:09:09,960 ON AND PUTTING TOGETHER SUCH A 3825 03:09:09,960 --> 03:09:14,560 FANTASTIC REPORT. 3826 03:09:14,560 --> 03:09:17,080 THE NETWORKS ARE NEARLY THE END 3827 03:09:17,080 --> 03:09:18,960 OF THEIR FUNDING PERIOD. 3828 03:09:18,960 --> 03:09:22,520 I THINK WE WANTED TO SINCE I SAW 3829 03:09:22,520 --> 03:09:27,800 FROM THE WORKING GROUP A 3830 03:09:27,800 --> 03:09:29,560 RECOMMEND TO AT LATEST CONTINUE 3831 03:09:29,560 --> 03:09:31,440 THE NETWORKS AND IMPROVEMENT 3832 03:09:31,440 --> 03:09:33,840 THEM, BOB, DID YOU WANT TO VOTE 3833 03:09:33,840 --> 03:09:35,760 ON THE RENEWAL? 3834 03:09:35,760 --> 03:09:37,600 >> THE RENEWAL OF THE NETWORKS, 3835 03:09:37,600 --> 03:09:39,720 DO WE NEED TO DO IT AT THIS 3836 03:09:39,720 --> 03:09:41,880 COUNCIL OR CAN WE DO IT AT THE 3837 03:09:41,880 --> 03:09:44,000 NEXT COUNCIL? 3838 03:09:44,000 --> 03:09:45,760 >> THE CONCEPT WE SHOULD DO AS A 3839 03:09:45,760 --> 03:09:54,960 GROUP. 3840 03:09:54,960 --> 03:09:56,680 SURE I DIDN'T SEE THAT ON THE 3841 03:09:56,680 --> 03:09:59,560 LIST AND THIS IS AN INITIAL 3842 03:09:59,560 --> 03:10:01,360 CONCEPT BASED ON THE DISCUSSION 3843 03:10:01,360 --> 03:10:02,280 AND WONDERFUL REPORT WE HEARD 3844 03:10:02,280 --> 03:10:05,800 TODAY AND NEED A MOTION FOR THE 3845 03:10:05,800 --> 03:10:12,600 INSTITUTE TO RENEW BOTH STROKE 3846 03:10:12,600 --> 03:10:14,240 NET AND NEURAL NEXT 3847 03:10:14,240 --> 03:10:15,840 CONSIDERATION AS MANY AS WE CAN 3848 03:10:15,840 --> 03:10:19,280 BUDGET LIMITING. 3849 03:10:19,280 --> 03:10:23,960 >> I HAVE A QUESTION BEFORE. 3850 03:10:23,960 --> 03:10:29,200 IT SEEMS LIKE THE 3851 03:10:29,200 --> 03:10:31,640 RECOMMENDATIONS ARE AND THE 3852 03:10:31,640 --> 03:10:36,000 QUESTIONS RAISED ARE MAJOR ONES. 3853 03:10:36,000 --> 03:10:39,800 SHOULDN'T WE CONSIDER THAT 3854 03:10:39,800 --> 03:10:51,880 BEFORE WE -- THAT'S EXACTLY WHY 3855 03:10:51,880 --> 03:10:53,600 I HESITATED DISCUSSING HOW IT 3856 03:10:53,600 --> 03:10:54,840 TAKE IN THE POINTS. 3857 03:10:54,840 --> 03:10:56,120 THAT'S MY HESITATION. 3858 03:10:56,120 --> 03:10:58,680 DO YOU NEED TO DO THE RE-ISSUES 3859 03:10:58,680 --> 03:11:01,200 NOW IN TERMS OF THESE NOT 3860 03:11:01,200 --> 03:11:03,840 LAPSING OR WAIT UNTIL MAY 3861 03:11:03,840 --> 03:11:04,080 COUNCIL? 3862 03:11:04,080 --> 03:11:09,800 IT'S UP TO YOU. 3863 03:11:09,800 --> 03:11:11,320 THE IDEA IS THE APPLICATION 3864 03:11:11,320 --> 03:11:12,600 WOULD COME IN AND COUNCIL WOULD 3865 03:11:12,600 --> 03:11:17,800 BE ABLE TO REVIEW THE 3866 03:11:17,800 --> 03:11:19,960 APPLICATIONS EVENTUALLY. 3867 03:11:19,960 --> 03:11:25,800 BUT YEAH, THEY'LL LAPSE IF WE 3868 03:11:25,800 --> 03:11:28,640 DON'T AT LEAST -- 3869 03:11:28,640 --> 03:11:30,560 >> THAT'S ASK ACCEPTANCE WITH 3870 03:11:30,560 --> 03:11:32,520 THE CONDITION WE'LL AS SOON AS 3871 03:11:32,520 --> 03:11:33,800 POSSIBLE COME BACK TO YOU WITH 3872 03:11:33,800 --> 03:11:37,560 AN EXPLICIT REPORT OF WHAT WE 3873 03:11:37,560 --> 03:11:39,800 INTEND TO CHANGE IN THE REISSUES 3874 03:11:39,800 --> 03:11:45,680 TO MEET THE RECOMMENDATIONS JUST 3875 03:11:45,680 --> 03:11:47,720 DON'T LAPSE. 3876 03:11:47,720 --> 03:11:53,320 I THINK WE HAVE A MOTION AND 3877 03:11:53,320 --> 03:11:54,160 SECOND. 3878 03:11:54,160 --> 03:11:56,200 THE MOTION TO RENEW IN THE CHAT 3879 03:11:56,200 --> 03:12:01,800 AND YOU CAN VOTE ON THAT. 3880 03:12:01,800 --> 03:12:03,840 >> I'LL PICK UP THE PACE. 3881 03:12:03,840 --> 03:12:07,000 EACH COUNCIL WE ROTATE BETWEEN 3882 03:12:07,000 --> 03:12:15,840 AN UN UPDATE ON THE INITIATIVES 3883 03:12:15,840 --> 03:12:21,000 THEN NATIONAL ALZHEIMERS AND 3884 03:12:21,000 --> 03:12:24,000 BRAIN IS ON THE DOCKET AND JOHN 3885 03:12:24,000 --> 03:12:27,000 NGAI DID TALK AT THE MEETING IN 3886 03:12:27,000 --> 03:12:27,840 NOVEMBER. 3887 03:12:27,840 --> 03:12:37,800 OUR INTERIM COUNCIL MEETING. 3888 03:12:37,800 --> 03:12:38,720 I'LL TURN IT OVER. 3889 03:12:38,720 --> 03:12:40,400 >> I'LL TRY TO BE BRIEF AND 3890 03:12:40,400 --> 03:12:43,120 LEAVE A FEW MINUTES LEFT FOR 3891 03:12:43,120 --> 03:12:43,400 QUESTIONS. 3892 03:12:43,400 --> 03:12:45,160 SO I WANT TO GIVE A BRIEF UPDATE 3893 03:12:45,160 --> 03:12:46,520 ON WHAT BRAIN HAS BEEN UP TO IN 3894 03:12:46,520 --> 03:12:47,880 THE LAST YEAR OR SO. 3895 03:12:47,880 --> 03:12:49,800 THE FIRST THING I NEED TO DO IS 3896 03:12:49,800 --> 03:12:57,800 TO ACKNOWLEDGE THE AMAZING TEAM 3897 03:12:57,800 --> 03:12:58,920 IS THAT SUPPORTS BRAIN ACROSS 3898 03:12:58,920 --> 03:13:00,840 ALL TEN OF OUR I.C.s. 3899 03:13:00,840 --> 03:13:04,720 I HOPE YOU GET THE IDEA IT'S 3900 03:13:04,720 --> 03:13:10,240 BEEN A HUGE TEAM EFFORT. 3901 03:13:10,240 --> 03:13:11,920 KUDOS TO EVERYBODY INVOLVED. 3902 03:13:11,920 --> 03:13:13,640 WALTER TOUCHED ON BUDGET EARLIER 3903 03:13:13,640 --> 03:13:18,200 TODAY AND POINTED OUT THE FUNDS 3904 03:13:18,200 --> 03:13:18,880 FROM NINDS. 3905 03:13:18,880 --> 03:13:20,360 I'LL GIVE AN OVERVIEW OF THE 3906 03:13:20,360 --> 03:13:21,800 BRAIN BUDGET. 3907 03:13:21,800 --> 03:13:23,200 THIS SAY BUDGET THAT INCLUDES 3908 03:13:23,200 --> 03:13:25,800 PAST YEARS AS WELL AS THE 3909 03:13:25,800 --> 03:13:27,840 FORECAST FOR FUTURE YEARS. 3910 03:13:27,840 --> 03:13:35,960 WE'RE CURRENTLY IN FISCAL YEAR 3911 03:13:35,960 --> 03:13:36,520 2021. 3912 03:13:36,520 --> 03:13:38,080 BRAIN FUNDING COMES FROM TWO 3913 03:13:38,080 --> 03:13:39,800 SOURCES. 3914 03:13:39,800 --> 03:13:44,040 ONE IS THE BASE FUNDING HERE 3915 03:13:44,040 --> 03:13:46,080 HIGHLIGHTS IN RED THEY AMEER IN 3916 03:13:46,080 --> 03:13:49,080 LINE ITEMS TO THE PARTICIPATING 3917 03:13:49,080 --> 03:13:53,960 I.C.s AND IN ADDITION WE HAVE 3918 03:13:53,960 --> 03:13:58,680 FUNDS FROM THE 21st CENTURIES 3919 03:13:58,680 --> 03:14:01,160 CURES ACT AND VARY FROM YEAR TO 3920 03:14:01,160 --> 03:14:03,720 YEAR AND THE CURES ACT FUND WILL 3921 03:14:03,720 --> 03:14:04,840 END IN 2026. 3922 03:14:04,840 --> 03:14:09,120 I WANT TO POINT OUT A FEW 3923 03:14:09,120 --> 03:14:09,480 THINGS. 3924 03:14:09,480 --> 03:14:13,520 AGAIN, WE'RE IN FISCAL YEAR 3925 03:14:13,520 --> 03:14:13,720 2022. 3926 03:14:13,720 --> 03:14:17,480 WE RECEIVED A 100 MILLION 3927 03:14:17,480 --> 03:14:19,200 INCREASE TOWARDS THE BASE BUDGET 3928 03:14:19,200 --> 03:14:27,880 AND BROUGHT US UP TO $460 3929 03:14:27,880 --> 03:14:30,400 MILLION AND $100 MILLION IN 3930 03:14:30,400 --> 03:14:36,960 CURES ACT BRINGING US TO ABOUT 3931 03:14:36,960 --> 03:14:38,680 $560 MILLION RECOMMENDED FROM 3932 03:14:38,680 --> 03:14:40,520 THE REPORT ISSUED. 3933 03:14:40,520 --> 03:14:42,400 WE HAVE A LARGE INCREASE IN 3934 03:14:42,400 --> 03:14:43,800 CURES ACT FUNDS AND ADDITIONAL 3935 03:14:43,800 --> 03:14:45,240 $350 MILLION WHICH ACCORDING TO 3936 03:14:45,240 --> 03:14:47,480 THE BUDGET AND WE DON'T KNOW 3937 03:14:47,480 --> 03:14:49,560 WHAT'S GOING HAPPEN IN 2023 3938 03:14:49,560 --> 03:14:50,800 BRINGING US NORTH OF $900 3939 03:14:50,800 --> 03:14:52,640 MILLION AND USING THE FUNDS TO 3940 03:14:52,640 --> 03:14:54,400 PLAN FOR LARGE PROJECTS WHICH 3941 03:14:54,400 --> 03:14:59,480 I'LL GET TO IN A MOMENT. 3942 03:14:59,480 --> 03:15:03,920 AS WALTER MENTIONED WE'RE IN A 3943 03:15:03,920 --> 03:15:05,000 CONTINUING RESOLUTION HAVING US 3944 03:15:05,000 --> 03:15:07,160 PINNED TO THE LAST YEAR'S BUDGET 3945 03:15:07,160 --> 03:15:11,680 AND WE'RE CROSSING OUR FINGERS 3946 03:15:11,680 --> 03:15:12,600 AND TOES WE'LL HAVE A RESOLUTION 3947 03:15:12,600 --> 03:15:13,560 FOR THE RESOLUTION OF THE YEAR 3948 03:15:13,560 --> 03:15:15,400 AND IF THAT GOES TO PLAN WE 3949 03:15:15,400 --> 03:15:17,800 SHOULD HAVE A BUDGET NORTH OF 3950 03:15:17,800 --> 03:15:19,760 $600 MILLION. 3951 03:15:19,760 --> 03:15:20,800 THIS IS IN PROCESS AND OUT OF 3952 03:15:20,800 --> 03:15:23,360 OUR HANDS BUT HOPEFULLY ALL WILL 3953 03:15:23,360 --> 03:15:24,600 WORK OUT FAIRLY SOON. 3954 03:15:24,600 --> 03:15:27,880 SO WHAT HAVE WE BEEN UP TO? 3955 03:15:27,880 --> 03:15:28,800 WE'VE HAD DISCUSSION TODAY 3956 03:15:28,800 --> 03:15:31,200 ALREADY ABOUT OPPORTUNITIES AND 3957 03:15:31,200 --> 03:15:31,680 INCLUSIVITY. 3958 03:15:31,680 --> 03:15:34,400 BRAIN IS COMMITTED TO ADVANCING 3959 03:15:34,400 --> 03:15:37,000 EXCELLENCE THROUGH INCLUSIVITY 3960 03:15:37,000 --> 03:15:38,800 AND I'M CONSTANTLY REMINDING 3961 03:15:38,800 --> 03:15:42,960 MYSELF AND SENIOR STAFF THE "I" 3962 03:15:42,960 --> 03:15:44,680 IN BRAIN STANDS FOR INNOVATIVE 3963 03:15:44,680 --> 03:15:46,800 AND ALL WITH AN EYE TOWARDS 3964 03:15:46,800 --> 03:15:48,200 DOING BETTER SCIENCE. 3965 03:15:48,200 --> 03:15:51,560 WE PUBLISHED A POSITION PIECE ON 3966 03:15:51,560 --> 03:15:53,960 THIS TOPIC BACK IN OCTOBER IN 3967 03:15:53,960 --> 03:15:54,520 NEURON. 3968 03:15:54,520 --> 03:15:57,800 THERE'S THREE PILLARS TO OUR 3969 03:15:57,800 --> 03:16:00,840 APPROACH TOWARDS ENHANCING 3970 03:16:00,840 --> 03:16:01,640 INCLUSIVITY WITHIN OUR 3971 03:16:01,640 --> 03:16:01,920 WORKFORCE. 3972 03:16:01,920 --> 03:16:03,640 THE FIRST IS TO TRAIN THE NEXT 3973 03:16:03,640 --> 03:16:04,760 GENERATION OF SCIENTIFIC LEADERS 3974 03:16:04,760 --> 03:16:07,680 AND WE PARTICIPATE OR HAVE A 3975 03:16:07,680 --> 03:16:09,800 NUMBER OF TERMS HERE AND 3976 03:16:09,800 --> 03:16:13,280 DOCTORAL PROGRAM AND F99/K00 3977 03:16:13,280 --> 03:16:15,280 PATH WAY TO INDEPENDENCE AND K99 3978 03:16:15,280 --> 03:16:17,680 TO R00 TRANSITION AWARDS. 3979 03:16:17,680 --> 03:16:21,800 THE F99 PROGRAM AND K99 ARE BOTH 3980 03:16:21,800 --> 03:16:24,360 DIVERSITY FOCUSSED WHERE THE F99 3981 03:16:24,360 --> 03:16:27,040 IS BRAIN SPECIFIC AND IT IS 3982 03:16:27,040 --> 03:16:29,800 RESTRICTED TO WOMEN AND PEOPLE 3983 03:16:29,800 --> 03:16:33,800 FROM UNDER REPRESENTED GROUPS 3984 03:16:33,800 --> 03:16:40,680 AND WE POINT TO EXPAND THE 3985 03:16:40,680 --> 03:16:43,400 PROGRAM TO INCLUDE BRAIN TO FUND 3986 03:16:43,400 --> 03:16:44,680 LATER STAGE GRADUATE STUDENTS 3987 03:16:44,680 --> 03:16:45,920 AND PROVIDE FUNDS TO TRANSITION 3988 03:16:45,920 --> 03:16:47,200 TO THE POST-DOCTORAL PHASE. 3989 03:16:47,200 --> 03:16:49,400 WE'RE EXCITED ABOUT THAT. 3990 03:16:49,400 --> 03:16:51,080 IN ADDITION WE PROVIDE DIVERSITY 3991 03:16:51,080 --> 03:16:53,480 SUPPLEMENTS TO CURRENTLY FUND A 3992 03:16:53,480 --> 03:16:54,800 BRAIN AWARDS AND THIS IS WITHIN 3993 03:16:54,800 --> 03:16:58,480 AN EYE TOWARDS BRINGING IN 3994 03:16:58,480 --> 03:16:59,840 PEOPLE FROM DIVERSE BACKGROUNDS 3995 03:16:59,840 --> 03:17:01,800 AT MULTIPLE LEVELS. 3996 03:17:01,800 --> 03:17:09,000 THIS COULD AT THE COLLEGE LEVEL 3997 03:17:09,000 --> 03:17:10,920 OR POST-DOC OR POST-POST DOCK TO 3998 03:17:10,920 --> 03:17:13,760 GET THEM INTRODUCED TO THE FIELD 3999 03:17:13,760 --> 03:17:16,800 AND GAIN COMPETITIVENESS FOR 4000 03:17:16,800 --> 03:17:18,080 COMPETITIVE AWARDS. 4001 03:17:18,080 --> 03:17:19,080 THAT'S WHAT WE'RE DOING IN THE 4002 03:17:19,080 --> 03:17:20,840 TRAINING FIELD AND LOOKING INTO 4003 03:17:20,840 --> 03:17:23,200 OTHER OPPORTUNITIES TO EXPAND 4004 03:17:23,200 --> 03:17:25,040 THE REACH TO DIVERSIFY OR 4005 03:17:25,040 --> 03:17:27,040 WORKFORCE FROM ALL ASPECTS FROM 4006 03:17:27,040 --> 03:17:28,920 PERSONAL BACKGROUND AND 4007 03:17:28,920 --> 03:17:29,800 INSTITUTIONAL AND GEOGRAPHIC AS 4008 03:17:29,800 --> 03:17:32,280 WELL AS DISCIPLINARY 4009 03:17:32,280 --> 03:17:32,680 BACKGROUNDS. 4010 03:17:32,680 --> 03:17:33,760 WE'RE ALSO TRYING TO FIND WAYS 4011 03:17:33,760 --> 03:17:35,000 TO ENGAGE NEW PARTNERS. 4012 03:17:35,000 --> 03:17:39,800 AS ONE EXAMPLE WE HAVE A U24 FOA 4013 03:17:39,800 --> 03:17:40,720 ON THE STREET THAT SUPPORTS 4014 03:17:40,720 --> 03:17:43,400 CAPACITY DEVELOPMENT FOR 4015 03:17:43,400 --> 03:17:45,720 DEVELOPING REGIONS AT MINORITY 4016 03:17:45,720 --> 03:17:49,400 SERVING INSTITUTIONS AND IDEA 4017 03:17:49,400 --> 03:17:49,880 ELIGIBLE INSTITUTIONS. 4018 03:17:49,880 --> 03:17:53,080 WE'RE LOOKING FOR GREATER 4019 03:17:53,080 --> 03:17:54,520 DIVERSITY TO BRING THESE INTO 4020 03:17:54,520 --> 03:17:58,120 THE BRAIN FOLD. 4021 03:17:58,120 --> 03:18:01,800 AND COMMITTED TO FOSTERING 4022 03:18:01,800 --> 03:18:05,520 ININCLUSIVE ENVIRONMENTS AND 4023 03:18:05,520 --> 03:18:11,000 HAVE NINE CURRENT BRAIN FOAs AND 4024 03:18:11,000 --> 03:18:19,800 HAVE NEWLY ISSUED FOAs AS THEY 4025 03:18:19,800 --> 03:18:23,600 ROLE OUT AND PDP IS BEING TAKEN 4026 03:18:23,600 --> 03:18:25,760 UP AND YOU HEARD ABOUT SOME OF 4027 03:18:25,760 --> 03:18:27,040 THIS GOING ON AT NINDS. 