1 00:00:05,680 --> 00:00:10,000 WELCOME TO THE 111th MEETING OF 2 00:00:10,000 --> 00:00:15,720 THE NATIONAL ADVISORY COUNCIL 3 00:00:15,720 --> 00:00:17,200 FOR NURSING RESEARCH AND SPECIAL 4 00:00:17,200 --> 00:00:20,680 WELCOME TO OUR COUNCIL MEMBERS 5 00:00:20,680 --> 00:00:22,240 AND OUR NINR SCIENCE COMMUNITY. 6 00:00:22,240 --> 00:00:24,320 THIS MEETING IS BEING VIDEOCAST 7 00:00:24,320 --> 00:00:25,880 LIVE AND ARCHIVED ON THE NIH 8 00:00:25,880 --> 00:00:26,360 VIDEOCAST WEBSITE. 9 00:00:26,360 --> 00:00:26,960 THANK YOU ALL FOR JOINING US 10 00:00:26,960 --> 00:00:33,160 TODAY. 11 00:00:33,160 --> 00:00:40,160 SO WE HAVE A NEW EXOO 12 00:00:47,120 --> 00:00:48,440 EX-OFFICIO MEMBER AND SENIOR 13 00:00:48,440 --> 00:00:50,600 ADVISER TO THE DEAN AND 14 00:00:50,600 --> 00:00:52,240 ASSISTANT PROFESSOR IN THE 15 00:00:52,240 --> 00:00:54,000 DANIEL K GRADUATE SCHOOL OF 16 00:00:54,000 --> 00:00:56,320 NURSING AND THE UNIFORM SERVICES 17 00:00:56,320 --> 00:01:01,360 UNIVERSITY OF THE HEALTH 18 00:01:01,360 --> 00:01:02,360 SCIENCES. 19 00:01:02,360 --> 00:01:06,960 LIEUTENANT COLONEL GARDNER ALSO 20 00:01:06,960 --> 00:01:13,000 SERVES AS THE CONSULTANT. 21 00:01:13,000 --> 00:01:15,960 HE RECEIVED A DIRECT COMMISSION 22 00:01:15,960 --> 00:01:17,320 INTO THE AIR FORCE MEDICAL 23 00:01:17,320 --> 00:01:19,880 SERVICE AS A FAMILY NURSE 24 00:01:19,880 --> 00:01:21,560 PRACTITIONER IN AUGUST 2008. 25 00:01:21,560 --> 00:01:25,120 AFTER A COLD WAR ERA IN 26 00:01:25,120 --> 00:01:27,360 ENLISTMENT AS A MEDICAL SERVICES 27 00:01:27,360 --> 00:01:29,080 SPECIALIST FOLLOWED BY A 28 00:01:29,080 --> 00:01:29,760 CIVILIAN CAREER IN TEXAS LOCAL 29 00:01:29,760 --> 00:01:33,920 PUBLIC HEALTH. 30 00:01:33,920 --> 00:01:36,680 AFTER RETURNING TO ACTIVE DUTY 31 00:01:36,680 --> 00:01:37,960 HE SUPPORTED CONTINGENCY 32 00:01:37,960 --> 00:01:41,920 OPERATIONS IN AFGHANISTAN. 33 00:01:41,920 --> 00:01:43,400 WELCOME TO THE COUNCIL 34 00:01:43,400 --> 00:01:44,960 LIEUTENANT COLONEL GARDENER. 35 00:01:44,960 --> 00:01:47,640 NOW I'LL TURN THE MEETING OVER 36 00:01:47,640 --> 00:01:50,480 TO ELIZABETH TARLOV THE 37 00:01:50,480 --> 00:01:52,120 EXECUTIVE SECRETARY WHO WILL 38 00:01:52,120 --> 00:01:53,920 PROCEED WITH MEETING LOGISTICS. 39 00:01:53,920 --> 00:01:57,920 DR. TARLOV. 40 00:01:57,920 --> 00:01:59,400 >>THANK YOU, DR. ZENK. 41 00:01:59,400 --> 00:02:00,640 GOOD MORNING AND WELCOME. 42 00:02:00,640 --> 00:02:04,240 I WILL NOW DO A ROLL CALL OF 43 00:02:04,240 --> 00:02:05,040 COUNCIL MEMBERS TO ENSURE WE 44 00:02:05,040 --> 00:02:11,520 HAVE A QUORUM FOR TODAY'S 45 00:02:11,520 --> 00:02:16,240 MEETING AND PLEASE TURN ON YOUR 46 00:02:16,240 --> 00:02:18,160 CAMERA AND SAY PRESENT OR HERE. 47 00:02:18,160 --> 00:02:19,000 >>PRESENT. 48 00:02:19,000 --> 00:02:20,440 >>THANK YOU. 49 00:02:20,440 --> 00:02:21,520 COUNCIL MEMBERS IN THE ROOM, 50 00:02:21,520 --> 00:02:23,400 PLEASE RAISE YOUR HAND AND SAY 51 00:02:23,400 --> 00:02:24,040 PRESENT OR HERE WHEN I CALL YOUR 52 00:02:24,040 --> 00:02:34,160 NAME. 53 00:02:40,320 --> 00:02:42,160 DR. MUNRO. 54 00:02:42,160 --> 00:02:43,560 >>PRESENT. 55 00:02:43,560 --> 00:02:45,920 >>DR. STONE. 56 00:02:45,920 --> 00:02:47,880 >>PRESENT. 57 00:02:47,880 --> 00:02:49,920 >>DR. FITZPATRICK. 58 00:02:49,920 --> 00:02:50,520 >>PRESENT. 59 00:02:50,520 --> 00:02:52,960 >>DR. AYALA. 60 00:02:52,960 --> 00:02:54,240 >>PRESENT. 61 00:02:54,240 --> 00:02:56,920 >>PROFESSOR DAWES. 62 00:02:56,920 --> 00:03:01,920 >>PRESENT. 63 00:03:01,920 --> 00:03:04,240 >>DR. ATKINS. 64 00:03:04,240 --> 00:03:08,280 AND AS EX-OFFICIO DR. SULLIVAN 65 00:03:08,280 --> 00:03:09,040 AND LIEUTENANT COLONEL GARDNER. 66 00:03:09,040 --> 00:03:09,360 >>PRESENT. 67 00:03:09,360 --> 00:03:15,080 >>THANK YOU. 68 00:03:15,080 --> 00:03:17,160 DR. ZENK WE HAVE QUORUM FOR THIS 69 00:03:17,160 --> 00:03:21,920 MEETING. 70 00:03:21,920 --> 00:03:24,120 DOCTORS PROVENCIO-VASQUEZ AND 71 00:03:24,120 --> 00:03:25,520 DR. MALLORY JOHNSON WERE UNABLE 72 00:03:25,520 --> 00:03:29,640 TO BE WITH US TODAY. 73 00:03:29,640 --> 00:03:34,160 NOW, ON TO SOME LOGISTICS. 74 00:03:34,160 --> 00:03:35,640 DATES FOR FUTURE COUNCIL MEETING 75 00:03:35,640 --> 00:03:40,240 ARE LISTED ON THE NISH COUNCIL 76 00:03:40,240 --> 00:03:43,720 WEB PAGE AND OPEN MATERIAL IN 77 00:03:43,720 --> 00:03:44,680 THE ELECTRONIC COUNCIL BOOK. 78 00:03:44,680 --> 00:03:45,800 ADD THE DATES TO YOUR CALENDAR. 79 00:03:45,800 --> 00:03:49,480 THE NEXT MEETING IS JANUARY 25, 80 00:03:49,480 --> 00:03:49,680 2024. 81 00:03:49,680 --> 00:03:53,240 THIS WILL BE A VIRTUAL MEETING. 82 00:03:53,240 --> 00:03:56,560 I WANT TO REMIND COUNCIL MEMBERS 83 00:03:56,560 --> 00:04:03,280 OF A THEN EX-OFFICIO YOU ARE 84 00:04:03,280 --> 00:04:09,800 SPECIAL GOVERNMENT EMPLOYEES. 85 00:04:09,800 --> 00:04:20,480 AS SUCH -- I BEG YOUR PARDON AS 86 00:04:22,000 --> 00:04:24,480 SUCH YOU MAY NOT ENGAGE IN 87 00:04:24,480 --> 00:04:25,920 LOBBYING ACTIVITIES WHILE 88 00:04:25,920 --> 00:04:27,880 RECEIVING PAY FROM THE FEDERAL 89 00:04:27,880 --> 00:04:28,280 GOVERNMENT. 90 00:04:28,280 --> 00:04:31,680 FURTHER INFORMATION ON CONFLICT 91 00:04:31,680 --> 00:04:34,280 OF INTEREST AND CONFIDENTIALITY 92 00:04:34,280 --> 00:04:35,920 REQUIREMENTS ARE IN THE COUNCIL 93 00:04:35,920 --> 00:04:37,800 BOOK TO PLEASE REVIEW THOSE IF 94 00:04:37,800 --> 00:04:40,040 YOU HAVEN'T DONE SO ALREADY. 95 00:04:40,040 --> 00:04:40,880 I'LL GIVE MORE SPECIFIC 96 00:04:40,880 --> 00:04:42,680 INSTRUCTIONS ABOUT CONFLICT OF 97 00:04:42,680 --> 00:04:43,560 INTEREST AND CONFIDENTIALITY AT 98 00:04:43,560 --> 00:04:44,800 THE BEGINNING OF THE CLOSED 99 00:04:44,800 --> 00:04:47,520 SESSION LATER THIS AFTERNOON. 100 00:04:47,520 --> 00:04:50,440 NOW, I'LL TURN IT BACK TO 101 00:04:50,440 --> 00:04:52,280 DR. ZENK FOR THE NINR DIRECTOR'S 102 00:04:52,280 --> 00:05:00,920 REPORT. 103 00:05:00,920 --> 00:05:02,960 >>THANK YOU, ELIZABETH. 104 00:05:02,960 --> 00:05:04,960 I'M PLEASED TO SHOW WHAT'S BEEN 105 00:05:04,960 --> 00:05:07,280 GOING ON AT NINR SINCE OUR LAST 106 00:05:07,280 --> 00:05:07,640 COUNCIL MEETING. 107 00:05:07,640 --> 00:05:09,960 WE'LL START WITH AN UPDATE ON 108 00:05:09,960 --> 00:05:12,520 OUR STRATEGIC IMPERATIVE. 109 00:05:12,520 --> 00:05:16,040 IN JANUARY WE ANNOUNCED FIREARM 110 00:05:16,040 --> 00:05:17,920 INJURY PREVENTION AS OUR FIRST 111 00:05:17,920 --> 00:05:21,840 STRATEGY IMPERATIVE UNDER THE 112 00:05:21,840 --> 00:05:24,760 2022, 2026 NINR STRATEGIC PLAN. 113 00:05:24,760 --> 00:05:26,000 FOUR NINR STRATEGIC IMPERATIVE 114 00:05:26,000 --> 00:05:28,080 IS AN ONGOING INVESTMENT IN A 115 00:05:28,080 --> 00:05:29,400 SPECIFIC AREA OF RESEARCH THAT 116 00:05:29,400 --> 00:05:35,920 IS ALIGNED WITH NINR'S MISSION 117 00:05:35,920 --> 00:05:38,120 AND CAN BE VIEWED THROUGH MOST 118 00:05:38,120 --> 00:05:39,760 IF NOT ALL THE STRATEGIC LENSES 119 00:05:39,760 --> 00:05:41,640 OF OUR MILLION AND HAS THE 120 00:05:41,640 --> 00:05:43,200 POTENTIAL TO MAKE A DIFFERENCE 121 00:05:43,200 --> 00:05:44,840 IN ADDRESSING OUR NATION'S MOST 122 00:05:44,840 --> 00:05:46,200 PRESSING HEALTH CHALLENGES. 123 00:05:46,200 --> 00:05:48,680 WE CHOSE FIREARM INJURY 124 00:05:48,680 --> 00:05:49,800 PREVENTION AS OUR FIRST 125 00:05:49,800 --> 00:05:50,960 STRATEGIC IMPERATIVE BECAUSE 126 00:05:50,960 --> 00:05:53,120 RESEARCH ON THIS TOPIC IS ALI 127 00:05:53,120 --> 00:05:56,920 ALIGNED WITH NINR'S UPDATED 128 00:05:56,920 --> 00:05:58,680 MISSION TO LEAD NURSING RESEARCH 129 00:05:58,680 --> 00:06:00,480 AND SOLVE PRESSING HEALTH 130 00:06:00,480 --> 00:06:01,920 CHANCES AN INFORM PRACTICE AND 131 00:06:01,920 --> 00:06:03,280 POLICY OPTIMIZING HEALTH AND 132 00:06:03,280 --> 00:06:04,280 ADVANCING HEALTH EQUITY INTO THE 133 00:06:04,280 --> 00:06:06,560 FUTURE. 134 00:06:06,560 --> 00:06:09,400 AND BECAUSE WE BELIEVE NURSING 135 00:06:09,400 --> 00:06:10,640 RESEARCH OFFERS AN IMPORTANT 136 00:06:10,640 --> 00:06:13,040 PERSPECTIVE GIVEN THAT WORK TO 137 00:06:13,040 --> 00:06:15,520 PREVENT FIREARM INJURIES AND 138 00:06:15,520 --> 00:06:17,920 THEIR RELATED HEALTH SEQUELAE 139 00:06:17,920 --> 00:06:21,120 MUST BE SITUATED WITHIN THE 140 00:06:21,120 --> 00:06:21,640 SETTING NURSES PRACTICE 141 00:06:21,640 --> 00:06:24,840 INCLUDING HOMES, SCHOOLS, 142 00:06:24,840 --> 00:06:25,640 WORKPLACES, CLINICS, JUSTICE 143 00:06:25,640 --> 00:06:28,080 SETTINGS AND THE COMMUNITY. 144 00:06:28,080 --> 00:06:31,240 THIS IS CERTAINLY ONE OF OUR 145 00:06:31,240 --> 00:06:33,280 NATION'S MOST PRESSING HEALTH 146 00:06:33,280 --> 00:06:33,920 CHALLENGES. 