4028 03:18:27,040 --> 03:18:28,680 WE'RE EXCITED ABOUT THIS AND IT 4029 03:18:28,680 --> 03:18:31,600 WILL BE WORK IN PROGRESS BUT WE 4030 03:18:31,600 --> 03:18:34,600 HOPE TO MOVE THE NEEDLE TO 4031 03:18:34,600 --> 03:18:36,160 ENHANCE DIVERSITY, EQUITY 4032 03:18:36,160 --> 03:18:36,760 INCLUSION WITH AN EYE TOWARDS 4033 03:18:36,760 --> 03:18:44,640 DOING BETTER SCIENCE. 4034 03:18:44,640 --> 03:18:45,760 THERE'S BEEN ACTIVITY AND 4035 03:18:45,760 --> 03:18:49,600 GROWING IN HUMANS AND INVASIVE 4036 03:18:49,600 --> 03:18:53,400 PROCEDURES SUCH AS 4037 03:18:53,400 --> 03:18:55,080 INTRAOPERATIVE STUDIES FOR 4038 03:18:55,080 --> 03:18:56,080 CLINICAL INDICATIONS AND 4039 03:18:56,080 --> 03:18:58,800 HIGHLIGHTED IS A PIECE PUBLISHED 4040 03:18:58,800 --> 03:19:01,040 IN SCIENCE MAGAZINE ON THE 4041 03:19:01,040 --> 03:19:01,960 WINDOW OF OPPORTUNITY. 4042 03:19:01,960 --> 03:19:03,600 WHAT ARE THE WINDOW OF 4043 03:19:03,600 --> 03:19:04,960 OPPORTUNITIES FOR PERFORMING 4044 03:19:04,960 --> 03:19:06,760 RESEARCH IN HUMAN SUBJECTS 4045 03:19:06,760 --> 03:19:09,240 OTHERWISE IMPLANTED WITH 4046 03:19:09,240 --> 03:19:16,160 INVASIVE DEVICES AND NOT ONLY 4047 03:19:16,160 --> 03:19:18,240 THE ETHICAL CONSIDERATIONS. 4048 03:19:18,240 --> 03:19:21,840 ABOUT AROUND THIS TIME IT WAS 4049 03:19:21,840 --> 03:19:25,200 PUBLISHED IN NEURON ON THE 4050 03:19:25,200 --> 03:19:27,800 ETHICAL COMMITMENTS FOR 4051 03:19:27,800 --> 03:19:30,200 PERFORMING THIS RESEARCH. 4052 03:19:30,200 --> 03:19:35,320 THE CAME FROM COLLEAGUES AS PART 4053 03:19:35,320 --> 03:19:37,760 OF THE BRAIN RESEARCH 4054 03:19:37,760 --> 03:19:41,000 OPPORTUNITIES IN HUMANS 4055 03:19:41,000 --> 03:19:41,280 CONSORTIUM. 4056 03:19:41,280 --> 03:19:43,000 AND HERE'S A GROUP OF 4057 03:19:43,000 --> 03:19:45,400 INVESTIGATORS BRAIN IS FUNDING 4058 03:19:45,400 --> 03:19:48,160 WHO FORMED A CONSORTIUM TO SHARE 4059 03:19:48,160 --> 03:19:49,800 ABOUT THE RESEARCH THEY'RE 4060 03:19:49,800 --> 03:19:50,080 CONDUCTING. 4061 03:19:50,080 --> 03:19:51,880 FROM THE PIECE THERE'S TWO 4062 03:19:51,880 --> 03:19:53,760 GUIDING PRINCIPLES. 4063 03:19:53,760 --> 03:19:57,760 ONE THAT CLINICAL CARE HAS TO 4064 03:19:57,760 --> 03:20:00,400 TAKE PRECEDENCE OVER SCIENTIFIC 4065 03:20:00,400 --> 03:20:00,680 PRIORITIES. 4066 03:20:00,680 --> 03:20:04,920 THE PATIENT'S WELL BEING MUST 4067 03:20:04,920 --> 03:20:07,600 ALWAYS COME FIRST AND SECOND IS 4068 03:20:07,600 --> 03:20:09,760 THE PARTNERS AND THEIR 4069 03:20:09,760 --> 03:20:13,760 INVOLVEMENT MUST BE AGREED TO 4070 03:20:13,760 --> 03:20:17,160 WILLINGLY WITHOUT UNDUE 4071 03:20:17,160 --> 03:20:17,840 INFLUENCE. 4072 03:20:17,840 --> 03:20:23,400 FOR EXAMPLE, IN THE 4073 03:20:23,400 --> 03:20:25,080 INTRAOPERATING PROCEDURES IS 4074 03:20:25,080 --> 03:20:26,680 THERE IMPACT FOR EXPANDING THE 4075 03:20:26,680 --> 03:20:29,760 PROCEDURE TO CONDUCT AN 4076 03:20:29,760 --> 03:20:30,760 EXPERIMENT? 4077 03:20:30,760 --> 03:20:32,520 WHAT CONSTITUTE UNDUE INFLUENCE 4078 03:20:32,520 --> 03:20:37,400 AND WHAT'S THE INFLUENCE OF THE 4079 03:20:37,400 --> 03:20:38,600 SURGEON AND RESEARCHER ON THE 4080 03:20:38,600 --> 03:20:40,360 PATIENT OR THE SUBJECT'S 4081 03:20:40,360 --> 03:20:44,000 WILLINGNESS AND AGREEMENT TO 4082 03:20:44,000 --> 03:20:47,120 PARTICIPATE AND THIS LAID OUT 4083 03:20:47,120 --> 03:20:49,320 NOT JUST THE PROBLEMS BUT 4084 03:20:49,320 --> 03:20:51,160 POTENTIAL SOLUTIONS THAT COULD 4085 03:20:51,160 --> 03:20:54,400 BE ADOPTED WITHIN THE CONSORTIUM 4086 03:20:54,400 --> 03:20:57,760 AND THE RESEARCH PROJECTS MORE 4087 03:20:57,760 --> 03:21:04,800 BROADLY. 4088 03:21:04,800 --> 03:21:10,360 THERE'S THE MULTI-COUNCIL 4089 03:21:10,360 --> 03:21:13,760 WORKING GROUP AND AS WELL AS THE 4090 03:21:13,760 --> 03:21:23,160 NEW ETHICS WORKING GROUP AND TO 4091 03:21:23,160 --> 03:21:26,440 IDENTIFY AND ASSESS THE IMPACT 4092 03:21:26,440 --> 03:21:29,240 OF THE WORK WE DO CRITICAL WITH 4093 03:21:29,240 --> 03:21:33,760 REGARD TO INVASIVE PROCEDURES AS 4094 03:21:33,760 --> 03:21:35,760 WELL AS PROCEDURES THAT COULD 4095 03:21:35,760 --> 03:21:36,800 ALTER HUMAN ATTRIBUTES SUCH AS 4096 03:21:36,800 --> 03:21:50,680 AGENCY. 4097 03:21:50,680 --> 03:21:52,600 WE MET AND HELD A PANEL 4098 03:21:52,600 --> 03:21:54,480 DISCUSSION ON THE ETHICAL 4099 03:21:54,480 --> 03:21:56,920 CHALLENGES ON IMPLANTED DEVICE 4100 03:21:56,920 --> 03:22:00,160 RESEARCH WITH PARTICIPANTS. 4101 03:22:00,160 --> 03:22:02,400 WE HAD PRESENTATIONS FROM THE 4102 03:22:02,400 --> 03:22:03,800 UNIVERSITY OF WASHINGTON. 4103 03:22:03,800 --> 03:22:06,240 BOTH BRAIN FUNDED INVESTIGATORS 4104 03:22:06,240 --> 03:22:09,760 FOCUSSED ON NEURO ETHICAL 4105 03:22:09,760 --> 03:22:10,200 ISSUES. 4106 03:22:10,200 --> 03:22:13,760 WE HAD A PATIENT PARTICIPANT IN 4107 03:22:13,760 --> 03:22:21,760 A STUDY FROM A GROUP IN LOS 4108 03:22:21,760 --> 03:22:24,720 ANGELES AT CAL TECH AND WE 4109 03:22:24,720 --> 03:22:27,840 LEARNED A LOT ABOUT THE 4110 03:22:27,840 --> 03:22:31,360 CHALLENGES AND THE DIFFERENT 4111 03:22:31,360 --> 03:22:33,760 PERSPECTIVE 4112 03:22:33,760 --> 03:22:38,200 PERSPECTIVES FROM THE SURGEON 4113 03:22:38,200 --> 03:22:39,840 AND THE PANEL AND OTHERS 4114 03:22:39,840 --> 03:22:43,320 INVOLVED AND HOPE TO HAVE MORE 4115 03:22:43,320 --> 03:22:43,960 DISCUSSIONS IN THE FUTURE AND 4116 03:22:43,960 --> 03:22:52,920 WILL BRING THAT BACK TO YOU. 4117 03:22:52,920 --> 03:22:54,880 NEWG HELPS IDENTIFY AREAS AND 4118 03:22:54,880 --> 03:23:01,760 ONE TOPIC ARE THE POST-TRIAL 4119 03:23:01,760 --> 03:23:02,160 RESPONSIBILITIES. 4120 03:23:02,160 --> 03:23:06,400 WHAT HAPPENS WITH OUR HUMAN 4121 03:23:06,400 --> 03:23:08,160 SUBJECTS AFTER A TRIAL IS OVER 4122 03:23:08,160 --> 03:23:11,240 AND MANY HAVE A DEVICE IMPLANTED 4123 03:23:11,240 --> 03:23:12,760 AND WHAT HAPPENS AFTER AND WHAT 4124 03:23:12,760 --> 03:23:16,480 HAPPENS IF THEY WANT IT EX 4125 03:23:16,480 --> 03:23:18,280 PLANTED AND WHO IS RESPONSIBLE 4126 03:23:18,280 --> 03:23:19,320 FOR THE CARE? 4127 03:23:19,320 --> 03:23:21,200 THESE ISSUES ARE COMPLEX AND 4128 03:23:21,200 --> 03:23:23,760 WILL BE FACED IN A WORKSHOP 4129 03:23:23,760 --> 03:23:26,880 ROLLING OUT RIGHT NOW AND HOPE 4130 03:23:26,880 --> 03:23:29,160 TO HAVE THE PUBLIC PHASE IN THE 4131 03:23:29,160 --> 03:23:41,520 MIDDLE OF THE CURRENT YEAR. 4132 03:23:41,520 --> 03:23:49,080 I HAD THE BRAIN 2.0 4133 03:23:49,080 --> 03:23:51,920 TRANSFORMATIVE ASPECTS AND THE 4134 03:23:51,920 --> 03:23:53,480 BEHAVIOR REQUIRES OF THE 4135 03:23:53,480 --> 03:23:55,680 COMPONENTS AND THE PATTERNS OF 4136 03:23:55,680 --> 03:23:57,800 CONNECTIVITY AND WE NEED WAYS TO 4137 03:23:57,800 --> 03:23:59,560 TEST HYPOTHESES ABOUT THE 4138 03:23:59,560 --> 03:24:01,200 FUNCTION TO BE USED TO LEAD TO 4139 03:24:01,200 --> 03:24:05,520 NEW THERAPEUTIC MODALITIES FOR 4140 03:24:05,520 --> 03:24:06,600 HUMAN BRAIN DISORDERS. 4141 03:24:06,600 --> 03:24:08,720 INSPIRED BY THE WORKING GROUP 4142 03:24:08,720 --> 03:24:10,480 REPORT THE OVERARCHING GOAL OF 4143 03:24:10,480 --> 03:24:13,160 THE TRANSFORMATIVE PROJECTS IS 4144 03:24:13,160 --> 03:24:16,360 TO CHANGE THE TRAJECTORY OF 4145 03:24:16,360 --> 03:24:17,280 NEUROSCIENCE RESEARCH BY 4146 03:24:17,280 --> 03:24:18,520 PROVIDING NEW TOOLS AND 4147 03:24:18,520 --> 03:24:20,360 RESOURCES THAT CAN BE USED TO 4148 03:24:20,360 --> 03:24:21,760 STUDY NEURAL CIRCUITS ACROSS THE 4149 03:24:21,760 --> 03:24:25,960 BRAIN AND TO DO SO AT GREATER 4150 03:24:25,960 --> 03:24:31,400 DEPTH AND SCALE. 4151 03:24:31,400 --> 03:24:32,720 THIS SHIFTS THE EMPHASIS FROM 4152 03:24:32,720 --> 03:24:35,840 MOUSE TO HUMAN AND NON-HUMAN 4153 03:24:35,840 --> 03:24:39,320 PRIMATE BRAINS. 4154 03:24:39,320 --> 03:24:41,760 THE SECOND IS THE WHOLE BRAIN 4155 03:24:41,760 --> 03:24:44,000 MAMMALIAN BRAIN CONNECTIVITY 4156 03:24:44,000 --> 03:24:48,480 PROJECT TO GENERATE A DIAGRAM AT 4157 03:24:48,480 --> 03:24:49,800 DIFFERENT SCALES AND 4158 03:24:49,800 --> 03:24:50,240 RESOLUTIONS. 4159 03:24:50,240 --> 03:24:52,280 AND TOOLS FOR GAINING PRECISION 4160 03:24:52,280 --> 03:24:53,840 ACCESS TO BRAIN CELL TYPES TO 4161 03:24:53,840 --> 03:24:57,840 ALLOW THE INTERROGATION AND 4162 03:24:57,840 --> 03:25:08,320 MODULATION OF MOLECULARLY 4163 03:25:08,320 --> 03:25:09,800 DEFINED CELL TYPES AND CIRCUITS 4164 03:25:09,800 --> 03:25:13,000 AND TO GIVE AN UPDATE ON THE 4165 03:25:13,000 --> 03:25:14,480 STATUS OF THE PROJECTS. 4166 03:25:14,480 --> 03:25:17,160 I THINK I SHOWED SOME VERSION OF 4167 03:25:17,160 --> 03:25:25,600 THE SLIDE THIS PAST NOVEMBER. 4168 03:25:25,600 --> 03:25:27,880 THE BRAIN INITIATIVE INFORMATION 4169 03:25:27,880 --> 03:25:29,720 PROJECT AND ATLAS NUMBER AND 4170 03:25:29,720 --> 03:25:32,280 THIS WILL BUILD ON THE SUCCESS 4171 03:25:32,280 --> 03:25:34,400 OF THE MOUSE CENTRIC BRAIN 4172 03:25:34,400 --> 03:25:35,920 INITIATIVE CELL CENSUS NETWORK 4173 03:25:35,920 --> 03:25:37,400 AND SHIFT THE EMPHASIS TO BIG 4174 03:25:37,400 --> 03:25:37,760 BRAINS. 4175 03:25:37,760 --> 03:25:39,680 WE RECEIVED APPLICATIONS FOR THE 4176 03:25:39,680 --> 03:25:41,760 FIRST THREE RFAs. 4177 03:25:41,760 --> 03:25:44,240 THEY'RE BEING REVIEWED SOON AND 4178 03:25:44,240 --> 03:25:48,160 WILL BE HOPEFULLY FUNDED BY THE 4179 03:25:48,160 --> 03:25:49,280 END OF THE YEAR. 4180 03:25:49,280 --> 03:25:50,840 THE SECOND IS THE RESOURCES AND 4181 03:25:50,840 --> 03:25:54,560 BRAIN CELL TYPE ACCESS AND 4182 03:25:54,560 --> 03:25:56,400 MANIPULATION ACROSS THE 4183 03:25:56,400 --> 03:26:02,920 SO-CALLED CELL TYPE 4184 03:26:02,920 --> 03:26:04,880 ARMAMENTARIUM AND AGAIN THE LONG 4185 03:26:04,880 --> 03:26:07,320 RANGE GOAL IS TO DEVELOP NEW 4186 03:26:07,320 --> 03:26:08,200 THERAPEUTIC TECHNOLOGIES FOR 4187 03:26:08,200 --> 03:26:09,800 HUMAN BRAIN DISORDERS. 4188 03:26:09,800 --> 03:26:11,000 WE ALREADY FUNDED THE FIRST 4189 03:26:11,000 --> 03:26:12,720 TRANCHE OF APPLICATIONS AND THE 4190 03:26:12,720 --> 03:26:14,200 SECOND ROUND IS GOING TO BE 4191 03:26:14,200 --> 03:26:15,920 UNDER REVIEW SOON. 4192 03:26:15,920 --> 03:26:20,520 AND FINALLY THE WHOLE BRAIN 4193 03:26:20,520 --> 03:26:21,800 CONNECTIVITY ANALYSIS TO PROVIDE 4194 03:26:21,800 --> 03:26:26,200 A WHOLE BRAIN DIAGRAM IN MAMMALS 4195 03:26:26,200 --> 03:26:27,360 AT MULTIPLE SCALES. 4196 03:26:27,360 --> 03:26:28,960 I PRESENTED THIS AS A CONCEPT 4197 03:26:28,960 --> 03:26:32,480 BACK IN NOVEMBER. 4198 03:26:32,480 --> 03:26:38,720 HOPEFULLY YOU'RE FAMILIAR. 4199 03:26:38,720 --> 03:26:45,800 BACK IN 2021 WE RECEIVED 4200 03:26:45,800 --> 03:26:48,000 CONGRESSAT DIRET 4201 03:26:48,000 --> 03:26:49,760 CONGRESSAT DID 4202 03:26:51,880 --> 03:26:53,800 CONGRESSIONAL DIRECTED FUNDS. 4203 03:26:53,800 --> 03:26:56,040 $40 MILLION WERE DIRECTED 4204 03:26:56,040 --> 03:26:57,760 TOWARDS TOOLS AND TECHNOLOGIES 4205 03:26:57,760 --> 03:26:59,600 AIMED AT LARGER BRAINS. 4206 03:26:59,600 --> 03:27:03,480 THIS IS PUSHED THROUGH EXISTING 4207 03:27:03,480 --> 03:27:03,880 RFAs. 4208 03:27:03,880 --> 03:27:06,600 ROUGHLY $40 MILLION WAS APPLIED 4209 03:27:06,600 --> 03:27:10,880 TO THESE TYPES OF PROJECTS AND 4210 03:27:10,880 --> 03:27:15,000 WILL GIVE US A LEG UP AND WE PUT 4211 03:27:15,000 --> 03:27:16,800 $16 MILLION TOWARDS FOUR AWARDS, 4212 03:27:16,800 --> 03:27:21,400 THREE OF WHICH WERE THROUGH THE 4213 03:27:21,400 --> 03:27:22,520 ARMAMENTARIUM RFA. 4214 03:27:22,520 --> 03:27:25,480 EXCITED ABOUT THE PROJECTS AND 4215 03:27:25,480 --> 03:27:27,360 GRATEFUL TO CONGRESS FOR GIVING 4216 03:27:27,360 --> 03:27:29,760 US ADDITIONAL FUNDS LAST YEAR IT 4217 03:27:29,760 --> 03:27:35,000 GET THESE UNDERWAY. 4218 03:27:35,000 --> 03:27:38,600 NOW TWO HIGHLIGHTS AND TOGETHER 4219 03:27:38,600 --> 03:27:40,680 AS WELL AS THE OTHER SCIENTIFIC 4220 03:27:40,680 --> 03:27:41,000 HIGHLIGHTS. 4221 03:27:41,000 --> 03:27:46,480 I DON'T KNOW IF WALTER PRESENTED 4222 03:27:46,480 --> 03:27:53,120 THIS LAST TIME THIS WAS ONE OF 4223 03:27:53,120 --> 03:27:55,760 HIS TOP PAPERS FROM 2021. 