147 00:06:33,920 --> 00:06:36,200 CONSIDER THAT FIVE ARM DEATHS 148 00:06:36,200 --> 00:06:40,280 ROSE BY 35% DURING 2020 REACHING 149 00:06:40,280 --> 00:06:42,080 THE HIGHEST LEVEL EVER RECORDED 150 00:06:42,080 --> 00:06:44,360 IN THE UNITED STATES. 151 00:06:44,360 --> 00:06:45,960 FIREARM INJURY AND DEATH ARE 152 00:06:45,960 --> 00:06:49,920 ALSO CONCERNING FROM A HEALTH 153 00:06:49,920 --> 00:06:51,280 EQUITY PERSPECTIVE. 154 00:06:51,280 --> 00:06:53,920 IN 2020 COUNTIES WITH THE 155 00:06:53,920 --> 00:06:56,960 HIGHEST POVERTY LEVEL HAD 156 00:06:56,960 --> 00:06:59,480 HOMICIDE RATES 4.5 TIMES AS HIGH 157 00:06:59,480 --> 00:07:00,720 AS COUNTIES WITH THE LOWEST 158 00:07:00,720 --> 00:07:02,720 POVERTY LEVEL AND MORE THAN HALF 159 00:07:02,720 --> 00:07:05,960 OF ALL BLACK TEENS WHO DIED IN 160 00:07:05,960 --> 00:07:10,760 2020 WERE KILLED BY FIREARMS. 161 00:07:10,760 --> 00:07:13,160 THE URGENCY OF THIS PROBLEM IS 162 00:07:13,160 --> 00:07:14,600 ONLY INCREASING. 163 00:07:14,600 --> 00:07:17,960 FOR EXAMPLE, PUBLISHED JUST THIS 164 00:07:17,960 --> 00:07:21,160 YEAR SHOW SOCIAL VULNERABILITY 165 00:07:21,160 --> 00:07:23,000 IS STRONGLY ASSOCIATED WITH 166 00:07:23,000 --> 00:07:24,120 PEDIATRIC SHOOTING INCIDENTS. 167 00:07:24,120 --> 00:07:27,000 YOU CAN SEE IN THE HEAT MAP THAT 168 00:07:27,000 --> 00:07:29,400 DISPLAYS THE CDC'S SOCIAL 169 00:07:29,400 --> 00:07:31,160 VULNERABILITY INDEX AND THE TOP 170 00:07:31,160 --> 00:07:33,280 ROW AND PEDIATRIC SHOOTING 171 00:07:33,280 --> 00:07:35,560 INCIDENTS IN THE BOTTOM ROW. 172 00:07:35,560 --> 00:07:37,560 AND YET PEDIATRIC PRIMARY CARE 173 00:07:37,560 --> 00:07:41,520 SCREENING FOR FIREARM ACCESS OR 174 00:07:41,520 --> 00:07:43,200 PREVENTION COUNSELING STILL 175 00:07:43,200 --> 00:07:47,520 RARELY OCCURS IN EVEN THE MOST 176 00:07:47,520 --> 00:07:49,160 AT RISK AREAS. 177 00:07:49,160 --> 00:07:50,520 AT NINR WE ARE TAKING STEPS 178 00:07:50,520 --> 00:07:53,600 FORWARD IN ADJUSTING FIREARM 179 00:07:53,600 --> 00:07:53,920 PREVENTION. 180 00:07:53,920 --> 00:07:56,040 SO TO LEARN MORE ABOUT THE AREA 181 00:07:56,040 --> 00:07:57,920 OF RESEARCH NINR HOSTED A 182 00:07:57,920 --> 00:08:01,920 WORKSHOP IN NOVEMBER OF 2022. 183 00:08:01,920 --> 00:08:04,080 AFTER TWO DAYS OF PRESENTATIONS 184 00:08:04,080 --> 00:08:05,640 FROM LEADING RESEARCHERS IN THE 185 00:08:05,640 --> 00:08:09,640 AREA WE IDENTIFIED TWO CRITICAL 186 00:08:09,640 --> 00:08:09,920 THEMES. 187 00:08:09,920 --> 00:08:12,920 FIRST, FIREARM VIOLENCE 188 00:08:12,920 --> 00:08:14,320 PREVENTION IS A PRESSING PUBLIC 189 00:08:14,320 --> 00:08:15,880 HEALTH CHALLENGE AND A MAJOR 190 00:08:15,880 --> 00:08:19,360 HEALTH EQUITY ISSUE DEEPLY 191 00:08:19,360 --> 00:08:20,720 INFLUENCED BY THE SOCIAL 192 00:08:20,720 --> 00:08:22,760 DETERMINATES OF HEALTH WITH 193 00:08:22,760 --> 00:08:25,000 STRUCTURAL AND HISTORICAL ROOTS. 194 00:08:25,000 --> 00:08:26,520 SECOND, THE POTENTIAL RETURN ON 195 00:08:26,520 --> 00:08:27,560 INVESTMENT FOR RESEARCH IN THIS 196 00:08:27,560 --> 00:08:29,920 AREA BY NURSE SCIENTISTS AND FOR 197 00:08:29,920 --> 00:08:33,920 RESEARCH RELATING TO NURSING 198 00:08:33,920 --> 00:08:37,480 PRACTICE IS HIGH. 199 00:08:37,480 --> 00:08:39,600 NINR STAFF TRANSLATED THESE 200 00:08:39,600 --> 00:08:41,480 THEMES FROM THE WORKSHOP INTO 201 00:08:41,480 --> 00:08:43,920 ACTION TO REVIEW THE FINDINGS 202 00:08:43,920 --> 00:08:45,480 AND COLLAPSE THESE PRIORITIES 203 00:08:45,480 --> 00:08:49,440 INTO BROADER RESEARCH AREAS WITH 204 00:08:49,440 --> 00:08:52,040 THE HIGHEST SCIENTIFIC 205 00:08:52,040 --> 00:08:52,320 POTENTIAL. 206 00:08:52,320 --> 00:08:53,920 THREE KEY AREAS FOR IMMEDIATE 207 00:08:53,920 --> 00:08:56,400 ACTION EMERGED. 208 00:08:56,400 --> 00:08:58,280 FIRST, USE EXISTING RESEARCH 209 00:08:58,280 --> 00:09:00,120 INFRASTRUCTURE TO EXPAND INTO 210 00:09:00,120 --> 00:09:02,160 FIREARM INJURY PREVENTION. 211 00:09:02,160 --> 00:09:03,960 SECOND, INVEST IN THE 212 00:09:03,960 --> 00:09:05,720 DEVELOPMENT OF A CADRE OF 213 00:09:05,720 --> 00:09:06,360 RESEARCHERS PREPARED TO DO THIS 214 00:09:06,360 --> 00:09:09,600 WORK. 215 00:09:09,600 --> 00:09:12,120 THIRD, ADDRESS THE GAP IN 216 00:09:12,120 --> 00:09:13,880 RESEARCH AND COMMUNITY HEALTH 217 00:09:13,880 --> 00:09:15,400 CARE. 218 00:09:15,400 --> 00:09:16,800 FOLLOWING THE WORKSHOP WE FIRST 219 00:09:16,800 --> 00:09:19,760 DEVELOPED TWO CONCEPTS WE 220 00:09:19,760 --> 00:09:21,920 BELIEVE ADDRESS SOME OF THE 221 00:09:21,920 --> 00:09:24,120 PRIORITIES SHARED WITH US BY 222 00:09:24,120 --> 00:09:25,160 WORKSHOP PARTICIPANTS AND WHICH 223 00:09:25,160 --> 00:09:29,560 WE SHARED WITH YOU WHEN WE 224 00:09:29,560 --> 00:09:31,520 ANNOUNCED THE STRATEGIC 225 00:09:31,520 --> 00:09:33,800 IMPERATIVE IN JANUARY THERE AND 226 00:09:33,800 --> 00:09:35,400 THE FIRST WAS BUILDING CAPACITY 227 00:09:35,400 --> 00:09:37,920 FOR FIREARM PREVENTION RESEARCH 228 00:09:37,920 --> 00:09:40,200 AND THE SECOND CONCEPT GREW TO 229 00:09:40,200 --> 00:09:43,240 REDUCE FIREARM INJURY AND 230 00:09:43,240 --> 00:09:47,040 RELATED HEALTH SEQUELAE DURING 231 00:09:47,040 --> 00:09:49,920 THE PREVENTIVE INTERVENTIONS AND 232 00:09:49,920 --> 00:09:53,200 COMMUNITY HEALTH CARE SETTINGS. 233 00:09:53,200 --> 00:09:55,600 ADDRESSING THIS URGENT PUBLIC 234 00:09:55,600 --> 00:09:57,120 HEALTH CRISIS REQUIRES RIGOROUS 235 00:09:57,120 --> 00:09:58,320 RESEARCH IN FIREARM INJURY 236 00:09:58,320 --> 00:09:58,800 PREVENTION. 237 00:09:58,800 --> 00:10:01,920 WORK THAT MUST BE CONDUCTED BY 238 00:10:01,920 --> 00:10:04,600 HIGHLY TRAINED SCHOLARS USING 239 00:10:04,600 --> 00:10:07,240 INNOVATIVE METHODOLOGICAL 240 00:10:07,240 --> 00:10:07,840 APPROACHES APPROPRIATE TO THE 241 00:10:07,840 --> 00:10:12,200 COMPLEX NATURE OF THE PROBLEM. 242 00:10:12,200 --> 00:10:13,920 TO ADDRESS THE LACK OF 243 00:10:13,920 --> 00:10:15,640 RESEARCRESEARCH 244 00:10:15,640 --> 00:10:17,320 ERS PREPARED TO DO THIS WORK AND 245 00:10:17,320 --> 00:10:19,120 START TO BUILD CAPACITY, WE 246 00:10:19,120 --> 00:10:23,600 RELEASED A NOTICE OF SPECIAL 247 00:10:23,600 --> 00:10:25,880 INTEREST IN MARCH FOR 248 00:10:25,880 --> 00:10:28,200 ADMINISTRATIVE SUPPLEMENT TO T32 249 00:10:28,200 --> 00:10:29,920 INSTITUTIONAL TRAINING GRANTS. 250 00:10:29,920 --> 00:10:33,920 ADMINISTRATIVE SUPPLEMENTS HAVE 251 00:10:33,920 --> 00:10:36,720 A RELATIVELY SHORT TURN AROUND 252 00:10:36,720 --> 00:10:41,480 THIS WHICH ALLOWS A MORE NIMBLE 253 00:10:41,480 --> 00:10:44,080 REASON AND WE ARE FUNDING A 254 00:10:44,080 --> 00:10:44,840 SUPPLEMENT AT COLUMBIA 255 00:10:44,840 --> 00:10:45,800 UNIVERSITY TO MENTOR STUDENTS 256 00:10:45,800 --> 00:10:47,840 AND FIREARM PREVENTION AND 257 00:10:47,840 --> 00:10:58,360 HEALTH DISPARITIES IN INJURY. 258 00:11:00,240 --> 00:11:01,920 A NOTICED A FUNDING OPPORTUNITY 259 00:11:01,920 --> 00:11:05,400 TO SOLICIT APPLICATIONS TO 260 00:11:05,400 --> 00:11:06,560 ESTABLISH SHORT COURSES IN 261 00:11:06,560 --> 00:11:09,760 FIREARM INJURY PREVENTION TO 262 00:11:09,760 --> 00:11:12,520 PREPARE NURSE SCIENTISTS AND 263 00:11:12,520 --> 00:11:14,920 ALIGN FIELDS CONDUCT FIREARM 264 00:11:14,920 --> 00:11:16,240 INJURY PREVENTION RESEARCH. 265 00:11:16,240 --> 00:11:17,360 THIS FUNDING OPPORTUNITY SHOULD 266 00:11:17,360 --> 00:11:21,080 BE OUT IN THE NEXT FEW DAYS SO 267 00:11:21,080 --> 00:11:22,200 STAY TUNED. 268 00:11:22,200 --> 00:11:24,360 AND WE HOPE THAT THEN AWARDS 269 00:11:24,360 --> 00:11:28,240 WILL BE AVAILABLE NEXT SUMMER. 270 00:11:28,240 --> 00:11:29,960 SO FREQUENTLY THE FIRST HEALTH 271 00:11:29,960 --> 00:11:31,680 CARE CONTACT FOR INDIVIDUALS 272 00:11:31,680 --> 00:11:34,280 SEEKING CARE ESPECIALLY IN 273 00:11:34,280 --> 00:11:38,480 COMMUNITIES SETTINGS ARE NURSES. 274 00:11:38,480 --> 00:11:39,800 THEY ARE TRAINED AS ADDRESSING 275 00:11:39,800 --> 00:11:41,520 PHYSICAL HEALTH AND IDENTIFY 276 00:11:41,520 --> 00:11:42,200 RISK FACTORS FOR INJURY. 277 00:11:42,200 --> 00:11:44,600 AS I MENTIONED THERE IS A 278 00:11:44,600 --> 00:11:45,840 CRITICAL GAP IN RESEARCH RELATED 279 00:11:45,840 --> 00:11:48,080 TO FIREARM INJURY PREVENTION AND 280 00:11:48,080 --> 00:11:51,760 COMMUNITY HEALTH CARE SETTINGS. 281 00:11:51,760 --> 00:11:53,560 JUST A COUPLE WEEKS AGO IN 282 00:11:53,560 --> 00:11:55,400 SEPTEMBER 1 WE FUNDED A FUNDING 283 00:11:55,400 --> 00:11:57,920 OPPORTUNITY FOR FIREARM INJURY 284 00:11:57,920 --> 00:11:59,160 PREVENTION RESEARCH IN COMMUNITY 285 00:11:59,160 --> 00:12:01,920 HEALTH CARE SETTINGS. 