4224 03:27:55,760 --> 03:27:57,400 THE CELL CENSUS NETWORKS SEFT 4225 03:27:57,400 --> 03:28:00,000 PAPERS IN THE OCTOBER ISSUE OF 4226 03:28:00,000 --> 03:28:02,760 NATURE IN 2021. 4227 03:28:02,760 --> 03:28:04,360 FULL DISCLOSURE, BEFORE I JOINED 4228 03:28:04,360 --> 03:28:08,200 NIH IN MAY OF 2020, I WAS A P.I. 4229 03:28:08,200 --> 03:28:09,760 WITHIN THIS AMAZING GROUP OF 4230 03:28:09,760 --> 03:28:14,720 INVESTIGATORS. 4231 03:28:14,720 --> 03:28:21,520 HERE WE HAVE A MULTI-MODAL 4232 03:28:21,520 --> 03:28:30,240 ANALYSIS OF THESE PRIMARY MOTOR 4233 03:28:30,240 --> 03:28:32,400 CORTEX AND WE LEARNED ABOUT THE 4234 03:28:32,400 --> 03:28:34,600 ORGANIZATION OF DOING TEAM 4235 03:28:34,600 --> 03:28:37,760 SCIENCE THAT SETS THE STAGE FOR 4236 03:28:37,760 --> 03:28:40,720 COLLABORATIVE EFFORT TO CREATE A 4237 03:28:40,720 --> 03:28:43,200 COMPREHENSIVE ATLAS OF THE HUMAN 4238 03:28:43,200 --> 03:28:44,240 BRAIN. 4239 03:28:44,240 --> 03:28:51,000 WE PERFORM THE MORTAR -- MOTOR 4240 03:28:51,000 --> 03:28:53,720 CORTEX AND INTEGRATING THE 4241 03:28:53,720 --> 03:28:57,120 MOLECULAR CHARACTERISTICS FROM 4242 03:28:57,120 --> 03:28:58,400 EPIGENOMICS WITH SPATIAL 4243 03:28:58,400 --> 03:29:02,000 DISTRIBUTION AND PHYSIOLOGY AND 4244 03:29:02,000 --> 03:29:02,640 CONNECTIVITY. 4245 03:29:02,640 --> 03:29:04,960 WE FOUND SOME KEY ORGANIZATIONAL 4246 03:29:04,960 --> 03:29:06,800 PRINCIPLES UNDERLYING THE 4247 03:29:06,800 --> 03:29:09,800 DIVERSIFICATION OF BRAIN CELL 4248 03:29:09,800 --> 03:29:14,600 TYPES. 4249 03:29:14,600 --> 03:29:15,720 THERE'S THE CELL TYPES BETWEEN 4250 03:29:15,720 --> 03:29:17,600 MOUSE AND HUMANS SETTING THE 4251 03:29:17,600 --> 03:29:20,120 STAGE FOR THE HUMAN BRAIN CELL 4252 03:29:20,120 --> 03:29:23,560 ATLAS AND WE FOUND INTERESTING 4253 03:29:23,560 --> 03:29:23,840 DIFFERENCES. 4254 03:29:23,840 --> 03:29:27,520 I THINK YOU'LL FIND THAT 4255 03:29:27,520 --> 03:29:29,680 FASCINATING. 4256 03:29:29,680 --> 03:29:32,480 AND FINALLY, THE RECOGNITION OF 4257 03:29:32,480 --> 03:29:35,920 THE POWER OF TEAM SCIENCE WHICH 4258 03:29:35,920 --> 03:29:37,760 CULMINATED AN A PLAYINGSHIP 4259 03:29:37,760 --> 03:29:39,200 PAPER CAME ABOUT FROM THE 4260 03:29:39,200 --> 03:29:44,440 EFFORTS OF OVER 250 RESEARCHERS 4261 03:29:44,440 --> 03:29:46,840 FROM OVER 45 INSTITUTIONS AND I 4262 03:29:46,840 --> 03:29:49,120 BELIEVE IT'S UNPRECEDENTED IN 4263 03:29:49,120 --> 03:29:53,800 THE FIELD OF NEUROSCIENCE. 4264 03:29:53,800 --> 03:29:56,360 IT'S ACCEPTED IN POWERFUL IN 4265 03:29:56,360 --> 03:29:57,760 OTHER FIELD SUCH AS ASTRONOMY 4266 03:29:57,760 --> 03:30:00,760 AND PHYSICS AND HOPING TO USE IT 4267 03:30:00,760 --> 03:30:03,400 AS A MODEL TO DEVELOP RESOURCES 4268 03:30:03,400 --> 03:30:05,800 FOR EXAMPLE THE HUMAN CELL ATLAS 4269 03:30:05,800 --> 03:30:06,920 AND CONNECTIVITY MAPS TO BENEFIT 4270 03:30:06,920 --> 03:30:13,360 THE FIELD AS A WHOLE. 4271 03:30:13,360 --> 03:30:15,360 THERE'S MORE GREAT STUFF COMING 4272 03:30:15,360 --> 03:30:17,200 AND I STEPPED AWAY BUT THEY'RE 4273 03:30:17,200 --> 03:30:18,720 DOING GREAT STUFF I HOPE WE'LL 4274 03:30:18,720 --> 03:30:19,880 BE READING ABOUT IN THE NEXT 4275 03:30:19,880 --> 03:30:20,880 YEAR OR SO. 4276 03:30:20,880 --> 03:30:22,760 IN TERMS OF DEVELOPING METHODS 4277 03:30:22,760 --> 03:30:25,200 FOR GENE DELIVERY TO THE BRAIN. 4278 03:30:25,200 --> 03:30:27,240 ONE OF THE PREFERRED METHODS IS 4279 03:30:27,240 --> 03:30:28,760 TO USE VIRAL VECTORS AS WELL AS 4280 03:30:28,760 --> 03:30:31,640 DEVELOPMENT OF NANO PARTICLES 4281 03:30:31,640 --> 03:30:31,800 TOO. 4282 03:30:31,800 --> 03:30:34,160 FOR THE DEVELOPMENT IN 4283 03:30:34,160 --> 03:30:47,400 PARTICULAR OF ADENO ASSOCIATED 4284 03:30:47,400 --> 03:30:51,000 AS A VECTOR AND DRIVING BRAIN 4285 03:30:51,000 --> 03:30:51,680 SPECIFIC GENE EXPRESSION AND 4286 03:30:51,680 --> 03:30:53,800 USED BOTH FOR INTEGRATING AND 4287 03:30:53,800 --> 03:30:57,040 MODULATING NEURAL CIRCUITS AND 4288 03:30:57,040 --> 03:30:59,080 CREATING AND IDENTIFY VARIANTS 4289 03:30:59,080 --> 03:31:01,600 WITH DIFFERENT TROPISMS. 4290 03:31:01,600 --> 03:31:08,560 ONE OF THE BIG BREAKTHROUGHS 4291 03:31:08,560 --> 03:31:12,000 VIVIANA'S LAB IS CAPSIDS TO 4292 03:31:12,000 --> 03:31:14,960 ACROSS THE BLOOD BRAIN BARRIERS 4293 03:31:14,960 --> 03:31:16,920 AND CAN INJECT INTO THE BLOOD 4294 03:31:16,920 --> 03:31:17,480 STREAM. 4295 03:31:17,480 --> 03:31:20,480 IT'S A GREAT DELIVERY ROUTE BUT 4296 03:31:20,480 --> 03:31:22,040 THERE'S CHALLENGES IN TERMS OF 4297 03:31:22,040 --> 03:31:25,760 TOXICITY AND INAPPROPRIATE OR 4298 03:31:25,760 --> 03:31:32,000 UNDESIRED TARGETING TO SYSTEMS. 4299 03:31:32,000 --> 03:31:34,520 THEY'VE LOWER TARGETING TO THE 4300 03:31:34,520 --> 03:31:34,800 LIVER. 4301 03:31:34,800 --> 03:31:36,120 THESE ARE VARIOUS SECTIONS AND 4302 03:31:36,120 --> 03:31:39,880 HERE ARE DIFFERENT AND THE ROLES 4303 03:31:39,880 --> 03:31:42,920 ARE DIFFERENT CAPSID VARIANTS 4304 03:31:42,920 --> 03:31:45,080 DRIVING GFP AND YOU SEE GOING TO 4305 03:31:45,080 --> 03:31:49,600 THE BRAIN BUT NOT LOCALIZED OR 4306 03:31:49,600 --> 03:31:50,080 EXPRESSING IN THE LIVER. 4307 03:31:50,080 --> 03:31:55,760 THEY HAVE A VARIANT THAT TARGETS 4308 03:31:55,760 --> 03:32:00,840 ASTROCYTES AND DENDDROCYTES AND 4309 03:32:00,840 --> 03:32:01,840 THE SPECIFICITY OF THIS 4310 03:32:01,840 --> 03:32:06,840 IDENTIFIED CAPSID VARIANT ALLOWS 4311 03:32:06,840 --> 03:32:12,000 TARGETING TO BRAIN CELL TYPES IN 4312 03:32:12,000 --> 03:32:15,920 MARMOSET BRAINS AND LIVERS AND 4313 03:32:15,920 --> 03:32:18,480 GIVES THE ABILITY TO ACROSS 4314 03:32:18,480 --> 03:32:21,040 TYPES AND IN NON-HUMAN PRIMATES 4315 03:32:21,040 --> 03:32:22,880 WHICH IS AN IMPORTANT STEPPING 4316 03:32:22,880 --> 03:32:23,720 STONE IN DEVELOPING THERAPIES IN 4317 03:32:23,720 --> 03:32:36,000 HUMANS. 4318 03:32:36,000 --> 03:32:37,240 TO QUICK RESEARCH HIGHLIGHTS. 4319 03:32:37,240 --> 03:32:39,000 I WANT TO HIGHLIGHT TWO PAPERS 4320 03:32:39,000 --> 03:32:40,680 PUBLISHED IN NATURE AND MEDICINE 4321 03:32:40,680 --> 03:32:41,640 LAST FALL. 4322 03:32:41,640 --> 03:32:43,640 THIS PAPER IS FROM EDDIE CHANG'S 4323 03:32:43,640 --> 03:32:47,280 GROUP THE IMPLANTED INTO A 4324 03:32:47,280 --> 03:32:49,800 PATIENT WITH SEVERE TREATMENT 4325 03:32:49,800 --> 03:32:51,960 RESISTANT DEPRESSION, A SERIES 4326 03:32:51,960 --> 03:32:54,520 OF ELECTRODES AND FOUND WITH 4327 03:32:54,520 --> 03:32:55,360 DIFFERENT STIMULATION PARAMETERS 4328 03:32:55,360 --> 03:32:59,640 WERE ABLE TO AMELIORATE 4329 03:32:59,640 --> 03:33:01,400 DEPRESSION SYMPTOMS OF THAT 4330 03:33:01,400 --> 03:33:01,840 PATIENT. 4331 03:33:01,840 --> 03:33:03,920 WE CAN SEE THE PROMISE AND 4332 03:33:03,920 --> 03:33:08,680 POSSIBILITY OF EXTENDING DEEP 4333 03:33:08,680 --> 03:33:09,760 BRAIN STIMULATION FROM MOVEMENT 4334 03:33:09,760 --> 03:33:11,400 DISORDER TO NEAR PSYCHIATRIC 4335 03:33:11,400 --> 03:33:15,240 DISORDER AND TO REMIND THE MORE 4336 03:33:15,240 --> 03:33:17,440 WE KNOW ABOUT THE CIRCUITS 4337 03:33:17,440 --> 03:33:19,040 INVOLVED IN THESE DISORDERS, THE 4338 03:33:19,040 --> 03:33:23,080 BETTER WE'LL ABLE TO TARGET THEM 4339 03:33:23,080 --> 03:33:25,360 AND HAVING MARKERS TO TUNE THE 4340 03:33:25,360 --> 03:33:26,480 THERAPIES WOULD BE OF IMPORTANCE 4341 03:33:26,480 --> 03:33:29,760 FOR THE FUTURE AND IN THIS 4342 03:33:29,760 --> 03:33:35,720 REGARD HERE'S A PAPER FROM A 4343 03:33:35,720 --> 03:33:37,760 MULTISITE TEAM WHERE THEY WERE 4344 03:33:37,760 --> 03:33:41,240 ABLE TO RECORD OVER 1,000 HOURS 4345 03:33:41,240 --> 03:33:42,920 OF ACTIVITY FROM FIVE PATIENTS 4346 03:33:42,920 --> 03:33:45,880 WITH OCD AND THIS WITH US DONE 4347 03:33:45,880 --> 03:33:47,080 IN THE LAB AND IN THE HOME. 4348 03:33:47,080 --> 03:33:49,760 THE GOAL OR HOPE IS THAT WE CAN 4349 03:33:49,760 --> 03:33:52,960 IDENTIFY OR THEY CAN IDENTIFY 4350 03:33:52,960 --> 03:33:54,960 NEURAL SIGNATURES RELATED TO 4351 03:33:54,960 --> 03:33:55,640 CERTAIN PATHOLOGICAL STATES THAT 4352 03:33:55,640 --> 03:33:58,000 CAN BE USED IN ADAPTIVE 4353 03:33:58,000 --> 03:33:59,400 THERAPIES TO CONTROL THOSE 4354 03:33:59,400 --> 03:33:59,680 SYMPTOMS. 4355 03:33:59,680 --> 03:34:00,760 SO STAY TUNED. 4356 03:34:00,760 --> 03:34:02,360 I THINK THIS IS AN EXCITING AREA 4357 03:34:02,360 --> 03:34:03,960 OF RESEARCH AND WE'RE LOOKING 4358 03:34:03,960 --> 03:34:05,800 FORWARD TO SEE HOW THE FIELD 4359 03:34:05,800 --> 03:34:06,440 MOVES FORWARD IN THESE VARIOUS 4360 03:34:06,440 --> 03:34:08,320 DOMAINS. 4361 03:34:08,320 --> 03:34:11,720 I WANT TO POINT OUT A FEW NEW 4362 03:34:11,720 --> 03:34:12,440 FUNDING OPPORTUNITIES THE BRAIN 4363 03:34:12,440 --> 03:34:13,320 INITIATIVE IS PUTTING OUT RIGHT 4364 03:34:13,320 --> 03:34:15,920 NOW OR HAS ON THE STREET. 4365 03:34:15,920 --> 03:34:20,520 WE HAVE AN ONGOING SERIES OF 4366 03:34:20,520 --> 03:34:21,280 DISSEMINATION U24 GRANTS AND 4367 03:34:21,280 --> 03:34:23,200 IT'S IMPORTANT FOR US TO GET OUR 4368 03:34:23,200 --> 03:34:26,960 TECHNOLOGIES OUT THERE TO 4369 03:34:26,960 --> 03:34:28,760 DISSEMINATE THEM AND DEMOCRATIZE 4370 03:34:28,760 --> 03:34:31,200 THEM FOR ALL WHO WISH TO USE 4371 03:34:31,200 --> 03:34:31,600 THEM. 4372 03:34:31,600 --> 03:34:33,000 WE PARTNERED WITH THE PROGRAM 4373 03:34:33,000 --> 03:34:36,600 THAT WILL ASSIST EARLY STAGE 4374 03:34:36,600 --> 03:34:38,000 DEVELOPMENT IN CLINICAL STUDIES. 4375 03:34:38,000 --> 03:34:48,360 WE HAVE AN ONGOING SERIES OF R25 4376 03:34:48,360 --> 03:34:49,840 RFA THAT ADDRESSES RESEARCH, 4377 03:34:49,840 --> 03:34:53,840 EDUCATIONAL TRAIN AND A CALL FOR 4378 03:34:53,840 --> 03:34:56,600 ADMINISTRATIVE SUPPLEMENTS FOR 4379 03:34:56,600 --> 03:34:59,640 SUPPORTED RESEARCH AND AS I 4380 03:34:59,640 --> 03:35:01,040 PRESENTED TO YOU IN THE FALL, 4381 03:35:01,040 --> 03:35:03,840 AND THE CONCEPT PRESENTATION WE 4382 03:35:03,840 --> 03:35:05,760 HAVE THIS BRAIN INITIATIVE 4383 03:35:05,760 --> 03:35:07,400 CONNECTIVITY ACROSS SCALES BRAIN 4384 03:35:07,400 --> 03:35:08,600 CONNECTS TERMS. 4385 03:35:08,600 --> 03:35:10,760 WE ISSUED THREE NOTICES OF 4386 03:35:10,760 --> 03:35:14,600 INTENT TO PUBLIC FOR 4387 03:35:14,600 --> 03:35:15,880 COMPREHENSIVE CENTERS AS WELL AS 4388 03:35:15,880 --> 03:35:18,560 SPECIALIZED TECHNOLOGIES TO 4389 03:35:18,560 --> 03:35:24,800 DEVELOP TOOLS TO BE USED TO 4390 03:35:24,800 --> 03:35:27,640 GENERATE WHOLE BRAIN 4391 03:35:27,640 --> 03:35:29,360 CONNECTIVITY MAPS AND EXPECT THE 4392 03:35:29,360 --> 03:35:31,200 RFAs TO HIT THE STREET IN THE 4393 03:35:31,200 --> 03:35:33,040 NEXT FEW MONTHS AND LOOKING FOR 4394 03:35:33,040 --> 03:35:37,440 A DUE DATE OF SUMMER 2022. 4395 03:35:37,440 --> 03:35:39,600 WE HAVE A FEW UPCOMING WORK 4396 03:35:39,600 --> 03:35:41,160 SHOPS IN EARLY MARCH. 4397 03:35:41,160 --> 03:35:45,160 WE HAVE A BRAIN BEHAVIOR 4398 03:35:45,160 --> 03:35:49,000 QUANTIFICATION SYNCHRONIZATION 4399 03:35:49,000 --> 03:35:54,280 MEETING AND HERE THE IDEA IS TO 4400 03:35:54,280 --> 03:35:57,240 EXPLORE NEW OPPORTUNITIES IN 4401 03:35:57,240 --> 03:36:01,840 DEVELOPING TECHNOLOGIES AND 4402 03:36:01,840 --> 03:36:05,840 COMPUTATIONAL METHODS AS WELL AS 4403 03:36:05,840 --> 03:36:09,840 ETHICS TO BETTER UNDERSTAND THE 4404 03:36:09,840 --> 03:36:12,920 NEURAL BEHAVIOR BY COMBINING AND 4405 03:36:12,920 --> 03:36:14,760 SYNCHRONIZING THE STUDY OF 4406 03:36:14,760 --> 03:36:15,880 NEURAL ACTIVITY WITH BEHAVIORAL 4407 03:36:15,880 --> 03:36:18,200 OUTPUTS AND IT WILL BE DONE 4408 03:36:18,200 --> 03:36:19,600 ACROSS SPECIES INCLUDING HUMANS 4409 03:36:19,600 --> 03:36:21,800 AND NON-HUMAN MODELS. 4410 03:36:21,800 --> 03:36:25,000 A BRAIN ACROSS THE LIFE SPAN 4411 03:36:25,000 --> 03:36:27,240 WORKSHOP IS BEING STOOD UP BY 4412 03:36:27,240 --> 03:36:29,800 OUR COLLEAGUES AT NICHD AND THE 4413 03:36:29,800 --> 03:36:31,520 BILL AND MELINDA GATES 4414 03:36:31,520 --> 03:36:33,400 FOUNDATION TO LOOK AT THE STATE 4415 03:36:33,400 --> 03:36:35,760 OF THE ART TOOLS AND METHODS FOR 4416 03:36:35,760 --> 03:36:37,320 IDENTITY AND OTHER ASPECTS OVER 4417 03:36:37,320 --> 03:36:37,760 THE LIFE SPAN. 4418 03:36:37,760 --> 03:36:41,880 AND FINALLY, I WANT TO DRAW YOUR 4419 03:36:41,880 --> 03:36:44,760 ATTENTION TO OUR BRAIN 4420 03:36:44,760 --> 03:36:46,840 INITIATIVE MEETING HELD JUNE 4421 03:36:46,840 --> 03:36:47,360 21-22. 