286 00:12:01,920 --> 00:12:03,320 UNDER THIS INITIATIVE, NINR IS 287 00:12:03,320 --> 00:12:04,840 INTERESTED IN CREATIVE 288 00:12:04,840 --> 00:12:09,280 APPROACHES TO FIREARM INJURY 289 00:12:09,280 --> 00:12:09,960 PREVENTION THAT CAPITALIZE ON 290 00:12:09,960 --> 00:12:10,680 COMMUNITY HEALTH CARE SETTINGS 291 00:12:10,680 --> 00:12:13,360 TO IDENTIFY RISK FACTORS, REDUCE 292 00:12:13,360 --> 00:12:15,200 EXPOSURES IN INDIVIDUALS, 293 00:12:15,200 --> 00:12:17,080 FAMILIES AND COMMUNITIES AND 294 00:12:17,080 --> 00:12:20,160 PREVENT INJURY AND REOCCURRENCE 295 00:12:20,160 --> 00:12:21,920 OF INJURY AS WELL AS MITIGATING 296 00:12:21,920 --> 00:12:24,200 HEALTH DISPARITIES. 297 00:12:24,200 --> 00:12:26,480 THIS OPPORTUNITY ENCOURAGES 298 00:12:26,480 --> 00:12:28,400 APPROACHES THAT MAXIMIZE THE 299 00:12:28,400 --> 00:12:29,920 CONTRIBUTIONS OF NURSES AND 300 00:12:29,920 --> 00:12:32,640 INTEGRITIES THE PRINCIPLES OF 301 00:12:32,640 --> 00:12:33,120 HOLISTIC NURSING CARE. 302 00:12:33,120 --> 00:12:35,080 THE FIRST ROUND OF APPLICATIONS 303 00:12:35,080 --> 00:12:36,840 IS DUE NOVEMBER 7 WITH A SECOND 304 00:12:36,840 --> 00:12:40,120 ROUND OF APPLICATIONS DUE ON 305 00:12:40,120 --> 00:12:43,880 JULY 26. 306 00:12:43,880 --> 00:12:46,440 SO LET ME HIGHLIGHT ONE OF THE 307 00:12:46,440 --> 00:12:48,280 STUDIES ALREADY IN NINR'S 308 00:12:48,280 --> 00:12:49,920 RESEARCH PORTFOLIO FOCUSSED ON 309 00:12:49,920 --> 00:12:53,200 FIREARM INJURY PREVENTION. 310 00:12:53,200 --> 00:12:55,160 IN THIS MIXED METHODS STUDY, 311 00:12:55,160 --> 00:12:56,960 RESEARCHERS ARE EXAMINING THE 312 00:12:56,960 --> 00:12:58,560 MULTI-LEVEL RISK AND PROTECTIVE 313 00:12:58,560 --> 00:13:01,200 FACTORS OF FIREARM INJURY RISK 314 00:13:01,200 --> 00:13:04,280 AMONG ASIAN AMERICANS AND THE 315 00:13:04,280 --> 00:13:05,400 RELATIONSHIP WITH NEIGHBORHOOD 316 00:13:05,400 --> 00:13:07,600 STRUCTURAL LEVEL RACISM AND 317 00:13:07,600 --> 00:13:10,240 DISCRIMINATION TO DETERMINE THE 318 00:13:10,240 --> 00:13:11,800 MECHANISMS BETWEEN THESE FACTORS 319 00:13:11,800 --> 00:13:14,480 AND FIREARM OUTCOMES. 320 00:13:14,480 --> 00:13:16,440 SO WE ARE SPECIALLY EXCITED TO 321 00:13:16,440 --> 00:13:17,880 SUPPORT THIS COLLABORATION 322 00:13:17,880 --> 00:13:19,600 BETWEEN INVESTIGATORS AT EASTERN 323 00:13:19,600 --> 00:13:21,920 MICHIGAN UNIVERSITY SCHOOL OF 324 00:13:21,920 --> 00:13:24,600 NURSING AND THE UNIVERSITY OF 325 00:13:24,600 --> 00:13:25,480 MICHIGAN SCHOOL OF PUBLIC HEALTH 326 00:13:25,480 --> 00:13:29,080 AS WE THINK IT'S INDICATIVE OF 327 00:13:29,080 --> 00:13:29,960 THE MULTI-DISCIPLINARY 328 00:13:29,960 --> 00:13:32,400 COLLABORATION WE CALL FOR IN OUR 329 00:13:32,400 --> 00:13:33,920 STRATEGIC PLAN AND DEEM AS 330 00:13:33,920 --> 00:13:37,920 NECESSARY FOR ADDRESSING OUR 331 00:13:37,920 --> 00:13:39,080 MOST PRESSING HEALTH CHALLENGES. 332 00:13:39,080 --> 00:13:41,920 SO LET'S ME OF ON TO SOME 333 00:13:41,920 --> 00:13:43,440 ADDITIONAL FUND -- LET'S MOVE ON 334 00:13:43,440 --> 00:13:44,440 TO ADDITIONAL FUNDING UPDATES. 335 00:13:44,440 --> 00:13:46,320 SINCE WE MET IN MAY WE PUBLISHED 336 00:13:46,320 --> 00:13:49,280 A NOTICE OF SPECIAL INTEREST ON 337 00:13:49,280 --> 00:13:50,320 NURSE BURNOUT. 338 00:13:50,320 --> 00:13:51,840 WITH THIS NOSI WE'RE ENCOURAGING 339 00:13:51,840 --> 00:13:54,960 THE DEVELOPMENT AND EVALUATION 340 00:13:54,960 --> 00:13:57,520 OF NOVEL ORGANIZATIONAL 341 00:13:57,520 --> 00:13:58,320 INTERVENTION WILL BUILD NEW 342 00:13:58,320 --> 00:14:00,760 KNOWLEDGE ON HOW TO PREVENT AND 343 00:14:00,760 --> 00:14:02,800 MITIGATE NURSE BURNOUT IN A WIDE 344 00:14:02,800 --> 00:14:04,200 VARIETY OF SETTINGS THAT 345 00:14:04,200 --> 00:14:05,800 INCLUDES HOSPITALS AND CLINICS, 346 00:14:05,800 --> 00:14:09,800 SCHOOLS AND WORKPLACES, HOMES 347 00:14:09,800 --> 00:14:12,360 AND LONG-TERM CARE FACILITIES, 348 00:14:12,360 --> 00:14:14,920 JUSTICE AND OTHER SETTINGS. 349 00:14:14,920 --> 00:14:16,600 INTERVENTIONS MAY INCLUDE THOSE 350 00:14:16,600 --> 00:14:17,960 ADDRESSING KEY FACTORS IN HEALTH 351 00:14:17,960 --> 00:14:21,800 CARE SETTING INFLUENCE BURNOUT 352 00:14:21,800 --> 00:14:23,560 AND WELL BEING SUCH AS 353 00:14:23,560 --> 00:14:24,160 BUREAUCRACY, ORGANIZATIONAL 354 00:14:24,160 --> 00:14:27,160 MISSION AND VALUES, CULTURE AND 355 00:14:27,160 --> 00:14:28,280 LEADERSHIP, ADMINISTRATIVE 356 00:14:28,280 --> 00:14:29,840 BURDEN AMONG MANY OTHERS. 357 00:14:29,840 --> 00:14:32,880 THOUGH THE PRIMARY GOAL OF THIS 358 00:14:32,880 --> 00:14:35,680 NOSI IS PREVENTION OR MITIGATION 359 00:14:35,680 --> 00:14:38,200 OF NURSE BURNOUT, OTHER OUTCOMES 360 00:14:38,200 --> 00:14:39,760 INCLUDE THOSE SUCH AS NURSE 361 00:14:39,760 --> 00:14:41,600 SATISFACTION, RETENTION, 362 00:14:41,600 --> 00:14:44,600 ENGAGEMENT AND ABSENTEEISM AS 363 00:14:44,600 --> 00:14:45,640 WELL AS OCCUPATIONAL INJURY, 364 00:14:45,640 --> 00:14:52,240 TURNOVER AND COSTS. 365 00:14:52,240 --> 00:14:57,800 IN AUGUST WE FUNDED A NOTICE TO 366 00:14:57,800 --> 00:15:01,920 ESTABLISH SHORT COURSES IN 367 00:15:01,920 --> 00:15:02,960 NURSING RESEARCH ON SOCIAL 368 00:15:02,960 --> 00:15:03,720 DETERMINATES OF HEALTH TO 369 00:15:03,720 --> 00:15:05,960 SUPPORT THE CREATION AND 370 00:15:05,960 --> 00:15:09,760 IMPLEMENTATION OF SHORT COURSES 371 00:15:09,760 --> 00:15:11,640 OF UP TO ONE YEAR TO DEVELOP 372 00:15:11,640 --> 00:15:14,240 COHORT OF NURSE SCIENTISTS AND 373 00:15:14,240 --> 00:15:17,600 SCIENTISTS IN ALIGNED FIELD TO 374 00:15:17,600 --> 00:15:20,280 CONDUCT, EVALUATE RESEARCH ON 375 00:15:20,280 --> 00:15:20,960 SOCIAL DETERMINATES OF HEALTH IN 376 00:15:20,960 --> 00:15:23,520 SUPPORT OF THE STRATEGIC PLAN. 377 00:15:23,520 --> 00:15:25,920 NURSING HAS LONG APPRECIATED 378 00:15:25,920 --> 00:15:27,280 THAT HEALTH MUST BE UNDERSTOOD 379 00:15:27,280 --> 00:15:32,920 WITHIN THE CONTEXT OF PEOPLE'S 380 00:15:32,920 --> 00:15:35,920 LIVES AND LIVING CONDITIONS 381 00:15:35,920 --> 00:15:38,680 SOCIAL DETERMINATES OF HEALTH 382 00:15:38,680 --> 00:15:40,280 INTERVENED UPSTREAM AND MID 383 00:15:40,280 --> 00:15:41,160 STREAM FACTORS THAT SHAPE 384 00:15:41,160 --> 00:15:41,920 INDIVIDUAL POPULATION HEALTH 385 00:15:41,920 --> 00:15:45,520 WITH A CRITICAL EMPHASIS ON 386 00:15:45,520 --> 00:15:46,280 HEALTH EQUITY. 387 00:15:46,280 --> 00:15:50,800 BY INCREASING NURSE SCIENTIST 388 00:15:50,800 --> 00:15:53,600 ACCESS TO RIGOROUS 389 00:15:53,600 --> 00:15:54,840 MULTI-DISCIPLINARY TRAINING AND 390 00:15:54,840 --> 00:15:55,680 RESEARCH THIS INITIATIVE WILL 391 00:15:55,680 --> 00:15:57,920 SUPPORT THE POWER AND POTENTIAL 392 00:15:57,920 --> 00:16:01,880 OF NURSING TO ADVANCE HEALTH AND 393 00:16:01,880 --> 00:16:04,280 HEALTH EQUITY FOR ALL. 394 00:16:04,280 --> 00:16:07,320 IN ADDITION TO THESE NINR-LED 395 00:16:07,320 --> 00:16:09,280 OPPORTUNITIES WE SIGNED ON TO 396 00:16:09,280 --> 00:16:10,240 INITIATIVES OF OTHER INSTITUTES, 397 00:16:10,240 --> 00:16:11,720 CENTERS AND OFFICES. 398 00:16:11,720 --> 00:16:13,600 FOR EXAMPLE, WE ARE SUPPORTING 399 00:16:13,600 --> 00:16:15,360 THE NATIVE AMERICAN RESEARCH 400 00:16:15,360 --> 00:16:18,320 CENTERS FOR HEALTH OR NARCH. 401 00:16:18,320 --> 00:16:20,600 IT WAS LAUNCHED IN 2000 TO HELP 402 00:16:20,600 --> 00:16:24,960 REDUCE THE DISTRUST IN HEALTH 403 00:16:24,960 --> 00:16:25,920 RESEARCH BY THE AMERICAN INDIAN 404 00:16:25,920 --> 00:16:27,760 ALASKAN NATIVE COMMUNITIES, 405 00:16:27,760 --> 00:16:29,920 PROMOTE HEALTH RESEARCH, 406 00:16:29,920 --> 00:16:33,800 PRIORITIZE AND LED BY ELIGIBLE 407 00:16:33,800 --> 00:16:34,400 AMERICAN INDIAN AND ALASKAN 408 00:16:34,400 --> 00:16:38,520 NATIVE TRIBAL ENTITIES AND 409 00:16:38,520 --> 00:16:39,280 ULTIMATELY IMPROVE THEIR HEALTH. 410 00:16:39,280 --> 00:16:43,120 WE ALSO SIGNED ON TO A FUNDING 411 00:16:43,120 --> 00:16:44,720 OPPORTUNITY THAT SUPPORTS A 412 00:16:44,720 --> 00:16:46,280 COLLABORATION BETWEEN NIH AND 413 00:16:46,280 --> 00:16:49,640 THE NATIONAL SCIENCE FOUNDATION. 414 00:16:49,640 --> 00:16:51,360 IT SUPPORTS INNOVATIVE 415 00:16:51,360 --> 00:16:53,360 HIGH-RISK, HIGH-REWARD RESEARCH 416 00:16:53,360 --> 00:16:56,160 WITH THE PROMISE OF DISRUPTIVE 417 00:16:56,160 --> 00:17:00,080 TRANSFORMATIONS IN BIO MEDICAL 418 00:17:00,080 --> 00:17:00,680 AND PUBLIC HEALTH RESEARCH. 419 00:17:00,680 --> 00:17:03,240 SO LET ME NOW TURN TO SOME NEWS 420 00:17:03,240 --> 00:17:06,040 ON OUR PARTNERSHIPS AND 421 00:17:06,040 --> 00:17:08,840 COLLABORATIONS. 422 00:17:08,840 --> 00:17:11,560 AS YOU ALL KNOW WE CANNOT SOLVE 423 00:17:11,560 --> 00:17:13,640 OUR NATION'S MOST INTRACTABLE 424 00:17:13,640 --> 00:17:16,240 HEALTH CHALLENGES AND THE MOST 425 00:17:16,240 --> 00:17:19,080 PERSISTENT HEALTH DISPARITIES 426 00:17:19,080 --> 00:17:19,680 WITHOUT MAKING SOCIAL 427 00:17:19,680 --> 00:17:21,560 DETERMINATES OF HEALTH A 428 00:17:21,560 --> 00:17:21,920 PRIORITY. 