4422 03:36:47,360 --> 03:36:49,000 WE'RE CROSSING ALL OF OUR 4423 03:36:49,000 --> 03:36:51,120 FINGERS AND TOES TO HOLD THIS AS 4424 03:36:51,120 --> 03:36:53,400 A HYBRID MEETING AND WILL KNOW 4425 03:36:53,400 --> 03:36:54,520 MORE IN MARCH. 4426 03:36:54,520 --> 03:36:57,840 SO FAR WE HAVE THREE TERRIFIC 4427 03:36:57,840 --> 03:37:01,000 KEY NOTE LECTURES LINED UP. 4428 03:37:01,000 --> 03:37:02,760 ONE FROM U.C. BERKELEY AND ONE 4429 03:37:02,760 --> 03:37:05,120 FROM UNIVERSITY OF WASHINGTON 4430 03:37:05,120 --> 03:37:05,600 AND THE THIRD FROM DUKE 4431 03:37:05,600 --> 03:37:11,400 UNIVERSITY. 4432 03:37:11,400 --> 03:37:12,280 SO STAY TUNED. 4433 03:37:12,280 --> 03:37:13,760 I THINK THIS IS ALREADY UP ON 4434 03:37:13,760 --> 03:37:15,880 OUR WEBSITE AND YOU MAY RECEIVE 4435 03:37:15,880 --> 03:37:18,240 AN EMAIL BLAST IF YOU'RE ON THE 4436 03:37:18,240 --> 03:37:19,400 RIGHT MAILING LIST. 4437 03:37:19,400 --> 03:37:21,080 FOR MORE INFORMATION FIND US ON 4438 03:37:21,080 --> 03:37:23,200 THE WEBSITE AND IF YOU DON'T 4439 03:37:23,200 --> 03:37:26,480 MIND MORE TRAFFIC IN YOUR E-MAIL 4440 03:37:26,480 --> 03:37:29,600 INBOX SIGN UP FOR THE BLAIN 4441 03:37:29,600 --> 03:37:29,800 BLOG. 4442 03:37:29,800 --> 03:37:32,960 I'LL STOP THERE AND IF THERE'S 4443 03:37:32,960 --> 03:37:44,880 TIME FOR QUESTIONS I'M HAPPY TO 4444 03:37:44,880 --> 03:37:47,400 ENTERTAIN THEM. 4445 03:37:47,400 --> 03:37:51,200 >> 4446 03:37:51,200 --> 03:37:53,280 >> MOSAIC WHAT IS THAT? 4447 03:37:53,280 --> 03:37:57,120 >> IT'S ON TOP OF THE K99s AND 4448 03:37:57,120 --> 03:37:59,160 WE'RE NOT YET PLUGGED INTO THAT. 4449 03:37:59,160 --> 03:38:02,720 >> TO WHAT EXTENT IS THE BRAIN 4450 03:38:02,720 --> 03:38:04,480 INITIATIVE EFFORTS INTEGRATED 4451 03:38:04,480 --> 03:38:09,760 WITH OR SEPARATE FROM WHAT'S 4452 03:38:09,760 --> 03:38:12,720 HAPPENING AT THE INSTITUTE? 4453 03:38:12,720 --> 03:38:15,880 >> THE ALEN INSTITUTE IS ONE OF 4454 03:38:15,880 --> 03:38:16,920 OUR GRANTEES. 4455 03:38:16,920 --> 03:38:18,600 WE HAVE MANY PROJECTS OVER THERE 4456 03:38:18,600 --> 03:38:21,280 AND CONSIDER THEM TO BE A STRONG 4457 03:38:21,280 --> 03:38:21,760 PARTNER. 4458 03:38:21,760 --> 03:38:24,800 THEY DO A LOT OF IN GENERAL. 4459 03:38:24,800 --> 03:38:26,760 I THINK IT'S FROM MY PERSPECTIVE 4460 03:38:26,760 --> 03:38:27,880 IT'S A WONDERFUL RELATIONSHIP. 4461 03:38:27,880 --> 03:38:29,760 WE'RE TRYING TO MAKE IT STRONGER 4462 03:38:29,760 --> 03:38:30,360 AND STRONGER. 4463 03:38:30,360 --> 03:38:32,040 IN TERMS OF OUR GRANTING WE FUND 4464 03:38:32,040 --> 03:38:33,600 WHAT WE BELIEVE IS GOING TO BE 4465 03:38:33,600 --> 03:38:35,120 THE MOST IMPACTFUL SCIENCE AND 4466 03:38:35,120 --> 03:38:36,720 WE CAN GET INTO IMPACT. 4467 03:38:36,720 --> 03:38:38,600 THEY'VE BEEN A GREAT PARTNER AND 4468 03:38:38,600 --> 03:38:40,200 CONTRIBUTED A LOT OF RESOURCES 4469 03:38:40,200 --> 03:38:41,920 TO THE FIELD AND WE'RE GLAD TO 4470 03:38:41,920 --> 03:38:51,400 HAVE THEM. 4471 03:38:51,400 --> 03:38:53,400 >> THE MOTOR CORTEX SERIES WAS 4472 03:38:53,400 --> 03:38:54,320 PHENOMENAL AND HAVE YOU 4473 03:38:54,320 --> 03:38:55,840 PROTEOMIC STUDIES. 4474 03:38:55,840 --> 03:38:58,600 WHAT WE SEEM TO BE MISSING WAS 4475 03:38:58,600 --> 03:38:58,920 PROTEOMICS. 4476 03:38:58,920 --> 03:39:07,880 IS THERE A WAY IT TO INTEGRATE 4477 03:39:07,880 --> 03:39:09,760 INTO THAT DATABASE? 4478 03:39:09,760 --> 03:39:19,560 >> MEASURING GENE LEVELS AND 4479 03:39:19,560 --> 03:39:21,400 CHROMATIN IS COMPARED TO THAT 4480 03:39:21,400 --> 03:39:23,000 SCALE. 4481 03:39:23,000 --> 03:39:25,760 PROTEOMICS IS THE KEY MISSING 4482 03:39:25,760 --> 03:39:28,800 LINK TO WHAT MAKES A CELL A 4483 03:39:28,800 --> 03:39:29,080 CELL. 4484 03:39:29,080 --> 03:39:30,800 WE'RE VERY ENTHUSIASTIC ABOUT 4485 03:39:30,800 --> 03:39:33,760 SEEING MORE WORK DONE IN THAT 4486 03:39:33,760 --> 03:39:35,680 AREA AND CAN SUPPORT MORE THAT 4487 03:39:35,680 --> 03:39:38,760 WILL ADD TO THE CAUSE AND THIS 4488 03:39:38,760 --> 03:39:41,760 IS THE PURPOSE BEYOND THE UL 1s 4489 03:39:41,760 --> 03:39:42,680 FOR TECHNOLOGIES THAT AREN'T 4490 03:39:42,680 --> 03:39:45,000 QUITE AT SPEED BUT IF WE DO 4491 03:39:45,000 --> 03:39:46,000 DEVELOP THEM THEY CAN CONTRIBUTE 4492 03:39:46,000 --> 03:39:48,560 AND THE ONES WE'RE LOOKING TO 4493 03:39:48,560 --> 03:39:48,920 FUND. 4494 03:39:48,920 --> 03:39:51,880 >> LAST QUESTION. 4495 03:39:51,880 --> 03:39:52,760 CHRIS. 4496 03:39:52,760 --> 03:39:56,400 >> ALLEN TOOK UP ALL MY TIME. 4497 03:39:56,400 --> 03:39:57,800 >> TAKE YOUR TIME. 4498 03:39:57,800 --> 03:40:00,600 >> JOHN, THANK YOU SO MUCH. 4499 03:40:00,600 --> 03:40:03,680 I'M CONTINUALLY INSPIRED BY ALL 4500 03:40:03,680 --> 03:40:04,680 YOU'RE ACCOMPLISHING. 4501 03:40:04,680 --> 03:40:07,080 AND IT'S GREAT TO SEE YOU'RE 4502 03:40:07,080 --> 03:40:08,200 INCORPORATING MORE DIVERSE 4503 03:40:08,200 --> 03:40:10,360 STAKEHOLDER PERSPECTIVES AS YOU 4504 03:40:10,360 --> 03:40:11,480 MOVE INTO BRAIN 2.0. 4505 03:40:11,480 --> 03:40:14,080 MY QUESTION IS ABOUT THAT NOW 4506 03:40:14,080 --> 03:40:16,960 THAT THERE MAY BE I REALIZE PAST 4507 03:40:16,960 --> 03:40:20,600 AND CURRENT STUDIES ARE BASIC 4508 03:40:20,600 --> 03:40:23,160 SCIENCE ORIENTED AND CAN BECOME 4509 03:40:23,160 --> 03:40:24,600 MORE CHALLENGING TO INCORPORATE 4510 03:40:24,600 --> 03:40:26,880 AND OTHER PERSPECTIVES INTO THAT 4511 03:40:26,880 --> 03:40:29,240 TYPE OF RESEARCH BUT NOW YOU'RE 4512 03:40:29,240 --> 03:40:30,680 MOVING MORE INTO SOME CLINICAL 4513 03:40:30,680 --> 03:40:36,120 RESEARCH. 4514 03:40:36,120 --> 03:40:36,720 I'M WOV 4515 03:40:36,720 --> 03:40:37,760 I'M WONDERING AFTER RECEIVING 4516 03:40:37,760 --> 03:40:40,040 INPUT FROM OTHER STAKEHOLDERS IF 4517 03:40:40,040 --> 03:40:41,760 YOU HAVE SOME SORT OF 4518 03:40:41,760 --> 03:40:44,000 ESTABLISHED OR THINK ABOUT SOME 4519 03:40:44,000 --> 03:40:45,720 SORT OF ESTABLISHED ADVISORY 4520 03:40:45,720 --> 03:40:47,880 BOARD OR SOME WAY THAT THOSE 4521 03:40:47,880 --> 03:40:49,800 PERSPECTIVES ARE HELPING YOU 4522 03:40:49,800 --> 03:40:53,200 GEAR THINGS AT THE HIGHEST LEVEL 4523 03:40:53,200 --> 03:40:55,520 OR ARE YOU RELYING MORE ON YOUR 4524 03:40:55,520 --> 03:40:57,960 PLAN FOR DIVERSITY TO INCLUDE 4525 03:40:57,960 --> 03:40:59,040 THAT WITHIN INDIVIDUAL STUDIES 4526 03:40:59,040 --> 03:41:01,720 BUT NOT NECESSARILY AS THE UPPER 4527 03:41:01,720 --> 03:41:03,880 UMBRELLA IN ADVISING BRAIN OR 4528 03:41:03,880 --> 03:41:05,800 BOTH I GUESS. 4529 03:41:05,800 --> 03:41:07,840 >> NOT EITHER/OR. 4530 03:41:07,840 --> 03:41:09,800 I THAT. 4531 03:41:09,800 --> 03:41:18,640 WE HAVE TWO WORKING GROUPS THAT 4532 03:41:18,640 --> 03:41:21,760 ADVICE BRAIN AND THE NEURO 4533 03:41:21,760 --> 03:41:30,760 ETHICS WORKING GROUP. 4534 03:41:30,760 --> 03:41:32,840 WE'RE TRYING TO REPRESENT THE 4535 03:41:32,840 --> 03:41:34,400 HUMAN RESEARCH PARTNER PART OF 4536 03:41:34,400 --> 03:41:35,800 THIS PIECE. 4537 03:41:35,800 --> 03:41:39,200 IT'S CRITICAL. 4538 03:41:39,200 --> 03:41:42,200 WHAT BRAIN REPRESENTS OR SITS 4539 03:41:42,200 --> 03:41:45,080 ACROSS 10 I.C.s EACH WITH ITS 4540 03:41:45,080 --> 03:41:47,040 OWN DISEASE SPECIFIC MISSION. 4541 03:41:47,040 --> 03:41:48,760 I THINK THERE ARE OPPORTUNITIES 4542 03:41:48,760 --> 03:41:50,960 PEOPLE AND ORGANIZATIONS THAT 4543 03:41:50,960 --> 03:41:53,600 CAN REPRESENT THE HUMAN 4544 03:41:53,600 --> 03:41:57,800 PARTICIPANT PERSPECTIVE BUT NOT 4545 03:41:57,800 --> 03:42:00,080 NECESSARILY THE DISEASE SPECIFIC 4546 03:42:00,080 --> 03:42:01,600 PERSPECTIVE AND WE ARE RIGHT NOW 4547 03:42:01,600 --> 03:42:03,600 PARTLY ALWAYS LOOKING AT 4548 03:42:03,600 --> 03:42:05,040 BRINGING IN NEW PERSPECTIVES 4549 03:42:05,040 --> 03:42:06,840 INTO THE WORKING GROUPS. 4550 03:42:06,840 --> 03:42:08,920 WE'RE SLOWLY CYCLING PEOPLE OFF. 4551 03:42:08,920 --> 03:42:13,240 THE FOLKS THAT AGREED TO COME ON 4552 03:42:13,240 --> 03:42:21,760 IN 2014, 2015, THEY GOT 4553 03:42:21,760 --> 03:42:23,080 APPOINTMENTS OPPOSED TO YOU 4554 03:42:23,080 --> 03:42:25,760 FOLKS HERE SO WE'RE STARTING TO 4555 03:42:25,760 --> 03:42:29,000 CYCLE PEOPLE OFF AND THIS IS AN 4556 03:42:29,000 --> 03:42:30,280 AREA WE'RE CONSIDERATION 4557 03:42:30,280 --> 03:42:32,200 CAREFULLY BUT ALL OF THE ABOVE 4558 03:42:32,200 --> 03:42:32,440 REALLY. 4559 03:42:32,440 --> 03:42:37,680 A WONDERFUL THING THAT HAPPENED 4560 03:42:37,680 --> 03:42:39,880 IN THE HUMANS RESEARCH 4561 03:42:39,880 --> 03:42:43,240 OPPORTUNITIES GROUP THEY FORMED 4562 03:42:43,240 --> 03:42:48,640 A STRONG CONSORTIUM AND I THINK 4563 03:42:48,640 --> 03:42:52,960 THE BEST IDEAS COME FROM THE 4564 03:42:52,960 --> 03:42:55,920 GROUND UP AND OUR ROLE IS TO PUT 4565 03:42:55,920 --> 03:42:56,640 THEM INTO ACTION. 4566 03:42:56,640 --> 03:42:58,280 >> I'LL KEEP MOVING. 4567 03:42:58,280 --> 03:43:00,080 YOU CAN SEND JOHN ANY QUESTIONS 4568 03:43:00,080 --> 03:43:02,000 YOU WANT EITHER CHAT OR OFFLINE 4569 03:43:02,000 --> 03:43:03,920 OR WHATEVER. 4570 03:43:03,920 --> 03:43:05,320 TERRIFIC TALK. 4571 03:43:05,320 --> 03:43:07,040 I'LL MOVE INTO THE LAST SECTION 4572 03:43:07,040 --> 03:43:12,000 THE INITIATIVES WITH CONCEPT 4573 03:43:12,000 --> 03:43:12,320 CLEARANCE. 4574 03:43:12,320 --> 03:43:14,240 WE ASK CONCEPT CLEARANCE FROM 4575 03:43:14,240 --> 03:43:15,120 COUNCIL. 4576 03:43:15,120 --> 03:43:16,120 WE'VE BEEN DOING THIS MANY YEARS 4577 03:43:16,120 --> 03:43:17,800 BUT IT'S NOW MANDATED BY NIH 4578 03:43:17,800 --> 03:43:20,640 STRAENL. 4579 03:43:20,640 --> 03:43:21,640 -- CENTRAL. 4580 03:43:21,640 --> 03:43:26,760 MOST INITIATIVES WE WANT CONCEPT 4581 03:43:26,760 --> 03:43:47,200 CLEARANCE FOR THESE AND TO SAVE 4582 03:43:47,200 --> 03:43:49,440 TIME I'LL SAVE THE VOTE ON THE 4583 03:43:49,440 --> 03:43:50,600 INITIATIVES UNLESS THERE'S 4584 03:43:50,600 --> 03:43:55,920 QUESTIONS ABOUT A PARTICULAR 4585 03:43:55,920 --> 03:43:56,080 ONE. 4586 03:43:56,080 --> 03:43:59,200 THE FIRST ONE THERE'S TWO 4587 03:43:59,200 --> 03:43:59,600 PRESENTATION. 4588 03:43:59,600 --> 03:44:01,640 THE FIRST IS FROM OUR SYSTEMS 4589 03:44:01,640 --> 03:44:02,920 AND COGNITION CLUSTER WHO IS 4590 03:44:02,920 --> 03:44:05,680 GOING TO PROPOSE A REALLY 4591 03:44:05,680 --> 03:44:09,800 INTERESTED NEW MODALITY FOR 4592 03:44:09,800 --> 03:44:13,160 FUNDING INTERDISCIPLINARY TEAM 4593 03:44:13,160 --> 03:44:13,800 SCIENCE. 4594 03:44:13,800 --> 03:44:15,920 KAREN, WHY DON'T YOU GET 4595 03:44:15,920 --> 03:44:27,920 STARTED. 4596 03:44:27,920 --> 03:44:31,320 >> GOOD AFTERNOON. 4597 03:44:31,320 --> 03:44:34,760 I'M A PROGRAM DIRECTOR AT NINDS 4598 03:44:34,760 --> 03:44:36,840 AND BRAIN INITIATIVE AND HAVE A 4599 03:44:36,840 --> 03:44:39,000 NEW FUNDING CONCEPT TO SUPPORT 4600 03:44:39,000 --> 03:44:40,280 TEAM SCIENCE AT NINDS. 4601 03:44:40,280 --> 03:44:45,560 THE TEAM SCIENCE CONCEPT IS MADE 4602 03:44:45,560 --> 03:44:47,800 POSSIBLE BY TEAM WORK I CO-LEAD 4603 03:44:47,800 --> 03:44:49,640 THIS EFFORT AND WE'D LIKE TO 4604 03:44:49,640 --> 03:44:51,000 THANK OUR TEAM AS WELL AS 4605 03:44:51,000 --> 03:44:52,400 MEMBERS OF THE INSTITUTE WHO 4606 03:44:52,400 --> 03:44:54,160 GUIDED US ON THE FUNDING 4607 03:44:54,160 --> 03:44:58,800 CONCEPT. 4608 03:44:58,800 --> 03:45:01,200 THE NEW CONCEPT ABOUT FUNDING 4609 03:45:01,200 --> 03:45:02,640 TEAM SCIENCE IS MOTIVATED BY THE 4610 03:45:02,640 --> 03:45:04,640 IMPORTANCE OF TEAM-BASED 4611 03:45:04,640 --> 03:45:06,760 APPROACHES IN ENHANCING THE 4612 03:45:06,760 --> 03:45:07,320 SCIENCE. 4613 03:45:07,320 --> 03:45:08,920 FOR EXAMPLE, THERE'S MANY 4614 03:45:08,920 --> 03:45:09,960 QUESTIONS AND GOALS IN 4615 03:45:09,960 --> 03:45:12,400 NEUROSCIENCE THAT ARE 4616 03:45:12,400 --> 03:45:13,800 CHALLENGING AND COMPLEX IN A 4617 03:45:13,800 --> 03:45:15,960 TEAM SCIENCE APPROACH AFORWARDS 4618 03:45:15,960 --> 03:45:17,280 US THE OPPORTUNITY TO EXTEND 4619 03:45:17,280 --> 03:45:21,800 BEYOND THE LIMITATIONS OF THE 4620 03:45:21,800 --> 03:45:23,600 SINGLE LAB EFFORT. 