429 00:17:21,920 --> 00:17:25,560 SO IN 2022, NINR HELPED LAUNCH 430 00:17:25,560 --> 00:17:27,240 THE NIH-WIDE SOCIAL DETERMINATES 431 00:17:27,240 --> 00:17:29,160 OF HEALTH RESEARCH COORDINATING 432 00:17:29,160 --> 00:17:30,280 COMMITTEE WHICH WAS CREATED OUT 433 00:17:30,280 --> 00:17:33,840 OF AN URGENT NEED TO DEVELOP A 434 00:17:33,840 --> 00:17:35,360 COORDINATED STRATEGY TO PROPEL 435 00:17:35,360 --> 00:17:37,200 DISCOVERIES TO IMPROVE 436 00:17:37,200 --> 00:17:38,320 INDIVIDUAL AND POPULATION 437 00:17:38,320 --> 00:17:41,040 HEALTH, REDUCE HEALTH 438 00:17:41,040 --> 00:17:42,040 DISPARITIES AND ADVANCE HEALTH 439 00:17:42,040 --> 00:17:42,560 EQUITY. 440 00:17:42,560 --> 00:17:44,880 GROWING OUT OF A GRASS-ROOTS 441 00:17:44,880 --> 00:17:49,480 EFFORT WE STAFF ACROSS THE NIH, 442 00:17:49,480 --> 00:17:53,640 THE SDOH RCC'S GOAL IS TO 443 00:17:53,640 --> 00:17:55,080 ACCELERATE RESEARCH ACROSS 444 00:17:55,080 --> 00:17:56,080 DISEASES AND CONDITIONS, 445 00:17:56,080 --> 00:17:57,920 POPULATION, STAGES OF THE LIFE 446 00:17:57,920 --> 00:18:01,840 COURSE AND SDOH DOMAINS. 447 00:18:01,840 --> 00:18:04,200 IT ALSO FOCUSES ON EFFECTIVELY 448 00:18:04,200 --> 00:18:09,200 LEVERAGING SDOH INVESTMENTS AND 449 00:18:09,200 --> 00:18:13,480 INNOVATIONS ACROSS NIH 450 00:18:13,480 --> 00:18:14,680 INSTITUTES AND SCIENCE IN THIS 451 00:18:14,680 --> 00:18:16,800 FIELD RANGE FROM FOUNDATIONAL 452 00:18:16,800 --> 00:18:17,840 RESEARCH TO INTERVENTION 453 00:18:17,840 --> 00:18:22,160 RESEARCH TO IMPLEMENTATION 454 00:18:22,160 --> 00:18:22,400 SCIENCE. 455 00:18:22,400 --> 00:18:25,920 AT LAST COUNT 20 NIH INSTITUTE, 456 00:18:25,920 --> 00:18:27,400 CENTERS AND OFFICES INCLUDING 457 00:18:27,400 --> 00:18:29,160 NINR SERVE ON THE EXECUTIVE 458 00:18:29,160 --> 00:18:30,760 COMMITTEE AND EVEN MORE ARE 459 00:18:30,760 --> 00:18:33,720 REPRESENTED ON THE RCC AT LARGE 460 00:18:33,720 --> 00:18:35,960 WHICH IS A CLEAR INDICATION OF 461 00:18:35,960 --> 00:18:37,240 THE GROWING RECOGNITION OF THE 462 00:18:37,240 --> 00:18:37,920 IMPORTANCE OF THIS AREA OF 463 00:18:37,920 --> 00:18:41,920 RESEARCH. 464 00:18:41,920 --> 00:18:44,680 I AM PROUD TO CO-CHAIR THIS 465 00:18:44,680 --> 00:18:49,000 COMMITTEE WITH MY COLLEAGUE 466 00:18:49,000 --> 00:18:49,880 DR. PEREZ-STABLE DIRECTOR OF THE 467 00:18:49,880 --> 00:18:50,920 NATIONAL INSTITUTE ON MINORITY 468 00:18:50,920 --> 00:18:53,480 HEALTH AND HEALTH DISPARITIES. 469 00:18:53,480 --> 00:18:56,160 RECENTLY AS WE ANNOUNCED IN THE 470 00:18:56,160 --> 00:18:57,440 BLOG POST, THIS COMMITTEE SHARED 471 00:18:57,440 --> 00:19:01,240 A NEW CONCEPTUALIZATION OF 472 00:19:01,240 --> 00:19:01,840 SOCIAL DETERMINATES OF HEALTH 473 00:19:01,840 --> 00:19:03,840 WHICH WE BELIEVE CAN BE APPLIED 474 00:19:03,840 --> 00:19:06,640 TO ANY AREA OF NIH SCIENCE AND 475 00:19:06,640 --> 00:19:08,280 WELL BEYOND WE DESCRIBE SDOH AS 476 00:19:08,280 --> 00:19:09,920 THE CONDITIONS IN WHICH PEOPLE 477 00:19:09,920 --> 00:19:12,760 ARE BORN, GROW, LEARN, WORK, 478 00:19:12,760 --> 00:19:16,840 PLAY, LIVE AND AGE AND THE WIDER 479 00:19:16,840 --> 00:19:18,640 SET OF STRUCTURAL FACTORS 480 00:19:18,640 --> 00:19:21,880 SHAPING THE CONDITIONS OF DAILY 481 00:19:21,880 --> 00:19:22,880 LIFE AND WE EMPHASIZE THAT 482 00:19:22,880 --> 00:19:25,320 ADDRESSING SDOH IS CRITICAL TO 483 00:19:25,320 --> 00:19:28,200 POPULATION, COMMUNITY AND 484 00:19:28,200 --> 00:19:29,920 INDIVIDUAL HEALTH AND ADVANCING 485 00:19:29,920 --> 00:19:30,280 HEALTH EQUITY. 486 00:19:30,280 --> 00:19:32,480 YOU CAN SEE MORE ON OUR BLOG 487 00:19:32,480 --> 00:19:37,080 POST ON THE NINR WEBSITE. 488 00:19:37,080 --> 00:19:39,880 SO I'D LOVE TO WALK YOU THROUGH 489 00:19:39,880 --> 00:19:42,960 SOME OF THE KEY TENETS. 490 00:19:42,960 --> 00:19:43,840 STRUCTURAL FACTORS INCLUDE 491 00:19:43,840 --> 00:19:46,240 SOCIAL, ECONOMIC AS LEGAL FORCES 492 00:19:46,240 --> 00:19:48,800 SYSTEMS AND POLICIES THAT 493 00:19:48,800 --> 00:19:49,920 DETERMINE OPPORTUNITIES AND 494 00:19:49,920 --> 00:19:53,920 ACCESS TO HIGH-QUALITY JOBS, 495 00:19:53,920 --> 00:20:01,560 EDUCATION, HOUSING, 496 00:20:01,560 --> 00:20:03,200 TRANSPORTATION, THE BUILT 497 00:20:03,200 --> 00:20:04,040 ENVIRONMENT AND OTHER CONDITIONS 498 00:20:04,040 --> 00:20:06,800 OF DAILY LIFE. 499 00:20:06,800 --> 00:20:09,920 FURTHER, SDOH CAN IMPROVE, 500 00:20:09,920 --> 00:20:11,640 MAINTAIN OR HINTER HEALTH 501 00:20:11,640 --> 00:20:14,000 THROUGH MULTIPLE DIRECT, 502 00:20:14,000 --> 00:20:16,920 INDIRECT AND INTERACTING 503 00:20:16,920 --> 00:20:19,800 MECHANISTIC PATHWAYS. 504 00:20:19,800 --> 00:20:21,360 SDOH MAY INTERACT WITH OTHER 505 00:20:21,360 --> 00:20:23,680 DETERMINATES OF HEALTH SUCH AS 506 00:20:23,680 --> 00:20:24,360 BIOLOGICAL, PSYCHOLOGICAL, 507 00:20:24,360 --> 00:20:25,920 BEHAVIORAL AND ENVIRONMENTAL 508 00:20:25,920 --> 00:20:29,120 FACTORS TO FURTHER PROMOTE OR 509 00:20:29,120 --> 00:20:30,640 COMPROMISE HEALTH. 510 00:20:30,640 --> 00:20:33,320 AND WE KNOW SDOH INFLUENCE 511 00:20:33,320 --> 00:20:35,400 FAMILY AND INDIVIDUAL LEVEL 512 00:20:35,400 --> 00:20:36,960 SOCIAL AND ECONOMIC 513 00:20:36,960 --> 00:20:38,960 CIRCUMSTANCES SUCH AS INCOME, 514 00:20:38,960 --> 00:20:41,400 EDUCATIONAL ATTAINMENT, ACCESS 515 00:20:41,400 --> 00:20:43,160 TO DIGITAL TOOLS AND BROADBAND, 516 00:20:43,160 --> 00:20:45,920 NUTRITION SECURITY AND HOUSING 517 00:20:45,920 --> 00:20:46,520 STABILITY. 518 00:20:46,520 --> 00:20:49,680 WE ALSO KNOW THAT SDOH MAY HAVE 519 00:20:49,680 --> 00:20:52,120 DIFFERENT HEALTH CONSEQUENCES 520 00:20:52,120 --> 00:20:53,480 WITHIN AND ACROSS POPULATIONS 521 00:20:53,480 --> 00:20:56,840 DUE TO DIFFERENCES IN EXPOSURE 522 00:20:56,840 --> 00:20:57,920 AS WELL AS SUSCEPTIBILITY TO 523 00:20:57,920 --> 00:21:01,800 HELP PROMOTING AND HEALTH 524 00:21:01,800 --> 00:21:03,760 COMPROMISE CONDITIONS OF DAILY 525 00:21:03,760 --> 00:21:07,240 LIFE AND OUR CONCEPTUALIZATION 526 00:21:07,240 --> 00:21:09,920 RECOGNIZES STRUCTURE FACTORS IN 527 00:21:09,920 --> 00:21:12,840 RACISM, SEXISM, HOMOPHOBIA AND 528 00:21:12,840 --> 00:21:17,920 CLASSISM AND OTHER 529 00:21:17,920 --> 00:21:24,240 DISCRIMINATORY SYSTEMS SHAPE THE 530 00:21:24,240 --> 00:21:25,920 WAY THERE'S DISTRIBUTION BASED 531 00:21:25,920 --> 00:21:29,520 ON SEXUAL ORIENTATION, SOCIO 532 00:21:29,520 --> 00:21:30,520 ECONOMIC POSITION OR GEOGRAPHY. 533 00:21:30,520 --> 00:21:37,720 AND THEIR INTERSECTIONS AND 534 00:21:37,720 --> 00:21:39,240 THROUGH IDENTITY FACTORS 535 00:21:39,240 --> 00:21:42,640 HIGHLIGHT THE IMPORTANCE OF AN 536 00:21:42,640 --> 00:21:43,480 INTERSECTIONAL LENS AND 537 00:21:43,480 --> 00:21:49,160 APPROACHES TO SDOH RESEARCH. 538 00:21:49,160 --> 00:21:51,240 AS YOU KNOW, SHIFTING GEARS, 539 00:21:51,240 --> 00:21:53,920 NINR CO-LEADS THE IMPROVE 540 00:21:53,920 --> 00:21:56,000 INITIATIVE WITH NICHD AND WITH 541 00:21:56,000 --> 00:21:57,520 THE NIH OFFICE OF RESEARCH ON 542 00:21:57,520 --> 00:22:00,040 WOMEN'S HEALTH AND WE HAVE GOT 543 00:22:00,040 --> 00:22:01,320 GREAT NEWS TO SHARE. 544 00:22:01,320 --> 00:22:04,960 NIH HAS AWARDED $24 MILLION IN 545 00:22:04,960 --> 00:22:07,240 FIRST-YEAR FUNDING TO ESTABLISH 546 00:22:07,240 --> 00:22:09,080 MATERNAL HEALTH RESEARCH CENTERS 547 00:22:09,080 --> 00:22:10,560 OF EXCELLENCE. 548 00:22:10,560 --> 00:22:13,920 THE CENTERS WILL WORK TOWARDS 549 00:22:13,920 --> 00:22:17,440 REDUCING MATERNAL MORBIDITY AND 550 00:22:17,440 --> 00:22:18,920 MORTALITY ACROSS POPULATIONS AND 551 00:22:18,920 --> 00:22:19,720 PROMOTING HEALTH EQUITY. 552 00:22:19,720 --> 00:22:21,720 FUNDING FOR THE CENTERS WERE 553 00:22:21,720 --> 00:22:23,760 AWARDED AFTER A COMPETITIVE 554 00:22:23,760 --> 00:22:24,640 PEER-REVIEW PROCESS. 555 00:22:24,640 --> 00:22:26,600 THE CENTERS OF EXCELLENCE 556 00:22:26,600 --> 00:22:29,520 INCLUDE 10 RESEARCH CENTERS 557 00:22:29,520 --> 00:22:30,960 ACROSS THE NATION, A DATA 558 00:22:30,960 --> 00:22:33,120 INNOVATION AND COORDINATING HUB 559 00:22:33,120 --> 00:22:35,440 AND AN IMPLEMENTATION SCIENCE 560 00:22:35,440 --> 00:22:35,640 HUB. 561 00:22:35,640 --> 00:22:37,920 SO AS AN EXAMPLE OF HOW 562 00:22:37,920 --> 00:22:38,840 STRUCTURAL AND SOCIAL FACTORS 563 00:22:38,840 --> 00:22:41,520 ARE INTEGRATED INTO THE FUNDING 564 00:22:41,520 --> 00:22:43,200 CENTERS OF EXCELLENCE, A CENTRAL 565 00:22:43,200 --> 00:22:45,880 FOCUS OF THE FUNDED CENTER OF 566 00:22:45,880 --> 00:22:48,120 EXCELLENCE IN WISCONSIN IS 567 00:22:48,120 --> 00:22:51,240 HOUSING INSTABILITY AND IT'S 568 00:22:51,240 --> 00:22:52,480 AFFECTS ON MATERNAL PHYSICAL 569 00:22:52,480 --> 00:22:55,440 HEALTH AND PREGNANCY OUTCOMES. 