4621 03:45:23,600 --> 03:45:24,720 ALSO BY LEVERAGING DISCIPLINES 4622 03:45:24,720 --> 03:45:27,400 AND EXPERTISE WE CAN TACKLE 4623 03:45:27,400 --> 03:45:30,240 NEUROSCIENCE PROBLEMS IN A MORE 4624 03:45:30,240 --> 03:45:32,360 COMPREHENSIVE RIGOROUS AND 4625 03:45:32,360 --> 03:45:33,200 MECHANISTIC MANNER. 4626 03:45:33,200 --> 03:45:34,680 GIVEN THE IMPORTANCE OF TEAM 4627 03:45:34,680 --> 03:45:37,760 SCIENCE, WE STARTED OUT BY 4628 03:45:37,760 --> 03:45:41,800 ASKING HOW DO WE OPTIMIZE HOW 4629 03:45:41,800 --> 03:45:43,160 NINDS SUPPORTS TEAM SCIENCE. 4630 03:45:43,160 --> 03:45:45,760 TO ANSWER OUR WORKING GROUP 4631 03:45:45,760 --> 03:45:47,440 COMPARED AND CONTRASTED HOW 4632 03:45:47,440 --> 03:45:49,840 OTHER INSTITUTES, TERMS AND 4633 03:45:49,840 --> 03:45:51,000 FUNDING AGENCIES SUPPORT TEAM 4634 03:45:51,000 --> 03:45:52,760 SCIENCE SO WE CAN LEARN ABOUT 4635 03:45:52,760 --> 03:45:55,160 THE BEST PRACTICES AND 4636 03:45:55,160 --> 03:45:57,840 CHALLENGES ASSOCIATED WITH 4637 03:45:57,840 --> 03:46:00,240 TEAM-BASED APPROACHES. 4638 03:46:00,240 --> 03:46:03,640 WE WERE ALSO DRIVEN BY THE GOALS 4639 03:46:03,640 --> 03:46:09,160 OUTLINED IN THE NINDS STRATEGIC 4640 03:46:09,160 --> 03:46:10,960 PLAN FOR RESEARCH SUPPORTING 4641 03:46:10,960 --> 03:46:13,760 SCIENCE OF BROAD SCOPE AND 4642 03:46:13,760 --> 03:46:15,760 COMPLEXITY AND WOULD LIKE TO 4643 03:46:15,760 --> 03:46:16,680 FURTHER MOBILIZE THE SCIENTIFIC 4644 03:46:16,680 --> 03:46:18,720 COMMUNITY TO COLLABORATE AND 4645 03:46:18,720 --> 03:46:20,200 LEVERAGE THEIR DIVERSE EXPERTISE 4646 03:46:20,200 --> 03:46:22,400 AS WELL AS TAKE ADVANTAGE OF 4647 03:46:22,400 --> 03:46:25,240 INCREASING KNOWLEDGE BASE AND 4648 03:46:25,240 --> 03:46:25,880 TECHNOLOGICAL CAPABILITIES AS WE 4649 03:46:25,880 --> 03:46:26,400 HAVE SEEN IN THE BRAIN 4650 03:46:26,400 --> 03:46:30,480 INITIATIVE. 4651 03:46:30,480 --> 03:46:32,640 SO WE SET OUT TO DESIGN A NEW 4652 03:46:32,640 --> 03:46:33,480 TEAM SCIENCE FUNDING OPPORTUNITY 4653 03:46:33,480 --> 03:46:35,080 FOR NINDS AND OUR APPROACH WAS 4654 03:46:35,080 --> 03:46:37,800 TO TAKE THE BEST FEATURES OF 4655 03:46:37,800 --> 03:46:40,880 OTHER TEAM SCIENCE FUNDING 4656 03:46:40,880 --> 03:46:42,160 OPPORTUNITIES AS WELL AS DISCARD 4657 03:46:42,160 --> 03:46:43,760 WHAT WE DON'T WANT AND LEARN 4658 03:46:43,760 --> 03:46:46,200 FROM OUR COLLECTIVE EXPERIENCE 4659 03:46:46,200 --> 03:46:48,560 WITH VARIOUS TEAM SCIENCE TERMS 4660 03:46:48,560 --> 03:46:50,000 REGARDING THE CHALLENGES AND 4661 03:46:50,000 --> 03:46:51,920 OPPORTUNITIES ASSOCIATED WITH 4662 03:46:51,920 --> 03:46:52,520 TEAM-BASED APPROACHES. 4663 03:46:52,520 --> 03:46:55,960 I'LL BE WALKING YOU THROUGH 4664 03:46:55,960 --> 03:46:57,000 THESE STEPS. 4665 03:46:57,000 --> 03:47:00,640 FIRST, WHAT CAN WE LEARN FROM 4666 03:47:00,640 --> 03:47:02,600 OTHER TEAM SCIENCE TERMS. 4667 03:47:02,600 --> 03:47:05,040 I'LL HIGHLIGHT SELECT FEATURES 4668 03:47:05,040 --> 03:47:06,760 OF CURRENT FUNDING MECHANISMS 4669 03:47:06,760 --> 03:47:09,760 THAT INSPIRED US AND TALKING 4670 03:47:09,760 --> 03:47:11,720 ABOUT FEATURES THAT COULD BE 4671 03:47:11,720 --> 03:47:12,000 IMPROVED. 4672 03:47:12,000 --> 03:47:17,680 LET'S START WITH THE FEATURES WE 4673 03:47:17,680 --> 03:47:17,960 LIKED. 4674 03:47:17,960 --> 03:47:19,720 WE LIKED THE TOPIC AND 4675 03:47:19,720 --> 03:47:22,200 APPROACHES ARE DRIVEN BY DPI. 4676 03:47:22,200 --> 03:47:23,680 AND THE SCOPE AND SCALE OF THE 4677 03:47:23,680 --> 03:47:29,480 PROJECTS CAN COME FROM THE 4678 03:47:29,480 --> 03:47:30,760 SINGLE LAB OR MULTI-LEVEL EFFORT 4679 03:47:30,760 --> 03:47:38,840 AND CONSISTS OF ONE SET OF AIMS 4680 03:47:38,840 --> 03:47:40,720 AND THERE'S FLEXIBILITY IN THE 4681 03:47:40,720 --> 03:47:42,560 TOPIC AND WE LIKE THE TEAM 4682 03:47:42,560 --> 03:47:45,240 SCIENCE SPECIFIC FEATURES IN THE 4683 03:47:45,240 --> 03:47:47,640 GOALS IN REVIEW CRITERIA. 4684 03:47:47,640 --> 03:47:49,000 WE ALSO LIKE THESE ARE ALL 4685 03:47:49,000 --> 03:47:52,600 REVIEWED IN ONE STUDY SECTION 4686 03:47:52,600 --> 03:47:57,760 CONVENED BY NINDS AND INSPIRED 4687 03:47:57,760 --> 03:48:00,400 BY THE TEAM SCIENCE PROGRAM 4688 03:48:00,400 --> 03:48:02,760 WHICH EMPHASIZES INTEGRATION OF 4689 03:48:02,760 --> 03:48:04,920 EXPERTISE TO TACKLE A UNIFYING 4690 03:48:04,920 --> 03:48:09,760 GOAL AND IT ENCOURAGING BOLD AND 4691 03:48:09,760 --> 03:48:15,920 AMBITIOUS APPROACHES AND THE 4692 03:48:15,920 --> 03:48:17,880 EMPHASIS IN SYNERGY AND 4693 03:48:17,880 --> 03:48:22,600 COHESIVENESS AND ELEMENTS KEY TO 4694 03:48:22,600 --> 03:48:24,400 TEAM SCIENCE EFFORTS SUCH AS A 4695 03:48:24,400 --> 03:48:25,960 TEAM MANAGEMENT PLAN AND 4696 03:48:25,960 --> 03:48:26,480 EMPHASIZES MULTIPLE P.I. 4697 03:48:26,480 --> 03:48:28,920 COLLABORATIONS. 4698 03:48:28,920 --> 03:48:31,000 WED LIKE TO TAKE THE FEATURES 4699 03:48:31,000 --> 03:48:32,440 BUT NOT THE ONES WE DON'T LIKE 4700 03:48:32,440 --> 03:48:47,760 ABOUT THE MECHANISMS. 4701 03:48:47,760 --> 03:48:55,600 FOR THE RO1 CAN GET TRICKY. 4702 03:48:55,600 --> 03:49:01,080 THE PO1 IS MADE OF A COLLECTION 4703 03:49:01,080 --> 03:49:03,680 OF PROJECTS AND CORES WITH ITS 4704 03:49:03,680 --> 03:49:07,240 OWN SET OF AIMS AND COULD RESULT 4705 03:49:07,240 --> 03:49:09,640 IN PARALLEL EFFORTS AND DRIVEN 4706 03:49:09,640 --> 03:49:13,680 BY A SINGLE P.I. 4707 03:49:13,680 --> 03:49:14,880 THIS IS UNDER UTILIZED ON 4708 03:49:14,880 --> 03:49:15,760 AVERAGE WE FIND THREE PER YEAR 4709 03:49:15,760 --> 03:49:17,760 AND THE NUMBER OF APPLICATIONS 4710 03:49:17,760 --> 03:49:22,000 WE OF RECEIVED HAVE BEEN 4711 03:49:22,000 --> 03:49:24,800 DECLINING. 4712 03:49:24,800 --> 03:49:27,000 ALSO THE DIRECT COST LIMIT IS 4713 03:49:27,000 --> 03:49:29,760 LIMITED TO TEAM SCIENCE IDEAS. 4714 03:49:29,760 --> 03:49:40,600 THE U19 IS SIMILAR TO THE PO 1 4715 03:49:40,600 --> 03:49:44,000 AND INTEGRATING EFFORTS AND 4716 03:49:44,000 --> 03:49:49,480 LASTLY THE NGMS WOULD HAVE TO BE 4717 03:49:49,480 --> 03:49:51,480 CUSTOMIZED TO OUR INSTITUTE'S 4718 03:49:51,480 --> 03:49:54,200 INTEREST AND NEXT IS TO LOOK AT 4719 03:49:54,200 --> 03:49:55,880 THE CHALLENGES FOR TEAM SCIENCE. 4720 03:49:55,880 --> 03:49:57,800 SOME PROJECTS RECEIVED ARE NOT 4721 03:49:57,800 --> 03:50:01,240 THE IDEAL TEAM SCIENCE. 4722 03:50:01,240 --> 03:50:05,680 SOME TEAM TO BE LARGE RO1s 4723 03:50:05,680 --> 03:50:12,920 DRIVEN BY SINGLE P.I. AND 4724 03:50:12,920 --> 03:50:15,880 EFFORTS BY MULTIPLE P.I.s. 4725 03:50:15,880 --> 03:50:17,760 AND WE WILL EMPHASIZE 4726 03:50:17,760 --> 03:50:18,880 INTERDISCIPLINARY COLLABORATIONS 4727 03:50:18,880 --> 03:50:21,440 FROM THREE TO SIX P.I.s AND WORK 4728 03:50:21,440 --> 03:50:22,000 TOGETHER TO SOLVE A DEFINED 4729 03:50:22,000 --> 03:50:27,680 PROBLEM. 4730 03:50:27,680 --> 03:50:29,400 SOME TEAM BASED EFFORTS SUFFER 4731 03:50:29,400 --> 03:50:34,560 FROM POOR TEAM MANAGEMENT 4732 03:50:34,560 --> 03:50:36,200 NEGATIVELY AFFECTING THE 4733 03:50:36,200 --> 03:50:39,360 SCIENCE. 4734 03:50:39,360 --> 03:50:44,000 WE'LL NEED A TEAM MANAGEMENT 4735 03:50:44,000 --> 03:50:48,000 PLAN AND WOULD LIKE TO PROVIDE 4736 03:50:48,000 --> 03:50:49,480 SUPPORT AND TEAM SCIENCE EFFORTS 4737 03:50:49,480 --> 03:50:51,520 ARE A GREAT OPPORTUNITY FOR US 4738 03:50:51,520 --> 03:50:54,560 TO PROMOTE DIVERSE PERSPECTIVES 4739 03:50:54,560 --> 03:50:56,320 AND SO WE ARE BORROWING FROM THE 4740 03:50:56,320 --> 03:50:57,800 BRAIN INITIATIVE THIS REQUIRED 4741 03:50:57,800 --> 03:51:01,800 ATTACHMENT OF A PLAN FOR ENHANCE 4742 03:51:01,800 --> 03:51:04,000 ENHANCING DIVERSE PERSPECTIVE. 4743 03:51:04,000 --> 03:51:05,760 BY TAKING THE BEST FEATURES OF 4744 03:51:05,760 --> 03:51:07,880 OTHER TEAM SCIENCE FUNDING 4745 03:51:07,880 --> 03:51:12,440 MECHANISMS SUCH AS FROM THOSE I 4746 03:51:12,440 --> 03:51:13,680 JUST DESCRIBED AND OTHERS AND 4747 03:51:13,680 --> 03:51:14,800 PLANNING FOR CHALLENGES 4748 03:51:14,800 --> 03:51:17,760 ASSOCIATED WITH TEAM SCIENCE, WE 4749 03:51:17,760 --> 03:51:19,480 ARE PROPOSING AN NINDS TEAM 4750 03:51:19,480 --> 03:51:25,720 SCIENCE RM1 MECHANISM WITH THE 4751 03:51:25,720 --> 03:51:27,960 FOLLOWING FEATURES. 4752 03:51:27,960 --> 03:51:29,760 WE WILL EMPHASIZE EFFORTS ACROSS 4753 03:51:29,760 --> 03:51:30,720 MULTIPLE INVESTIGATORS WITH 4754 03:51:30,720 --> 03:51:32,040 DIVERSE EXPERTISE UNIFIED BY A 4755 03:51:32,040 --> 03:51:34,080 COMMON GOAL OR RESEARCH 4756 03:51:34,080 --> 03:51:39,760 QUESTION. 4757 03:51:39,760 --> 03:51:41,760 AS WE SAY STRUCTURE DETERMINES 4758 03:51:41,760 --> 03:51:43,400 FUNCTION AND THIS WILL HAVE ONE 4759 03:51:43,400 --> 03:51:47,040 SET OF AIMS IN CONTRAST TO THE 4760 03:51:47,040 --> 03:51:51,080 PO1 MADE OF SEVERAL PROJECTS. 4761 03:51:51,080 --> 03:51:53,400 THE GOAL IS TO PROMOTE 4762 03:51:53,400 --> 03:51:56,760 COHESIVENESS AND SYNERGY AND 4763 03:51:56,760 --> 03:51:57,800 STREAMLINES STEPS IN THE PROCESS 4764 03:51:57,800 --> 03:52:00,600 INCLUDING WRITING THE REVIEW AND 4765 03:52:00,600 --> 03:52:02,720 EASE THE ADMINISTRATIVE BURDEN 4766 03:52:02,720 --> 03:52:05,600 PREPARING THE BUDGET WHICH CAN 4767 03:52:05,600 --> 03:52:06,840 GET CHALLENGING IN A 4768 03:52:06,840 --> 03:52:08,840 MULTICOMPONENT STRUCTURE. 4769 03:52:08,840 --> 03:52:11,400 WE'RE ALSO INCLUDING THE THREE 4770 03:52:11,400 --> 03:52:13,760 COMPONENTS TO SET THE TEAMS UP 4771 03:52:13,760 --> 03:52:14,680 FOR SUCCESS. 4772 03:52:14,680 --> 03:52:16,960 FIRST IS A TEAM MANAGEMENT PLAN 4773 03:52:16,960 --> 03:52:19,200 INCLUDING THE ELEMENTS LISTED 4774 03:52:19,200 --> 03:52:21,760 INCLUDING ALLOTMENT OF RESOURCES 4775 03:52:21,760 --> 03:52:23,480 FOR PROGRAM MANAGEMENT AND 4776 03:52:23,480 --> 03:52:24,760 COORDINATION ACROSS LABS AND ASK 4777 03:52:24,760 --> 03:52:27,240 FOR A TIME LINE AND BENCHMARKS 4778 03:52:27,240 --> 03:52:28,200 FOR SUCCESS. 4779 03:52:28,200 --> 03:52:29,760 THIS IS WHERE TEAMS WILL DEFINE 4780 03:52:29,760 --> 03:52:32,880 THEIR FIVE-YEAR OUTCOMES AND 4781 03:52:32,880 --> 03:52:35,000 THIS INFORMATION WILL HELP THE 4782 03:52:35,000 --> 03:52:38,720 STUDY SECTION REVIEW FOR 4783 03:52:38,720 --> 03:52:41,760 FEASIBILITY AND HELP EVALUATE 4784 03:52:41,760 --> 03:52:42,760 PROGRESS. 4785 03:52:42,760 --> 03:52:43,520 BORROWING FROM THE BRAIN 4786 03:52:43,520 --> 03:52:45,200 INITIATIVE WE'RE REQUIRING A 4787 03:52:45,200 --> 03:52:46,520 PLAN FOR ENHANCING DIVERSE 4788 03:52:46,520 --> 03:52:50,040 PERSPECTIVES AND YOU'VE HEARD 4789 03:52:50,040 --> 03:52:52,960 ABOUT THIS TODAY. 4790 03:52:52,960 --> 03:52:55,200 TO PROVIDE FLEXIBILITY AND THE 4791 03:52:55,200 --> 03:52:56,400 RESOURCES BE REQUESTED BY 4792 03:52:56,400 --> 03:52:58,920 SCIENCE WE'LL NOT CAP THE BUDGET 4793 03:52:58,920 --> 03:53:00,520 PER PROJECT BUT WE'LL CAP OUR 4794 03:53:00,520 --> 03:53:02,880 SPENDING TO $10 MILLION FOR NEW 4795 03:53:02,880 --> 03:53:04,760 AWARDS FOR FISCAL YEAR. 4796 03:53:04,760 --> 03:53:07,600 AND FOR OUR PILOT PHASE, WE'LL 4797 03:53:07,600 --> 03:53:09,920 OFFER ONE RECEIPT DATE PER YEAR 4798 03:53:09,920 --> 03:53:12,040 FOR THREE YEARS. 4799 03:53:12,040 --> 03:53:14,720 BECAUSE THESE TERMS WILL HAVE 4800 03:53:14,720 --> 03:53:16,280 UNIQUE GOALS IT WILL BE BEST IF 4801 03:53:16,280 --> 03:53:18,520 REVIEWED UNDER ONE STUDY SECTION 4802 03:53:18,520 --> 03:53:20,520 AND OUR REVIEW BRANCH HAS A 4803 03:53:20,520 --> 03:53:23,360 WEALTH OF EXPERIENCE IN 4804 03:53:23,360 --> 03:53:25,360 REVIEWING TEAM SCIENCE AND BROAD 4805 03:53:25,360 --> 03:53:26,120 NINDS TOPICS. 4806 03:53:26,120 --> 03:53:28,880 AND THE OVERSIGHT WILL INCLUDE A 4807 03:53:28,880 --> 03:53:30,080 COMBINATION OF PROGRESS REPORTS 4808 03:53:30,080 --> 03:53:33,760 AND TELECONFERENCE 4809 03:53:33,760 --> 03:53:34,400 PRESENTATIONS. 