570 00:22:55,440 --> 00:22:57,680 SO DR. DIANA BIANCHI WILL HAVE 571 00:22:57,680 --> 00:22:59,480 MORE INFORMATION TO SHARE FROM 572 00:22:59,480 --> 00:23:01,000 THE IMPROVE INITIATIVE LATER IN 573 00:23:01,000 --> 00:23:02,760 OUR MEETING BUT I DID WANT TO 574 00:23:02,760 --> 00:23:03,800 MENTION THIS GOOD NEWS ABOUT THE 575 00:23:03,800 --> 00:23:12,960 CENTERS OF EXCELLENCE. 576 00:23:12,960 --> 00:23:17,920 THE COMPASS WILL SERVE AS 577 00:23:17,920 --> 00:23:20,600 CENTRALIZED RESEARCH RESOURCES 578 00:23:20,600 --> 00:23:21,880 PROVIDING TAILORED SCIENTIFIC, 579 00:23:21,880 --> 00:23:23,160 TECHNICAL AND COLLABORATIVE 580 00:23:23,160 --> 00:23:24,720 SUPPORT FOR COMMUNITY 581 00:23:24,720 --> 00:23:27,360 ENGAGEMENT, RESEARCH CAPACITY 582 00:23:27,360 --> 00:23:30,440 BUILDING AND TRAINING TO SUPPORT 583 00:23:30,440 --> 00:23:31,680 COMMUNITY-LED HEALTH EQUITY 584 00:23:31,680 --> 00:23:33,120 STRUCTURAL INTERVENTION PROJECTS 585 00:23:33,120 --> 00:23:36,400 IN COLLABORATION WITH THE 586 00:23:36,400 --> 00:23:37,600 COMPASS COORDINATION CENTER. 587 00:23:37,600 --> 00:23:41,160 NIH STAFF CONDUCTED A TECHNICAL 588 00:23:41,160 --> 00:23:42,440 ASSISTANCE WEBINAR SEPTEMBER 6 589 00:23:42,440 --> 00:23:43,520 TO PROVIDE INFORMATION AS WELL 590 00:23:43,520 --> 00:23:44,840 AS ANSWER QUESTIONS FROM 591 00:23:44,840 --> 00:23:45,720 POTENTIAL APPLICANTS. 592 00:23:45,720 --> 00:23:49,320 APPLICATIONS ARE DUE BY THE END 593 00:23:49,320 --> 00:23:49,880 OF OCTOBER. 594 00:23:49,880 --> 00:23:52,280 AWARDS HAVE NOT YET BEEN 595 00:23:52,280 --> 00:23:54,920 ANNOUNCED FOR THE COMMUNITY-LED 596 00:23:54,920 --> 00:23:56,720 HEALTH EQUITY STRUCTURAL 597 00:23:56,720 --> 00:23:58,000 INTERVENTION SITES OR THE 598 00:23:58,000 --> 00:23:59,320 COORDINATION CENTER BUT 599 00:23:59,320 --> 00:24:01,120 DR. BOYCE WILL BE JOINING US TO 600 00:24:01,120 --> 00:24:02,520 ANSWER YOUR QUESTIONS AND SHARE 601 00:24:02,520 --> 00:24:04,720 A BIT MORE AND MORE WILL BE 602 00:24:04,720 --> 00:24:05,560 COMING OUT VERY SOON ABOUT OUR 603 00:24:05,560 --> 00:24:09,600 FIRST AWARDS. 604 00:24:09,600 --> 00:24:12,200 I WANT TO NOW TURN TO THE 605 00:24:12,200 --> 00:24:13,560 CLIMATE CHANGE AND HEALTH 606 00:24:13,560 --> 00:24:13,840 INITIATIVE. 607 00:24:13,840 --> 00:24:15,440 AS YOU KNOW, WE ARE ON THE 608 00:24:15,440 --> 00:24:16,240 EXECUTIVE COMMITTEE FOR THIS 609 00:24:16,240 --> 00:24:18,880 INITIATIVE AND WE'RE SUPPORTING 610 00:24:18,880 --> 00:24:20,520 TWO CURRENT FUNDING 611 00:24:20,520 --> 00:24:20,880 OPPORTUNITIES. 612 00:24:20,880 --> 00:24:22,520 ONE ENCOURAGES APPLICATIONS THAT 613 00:24:22,520 --> 00:24:25,040 ADDRESS THE IMPACT OF CLIMATE 614 00:24:25,040 --> 00:24:27,600 CHANGE ON HEALTH AND WELL BEING. 615 00:24:27,600 --> 00:24:30,480 THE OTHER SOLICITS P20 PLANNING 616 00:24:30,480 --> 00:24:31,920 APPLICATION FOR CLIMATE CHANGE 617 00:24:31,920 --> 00:24:33,320 AND HEALTH RESEARCH CENTERS. 618 00:24:33,320 --> 00:24:35,640 THESE CENTERS WILL SUPPORT TRANS 619 00:24:35,640 --> 00:24:37,040 DISCIPLINARY RESEARCH ON THE 620 00:24:37,040 --> 00:24:37,640 IMPACTS OF CLIMATE CHANGE ON 621 00:24:37,640 --> 00:24:40,200 HEALTH. 622 00:24:40,200 --> 00:24:43,000 WE'RE ALSO FUNDING SEVERAL 623 00:24:43,000 --> 00:24:44,680 STUDIES UNDER THIS INITIATIVE ON 624 00:24:44,680 --> 00:24:45,840 TOPICS RANGE FROM ENVIRONMENTAL 625 00:24:45,840 --> 00:24:46,800 EXPOSURES IN HEALTH TO HEAT AND 626 00:24:46,800 --> 00:24:50,080 KIDNEY DISEASE. 627 00:24:50,080 --> 00:24:51,840 AS YOU KNOW, WE HOSTED A CLIMATE 628 00:24:51,840 --> 00:24:57,880 CHANGE AND HEALTH SCHOLAR, 629 00:24:57,880 --> 00:24:59,800 DR. PATRICE NICOLAS. 630 00:24:59,800 --> 00:25:04,120 SHE SPOKE AT THREE BROWN BAG 631 00:25:04,120 --> 00:25:05,920 SEMINARS TO SAVE WHICH WAS ABOUT 632 00:25:05,920 --> 00:25:07,880 60 STAFF EACH AND LED A SEMINAR 633 00:25:07,880 --> 00:25:09,600 IN APRIL. 634 00:25:09,600 --> 00:25:13,120 WE WANT TO THANK DR. NICOLAS 635 00:25:13,120 --> 00:25:15,960 WITH SHARING HER EXPERTISE WITH 636 00:25:15,960 --> 00:25:17,840 US AT NINR AND NIH. 637 00:25:17,840 --> 00:25:19,480 AS I PROPOSED AT OUR MEETING IN 638 00:25:19,480 --> 00:25:22,240 MAY, WE ALSO FORMED A WORKING 639 00:25:22,240 --> 00:25:24,440 GROUP UNDER THE AUSPICES OF 640 00:25:24,440 --> 00:25:26,680 COUNCIL TO FURTHER EXPLORE THIS 641 00:25:26,680 --> 00:25:27,080 TOPIC. 642 00:25:27,080 --> 00:25:31,000 SO LED BY NINR'S DR. JOHN 643 00:25:31,000 --> 00:25:33,320 GRAYSON AND COUNCIL'S BETTY 644 00:25:33,320 --> 00:25:35,720 BECKERMIRE THE GROUP WILL BE 645 00:25:35,720 --> 00:25:37,400 CHARGED WITH CONSIDERING THE 646 00:25:37,400 --> 00:25:39,520 CURRENT STATE OF THE SCIENCE AND 647 00:25:39,520 --> 00:25:40,280 ADDRESSING PRESSING HEALTH 648 00:25:40,280 --> 00:25:44,000 RESEARCH QUESTIONS AND 649 00:25:44,000 --> 00:25:45,920 ULTIMATELY RECOMMENDING AREAS 650 00:25:45,920 --> 00:25:46,760 WHERE NURSING SCIENCE CAN HAVE 651 00:25:46,760 --> 00:25:48,880 THE BIGGEST IMPACT IN ADDRESSING 652 00:25:48,880 --> 00:25:51,160 THE HEALTH AFFECTS OF CLIMATE 653 00:25:51,160 --> 00:25:51,400 CHANGE. 654 00:25:51,400 --> 00:25:52,840 THE CURRENT WORK GROUP ROSTER IS 655 00:25:52,840 --> 00:25:54,560 SHOWN HERE AND WE ARE GRATEFUL 656 00:25:54,560 --> 00:25:56,560 TO ALL OF THESE INDIVIDUALS FOR 657 00:25:56,560 --> 00:26:00,080 THEIR WILLINGNESS TO CONTRIBUTE 658 00:26:00,080 --> 00:26:02,040 THEIR TIME AND ENERGY TO THIS 659 00:26:02,040 --> 00:26:02,280 TOPIC. 660 00:26:02,280 --> 00:26:04,760 GROUP WILL MEET FOR THE FIRST 661 00:26:04,760 --> 00:26:05,800 TIME AT THE END OF SEPTEMBER IN 662 00:26:05,800 --> 00:26:07,720 A WEEK OR TWO AND SEVERAL MORE 663 00:26:07,720 --> 00:26:09,040 TIMES OVER THE NEXT FEW MONTHS 664 00:26:09,040 --> 00:26:11,280 WITH THE GOAL OF PRESENTING 665 00:26:11,280 --> 00:26:12,920 RECOMMENDATIONS TO THE COUNCIL 666 00:26:12,920 --> 00:26:15,840 AT THE JANUARY 24 MEETING. 667 00:26:15,840 --> 00:26:18,680 WITH THE WORKING GROUP WE'RE 668 00:26:18,680 --> 00:26:24,240 ALSO SEEKING COMMENTS AND 669 00:26:24,240 --> 00:26:25,880 TESTIMONY FROM THE COMMUNITY AND 670 00:26:25,880 --> 00:26:28,280 GENERAL PUBLIC REGARDING THE 671 00:26:28,280 --> 00:26:31,800 HEALTH IMPACT OF CLIMATE 672 00:26:31,800 --> 00:26:33,760 ASSOCIATED EVENTS TO IDENTIFY 673 00:26:33,760 --> 00:26:34,840 RESEARCH GAPS WHERE NURSING 674 00:26:34,840 --> 00:26:35,960 RESEARCH CAN MAKE A DIFFERENCE 675 00:26:35,960 --> 00:26:37,320 OR PROVIDE A UNIQUE PERSPECTIVE. 676 00:26:37,320 --> 00:26:40,040 THE RFI WILL BE POSTED SOON AND 677 00:26:40,040 --> 00:26:40,640 WILL BE AVAILABLE FOR PUBLIC 678 00:26:40,640 --> 00:26:43,760 COMMENT. 679 00:26:43,760 --> 00:26:45,200 THE WORKING GROUP'S 680 00:26:45,200 --> 00:26:46,280 RECOMMENDATIONS TO GATHER WITH 681 00:26:46,280 --> 00:26:50,720 WHAT WE LEARN FROM THIS RFI WILL 682 00:26:50,720 --> 00:26:51,360 INFORM POTENTIAL FUTURE NINR 683 00:26:51,360 --> 00:26:52,600 RESEARCH INITIATIVES AND OTHER 684 00:26:52,600 --> 00:26:53,840 EFFORTS IN CLIMATE CHANGE AND 685 00:26:53,840 --> 00:26:59,920 HEALTH WE HOPE TO START IN 2024. 686 00:26:59,920 --> 00:27:03,640 SO THE HELPING TO END ADDICTION 687 00:27:03,640 --> 00:27:06,040 LONG-TERM OR HEAL INITIATIVE 688 00:27:06,040 --> 00:27:11,520 WHERE NINR'S PARTICIPATING WANT 689 00:27:11,520 --> 00:27:14,320 TO END OPIOIDS IN NATIVE 690 00:27:14,320 --> 00:27:15,480 COMMUNITIES. 691 00:27:15,480 --> 00:27:17,920 OVER THE NEXT YEARS THE NATIVE 692 00:27:17,920 --> 00:27:23,760 COLLECTIVE RESEARCH EFFORT TO 693 00:27:23,760 --> 00:27:25,920 ENHANCE WELLNESS WILL SUPPORT 694 00:27:25,920 --> 00:27:27,760 AND CONDUCT RESEARCH. 695 00:27:27,760 --> 00:27:29,840 CURRENTLY THERE'S TWO FUNDING 696 00:27:29,840 --> 00:27:32,360 OPPORTUNITIES UNDER N CREW ONE 697 00:27:32,360 --> 00:27:33,200 IS ADDRESSING OVERDOSE, 698 00:27:33,200 --> 00:27:34,120 SUBSTANCE USE AND MENTAL HEALTH 699 00:27:34,120 --> 00:27:35,760 AND PAIN. 700 00:27:35,760 --> 00:27:37,880 THE OTHER FOR THE NATIVE 701 00:27:37,880 --> 00:27:39,920 RESEARCH RESOURCE NETWORK. 702 00:27:39,920 --> 00:27:42,400 SO IN OTHER RELATED FUNDING NEWS 703 00:27:42,400 --> 00:27:44,680 THE HEAL INITIATIVE ON 704 00:27:44,680 --> 00:27:46,320 PREVENTION AND MANAGEMENT OF 705 00:27:46,320 --> 00:27:47,400 CHRONIC PAIN IN RURAL 706 00:27:47,400 --> 00:27:49,280 POPULATIONS WHICH WAS THE 707 00:27:49,280 --> 00:27:51,080 CONCEPT THAT COUNCIL APPROVED 708 00:27:51,080 --> 00:27:53,920 LAST YEAR HAS FUNDED THREE 709 00:27:53,920 --> 00:27:54,400 APPLICATIONS. 