4810 03:53:34,400 --> 03:53:36,200 LASTLY, WHAT KIND OF PROJECTS 4811 03:53:36,200 --> 03:53:39,960 WE'D LIKE TO SEE. 4812 03:53:39,960 --> 03:53:43,400 OVERALL AS INSPIRED WE LOOK 4813 03:53:43,400 --> 03:53:44,680 FORWARD TO RECEIVING PROJECTS 4814 03:53:44,680 --> 03:53:46,880 THAT INTEGRATE DIVERSE EXPERTISE 4815 03:53:46,880 --> 03:53:50,120 TO CHALLENGE EXISTING PARADIGMS 4816 03:53:50,120 --> 03:53:52,480 OVER ROAD BLOCK TO PROGRESS AND 4817 03:53:52,480 --> 03:53:53,800 DEVELOP NEW SYNERGIES ACROSS 4818 03:53:53,800 --> 03:53:58,840 FIELD TO SOLVE A SPECIFIC 4819 03:53:58,840 --> 03:54:01,200 QUESTION OR ADDRESSED A WELL 4820 03:54:01,200 --> 03:54:02,680 DEFINED GOAL WITHIN THE MISSION 4821 03:54:02,680 --> 03:54:05,000 OF NINDS AND SUPPORT PROJECTS 4822 03:54:05,000 --> 03:54:07,600 BRINGING ACROSS TOPICS OR 4823 03:54:07,600 --> 03:54:08,880 DISCIPLINES AS WELL AS SOME 4824 03:54:08,880 --> 03:54:12,000 OTHER EXAMPLES LISTED HERE. 4825 03:54:12,000 --> 03:54:13,160 SO THAT'S ALL FOR ME. 4826 03:54:13,160 --> 03:54:14,400 THANK YOU FOR LISTENING AND 4827 03:54:14,400 --> 03:54:15,600 WE'RE HAPPY TO HEAR YOUR 4828 03:54:15,600 --> 03:54:16,680 QUESTIONS AND COMMENTS. 4829 03:54:16,680 --> 03:54:18,680 >> GREAT, KAREN. 4830 03:54:18,680 --> 03:54:21,200 ONE QUICK QUESTION AND I FORGOT. 4831 03:54:21,200 --> 03:54:23,400 WHEN YOU TALK ABOUT BENCH MARKS 4832 03:54:23,400 --> 03:54:26,640 ARE THESE GO/NO-GO BENCH MARKS 4833 03:54:26,640 --> 03:54:28,000 OR MARKERS OF PROGRESS. 4834 03:54:28,000 --> 03:54:29,960 >> MARKERS OF PROGRESS BUT IT'S 4835 03:54:29,960 --> 03:54:31,760 ALSO DEPENDENT ON THE TYPE OF 4836 03:54:31,760 --> 03:54:34,000 RESEARCH IF THEY'RE DEVELOPING A 4837 03:54:34,000 --> 03:54:36,440 PRODUCT FOR EXAMPLE THEN MAYBE 4838 03:54:36,440 --> 03:54:42,000 IT'S BEST TO HAVE A GO/NO-GO. 4839 03:54:42,000 --> 03:54:44,760 >> YOU CAN THINK OF THIS AS A 4840 03:54:44,760 --> 03:54:45,760 PILOT INITIATIVE BUT IT'S 4841 03:54:45,760 --> 03:54:51,400 IMPORTANT SO WE WANT TO SPEND 4842 03:54:51,400 --> 03:54:53,440 TIME DISCUSSING IT. 4843 03:54:53,440 --> 03:54:56,160 >> THE BUDGET YOU PROPOSED WAS 4844 03:54:56,160 --> 03:54:57,800 TOTAL EXPEND YOU'RE FROM NINDS 4845 03:54:57,800 --> 03:54:59,960 ON THE PROGRAM AT $10 MILLION A 4846 03:54:59,960 --> 03:55:01,400 YEAR? 4847 03:55:01,400 --> 03:55:02,200 >> THAT'S CORRECT. 4848 03:55:02,200 --> 03:55:05,560 >> THAT'S $10 MILLION DIRECT 4849 03:55:05,560 --> 03:55:05,800 COSTS. 4850 03:55:05,800 --> 03:55:14,160 >> TOTAL COST. 4851 03:55:14,160 --> 03:55:15,440 >> THIS IS NOT VERY DIFFERENT 4852 03:55:15,440 --> 03:55:17,600 FROM THE DIRECT CAP FOR PO1s. 4853 03:55:17,600 --> 03:55:23,360 YOU SAID LIKE FOUR PROJECTS OR 4854 03:55:23,360 --> 03:55:29,800 SOMETHING A YEAR WHEN YOU ADD 4855 03:55:29,800 --> 03:55:32,080 INDIRECTS THERE'S THE PROBLEM 4856 03:55:32,080 --> 03:55:36,200 WIN THE PO1. 4857 03:55:36,200 --> 03:55:38,320 >> THE FOUR TO SIX IS A ROUGH 4858 03:55:38,320 --> 03:55:41,040 RANGE FOR US BUT WE ARE FLEXIBLE 4859 03:55:41,040 --> 03:55:45,760 AND THE P.I.s CAN ASK WHATEVER 4860 03:55:45,760 --> 03:55:46,320 THEY NEED AS LONG AS IT'S 4861 03:55:46,320 --> 03:55:49,360 JUSTIFIED. 4862 03:55:49,360 --> 03:55:56,360 >> THERE WERE FIVE PROJECTS AND 4863 03:55:56,360 --> 03:55:57,840 SAY THEY AVERAGE $2 MILLION 4864 03:55:57,840 --> 03:56:00,800 TOTAL COSTS THAT WOULD BE LIKE 4865 03:56:00,800 --> 03:56:02,600 $1.3 MILLION DIRECT COSTS. 4866 03:56:02,600 --> 03:56:04,040 IT WOULD BE A LITTLE BIT BIGGER 4867 03:56:04,040 --> 03:56:08,760 THAN A PROGRAM PROJECT BUT AS 4868 03:56:08,760 --> 03:56:09,640 KAREN SAID, AN INDIVIDUAL 4869 03:56:09,640 --> 03:56:16,000 PROJECT COULD BE MORE THAN $2 4870 03:56:16,000 --> 03:56:16,440 MILLION. 4871 03:56:16,440 --> 03:56:19,280 THERE'S NOT A FIXED RULE. 4872 03:56:19,280 --> 03:56:21,800 >> EXACTLY. 4873 03:56:21,800 --> 03:56:24,680 >> KEN. 4874 03:56:24,680 --> 03:56:29,000 >> KAREN, I LOVE THIS APPROACH. 4875 03:56:29,000 --> 03:56:29,960 YOU CAN'T WORK IN PHARMA WITHOUT 4876 03:56:29,960 --> 03:56:35,760 TEAM SCIENCE. 4877 03:56:35,760 --> 03:56:39,200 I'M WONDERING IF YOU'RE THINKING 4878 03:56:39,200 --> 03:56:41,600 TO CROSS-INSTITUTION APPROACHES 4879 03:56:41,600 --> 03:56:46,880 FOR THE RM1 BECAUSE IT SEEMS 4880 03:56:46,880 --> 03:56:49,760 LIKE IT ALREADY EXISTS AT ONE 4881 03:56:49,760 --> 03:56:52,400 OTHER INSTITUTE AND WONDERING IF 4882 03:56:52,400 --> 03:56:55,400 IT WOULD WIDEN YOUR SCOPE AND 4883 03:56:55,400 --> 03:56:57,760 RESOURCES BECAUSE THERE'S 4884 03:56:57,760 --> 03:57:01,720 NATURAL PLACES NINDS CAN PARTNER 4885 03:57:01,720 --> 03:57:03,960 SO YOU CAN REALLY BROADEN THAT 4886 03:57:03,960 --> 03:57:08,200 UP AND BRING MORE RESOURCES IN 4887 03:57:08,200 --> 03:57:11,960 AND INCREASE THE CAPACITY FOR 4888 03:57:11,960 --> 03:57:12,240 PARTNERING. 4889 03:57:12,240 --> 03:57:13,520 >> THAT'S MY DREAM. 4890 03:57:13,520 --> 03:57:15,160 I WOULD LOVE TO SEE THAT. 4891 03:57:15,160 --> 03:57:17,760 MY GUESS IS OTHER INSTITUTES 4892 03:57:17,760 --> 03:57:21,920 WOULD LIKE TO SEE HOW THIS PLAYS 4893 03:57:21,920 --> 03:57:23,760 OUT AND DEPENDING ON THE SUCCESS 4894 03:57:23,760 --> 03:57:25,000 OF THE PROGRAM MAYBE WE'LL HAVE 4895 03:57:25,000 --> 03:57:25,760 MORE EVIDENCE FOR THEM TO JOIN 4896 03:57:25,760 --> 03:57:31,600 US. 4897 03:57:31,600 --> 03:57:35,720 IT'S DIFFERENT TO DO THESE 4898 03:57:35,720 --> 03:57:37,640 CO-FUNDING ACROSS INSTITUTE. 4899 03:57:37,640 --> 03:57:39,920 MAYBE THE BLUEPRINT WILL HAVE 4900 03:57:39,920 --> 03:57:45,920 SOMETHING LIKE THIS. 4901 03:57:45,920 --> 03:57:52,000 >> THIS IS AN AWESOME IDEA. 4902 03:57:52,000 --> 03:57:55,680 TEAM SCIENCE IS CRITICAL. 4903 03:57:55,680 --> 03:57:56,800 YOU SAID BASIC OR CLINICAL I 4904 03:57:56,800 --> 03:57:59,080 DON'T KNOW IF YOU SAID ANIMAL 4905 03:57:59,080 --> 03:58:01,920 VERSUS HUMAN OR BOTH. 4906 03:58:01,920 --> 03:58:08,800 I'M GUESSING BOTH. 4907 03:58:08,800 --> 03:58:09,680 >> YES. 4908 03:58:09,680 --> 03:58:12,320 >> IN WHICH CASE IT'S A BROAD 4909 03:58:12,320 --> 03:58:13,920 LANDSCAPE AND SO I WONDER IF 4910 03:58:13,920 --> 03:58:18,840 THERE'S GOING TOP SOME OTHER 4911 03:58:18,840 --> 03:58:21,560 DEFINING ACCESS YOU'RE LOOKING 4912 03:58:21,560 --> 03:58:21,760 FOR. 4913 03:58:21,760 --> 03:58:23,400 THERE'S A LOT OF PROJECTS THAT 4914 03:58:23,400 --> 03:58:27,920 COULD FALL UNDER THIS TYPE OF 4915 03:58:27,920 --> 03:58:31,360 GENERAL RUBRIC. 4916 03:58:31,360 --> 03:58:35,320 IS IT MECHANISTIC, CIRCUIT 4917 03:58:35,320 --> 03:58:35,600 BASED? 4918 03:58:35,600 --> 03:58:37,320 ARE THERE OTHER AREAS YOU THINK 4919 03:58:37,320 --> 03:58:38,640 YOU'LL HIGHLIGHT FIRST? 4920 03:58:38,640 --> 03:58:40,200 GIVEN THERE'S ONE A YEAR I 4921 03:58:40,200 --> 03:58:41,880 IMAGINE THERE'LL BE A LOT OF 4922 03:58:41,880 --> 03:58:42,840 APPLICATIONS. 4923 03:58:42,840 --> 03:58:44,320 I WONDER IF SOME SPECIFIC 4924 03:58:44,320 --> 03:58:47,040 GUIDANCE WOULD BE HELPFUL. 4925 03:58:47,040 --> 03:58:52,000 >> SO I'M HOPING THERE'LL BE A 4926 03:58:52,000 --> 03:58:52,840 LOT OF APPLICATIONS. 4927 03:58:52,840 --> 03:58:56,840 THERE'LL BE PURPOSELY MADE TO BE 4928 03:58:56,840 --> 03:58:59,680 INVESTIGATOR INITIATED SIMILAR 4929 03:58:59,680 --> 03:59:01,960 TO THE PO1 WHERE IT'S NOT 4930 03:59:01,960 --> 03:59:03,520 CONSTRAINED AS OTHER DIRECTED 4931 03:59:03,520 --> 03:59:03,880 TERMS. 4932 03:59:03,880 --> 03:59:06,200 THAT'S THE INTENTION IS TO MATCH 4933 03:59:06,200 --> 03:59:07,400 THOSE INVESTIGATOR INITIATED 4934 03:59:07,400 --> 03:59:10,480 TYPE OF FUNDING MECHANISMS. 4935 03:59:10,480 --> 03:59:12,760 AND FOR FOCUS, I GUESS WHAT WE 4936 03:59:12,760 --> 03:59:14,760 COULD DO WITH THE P.I.s IS WHEN 4937 03:59:14,760 --> 03:59:17,760 WE'RE PROVIDING GUIDANCE IS THAT 4938 03:59:17,760 --> 03:59:20,160 IF IT FITS BETTER IN A CERTAIN 4939 03:59:20,160 --> 03:59:21,720 TYPE OF OTHER PROGRAM, FOR 4940 03:59:21,720 --> 03:59:22,840 EXAMPLE, WITH THE BRAIN 4941 03:59:22,840 --> 03:59:24,720 INITIATIVE TYPE OF TEAM SCIENCE, 4942 03:59:24,720 --> 03:59:26,040 THEN WE'LL DIRECT THE P.I. OVER 4943 03:59:26,040 --> 03:59:31,040 THERE BUT THIS ONE IS MORE 4944 03:59:31,040 --> 03:59:31,400 UNCONSTRAINED. 4945 03:59:31,400 --> 03:59:32,520 IT'S BY DESCRIBE IT'S 4946 03:59:32,520 --> 03:59:34,000 INVESTIGATOR INITIATED. 4947 03:59:34,000 --> 03:59:37,760 >> SOME PRE-DISCUSSION WILL BE 4948 03:59:37,760 --> 03:59:47,400 IMPORTANT FOR THIS ONE. 4949 03:59:47,400 --> 03:59:48,760 ANY OTHER QUESTIONS? 4950 03:59:48,760 --> 03:59:50,120 I'M NOT GOING RUSH THIS 4951 03:59:50,120 --> 04:00:00,280 DISCUSSION. 4952 04:00:00,280 --> 04:00:03,120 >> ONE CAN IMAGINE IF YOU LOOKED 4953 04:00:03,120 --> 04:00:03,880 AT THE NINDS PORTFOLIO AT 4954 04:00:03,880 --> 04:00:08,400 INDIVIDUAL RO1s, ONE COULD 4955 04:00:08,400 --> 04:00:10,200 ALMOST CREATE THE THYME TYPE OF 4956 04:00:10,200 --> 04:00:11,640 PROGRAM YOU'RE LOOK FOR FROM 4957 04:00:11,640 --> 04:00:15,760 FIVE OR SIX OF THE EXISTING 4958 04:00:15,760 --> 04:00:17,040 OUTSTANDING RO1s. 4959 04:00:17,040 --> 04:00:20,760 I WONDER IF THERE'S ANY WAY TO 4960 04:00:20,760 --> 04:00:22,040 TRY TO CREATE THAT BY GETTING 4961 04:00:22,040 --> 04:00:29,240 THOSE FOLKS TO INTERACT. 4962 04:00:29,240 --> 04:00:33,760 >> WE DO SEE THE TEAM SCIENCE 4963 04:00:33,760 --> 04:00:37,760 COME IN IN THE MULTI-P.I. RO1 4964 04:00:37,760 --> 04:00:40,640 BUT COMING INTO A TEAM SCIENCE 4965 04:00:40,640 --> 04:00:43,320 SPECIFIC FOA WE'LL WANT TO SEE 4966 04:00:43,320 --> 04:00:45,600 HOW THEY'RE INTERACTING TOGETHER 4967 04:00:45,600 --> 04:00:48,040 AND THE PLAN FOR DIVERSITY. 4968 04:00:48,040 --> 04:00:50,840 >> I UNDERSTAND THAT BUT WHEN 4969 04:00:50,840 --> 04:00:52,920 SOMEONE'S SITTING WITH AN RO1 4970 04:00:52,920 --> 04:00:58,320 AND SAY I DON'T WANT TO BE THE 4971 04:00:58,320 --> 04:01:05,440 PERSON TO PUT THIS TOGETHER 4972 04:01:05,440 --> 04:01:09,680 WHETHER THEY CAN REACH OUT TO 4973 04:01:09,680 --> 04:01:12,000 FUNDEES AND SAY LOOK, THIS IS A 4974 04:01:12,000 --> 04:01:14,080 POTENTIAL OPPORTUNITY FOR YOU TO 4975 04:01:14,080 --> 04:01:16,000 WORK TOGETHER BECAUSE YOU'RE 4976 04:01:16,000 --> 04:01:17,520 CLEARLY WORKING ON THE SAME 4977 04:01:17,520 --> 04:01:21,760 QUESTION YOU'RE DOING IT 4978 04:01:21,760 --> 04:01:27,160 COMPLETELY INDEPENDENTLY. 4979 04:01:27,160 --> 04:01:32,760 >> IT'S AN INTERESTING IDEA. 4980 04:01:32,760 --> 04:01:36,520 THERE'S A FINE LINE BETWEEN 4981 04:01:36,520 --> 04:01:40,000 SELECTING P.I.s AND SUGGESTING 4982 04:01:40,000 --> 04:01:43,600 THIS IMPRESSION OF GIVING 4983 04:01:43,600 --> 04:01:46,320 FAVORITISM OR LEG UP ON ONE 4984 04:01:46,320 --> 04:01:48,760 GROUP BUT IF ANY P.I. WAS 4985 04:01:48,760 --> 04:01:49,800 TALKING TO THEIR PROGRAM 4986 04:01:49,800 --> 04:01:51,520 DIRECTOR AND THINKING WHAT TO DO 4987 04:01:51,520 --> 04:01:53,640 NEXT FOR THE RO1 WE CAN TELL 4988 04:01:53,640 --> 04:01:54,840 THEM ABOUT THE OPPORTUNITY AND 4989 04:01:54,840 --> 04:01:56,760 LET THEM PICK WHO THEY WANT 4990 04:01:56,760 --> 04:01:58,200 THEIR COLLABORATORS TO BE UNLESS 4991 04:01:58,200 --> 04:02:00,000 THEY ASK A QUESTION LIKE WHO DO 4992 04:02:00,000 --> 04:02:01,800 YOU THINK I MIGHT COLLABORATE 4993 04:02:01,800 --> 04:02:02,160 WITH. 4994 04:02:02,160 --> 04:02:04,000 WE HAVE TO BE A LITTLE CAREFUL 4995 04:02:04,000 --> 04:02:07,400 ABOUT NOT BEING TOO HEAVY HANDED 4996 04:02:07,400 --> 04:02:09,000 FOR AN R MECHANISM. 4997 04:02:09,000 --> 04:02:13,680 IT'S DIFFERENT FOR CONTRACTS. 4998 04:02:13,680 --> 04:02:17,760 >> KAREN, DOES THAT MAKE SENSE? 4999 04:02:17,760 --> 04:02:28,000 >> EXACTLY. 5000 04:02:28,000 --> 04:02:29,600 >> ANY OTHER QUESTIONS. 5001 04:02:29,600 --> 04:02:31,400 I WILL ASK FOR A VOTE. 5002 04:02:31,400 --> 04:02:36,120 IS THERE A MOTION TO APPROVE 5003 04:02:36,120 --> 04:02:37,600 FURTHER PURSUING THIS MECHANISM? 5004 04:02:37,600 --> 04:02:38,800 A SECOND? 5005 04:02:38,800 --> 04:02:41,520 WE NEED A MOTION IN THE CHAT FOR 5006 04:02:41,520 --> 04:02:45,200 SPECIFICALLY FOR THE RO1 AND 5007 04:02:45,200 --> 04:02:47,360 EVERYONE TO VOTE. 5008 04:02:47,360 --> 04:02:51,960 THANKS A LOT AND FOR THE CONCISE 5009 04:02:51,960 --> 04:02:52,520 PRESENTATION, KAREN. 5010 04:02:52,520 --> 04:02:54,240 THE OTHER THING WE'LL BRIEFLY 5011 04:02:54,240 --> 04:02:57,600 TALK ABOUT IS THERE'S A BUNCH OF 5012 04:02:57,600 --> 04:03:00,280 NEW INITIATIVES FOR ALZHEIMER'S 5013 04:03:00,280 --> 04:03:03,200 DISEASE AND RELATED DEMENTIAS. 5014 04:03:03,200 --> 04:03:05,800 THIS IS USING MONEY FROM NIA AND 5015 04:03:05,800 --> 04:03:09,720 THEY ALLOW US TO USE ROUGHLY 10% 5016 04:03:09,720 --> 04:03:11,160 OF THE LARGE ALZHEIMERS 5017 04:03:11,160 --> 04:03:11,560 APPROPRIATION. 5018 04:03:11,560 --> 04:03:12,840 SO WE'RE NOT GOING GO THROUGH 5019 04:03:12,840 --> 04:03:14,920 ALL THE INITIATIVES. 