710 00:27:54,400 --> 00:27:56,560 TWO OF WHICH ARE BEING 711 00:27:56,560 --> 00:27:57,280 ADMINISTERED BY NINR. 712 00:27:57,280 --> 00:28:00,280 NINR IS ALSO PARTICIPATING IN 713 00:28:00,280 --> 00:28:01,920 THE HEAL INITIATIVE PARTNERSHIP 714 00:28:01,920 --> 00:28:03,800 TO ADVANCE INTERDISCIPLINARY 715 00:28:03,800 --> 00:28:04,400 TRAINING AND CLINICAL PAIN 716 00:28:04,400 --> 00:28:06,720 RESEARCH. 717 00:28:06,720 --> 00:28:09,920 THIS INITIATIVE IS TO BOLSTER 718 00:28:09,920 --> 00:28:11,880 THE DWINDLING CLINICAL PAIN 719 00:28:11,880 --> 00:28:14,480 RESEARCH WORKFORCE BY SUPPORTING 720 00:28:14,480 --> 00:28:16,000 INTERDISCIPLINARY POST-DOCTORAL 721 00:28:16,000 --> 00:28:17,880 TRAINING TO PROMOTE THE NEXT 722 00:28:17,880 --> 00:28:18,920 GENERATION OF INDEPENDENT 723 00:28:18,920 --> 00:28:22,160 CLINICAL PAIN RESEARCHERS. 724 00:28:22,160 --> 00:28:27,240 AND I WANT TO ACKNOWLEDGE THAT 725 00:28:27,240 --> 00:28:29,920 THOUGH THE PALLIATIVE CARE 726 00:28:29,920 --> 00:28:31,160 RESEARCH GROUP ENDED IN JUNE 727 00:28:31,160 --> 00:28:33,400 CAPACITY AND RESOURCES LIVE ON 728 00:28:33,400 --> 00:28:34,120 IN THIS INITIATIVE. 729 00:28:34,120 --> 00:28:40,640 CHECK OUT THE WEBSITE FOR THE 730 00:28:40,640 --> 00:28:42,560 GROUP'S MISSION AND SUCCESSES. 731 00:28:42,560 --> 00:28:43,280 NIH IS ONE OF THE SIX 732 00:28:43,280 --> 00:28:45,240 ORGANIZATION FUNDED THIS 733 00:28:45,240 --> 00:28:46,000 COOPERATIVE GROUP. 734 00:28:46,000 --> 00:28:49,080 WE'RE PROUD TO HAVE BEEN ON THE 735 00:28:49,080 --> 00:28:52,080 PCRC EXECUTIVE COMMITTEE AND TO 736 00:28:52,080 --> 00:28:53,520 HAVE BEEN PART OF ITS 737 00:28:53,520 --> 00:28:54,920 ACCOMPLISHMENT LIKE RESEARCH 738 00:28:54,920 --> 00:28:56,400 SUPPORT, MENTORSHIP AND THE 739 00:28:56,400 --> 00:28:57,720 CREATION OF NINE SPECIAL 740 00:28:57,720 --> 00:28:58,240 INTEREST GROUPS. 741 00:28:58,240 --> 00:29:01,360 THANK YOU TO EVERYONE WHO 742 00:29:01,360 --> 00:29:02,640 PARTICIPATED IN THE PCRC 743 00:29:02,640 --> 00:29:07,600 THROUGHOUT THE YEARS. 744 00:29:07,600 --> 00:29:08,920 I ALSO HAVE NINR SPECIFIC NEWS 745 00:29:08,920 --> 00:29:10,200 AND ANNOUNCEMENTS TO SHARE WITH 746 00:29:10,200 --> 00:29:13,440 YOU. 747 00:29:13,440 --> 00:29:14,960 NINR RESEARCHERS HAVE PUBLISHED 748 00:29:14,960 --> 00:29:17,320 A NUMBER OF STUDIES SINCE OUR 749 00:29:17,320 --> 00:29:21,720 LAST MEETING BUT HERE ARE SOME 750 00:29:21,720 --> 00:29:22,240 FINDINGS OF NOTES. 751 00:29:22,240 --> 00:29:25,320 NINR SUPPORTED STUDY FOUND 752 00:29:25,320 --> 00:29:27,720 RACIAL DISPARITIES AND THE USE 753 00:29:27,720 --> 00:29:32,360 OF CAESAREANS HAVING DOUBLE THE 754 00:29:32,360 --> 00:29:33,320 ODDS COMPARED TO WHITE MOTHERS 755 00:29:33,320 --> 00:29:37,720 OF ENDING LABOR WITH AN 756 00:29:37,720 --> 00:29:38,760 UNPLANNED CAESAREAN. 757 00:29:38,760 --> 00:29:41,360 IN A SECOND FINDING NINR 758 00:29:41,360 --> 00:29:42,800 SUPPORTED RESEARCH FOUND UNMET 759 00:29:42,800 --> 00:29:47,240 BASIC NEEDS AS PREDICTED BY FOOD 760 00:29:47,240 --> 00:29:49,640 INSECURITY AND PAST 761 00:29:49,640 --> 00:29:52,240 INCARCERATION AND HOMELESSNESS 762 00:29:52,240 --> 00:29:55,960 RESULTED IN LOWER ODDS OF HIV 763 00:29:55,960 --> 00:29:57,680 ANTIVIRAL THERAPY MEDICATION 764 00:29:57,680 --> 00:29:59,800 ADHERENCE AMONG BLACK PEOPLE 765 00:29:59,800 --> 00:30:01,800 LIVING WITH HIV. 766 00:30:01,800 --> 00:30:02,760 LOOPING SOCIAL DETERMINATES OF 767 00:30:02,760 --> 00:30:04,120 HEALTH AND SOCIAL 768 00:30:04,120 --> 00:30:04,720 DISENFRANCHISEMENT TO MEDICATION 769 00:30:04,720 --> 00:30:06,560 ADHERENCE. 770 00:30:06,560 --> 00:30:09,920 AND LASTLY, NINR SUPPORTED 771 00:30:09,920 --> 00:30:13,160 SCIENTISTS DEVELOPED A NATURAL 772 00:30:13,160 --> 00:30:16,280 LANGUAGE PROCESSING SYSTEM TO 773 00:30:16,280 --> 00:30:18,760 DETECT EVICTION STATUS FROM THE 774 00:30:18,760 --> 00:30:20,200 VETERANS HEALTH ADMINISTRATION 775 00:30:20,200 --> 00:30:20,400 NOTES. 776 00:30:20,400 --> 00:30:22,240 THIS SYSTEM SUBSTANTIALLY 777 00:30:22,240 --> 00:30:23,440 IMPROVED CLASSIFICATION AND THE 778 00:30:23,440 --> 00:30:25,600 RESEARCHERS ARE GOING TO DEPLOY 779 00:30:25,600 --> 00:30:27,280 IT AS AN EVICTION SURVEILLANCE 780 00:30:27,280 --> 00:30:31,600 SYSTEM FOR THE VHA. 781 00:30:31,600 --> 00:30:35,800 WE HAVE EXCITING NEWS ABOUT THE 782 00:30:35,800 --> 00:30:37,920 2023 DEBUT CHALLENGE PRIZE. 783 00:30:37,920 --> 00:30:39,160 EACH YEAR THE NATIONAL INSTITUTE 784 00:30:39,160 --> 00:30:42,160 OF BIO MEDICAL IMAGING AND BIO 785 00:30:42,160 --> 00:30:44,680 ENGINEERING AND VENTURE WELL 786 00:30:44,680 --> 00:30:47,640 CONDUCT A CHALLENGE FOR 787 00:30:47,640 --> 00:30:49,120 UNDERGRADUATE STUDENT TEAMS TO 788 00:30:49,120 --> 00:30:51,440 DEVELOP TECHNOLOGY SOLUTIONS FOR 789 00:30:51,440 --> 00:30:53,400 UNMET NEEDS IN HEALTH CARE. 790 00:30:53,400 --> 00:30:57,520 FIVE NIH PARTNERS PARTICIPATED 791 00:30:57,520 --> 00:30:58,920 IN PROVIDING A PRIZE EACH TO THE 792 00:30:58,920 --> 00:31:01,040 TEAM WITH MOST INNOVATIVE 793 00:31:01,040 --> 00:31:02,880 TECHNOLOGY AND THE RESPECTIVE 794 00:31:02,880 --> 00:31:04,280 FIELDS. 795 00:31:04,280 --> 00:31:07,920 THIS INCLUDES THE NIH OFFICE OF 796 00:31:07,920 --> 00:31:10,520 AIDS RESEARCH AND NICHD AND NINR 797 00:31:10,520 --> 00:31:11,320 AND OTHERS. 798 00:31:11,320 --> 00:31:15,640 SO NINR AWARD THE 2023 DEBUT 799 00:31:15,640 --> 00:31:16,800 CHALLENGE PRIZE IN THE 800 00:31:16,800 --> 00:31:19,160 TECHNOLOGIES TO EMPOWER NURSES 801 00:31:19,160 --> 00:31:21,280 AND COMMUNITY SETTINGS CATEGORY 802 00:31:21,280 --> 00:31:24,560 TO A FOUR-WOMAN TEAM FROM 803 00:31:24,560 --> 00:31:27,080 CLEMSON UNIVERSITY CALLED RAM 804 00:31:27,080 --> 00:31:28,960 INC. FOR THEIR DESIGN. 805 00:31:28,960 --> 00:31:39,360 IT'S A DIAPER URINALSIS 806 00:31:39,760 --> 00:31:41,000 DIAGNOSTIC TEST THAT CAN BE USED 807 00:31:41,000 --> 00:31:45,520 IN CLINIC OR AT HOME IT CAN SAVE 808 00:31:45,520 --> 00:31:48,240 NURSES TIME AND INCREASE UTI 809 00:31:48,240 --> 00:31:49,920 TESTING IN LOW-RESOURCE 810 00:31:49,920 --> 00:31:50,880 SETTINGS. 811 00:31:50,880 --> 00:31:53,920 WE WANT TO CONGRATULATE THESE 812 00:31:53,920 --> 00:31:57,440 VERY INNOVATIVE UNDERGRADUATES. 813 00:31:57,440 --> 00:32:05,920 IN JUNE, DR. TAICHI GOTO 814 00:32:05,920 --> 00:32:10,280 PRESENTED AT THE 2023 NIH PAIN 815 00:32:10,280 --> 00:32:11,800 CONSORTIUM SYMPOSIUM ON ADVANCES 816 00:32:11,800 --> 00:32:12,400 IN PAIN RESEARCH. 817 00:32:12,400 --> 00:32:15,400 IN FACT MEMBERS OF THE PAIN 818 00:32:15,400 --> 00:32:16,320 CONSORTIUM SYMPOSIUM ELEVATED 819 00:32:16,320 --> 00:32:20,240 HIS ABSTRACT FROM A POSTER TO AN 820 00:32:20,240 --> 00:32:23,040 ORAL PRESENTATION BASED ON THE 821 00:32:23,040 --> 00:32:23,960 SIGNIFICANT INNOVATION AND 822 00:32:23,960 --> 00:32:24,240 QUALITY. 823 00:32:24,240 --> 00:32:27,800 HIS STUDY IS EXCITING IT 824 00:32:27,800 --> 00:32:30,440 PROVIDES NEW INSIGHT INTO THE 825 00:32:30,440 --> 00:32:33,120 ASSOCIATION BETWEEN A SPECIFIC 826 00:32:33,120 --> 00:32:34,240 POLYMORPHISM AND NEUROPATHIC 827 00:32:34,240 --> 00:32:35,880 PAIN AMONG CANCER SURVIVORS. 828 00:32:35,880 --> 00:32:37,920 NOT ONLY COULD THIS INSIGHT BE 829 00:32:37,920 --> 00:32:39,840 USED TO ALLEVIATE PAIN BUT CAN 830 00:32:39,840 --> 00:32:44,640 ALSO BE USED TO PREVENT PAIN IN 831 00:32:44,640 --> 00:32:45,720 THIS GROUP AND WE'RE PROUD OF 832 00:32:45,720 --> 00:32:47,440 DR. GOTO FOR HIS WORK AND 833 00:32:47,440 --> 00:32:50,360 REPRESENTATION OF NURSING 834 00:32:50,360 --> 00:32:54,240 SCIENCE AT THIS NIH CONSORTIUM. 835 00:32:54,240 --> 00:32:57,480 LAST MONTH SUMMER FELLOWS 836 00:32:57,480 --> 00:32:58,800 PRESENTED THEIR POSTERS AT THE 837 00:32:58,800 --> 00:33:00,880 NIH POSTER DAY SESSIONS. 838 00:33:00,880 --> 00:33:04,000 IT WAS HYBRID ONCE AGAIN. 839 00:33:04,000 --> 00:33:05,680 NINR FELLOWS INCLUDING FOUR IN 840 00:33:05,680 --> 00:33:07,920 THE BACHELOR'S PROGRAM AND TWO 841 00:33:07,920 --> 00:33:09,920 WORKING ON THEIR DOCTORAL 842 00:33:09,920 --> 00:33:10,480 DEGREES. 843 00:33:10,480 --> 00:33:12,440 SOME INCLUDED A VIRTUAL REALITY 844 00:33:12,440 --> 00:33:16,920 GROCERY STORE, QUANTITATIVE 845 00:33:16,920 --> 00:33:23,600 ANALYSIS OF RYO1 PAIN PREDICTION 846 00:33:23,600 --> 00:33:27,640 AND FOLLOWING SLEEP DIARIES. 847 00:33:27,640 --> 00:33:29,920 PROUD TO HAVE THEM AT NINR OVER 848 00:33:29,920 --> 00:33:30,200 THE SUMMER. 849 00:33:30,200 --> 00:33:33,480 SO I'D LIKE TO SHARE SOME RECENT 850 00:33:33,480 --> 00:33:34,720 NINR EVENTS. 