5020 04:03:14,920 --> 04:03:16,960 THEY'RE MOSTLY NEW ISSUES BUT I 5021 04:03:16,960 --> 04:03:19,400 THOUGHT IT WOULD BE A GOOD IDEA 5022 04:03:19,400 --> 04:03:21,400 FOR ROD TO TALK ABOUT THE 5023 04:03:21,400 --> 04:03:22,520 PROCESS THAT GIVES RISE TO THE 5024 04:03:22,520 --> 04:03:24,080 INITIATIVES AND HOW THEY'RE 5025 04:03:24,080 --> 04:03:25,760 VETTED BY THE TWO INSTITUTES. 5026 04:03:25,760 --> 04:03:28,200 ROD. 5027 04:03:28,200 --> 04:03:30,240 >> CAN YOU HEAR ME AND SEE ME 5028 04:03:30,240 --> 04:03:30,480 OKAY. 5029 04:03:30,480 --> 04:03:33,880 >> WE CAN HEAR YOU AND SEE YOU. 5030 04:03:33,880 --> 04:03:40,400 >> ALL RIGHT. 5031 04:03:40,400 --> 04:03:40,640 THANKS. 5032 04:03:40,640 --> 04:03:41,400 THANK YOU FOR ALLOWING ME TO 5033 04:03:41,400 --> 04:03:45,760 TALK ABOUT THE CONCEPT CLEARANCE 5034 04:03:45,760 --> 04:03:46,800 TODAY. 5035 04:03:46,800 --> 04:03:49,200 A REMINDER AND HELPS TO GROUND 5036 04:03:49,200 --> 04:03:52,560 IN THIS THAT DEMENTIA IS A 5037 04:03:52,560 --> 04:03:53,720 NATIONAL EMERGENCY WITH MORE 5038 04:03:53,720 --> 04:03:57,400 THAN 5.5 MILLION AMERICANS THAT 5039 04:03:57,400 --> 04:03:59,200 HAVE A DIAGNOSIS OF ALZHEIMER'S 5040 04:03:59,200 --> 04:04:00,200 DISEASE ALONE. 5041 04:04:00,200 --> 04:04:03,480 THIS IS GOING TO INCREASE AS OUR 5042 04:04:03,480 --> 04:04:04,000 POPULATION AGES. 5043 04:04:04,000 --> 04:04:06,920 IT AFFECT THE HEALTH, FINANCES 5044 04:04:06,920 --> 04:04:11,840 AND WELL BEING OF INDIVIDUALS 5045 04:04:11,840 --> 04:04:15,000 AND FAMILIES AND GROUPS AND 5046 04:04:15,000 --> 04:04:17,800 COMMUNITIES OF OUR SOCIETY. 5047 04:04:17,800 --> 04:04:21,560 CONGRESS HAS CHOSEN TO ACT AND 5048 04:04:21,560 --> 04:04:23,120 THE NATIONAL ALZHEIMER'S ACT AND 5049 04:04:23,120 --> 04:04:25,760 APPROPRIATIONS OFFER HISTORIC 5050 04:04:25,760 --> 04:04:27,400 OPPORTUNITY TO ADDRESS 5051 04:04:27,400 --> 04:04:28,240 ALZHEIMER'S DISEASE AND 5052 04:04:28,240 --> 04:04:29,960 ALZHEIMER'S DISEASE RELATED 5053 04:04:29,960 --> 04:04:31,600 DEMENTIAS. 5054 04:04:31,600 --> 04:04:37,160 THE NIH'S APPROACH TO THIS IS 5055 04:04:37,160 --> 04:04:40,840 THAT THE NIA IS THE LEAD OVERALL 5056 04:04:40,840 --> 04:04:42,760 FOR THE NIH RESPONSE TO THE 5057 04:04:42,760 --> 04:04:43,840 NATIONAL PLAN. 5058 04:04:43,840 --> 04:04:47,600 THE NINDS AND NIA COLLABORATE 5059 04:04:47,600 --> 04:04:51,600 CLOSELY TOGETHER IN THE CONTEXT 5060 04:04:51,600 --> 04:05:07,760 THIS IS A TRANS-NIH INITIATIVE. 5061 04:05:07,760 --> 04:05:09,800 THERE'S SUMMITS FOR ALZHEIMER'S 5062 04:05:09,800 --> 04:05:12,040 DISEASE AND ALZHEIMER'S DISEASE 5063 04:05:12,040 --> 04:05:14,200 RELATED DEMENTIAS. 5064 04:05:14,200 --> 04:05:22,320 THOSE BEING LEWY BODY DEMENTIA 5065 04:05:22,320 --> 04:05:23,680 AND DEMENTIA CARE SUMMITS. 5066 04:05:23,680 --> 04:05:26,640 THEY RESULT IN IMPLEMENTATION 5067 04:05:26,640 --> 04:05:31,480 MILESTONES GOING TO THE NATIONAL 5068 04:05:31,480 --> 04:05:33,000 PLAN TO ADDRESS ALZHEIMER'S 5069 04:05:33,000 --> 04:05:36,960 DISEASE AND ADVANCE THE GOAL OF 5070 04:05:36,960 --> 04:05:45,560 MEETING GOAL ONE TO PREVENT AND 5071 04:05:45,560 --> 04:05:46,440 TREAT ALZHEIMER'S DISEASE AND 5072 04:05:46,440 --> 04:05:49,320 DEMENTIA BY 2025. 5073 04:05:49,320 --> 04:05:51,880 THE NINDS LEADS THE ALZHEIMER'S 5074 04:05:51,880 --> 04:05:55,000 DISEASE RELATED DEMENTIA SUM 5075 04:05:55,000 --> 04:05:57,120 MITS. 5076 04:05:57,120 --> 04:05:58,080 THEY'RE PLANNING EFFORTS THAT 5077 04:05:58,080 --> 04:06:00,120 DEVELOP RESEARCH RECOMMENDATIONS 5078 04:06:00,120 --> 04:06:04,040 AND A THINK TANK PROCESS AND AS 5079 04:06:04,040 --> 04:06:08,960 YOU KNOW I THINK YOU KNOW, THE 5080 04:06:08,960 --> 04:06:11,880 ALZHEIMER'S DISEASE RELATED 5081 04:06:11,880 --> 04:06:20,320 DEMENTIA SUMMIT IS A PROCESS AND 5082 04:06:20,320 --> 04:06:25,800 I WANT TO THANK FOR THE EFFORTS 5083 04:06:25,800 --> 04:06:29,760 PARTICIPATING IN THE WORKING 5084 04:06:29,760 --> 04:06:31,960 GROUP. 5085 04:06:31,960 --> 04:06:32,520 DRAFT RECOMMENDATIONS ARE 5086 04:06:32,520 --> 04:06:35,200 DEVELOPED BY COMMITTEES AND WE 5087 04:06:35,200 --> 04:06:37,480 HAVE A REQUEST FOR INFORMATION 5088 04:06:37,480 --> 04:06:39,600 THAT'S PUBLIC AND THE DRAFT 5089 04:06:39,600 --> 04:06:41,040 RECOMMENDATIONS ARE DEVELOPED 5090 04:06:41,040 --> 04:06:42,480 AND PRESENTED AT THE SUMMIT 5091 04:06:42,480 --> 04:06:49,760 ITSELF FOR FURTHER PUBLIC INPUT. 5092 04:06:49,760 --> 04:06:52,000 THE RECOMMENDATIONS ARE THEN 5093 04:06:52,000 --> 04:06:54,680 SUBJECT AND PRESENTED IN A 5094 04:06:54,680 --> 04:06:56,120 REPORT TO THE NINDS COUNCIL. 5095 04:06:56,120 --> 04:06:57,760 YOU'LL BE SEEING THAT REPORT I 5096 04:06:57,760 --> 04:06:59,400 THINK AT SEPTEMBER COUNCIL AND 5097 04:06:59,400 --> 04:07:01,800 IF THE REPORT IS APPROVED BY 5098 04:07:01,800 --> 04:07:04,000 THIS COUNCIL, THE NINDS DELIVERS 5099 04:07:04,000 --> 04:07:04,920 THOSE MILESTONES TO THE 5100 04:07:04,920 --> 04:07:06,320 DEPARTMENT OF HEALTH AND HUMAN 5101 04:07:06,320 --> 04:07:09,760 SERVICES FOR INCLUSION IN THE 5102 04:07:09,760 --> 04:07:13,440 NATIONAL PLAN. 5103 04:07:13,440 --> 04:07:14,000 THE MILESTONES FROM OTHER 5104 04:07:14,000 --> 04:07:17,760 SUMMITS INFORM THE ALZHEIMER'S 5105 04:07:17,760 --> 04:07:21,000 DISEASE AND ALZHEIMER'S DISEASE 5106 04:07:21,000 --> 04:07:24,920 RELATED DEMENTIAS BYPASS BUDGETS 5107 04:07:24,920 --> 04:07:29,760 DELIVERED BY NIH TO CONGRESS. 5108 04:07:29,760 --> 04:07:35,160 THE NEXT SUMMIT IS MARCH 22 TO 5109 04:07:35,160 --> 04:07:37,280 23. 5110 04:07:37,280 --> 04:07:38,720 NATALIA ROAST IS OUR SCIENTIFIC 5111 04:07:38,720 --> 04:07:39,760 CARE AND AN ENCOURAGE EVERYONE 5112 04:07:39,760 --> 04:07:41,720 TO REGISTER AND ATTEND. 5113 04:07:41,720 --> 04:07:44,120 IT'S A WONDERFUL OPPORTUNITY FOR 5114 04:07:44,120 --> 04:07:48,200 PEOPLE TO BE OPEN AND PROVIDE 5115 04:07:48,200 --> 04:07:50,880 INPUT THAT HELPS SHAPE THESE 5116 04:07:50,880 --> 04:07:53,560 RECOMMENDATIONS THAT INTERN HAVE 5117 04:07:53,560 --> 04:07:56,000 A SIGNIFICANT IM -- IN TURN HAVE 5118 04:07:56,000 --> 04:07:59,080 AN IMPACT IN SCIENCE AND CURING 5119 04:07:59,080 --> 04:08:00,400 AND TREATING ALZHEIMER'S AND 5120 04:08:00,400 --> 04:08:04,920 ALZHEIMER'S DISEASE RELATED 5121 04:08:04,920 --> 04:08:08,000 DEMENTIAS. 5122 04:08:08,000 --> 04:08:14,440 10% OF THE CONGRESSIONALLY 5123 04:08:14,440 --> 04:08:15,520 MANDATED FUNDS ARE BETWEEN THE 5124 04:08:15,520 --> 04:08:17,200 TWO INSTITUTES. 5125 04:08:17,200 --> 04:08:19,160 IT'S A CONSIDERABLE AMOUNT OF 5126 04:08:19,160 --> 04:08:21,560 MONEY AT THIS POINT. 5127 04:08:21,560 --> 04:08:26,240 AS OF FISCAL 2021, IT'S ABOUT $3 5128 04:08:26,240 --> 04:08:28,520 BILLION COMING TO THE NIA AND 5129 04:08:28,520 --> 04:08:32,400 YOU CAN SEE THE AMOUNT OF MONEY 5130 04:08:32,400 --> 04:08:35,520 THAT GOES INTO ADRD FROM THE 5131 04:08:35,520 --> 04:08:37,760 REGULAR FUNDS IN BLUE AND THE 5132 04:08:37,760 --> 04:08:53,320 ADDED FUNDS IN GOLD. 5133 04:08:53,320 --> 04:08:58,760 YOU CAN SEE HERE IT'S A NUMBER 5134 04:08:58,760 --> 04:09:01,760 OF YEARS IN FACT ABOUT THREE 5135 04:09:01,760 --> 04:09:02,840 YEARS AFTER FUNDS BECAME 5136 04:09:02,840 --> 04:09:05,800 AVAILABLE FROM CONGRESS. 5137 04:09:05,800 --> 04:09:09,240 THESE FUNDS ARE USED TO SUPPORT 5138 04:09:09,240 --> 04:09:13,360 RESEARCH THAT'S RESPONSIVE TO 5139 04:09:13,360 --> 04:09:16,000 ADRD INITIATIVES THAT ARE BASED 5140 04:09:16,000 --> 04:09:18,360 IN THE MILESTONES. 5141 04:09:18,360 --> 04:09:19,520 AS WELL AS INCREASED 5142 04:09:19,520 --> 04:09:21,000 INVESTIGATOR INITIATED RESEARCH. 5143 04:09:21,000 --> 04:09:26,760 YOU CAN SEE THE DOLLAR AMOUNTS 5144 04:09:26,760 --> 04:09:31,640 IN THE TWO ARE RELATIVELY 5145 04:09:31,640 --> 04:09:33,240 BALANCED AND I ENCOURAGE 5146 04:09:33,240 --> 04:09:35,240 INVESTIGATORS TO CONSIDER 5147 04:09:35,240 --> 04:09:41,760 APPLYING FOR THE PARENT RO1 OR 5148 04:09:41,760 --> 04:09:45,760 OTHER INVESTIGATOR INITIATED 5149 04:09:45,760 --> 04:09:51,640 RESEARCH MECHANISMS. 5150 04:09:51,640 --> 04:09:55,480 WE'VE HAD ADRD SUMMITS AND THE 5151 04:09:55,480 --> 04:09:56,920 FOURTH COMING IN 2022. 5152 04:09:56,920 --> 04:09:59,040 REGISTER FOR THE SUMMIT. 5153 04:09:59,040 --> 04:10:03,320 WE'VE HAD MORE THAN -- WE'VE HAD 5154 04:10:03,320 --> 04:10:07,560 55 NINDS ADRD APPROVED 5155 04:10:07,560 --> 04:10:09,640 MILESTONES THAT HAVE GONE INTO 5156 04:10:09,640 --> 04:10:10,680 THE NATIONAL PLAN. 5157 04:10:10,680 --> 04:10:13,800 59 FUNDING INITIATIVES. 5158 04:10:13,800 --> 04:10:16,960 THERE'S BEEN MAJOR TERMS AND 5159 04:10:16,960 --> 04:10:19,640 CONSORTIA AND YOU SEE THE LOGOS. 5160 04:10:19,640 --> 04:10:23,920 I WANT TO MENTION THAT MANY OF 5161 04:10:23,920 --> 04:10:25,760 THESE TERMS ARE EITHER FOCUSSED 5162 04:10:25,760 --> 04:10:27,440 SPECIFICALLY ON HEALTH EQUITY OR 5163 04:10:27,440 --> 04:10:29,760 HAVE VERY LARGE COMPONENTS THAT 5164 04:10:29,760 --> 04:10:36,120 MANDATE HEALTH EQUITY. 5165 04:10:36,120 --> 04:10:39,240 THE RESEARCH FUNDING HAS 5166 04:10:39,240 --> 04:10:40,760 INCREASED ABOUT FIVE FOLD FROM 5167 04:10:40,760 --> 04:10:42,640 2015 TO 2020. 5168 04:10:42,640 --> 04:10:47,760 IT'S ABOUT $600 MILLION NOW. 5169 04:10:47,760 --> 04:10:49,400 AND THESE TERMS WE HOPE AND 5170 04:10:49,400 --> 04:10:52,000 BELIEVE HAVE GUIDED 5171 04:10:52,000 --> 04:10:54,760 TRANSFORMATIVE RESEARCH AND 5172 04:10:54,760 --> 04:10:56,120 CONTRIBUTED TO NEW ADVANCED 5173 04:10:56,120 --> 04:10:56,600 UNDERSTANDING TOWARDS 5174 04:10:56,600 --> 04:11:00,040 INTERVENTIONS. 5175 04:11:00,040 --> 04:11:02,760 NOW, SINCE WE'RE TALKING ABOUT 5176 04:11:02,760 --> 04:11:06,000 CONCEPT CLEARANCE, I THINK IT'S 5177 04:11:06,000 --> 04:11:08,480 IMPORTANT FOR ME TO SAY A FEW 5178 04:11:08,480 --> 04:11:12,160 WORDS HOW FUNDING OPPORTUNITY 5179 04:11:12,160 --> 04:11:13,200 ANNOUNCEMENTS FOR ALZHEIMER'S 5180 04:11:13,200 --> 04:11:14,600 DISEASE AND RELATED DEMENTIAS 5181 04:11:14,600 --> 04:11:17,560 ARE DEVELOPED AT THE NINDS AND 5182 04:11:17,560 --> 04:11:19,840 THE STEPS THAT THAT DEVELOPMENT 5183 04:11:19,840 --> 04:11:22,680 GOES THROUGH AND THE APPROVALS 5184 04:11:22,680 --> 04:11:24,520 AND CONSIDERATIONS AND 5185 04:11:24,520 --> 04:11:25,520 ITERATIONS THAT THAT OCCURRED 5186 04:11:25,520 --> 04:11:26,920 BEFORE WE GET TO TODAY WHERE 5187 04:11:26,920 --> 04:11:27,440 WE'RE ASKING FOR CONCEPT 5188 04:11:27,440 --> 04:11:29,880 CLEARANCE. 5189 04:11:29,880 --> 04:11:32,720 SO THE MILESTONES AS I MENTIONED 5190 04:11:32,720 --> 04:11:33,640 ARE DELIVERED TO THE DEPARTMENT 5191 04:11:33,640 --> 04:11:35,760 OF HEALTH AND HUMAN SERVICES. 5192 04:11:35,760 --> 04:11:39,120 AND WE HAVE MILESTONES FOR 5193 04:11:39,120 --> 04:11:46,000 HEALTH EQUITY, FTD, FRONTAL, 5194 04:11:46,000 --> 04:11:49,840 TEMPORAL DEMENTIA AND ETIOLOGY 5195 04:11:49,840 --> 04:11:53,320 DEMENTIAS AND LEWY BODY DEMENTIA 5196 04:11:53,320 --> 04:11:55,400 AND EVERY YEAR STARTING IN THE 5197 04:11:55,400 --> 04:11:59,480 SPRING ANNUALLY THE CONCEPTS 5198 04:11:59,480 --> 04:12:00,840 BEGIN TO BE DEVELOPED. 5199 04:12:00,840 --> 04:12:02,400 PROGRAM STAFF THINKS ABOUT THEM 5200 04:12:02,400 --> 04:12:05,040 AND BRINGS THEM TO THE 5201 04:12:05,040 --> 04:12:09,800 ALZHEIMER'S DISEASE WORKING 5202 04:12:09,800 --> 04:12:10,720 GROUP AND THERE'S DISCUSSION 5203 04:12:10,720 --> 04:12:12,440 ABOUT HOW TO MODIFY THE CONCEPTS 5204 04:12:12,440 --> 04:12:13,800 AND WHAT WORKS WELL AND WHAT 5205 04:12:13,800 --> 04:12:21,800 OUGHT TO BE CHANGED. 5206 04:12:21,800 --> 04:12:24,080 THERE'S INPUT FROM THE DIRECTOR 5207 04:12:24,080 --> 04:12:36,040 AND FROM THE NIA WITH ME AND 5208 04:12:36,040 --> 04:12:37,760 DIRECTOR AND DR. HODES. 