851 00:33:34,720 --> 00:33:36,880 IN JULY WE HELD OUR FINAL 852 00:33:36,880 --> 00:33:39,040 DIRECTOR'S LECTURE IN OUR SERIES 853 00:33:39,040 --> 00:33:40,680 IN NINR STRATEGIC LENS. 854 00:33:40,680 --> 00:33:43,360 DR. STODDARD AT TO THE 855 00:33:43,360 --> 00:33:45,880 UNIVERSITY OF UNIVERSITY AND 856 00:33:45,880 --> 00:33:48,560 DR. KUEHNERT OF THE PUBLIC 857 00:33:48,560 --> 00:33:50,640 HEALTH ACCREDITATION BOARD 858 00:33:50,640 --> 00:33:51,800 ADDRESSED OUR COMMUNICATION AND 859 00:33:51,800 --> 00:33:57,560 HEALTH LENS AND WE HAD 300 860 00:33:57,560 --> 00:34:00,120 PARTICIPANTS SO I WANT WANT TO 861 00:34:00,120 --> 00:34:01,000 THEM THEM. 862 00:34:01,000 --> 00:34:03,120 IN JUNE WE CO-HOSTED A LECTURE 863 00:34:03,120 --> 00:34:04,280 WITH OUR COLLEAGUES ON THE 864 00:34:04,280 --> 00:34:05,560 NATIONAL INSTITUTE OF MINORITY 865 00:34:05,560 --> 00:34:06,960 HEALTH AND HEALTH DISPARITIES 866 00:34:06,960 --> 00:34:08,200 AND THE NIH OFFICE OF BEHAVIORAL 867 00:34:08,200 --> 00:34:10,600 AND SOCIAL SCIENCES RESEARCH. 868 00:34:10,600 --> 00:34:12,560 SO OUR VERY OWN COUNCIL MEMBER 869 00:34:12,560 --> 00:34:15,200 PROFESSOR DANIEL DAWES SHARED 870 00:34:15,200 --> 00:34:16,560 HIS EXPERTISE ON HEALTH EQUITY, 871 00:34:16,560 --> 00:34:21,160 HEALTH REFORM, HEALTH SYSTEMS 872 00:34:21,160 --> 00:34:22,280 TRANSFORMATION AND SOCIAL AND 873 00:34:22,280 --> 00:34:23,360 POLITICAL DETERMINATES OF HEALTH 874 00:34:23,360 --> 00:34:26,120 AND AFTER HE JOINED ME FOR A 875 00:34:26,120 --> 00:34:26,520 Q&A. 876 00:34:26,520 --> 00:34:28,280 I'M PLEASED TO REPORT WE HAD 877 00:34:28,280 --> 00:34:29,880 OVER 600 PARTICIPANTS FOR 878 00:34:29,880 --> 00:34:31,000 PROFESSOR DAWES LECTURE. 879 00:34:31,000 --> 00:34:32,400 WE WANT TO THANK YOU ONCE AGAIN 880 00:34:32,400 --> 00:34:34,920 FOR SHARING YOUR INSIGHTS WITH 881 00:34:34,920 --> 00:34:35,080 US. 882 00:34:35,080 --> 00:34:36,440 RECORDINGS OF BOTH LECTURES ARE 883 00:34:36,440 --> 00:34:38,840 AVAILABLE ON OUR WEBSITE. 884 00:34:38,840 --> 00:34:41,040 I ENCOURAGE YOU TO CHECK THEM 885 00:34:41,040 --> 00:34:41,920 OUT IF YOU DIDN'T HAVE A CHANCE 886 00:34:41,920 --> 00:34:45,120 TO JOIN LIVE. 887 00:34:45,120 --> 00:34:46,360 I AM HAPPY TO ANNOUNCE THAT 888 00:34:46,360 --> 00:34:49,520 FOLLOWING A NATIONAL SEARCH WE 889 00:34:49,520 --> 00:34:53,600 HAVE SELECTED DR. COURTNEY AKLIN 890 00:34:53,600 --> 00:34:57,640 AS DEPUTY DIRECTOR OF NINR AND 891 00:34:57,640 --> 00:35:00,960 HAS OVER 15 YEARS OF RESEARCH 892 00:35:00,960 --> 00:35:04,000 ADMINISTRATION AND RESEARCH 893 00:35:04,000 --> 00:35:08,360 LEADERSHIP AT NIH AN HAS BEEN 894 00:35:08,360 --> 00:35:09,000 ACTING ASSOCIATE DIRECTOR AND 895 00:35:09,000 --> 00:35:15,080 WORKED AS CHIEF OF STAFF AT 896 00:35:15,080 --> 00:35:18,040 NIMHD AND WORKED AT NIMS AND ADS 897 00:35:18,040 --> 00:35:19,840 AND LED ACTIVITIES INCLUDING THE 898 00:35:19,840 --> 00:35:22,240 IMPROVE INITIATIVE, THE MENTAL 899 00:35:22,240 --> 00:35:25,040 HEALTH AND WELL BEING ACTION 900 00:35:25,040 --> 00:35:25,960 TEAM AND THE RESILIENCE DOING 901 00:35:25,960 --> 00:35:28,600 WELL BEING CAMPAIGN. 902 00:35:28,600 --> 00:35:31,880 SHE ALSO CO-LED NIH'S COVID 903 00:35:31,880 --> 00:35:35,560 INTRAACTION REVIEW AND THE 904 00:35:35,560 --> 00:35:36,760 INTRAMURAL RESEARCH PROGRAM 905 00:35:36,760 --> 00:35:37,480 BUDGET AND REPORTING INITIATIVE. 906 00:35:37,480 --> 00:35:38,640 SHE HAS A BACKGROUND AND 907 00:35:38,640 --> 00:35:41,280 INTEREST IN COMMUNITY-BASED WORK 908 00:35:41,280 --> 00:35:42,160 AND BEHAVIORAL AND SOCIAL 909 00:35:42,160 --> 00:35:44,760 SCIENCES RELATING TO HEALTH 910 00:35:44,760 --> 00:35:46,200 DISPARITIES AND PEDIATRIC MENTAL 911 00:35:46,200 --> 00:35:46,440 HEALTH. 912 00:35:46,440 --> 00:35:49,200 SHE'S A LICENSED CLINICAL 913 00:35:49,200 --> 00:35:51,360 PSYCHOLOGIST WITH A Ph.D. IN 914 00:35:51,360 --> 00:35:52,880 CLINICAL PSYCHOLOGY FROM THE 915 00:35:52,880 --> 00:35:56,000 UNIVERSITY OF MARYLAND COLLEGE 916 00:35:56,000 --> 00:35:57,040 PARK AND A B.A. IN BUSINESS 917 00:35:57,040 --> 00:35:58,720 ADMINISTRATION AND PSYCHOLOGY 918 00:35:58,720 --> 00:36:01,080 FROM THE UNIVERSITY OF RICHMOND. 919 00:36:01,080 --> 00:36:04,320 SO HER WEALTH OF KNOWLEDGE AND 920 00:36:04,320 --> 00:36:05,920 EXPERIENCE AT NIH WILL BE AN 921 00:36:05,920 --> 00:36:07,400 ASSET TO US HERE AT NINR. 922 00:36:07,400 --> 00:36:11,440 SHE'LL BE STARTING VERY SOON BUT 923 00:36:11,440 --> 00:36:15,040 NOT SOON ENOUGH ON OCTOBER 2. 924 00:36:15,040 --> 00:36:17,920 I'M LOOKING FORWARD TO HAVING 925 00:36:17,920 --> 00:36:20,840 ALL OF YOU MEET HER DURING OUR 926 00:36:20,840 --> 00:36:21,480 NEXT COUNCIL MEETING. 927 00:36:21,480 --> 00:36:23,520 I AM PLEASED TO WELCOME NEW 928 00:36:23,520 --> 00:36:28,960 STAFF AND FELLOWS TO NINR. 929 00:36:28,960 --> 00:36:31,800 JOSH WOLFF CAME ON AS A 930 00:36:31,800 --> 00:36:33,200 SCIENTIFIC REVIEW OFFICER AND 931 00:36:33,200 --> 00:36:35,000 SUSAN TOY WORKS AS A GRANT 932 00:36:35,000 --> 00:36:40,280 MANAGEMENT SPECIALIST. 933 00:36:40,280 --> 00:36:44,760 JULIA SEAY AND WE GAINED A 934 00:36:44,760 --> 00:36:47,760 DEPUTY CIO IN OUR I.T. 935 00:36:47,760 --> 00:36:50,720 DEPARTMENT AND HEALTH DESK 936 00:36:50,720 --> 00:36:51,680 SUPPORT AND TWO TECHNICAL 937 00:36:51,680 --> 00:36:53,920 WRITERS JOINED THE DIVISION OF 938 00:36:53,920 --> 00:36:55,240 PUBLIC LIAISON TO WORK ON 939 00:36:55,240 --> 00:36:56,600 SIX-MONTH CONTRACTS. 940 00:36:56,600 --> 00:36:59,360 THE REST OF THE STAFF AND 941 00:36:59,360 --> 00:37:00,600 FELLOWS WORK IN THE INTRAMURAL 942 00:37:00,600 --> 00:37:01,240 RESEARCH PROGRAM. 943 00:37:01,240 --> 00:37:03,080 SO WE'RE HAPPY TO HAVE BROUGHT 944 00:37:03,080 --> 00:37:07,600 ON THREE MORE FELLOWS. 945 00:37:07,600 --> 00:37:14,720 LASTLY, THERE'S LAUREN 946 00:37:14,720 --> 00:37:16,280 HASHIGUCHI WHO STARTED WITH US 947 00:37:16,280 --> 00:37:17,000 LAST MONTH. 948 00:37:17,000 --> 00:37:19,120 WE WANT TO WELCOME THE STAFF AND 949 00:37:19,120 --> 00:37:21,560 FELLOWS TO NINR. 950 00:37:21,560 --> 00:37:23,800 WE ARE SAYING GOOD-BYE TO TWO 951 00:37:23,800 --> 00:37:26,760 NINR STAFF MEMBERS. 952 00:37:26,760 --> 00:37:34,360 DR. LOUISE ROSENBAUM WORKS IN 953 00:37:34,360 --> 00:37:36,920 OUR DIVISION OF PUBLIC POLICY 954 00:37:36,920 --> 00:37:37,560 AND SET TO RETIRE ON SEPTEMBER 955 00:37:37,560 --> 00:37:40,040 29. 956 00:37:40,040 --> 00:37:45,000 DR. SABRINA WONG HAS BEEN IN OUR 957 00:37:45,000 --> 00:37:45,680 DIVISION OF INTRAMURAL RESEARCH 958 00:37:45,680 --> 00:37:47,400 AND RESIGNING AT THE END OF THE 959 00:37:47,400 --> 00:37:47,880 MONTH. 960 00:37:47,880 --> 00:37:49,360 WE WANT TO THANK BOTH OF THEM 961 00:37:49,360 --> 00:37:51,720 FOR THEIR SERVICE AND WISH THEM 962 00:37:51,720 --> 00:37:55,760 ALL THE BEST ON THEIR RESPECTIVE 963 00:37:55,760 --> 00:37:56,360 JOURNEYS. 964 00:37:56,360 --> 00:37:59,560 WE ALSO ARE SAYING GOOD-BYE TO 965 00:37:59,560 --> 00:38:01,520 DR. PATTI BRENNAN WHO WAS NOT 966 00:38:01,520 --> 00:38:02,600 ONLY THE DIRECTOR OF THE 967 00:38:02,600 --> 00:38:05,160 NATIONAL LIBRARY OF MEDICINE BUT 968 00:38:05,160 --> 00:38:08,400 ALSO THE DIRECTOR OF THE ADVANCE 969 00:38:08,400 --> 00:38:10,240 VISUALIZATION LAB AT NINR. 970 00:38:10,240 --> 00:38:13,520 SHE'LL BE RETIRING AT THE END OF 971 00:38:13,520 --> 00:38:13,880 THE MONTH. 972 00:38:13,880 --> 00:38:16,800 SHE LED NINR FOR SEVEN YEARS THE 973 00:38:16,800 --> 00:38:17,920 FIRST NURSE INDUSTRIAL ENGINEER 974 00:38:17,920 --> 00:38:20,080 AND FEMALE TO LEAD THE LIBRARY. 975 00:38:20,080 --> 00:38:22,720 HER UNIQUE CAREER PATH HELPED 976 00:38:22,720 --> 00:38:28,280 GUIDE HER APPROACH IN 977 00:38:28,280 --> 00:38:30,080 INTEGRATING ARTIFICIAL 978 00:38:30,080 --> 00:38:32,640 INTELLIGENCE AND MACHINE 979 00:38:32,640 --> 00:38:37,920 LEARNING AND ADVANCED PUB MED 980 00:38:37,920 --> 00:38:39,880 AND CLINICAL TRIALS.gov 981 00:38:39,880 --> 00:38:41,880 SPEARHEADED UNDERTAKING A MAJOR 982 00:38:41,880 --> 00:38:46,560 BUILDING TRANSFORMATION MAYBE 983 00:38:46,560 --> 00:38:50,880 JUST A RESTORATION. 984 00:38:50,880 --> 00:38:53,880 ANYWAY, HERE AT NINR PATTI 985 00:38:53,880 --> 00:38:56,120 DEVELOPED AN INTERACTIVE VIRTUAL 986 00:38:56,120 --> 00:38:59,080 REALITY SIMULATIONS TO REHEARSE 987 00:38:59,080 --> 00:38:59,720 PROBLEM-SOLVING BEHAVIORS TO 988 00:38:59,720 --> 00:39:03,480 IMPROVE THEIR HEALTH OUTCOMES. 989 00:39:03,480 --> 00:39:05,920 SO DR. SHERRY WHO CURRENTLY 990 00:39:05,920 --> 00:39:10,840 SERVED AS THE DIRECTOR OF THE 991 00:39:10,840 --> 00:39:12,240 NLM ASSOCIATE DIRECTOR FOR 992 00:39:12,240 --> 00:39:13,600 SCIENTIFIC DATA RESOURCES HAS 993 00:39:13,600 --> 00:39:18,600 AGREED TO SERVE AS THE ACTING 994 00:39:18,600 --> 00:39:19,000 NLM DIRECTOR. 