5209 04:12:37,760 --> 04:12:41,720 IS THE CONCEPT GOES TO 5210 04:12:41,720 --> 04:12:42,560 PRE-COUNCIL FOR FURTHER 5211 04:12:42,560 --> 04:12:44,840 DISCUSSION AND WE BRING THE 5212 04:12:44,840 --> 04:12:49,840 CONCEPTS TO COUNCIL, TO YOU. 5213 04:12:49,840 --> 04:12:52,320 WE HOPE THEY'LL BE APPROVED TO 5214 04:12:52,320 --> 04:12:55,040 MOVE FORWARD FOR IMPLEMENTATION 5215 04:12:55,040 --> 04:12:57,840 AND THAT'S TYPICALLY IN THE 5216 04:12:57,840 --> 04:13:00,640 FOLLOWING FISCAL YEAR. 5217 04:13:00,640 --> 04:13:03,520 BEFORE I PUT A SLIDE UP THAT 5218 04:13:03,520 --> 04:13:05,000 SHOWS THE CONCEPT YOU'VE ALSO I 5219 04:13:05,000 --> 04:13:07,480 THINK HAVE SEEN IN THE 5220 04:13:07,480 --> 04:13:10,480 ELECTRONIC COUNCIL BOOK, I WANT 5221 04:13:10,480 --> 04:13:12,600 TO SAY THAT THIS IS ANOTHER 5222 04:13:12,600 --> 04:13:15,720 PROGRAM THAT IS VERY LARGE WITH 5223 04:13:15,720 --> 04:13:17,640 A LOT OF PEOPLE WHO PUT A LOT OF 5224 04:13:17,640 --> 04:13:18,760 WORK INTO IT. 5225 04:13:18,760 --> 04:13:22,120 YOU CAN SEE NAMES OF PEOPLE FROM 5226 04:13:22,120 --> 04:13:25,400 ACROSS THE NINDS AND SEE NAMES 5227 04:13:25,400 --> 04:13:38,320 OF PEOPLE FROM NIA WE WORK WITH 5228 04:13:38,320 --> 04:13:38,600 ROUTINELY. 5229 04:13:38,600 --> 04:13:41,600 THANK YOU FOR THE EFFORTS THAT 5230 04:13:41,600 --> 04:13:42,920 GO INTO THE PROGRAM. 5231 04:13:42,920 --> 04:13:48,760 I'M PUTTING UP THE SLIDE WITH 5232 04:13:48,760 --> 04:13:52,120 THE TITLE OF THE FOAs FOR 5233 04:13:52,120 --> 04:13:57,280 CONCEPT CLEARANCE TODAY AND THE 5234 04:13:57,280 --> 04:14:00,680 NAME OF EACH CONCEPT IS THERE AS 5235 04:14:00,680 --> 04:14:03,600 WELL AS THE NAME OF THE LEAD NOR 5236 04:14:03,600 --> 04:14:03,800 CONCEPT. 5237 04:14:03,800 --> 04:14:05,320 THE NINDS LEADS FOR THE CONCEPTS 5238 04:14:05,320 --> 04:14:07,240 ARE AVAILABLE TO TAKE QUESTIONS 5239 04:14:07,240 --> 04:14:08,680 AND I OF COURSE CAN TAKE 5240 04:14:08,680 --> 04:14:10,920 QUESTIONS TOO AND WITH THAT I 5241 04:14:10,920 --> 04:14:13,480 WANT TO PAUSE AND ASK IF ANYBODY 5242 04:14:13,480 --> 04:14:14,440 HAS ANY QUESTIONS. 5243 04:14:14,440 --> 04:14:20,080 >> ROD, CAN YOU REMIND ME HOW 5244 04:14:20,080 --> 04:14:28,040 MANY OF THESE ROUGHLY ARE 5245 04:14:28,040 --> 04:14:28,520 RE-ISSUES. 5246 04:14:28,520 --> 04:14:33,880 >> THE ONES ON THE BOTTOM, ONE, 5247 04:14:33,880 --> 04:14:34,760 TWO, THREE. 5248 04:14:34,760 --> 04:14:35,640 >> OKAY. 5249 04:14:35,640 --> 04:14:37,800 A QUICK COMMENT AND WE'LL SEE 5250 04:14:37,800 --> 04:14:39,440 THERE'S ANY QUESTIONS. 5251 04:14:39,440 --> 04:14:41,440 GIVEN THE AMOUNT OF ALZHEIMER'S 5252 04:14:41,440 --> 04:14:43,440 MONEY AND THE NUMBER OF ONGOING 5253 04:14:43,440 --> 04:14:46,960 INITIATIVES, WE DON'T USUALLY 5254 04:14:46,960 --> 04:14:53,840 LOOK AT THESE IN DETAIL AT 5255 04:14:53,840 --> 04:14:55,240 COUNCIL. 5256 04:14:55,240 --> 04:14:56,720 IF THERE'S ANY QUESTIONS ABOUT 5257 04:14:56,720 --> 04:14:59,280 THESE, YOU CAN ASK THEM NOW OR 5258 04:14:59,280 --> 04:15:01,560 ASK ROD OFFLINE OR DO IT THROUGH 5259 04:15:01,560 --> 04:15:04,400 ME WOULD PROBABLY BE THE EASIEST 5260 04:15:04,400 --> 04:15:04,680 WAY. 5261 04:15:04,680 --> 04:15:07,240 ARE THERE ANY OF THESE OR ANY 5262 04:15:07,240 --> 04:15:12,360 OTHER COMMENTS ANYBODY HAS ABOUT 5263 04:15:12,360 --> 04:15:19,040 WHAT RODS'BEEN TALKING ABOUT? 5264 04:15:19,040 --> 04:15:19,360 OKAY. 5265 04:15:19,360 --> 04:15:21,800 I WON'T ASK FOR APPROVAL OF 5266 04:15:21,800 --> 04:15:24,600 THESE CONCEPTS GOING FORWARD 5267 04:15:24,600 --> 04:15:26,680 THEY'RE ALSO SOMEWHAT DIFFERENT 5268 04:15:26,680 --> 04:15:28,040 BECAUSE THEY'RE EXTENSIVELY 5269 04:15:28,040 --> 04:15:29,280 VETTED IN MANY FORMS BECAUSE 5270 04:15:29,280 --> 04:15:30,600 THEY COME TO OUR COUNCIL SO IT'S 5271 04:15:30,600 --> 04:15:32,400 DIFFERENT FROM THE OTHER 5272 04:15:32,400 --> 04:15:33,400 INITIATIVES WE SEE. 5273 04:15:33,400 --> 04:15:35,520 THANKS A LOT. 5274 04:15:35,520 --> 04:15:35,680 ROD. 5275 04:15:35,680 --> 04:15:37,800 I'LL FOLD THE VOTE ON THESE INTO 5276 04:15:37,800 --> 04:15:43,440 THE FINAL VOTE. 5277 04:15:43,440 --> 04:15:46,720 IF THERE'S NO MORE QUESTIONS, 5278 04:15:46,720 --> 04:15:48,440 ANDREW, I CHANGE THE ORDER. 5279 04:15:48,440 --> 04:15:52,080 NOW CAN YOU PUT UP THE SLIDE YOU 5280 04:15:52,080 --> 04:15:54,120 PUT UP IN THE BEGINNING. 5281 04:15:54,120 --> 04:15:57,600 THIS IS KIND OF A MISCELLANEOUS 5282 04:15:57,600 --> 04:16:00,440 SLIDE THAT CONSISTS ALMOST 5283 04:16:00,440 --> 04:16:05,440 ENTIRELY OF RE-ISSUES OF PAST 5284 04:16:05,440 --> 04:16:07,120 INITIATIVES WE'RE NOT PROPOSING 5285 04:16:07,120 --> 04:16:08,800 TO DISCUSS SO LOOKING QUICKLY 5286 04:16:08,800 --> 04:16:11,760 THERE'S A PAIN INITIATIVE ON 5287 04:16:11,760 --> 04:16:14,640 MECHANISMS IN PAIN RESEARCH. 5288 04:16:14,640 --> 04:16:15,640 A CLINICAL TRIAL READINESS 5289 04:16:15,640 --> 04:16:20,800 INITIATIVE WE TALKED ABOUT IN 5290 04:16:20,800 --> 04:16:25,040 COUNCIL BEFORE. 5291 04:16:25,040 --> 04:16:27,920 THE RE-ISSUE OF THE R35 PROGRAM 5292 04:16:27,920 --> 04:16:31,000 WE TALKED ABOUT AT COUNCIL AND 5293 04:16:31,000 --> 04:16:32,760 REMAINS ESSENTIALLY UNCHANGED. 5294 04:16:32,760 --> 04:16:34,800 THERE'S AN EDUCATIONAL PROGRAM 5295 04:16:34,800 --> 04:16:36,520 WE'VE BEEN DOING ON 5296 04:16:36,520 --> 04:16:37,680 TRANSLATIONAL DEVICES GOING VERY 5297 04:16:37,680 --> 04:16:37,880 WELL. 5298 04:16:37,880 --> 04:16:40,040 THE LAST TWO INITIATIVES ARE 5299 04:16:40,040 --> 04:16:42,640 THROUGH THE COUNTER ACT PROGRAM 5300 04:16:42,640 --> 04:16:45,800 AND ALSO IF I RECALL HAS ITS OWN 5301 04:16:45,800 --> 04:16:47,600 NIH FUNDING STREAM. 5302 04:16:47,600 --> 04:16:51,200 NUMBER 5 IS A REISSUE AND THE 5303 04:16:51,200 --> 04:16:55,880 LAST IS THE ONLY NEW INITIATIVE 5304 04:16:55,880 --> 04:16:58,520 ON THE SLIDE-ISSUE AND THE 5305 04:16:58,520 --> 04:16:59,160 LAST IS THE ONLY NEW INITIATIVE 5306 04:16:59,160 --> 04:17:03,400 ON THE SLIDE COUNTER MEASURES 5307 04:17:03,400 --> 04:17:05,520 AGAINST CHEMICAL THREAT BUT IF 5308 04:17:05,520 --> 04:17:06,680 ANYBODY WANTS TO HEAR MORE 5309 04:17:06,680 --> 04:17:08,240 THAT'S FINE AND WE HAVE PROGRAM 5310 04:17:08,240 --> 04:17:08,840 DIRECTORS WHO CAN TALK ABOUT 5311 04:17:08,840 --> 04:17:17,720 THEM. 5312 04:17:17,720 --> 04:17:20,000 OKAY, HEARING NO, GOING ONCE, 5313 04:17:20,000 --> 04:17:20,920 TWICE, THREE. 5314 04:17:20,920 --> 04:17:23,560 SO NOW WHAT I'D LIKE TO DO IS 5315 04:17:23,560 --> 04:17:26,120 COMBINE ALL THE INITIATIVES, 5316 04:17:26,120 --> 04:17:28,560 MOSTLY RE-ISSUES ON THIS SLIDE 5317 04:17:28,560 --> 04:17:29,760 BIG THE LIST OF ALZHEIMER'S 5318 04:17:29,760 --> 04:17:31,840 INITIATIVES THAT ROD JUST 5319 04:17:31,840 --> 04:17:33,760 MENTIONED AND WE DO FORMALLY 5320 04:17:33,760 --> 04:17:35,960 NEED CONCEPT CLEARANCE FOR ALL 5321 04:17:35,960 --> 04:17:38,440 OF THESE TO CONTINUE MOVING 5322 04:17:38,440 --> 04:17:39,200 FORWARD. 5323 04:17:39,200 --> 04:17:41,440 AGAIN, WALTER ULTIMATELY HAS TO 5324 04:17:41,440 --> 04:17:43,600 SIGN OFF ON ALL SUCH INITIATIVES 5325 04:17:43,600 --> 04:17:44,840 EVEN AFTER THEY GET CONCEPT 5326 04:17:44,840 --> 04:17:45,760 CLEARANCE FROM COUNCIL. 5327 04:17:45,760 --> 04:17:49,800 IF YOU COULD TAKE THIS SLIDE OFF 5328 04:17:49,800 --> 04:17:52,480 THE SCREEN, ANDREW. 5329 04:17:52,480 --> 04:17:54,880 WHAT WE NEED TO CONCLUDE THIS 5330 04:17:54,880 --> 04:17:57,160 EXCITING DAY IS A MOTION WITH 5331 04:17:57,160 --> 04:17:58,040 RESPECT TO THE 10 OR 20 5332 04:17:58,040 --> 04:18:06,520 INITIATIVES I JUST MENTIONED. 5333 04:18:06,520 --> 04:18:08,000 >> YOU MOVE TO APPROVE THE 5334 04:18:08,000 --> 04:18:10,040 CONCEPTS GO FORWARD. 5335 04:18:10,040 --> 04:18:14,600 I SAW MANY THUMBS UP AND 5336 04:18:14,600 --> 04:18:15,000 SECONDS. 5337 04:18:15,000 --> 04:18:15,200 OKAY. 5338 04:18:15,200 --> 04:18:19,200 SO KELLY MAKE SURE THE CHAT IS 5339 04:18:19,200 --> 04:18:22,160 THE MISCELLANEOUS LIST AND THE 5340 04:18:22,160 --> 04:18:24,840 ADRD INITIATIVES. 5341 04:18:24,840 --> 04:18:25,960 WELL, IT'S A LITTLE AFTER 5:30 5342 04:18:25,960 --> 04:18:33,520 AND WE ARE DONE. 5343 04:18:33,520 --> 04:18:41,120 >> WE HAVE A QUICK UPDATE FROM 5344 04:18:41,120 --> 04:18:41,760 NINA. 5345 04:18:41,760 --> 04:18:47,960 >> HAPPY TO DO SO. 5346 04:18:47,960 --> 04:18:53,800 I CAN KEEP THIS VERY BRIEF. 5347 04:18:53,800 --> 04:18:56,200 WE'RE IN THE MIDDLE OF RESEARCH 5348 04:18:56,200 --> 04:18:57,800 FOR OUR NEXT SCIENTIFIC 5349 04:18:57,800 --> 04:18:58,080 DIRECTOR. 5350 04:18:58,080 --> 04:19:00,240 WE HAVE AN ABSOLUTELY TERRIFIC 5351 04:19:00,240 --> 04:19:03,400 COMMITTEE AND THANKS TO THOSE OF 5352 04:19:03,400 --> 04:19:06,920 YOU WHO HAVE HELPED WITH THAT 5353 04:19:06,920 --> 04:19:07,960 EFFORT. 5354 04:19:07,960 --> 04:19:12,920 WE COLLECTIVELY REACHED OUT TO 5355 04:19:12,920 --> 04:19:15,600 SOMETHING LIKE 95 INDIVIDUALS 5356 04:19:15,600 --> 04:19:18,600 DIRECTLY WHETHER BY E-MAIL OR 5357 04:19:18,600 --> 04:19:19,520 TELEPHONE OR BUMPING INTO THEM 5358 04:19:19,520 --> 04:19:25,760 IN THE ZOOM ROOM. 5359 04:19:25,760 --> 04:19:28,000 WE GOT A TOTAL OF 21 COMPLETED 5360 04:19:28,000 --> 04:19:31,400 APPLICATIONS BY THE DEADLINE 5361 04:19:31,400 --> 04:19:32,560 DATE. 5362 04:19:32,560 --> 04:19:35,200 THE APPLICANT POOL WAS 24% 5363 04:19:35,200 --> 04:19:40,960 WOMEN, 5% BLACK, 10% HISPANIC 5364 04:19:40,960 --> 04:19:46,200 AND 24% ASIAN. 5365 04:19:46,200 --> 04:19:48,960 AND WE ALSO THERE'S RUMORS GOING 5366 04:19:48,960 --> 04:19:51,640 AROUND IT EITHER HAD TO BE A 5367 04:19:51,640 --> 04:19:52,760 CLINICIAN OR COULDN'T BE A 5368 04:19:52,760 --> 04:19:53,040 CLINICIAN. 5369 04:19:53,040 --> 04:19:56,080 I WANT TO PUT THAT TO REST AT 5370 04:19:56,080 --> 04:19:57,480 OUR FACULTY MEETING. 5371 04:19:57,480 --> 04:20:04,000 IT TURNS OUT THE APPLICANTS ARE 5372 04:20:04,000 --> 04:20:10,560 ABOUT 50% Ph.D.s, ABOUT 15% OR 5373 04:20:10,560 --> 04:20:20,240 SO M.D.s AND JUST SHY OF 30% MD 5374 04:20:20,240 --> 04:20:23,200 Ph.D AND HAD ONE DVM APPLY. 5375 04:20:23,200 --> 04:20:25,760 I THINK DIVERSITY REALLY WAS 5376 04:20:25,760 --> 04:20:31,440 QUITE ROBUST IN THOSE TO WHO WE 5377 04:20:31,440 --> 04:20:33,520 REACHED OUT AND ENDED UP 5378 04:20:33,520 --> 04:20:36,960 APPLYING FOR THE POSITION. 5379 04:20:36,960 --> 04:20:38,240 WE ARE IN THE MIDST OF 5380 04:20:38,240 --> 04:20:42,880 INTERVIEWING SEMI FINALISTS FOR 5381 04:20:42,880 --> 04:20:44,560 THE POSITION AND ANTICIPATE BY 5382 04:20:44,560 --> 04:20:46,760 THE END OF FEBRUARY WE'LL HAVE 5383 04:20:46,760 --> 04:20:59,200 FINALIST TO HAND OFF TO WALTER. 5384 04:20:59,200 --> 04:21:05,000 I MADE A CONSCIOUS EFFORT TO 5385 04:21:05,000 --> 04:21:15,760 KEEP THE P.I.s AND WE CAN'T TELL 5386 04:21:15,760 --> 04:21:17,800 THE NAMES OF ANYBODY APPLIED OR 5387 04:21:17,800 --> 04:21:25,200 NOT APPLIED OR WHAT HAVE YOU. 5388 04:21:25,200 --> 04:21:27,200 I TRIED TO KEEP THEM IN THE LOOP 5389 04:21:27,200 --> 04:21:30,040 SO THEY FEEL IT'S A TRANSPARENT 5390 04:21:30,040 --> 04:21:32,880 PROCESS. 5391 04:21:32,880 --> 04:21:34,600 >> IS YOUR SEARCH COMMITTEE MADE 5392 04:21:34,600 --> 04:21:41,680 UP FROM PEOPLE ACROSS NIH? 5393 04:21:41,680 --> 04:21:43,320 >> IT INCLUDES PEOPLE FROM 5394 04:21:43,320 --> 04:21:48,040 INSIDE AND OUTSIDE OF NIH. 5395 04:21:48,040 --> 04:21:51,720 ONLY NIH PEOPLE ARE COMPLICITLY 5396 04:21:51,720 --> 04:21:52,600 VOTING MEMBERS IF WE PUT 5397 04:21:52,600 --> 04:21:54,280 SOMETHING TO A VOTE BUT 5398 04:21:54,280 --> 04:22:00,200 EVERYBODY EN IT -- ENTERS INTO 5399 04:22:00,200 --> 04:22:00,640 THE DISCUSSION. 5400 04:22:00,640 --> 04:22:01,840 >> THANKS A LOT. 5401 04:22:01,840 --> 04:22:03,360 ANY LAST WORDS, WALTER? 5402 04:22:03,360 --> 04:22:09,800 >> NO, THAT WAS GREAT. 5403 04:22:09,800 --> 04:22:16,920 WE WENT THROUGH A LOT TODAY. 5404 04:22:16,920 --> 04:22:18,280 >> TOMORROW ON THE CLOSED 5405 04:22:18,280 --> 04:22:19,680 SESSION I THINK WILL BE PRETTY 5406 04:22:19,680 --> 04:22:22,960 SHORT, WE NEVER KNOW, AT THE END 5407 04:22:22,960 --> 04:22:24,080 OF THE CLOSED SESSION MOST STAFF 5408 04:22:24,080 --> 04:22:25,200 WILL LEAVE THE ZOOM CALL BECAUSE 5409 04:22:25,200 --> 04:22:29,200 WE'LL DO A QUICK REVIEW OF THE 5410 04:22:29,200 --> 04:22:30,920 CLINICAL DIRECTOR IN INTRAMURAL. 5411 04:22:30,920 --> 04:22:36,000 SO THAT WILL BE IN THE CLOSED 5412 04:22:36,000 --> 04:22:37,000 SESSION TOMORROW SO DON'T LEAVE 5413 04:22:37,000 --> 04:22:40,040 WHEN WE CONCLUDE THE SPECIALS 5414 04:22:40,040 --> 04:22:41,760 LIST. 5415 04:22:41,760 --> 04:22:42,840 THANKS ANYBODY AND UNLESS 5416 04:22:42,840 --> 04:22:44,680 THERE'S OTHER QUESTIONS WE'LL 5417 04:22:44,680 --> 04:22:45,560 SEE YOU TOMORROW AT 1:00. 5418 04:22:45,560 --> 00:00:00,000 >> THANKS, EVERYONE.