995 00:39:19,000 --> 00:39:24,440 AND WE HAVE NEWS TO SHARE ABOUT 996 00:39:24,440 --> 00:39:24,800 NIH. 997 00:39:24,800 --> 00:39:27,200 THE NIH DIRECTOR'S WITNESS 998 00:39:27,200 --> 00:39:29,440 AFTERNOON LECTURE SERIES KNOWN 999 00:39:29,440 --> 00:39:33,920 AS WALES IS THE HIGHEST PROFILE 1000 00:39:33,920 --> 00:39:40,120 AT THE NIH AND WE'RE EXCITED TO 1001 00:39:40,120 --> 00:39:42,240 ANNOUNCE NINR SUPPORTED 1002 00:39:42,240 --> 00:39:43,320 INVESTIGATOR, DR. DEBRA MOSER 1003 00:39:43,320 --> 00:39:45,560 FROM THE UNIVERSITY OF KENTUCKY 1004 00:39:45,560 --> 00:39:48,440 HAS BEEN SELECTED AS A WALS 1005 00:39:48,440 --> 00:39:50,440 LECTURER FOR APRIL, 2024. 1006 00:39:50,440 --> 00:39:53,760 SHE WAS NOMINATED BY NINR AND 1007 00:39:53,760 --> 00:39:54,600 THE RURAL HEALTH SPECIAL 1008 00:39:54,600 --> 00:39:57,880 INTEREST GROUP WHICH IS 1009 00:39:57,880 --> 00:40:01,920 CO-CHAIRED BY DR. CALEB AND 1010 00:40:01,920 --> 00:40:04,400 DR. MORALES OF NIMH. 1011 00:40:04,400 --> 00:40:05,920 WE'LL HAVE MORE DETAILS AS WE 1012 00:40:05,920 --> 00:40:07,800 GET CLOSER TO THAT EVENT. 1013 00:40:07,800 --> 00:40:09,920 THIS YEAR NIH ANNOUNCED IT WOULD 1014 00:40:09,920 --> 00:40:13,360 BE ACCEPTING SUBMISSIONS FOR A 1015 00:40:13,360 --> 00:40:16,200 NEW INITIATIVE THAT REWARDS 1016 00:40:16,200 --> 00:40:17,440 ACADEMIC INSTITUTIONS FOR 1017 00:40:17,440 --> 00:40:18,000 ADVANCING DEIA. 1018 00:40:18,000 --> 00:40:20,080 NIH IS SEEKING PROGRAMS THAT 1019 00:40:20,080 --> 00:40:21,880 ENHANCE OUR UNDERSTANDING OF 1020 00:40:21,880 --> 00:40:23,400 EFFECTIVE STRATEGIES AND 1021 00:40:23,400 --> 00:40:26,240 PRACTICES TO CREATE CULTURES OF 1022 00:40:26,240 --> 00:40:27,920 INCLUSIVE EXCELLENCE AND ENHANCE 1023 00:40:27,920 --> 00:40:31,400 DIVERSITY, EQUITY, INCLUSION AND 1024 00:40:31,400 --> 00:40:32,280 ACCESSIBILITY. 1025 00:40:32,280 --> 00:40:33,840 NIH EXPECTS THE PRIZE 1026 00:40:33,840 --> 00:40:36,000 COMPETITION WILL IDENTIFY MANY 1027 00:40:36,000 --> 00:40:37,720 DIFFERENT APPROACHES THAT MAY BE 1028 00:40:37,720 --> 00:40:39,440 SCALABLE TO OTHER INSTITUTIONS 1029 00:40:39,440 --> 00:40:40,280 ACROSS THE HEALTH RESEARCH 1030 00:40:40,280 --> 00:40:45,800 ENTERPRISE. 1031 00:40:45,800 --> 00:40:48,200 NIN WILL AWARD 10 PRICES UP TO 1032 00:40:48,200 --> 00:40:51,400 $1 MILLION TOTAL THROUGH THE 1033 00:40:51,400 --> 00:40:52,200 COMPETITION. 1034 00:40:52,200 --> 00:40:53,560 TO PARTICIPATE, REGISTRATION IS 1035 00:40:53,560 --> 00:40:56,240 REQUIRED BY TODAY AT 5:00. 1036 00:40:56,240 --> 00:40:59,240 IF YOU'RE BUSY ON YOUR COMPUTER 1037 00:40:59,240 --> 00:41:01,360 I'LL KNOW WHY. 1038 00:41:01,360 --> 00:41:03,400 THAT'S 5:00 EASTERN TIME AND 1039 00:41:03,400 --> 00:41:04,640 BEING ACCEPTED THROUGH TUESDAY, 1040 00:41:04,640 --> 00:41:05,080 SEPTEMBER 26. 1041 00:41:05,080 --> 00:41:06,400 FOR ELIGIBILITY AND GUIDELINES 1042 00:41:06,400 --> 00:41:10,200 YOU CAN VISIT THE WEBSITE. 1043 00:41:10,200 --> 00:41:13,560 WE HAVE EXCITING NEWS ABOUT A 1044 00:41:13,560 --> 00:41:15,400 NEW INITIATIVE THE NIH BUILD UP 1045 00:41:15,400 --> 00:41:17,280 TRUST CHALLENGE SEEKS TO 1046 00:41:17,280 --> 00:41:17,960 INCREASE RESEARCH PARTICIPATION 1047 00:41:17,960 --> 00:41:21,600 BY BUILDING TRUST AND IMPROVING 1048 00:41:21,600 --> 00:41:22,400 ENGAGEMENT WITH HISTORICALLY 1049 00:41:22,400 --> 00:41:23,920 UNDER REPRESENTED COMMUNITIES. 1050 00:41:23,920 --> 00:41:25,000 THE BUILD UP TRUST CHALLENGE 1051 00:41:25,000 --> 00:41:27,720 WILL AWARD AS MANY AS 10 1052 00:41:27,720 --> 00:41:31,640 FINALISTS UP TO $45,000 EACH -- 1053 00:41:31,640 --> 00:41:33,000 THAT MAY BE TOO MUCH MATH THOUGH 1054 00:41:33,000 --> 00:41:34,760 IT'S EASY, AND THE OPPORTUNITY 1055 00:41:34,760 --> 00:41:40,560 TO WIN ONE OF FOUR $200,000 1056 00:41:40,560 --> 00:41:43,240 PRIZES FOR PROMISING STRATEGIES 1057 00:41:43,240 --> 00:41:45,080 THAT INCREASE RESEARCH 1058 00:41:45,080 --> 00:41:47,320 PARTICIPATION AND IMPROVE TRUST 1059 00:41:47,320 --> 00:41:48,480 IN MEDICAL CARE IN HISTORICALLY 1060 00:41:48,480 --> 00:41:49,760 UNDER SERVED COMMUNITIES. 1061 00:41:49,760 --> 00:41:52,800 SO YOU HAVE MORE TIME ON THIS 1062 00:41:52,800 --> 00:41:52,960 ONE. 1063 00:41:52,960 --> 00:41:57,880 CAN REGISTER BY TUESDAY NOVEMBER 1064 00:41:57,880 --> 00:41:58,200 14. 1065 00:41:58,200 --> 00:42:01,640 NIH CURRENTLY HAS AN RFI SEEKING 1066 00:42:01,640 --> 00:42:02,880 INPUT ON ITS MISSION STATEMENT 1067 00:42:02,880 --> 00:42:03,640 PRESENTED HERE. 1068 00:42:03,640 --> 00:42:06,080 LET ME GIVE YOU A LITTLE BIT OF 1069 00:42:06,080 --> 00:42:06,720 BACKGROUND. 1070 00:42:06,720 --> 00:42:09,400 TWO YEARS AGO NIH ESTABLISHED AN 1071 00:42:09,400 --> 00:42:10,280 ADVISORY COMMITTEE TO THE 1072 00:42:10,280 --> 00:42:12,320 DIRECTOR WORKING GROUP ON 1073 00:42:12,320 --> 00:42:15,760 DIVERSITY AND THE SUBGROUP ON 1074 00:42:15,760 --> 00:42:16,680 DISABILITY HAD THIS TO SAY ABOUT 1075 00:42:16,680 --> 00:42:18,800 THE MISSION STATEMENT. 1076 00:42:18,800 --> 00:42:20,360 ONE, IMMEDIATE ACTION FOR THE 1077 00:42:20,360 --> 00:42:22,280 NIH TO SUPPORT DISABILITY 1078 00:42:22,280 --> 00:42:24,840 INCLUSION IS TO REMOVE THE 1079 00:42:24,840 --> 00:42:26,880 LANGUAGE OF REDUCING DISABILITY 1080 00:42:26,880 --> 00:42:29,000 FROM THE NIH MISSION STATEMENT. 1081 00:42:29,000 --> 00:42:29,880 THE CURRENT MISSION STATEMENT 1082 00:42:29,880 --> 00:42:35,320 COULD BE INTERPRETED AS 1083 00:42:35,320 --> 00:42:36,800 PERPETUATING ABLIST BELIEFS THAT 1084 00:42:36,800 --> 00:42:37,720 DISABLED PEOPLE ARE FLAWED AND 1085 00:42:37,720 --> 00:42:39,320 NEED TO BE FIXED. 1086 00:42:39,320 --> 00:42:40,760 THE PROPOSED MISSION STATEMENT 1087 00:42:40,760 --> 00:42:43,480 IS TO SEEK FUNDAMENTAL KNOWLEDGE 1088 00:42:43,480 --> 00:42:45,920 WITH THE NATURE AND BEHAVE OF 1089 00:42:45,920 --> 00:42:47,200 LIVING SYMPTOM AND OPTIMIZE 1090 00:42:47,200 --> 00:42:49,800 HEALTH AND PREVENT OR REDUCE 1091 00:42:49,800 --> 00:42:51,120 ILLNESS FOR ALL PEOPLE. 1092 00:42:51,120 --> 00:42:54,760 THE RFI IS OPEN TO STAFF 1093 00:42:54,760 --> 00:42:55,920 EMPLOYED AT NIH INSTITUTIONS 1094 00:42:55,920 --> 00:42:56,680 RECEIVING SUPPORT AND THE 1095 00:42:56,680 --> 00:42:57,640 PUBLIC. 1096 00:42:57,640 --> 00:43:00,160 RESPONSES ARE DUE BY MIDNIGHT ON 1097 00:43:00,160 --> 00:43:02,360 FRIDAY NOVEMBER 24. 1098 00:43:02,360 --> 00:43:03,600 SO PLEASE DO CONSIDER GIVING 1099 00:43:03,600 --> 00:43:04,240 FEEDBACK ON THE MISSION 1100 00:43:04,240 --> 00:43:07,640 STATEMENT. 1101 00:43:07,640 --> 00:43:12,040 WE WANT TO WELCOME DR. JANE 1102 00:43:12,040 --> 00:43:14,680 SIMONI WHO JOINED US IN JULY AS 1103 00:43:14,680 --> 00:43:17,560 THE NIH ASSOCIATE DIRECTOR FOR 1104 00:43:17,560 --> 00:43:20,120 BEHAVIORAL AND SOCIAL SCIENCES 1105 00:43:20,120 --> 00:43:20,400 RESEARCH. 1106 00:43:20,400 --> 00:43:21,880 AND DIRECTOR OF THE NIH OFFICE 1107 00:43:21,880 --> 00:43:23,120 OF BEHAVIORAL AND SOCIAL 1108 00:43:23,120 --> 00:43:25,960 SCIENCES RESEARCH OR OBSSR. 1109 00:43:25,960 --> 00:43:27,600 SHE'S A CLINICAL PSYCHOLOGIST 1110 00:43:27,600 --> 00:43:29,920 WITH MORE THAN 25 YEARS OF 1111 00:43:29,920 --> 00:43:31,400 EXPERIENCE IN RESEARCH FOCUSSED 1112 00:43:31,400 --> 00:43:33,240 ON HEALTH DISPARITIES AND 1113 00:43:33,240 --> 00:43:34,280 RESILIENCE AMONG POPULATIONS 1114 00:43:34,280 --> 00:43:36,600 THAT HAVE BEEN SOCIALLY 1115 00:43:36,600 --> 00:43:38,720 MARGINALIZED INCLUDING PERSONS 1116 00:43:38,720 --> 00:43:41,920 WITH HIV AND OTHER CHRONIC 1117 00:43:41,920 --> 00:43:48,960 ILLNESSES, LATINX AND LGBTQ AND 1118 00:43:48,960 --> 00:43:51,640 DR. KARINA WALTERS OF THE 1119 00:43:51,640 --> 00:43:57,920 CHOCTAW NATION OF OKLAHOMA IS A 1120 00:43:57,920 --> 00:44:02,120 SOCIAL EPIDEMIOLOGIST AND THE 1121 00:44:02,120 --> 00:44:03,760 KATHERINE HALL CHAMBER SCHOLAR 1122 00:44:03,760 --> 00:44:04,800 THET UNIVERSITY OF WASHINGTON 1123 00:44:04,800 --> 00:44:05,760 SCHOOL OF SOCIAL WORK. 1124 00:44:05,760 --> 00:44:08,640 SHE ALSO SERVED AS AN ADJUNCT 1125 00:44:08,640 --> 00:44:09,720 PROFESSOR IN THE DEPARTMENT OF 1126 00:44:09,720 --> 00:44:10,800 GLOBAL HEALTH AND THE SCHOOL OF 1127 00:44:10,800 --> 00:44:12,120 PUBLIC HEALTH. 1128 00:44:12,120 --> 00:44:14,440 SHE IS THE FOUNDING DIRECTOR OF 1129 00:44:14,440 --> 00:44:16,160 THE EOW INDIGENOUS WELLNESS 1130 00:44:16,160 --> 00:44:17,880 RESEARCH INSTITUTE. 1131 00:44:17,880 --> 00:44:21,560 SO WELCOME TO DR. WALTERS. 1132 00:44:21,560 --> 00:44:26,240 SO MANY NEW PEOPLE IT'S 1133 00:44:26,240 --> 00:44:26,480 EXCITING. 1134 00:44:26,480 --> 00:44:37,040 AND DR. JEANNE MARRAZZO HAS BEEN 1135 00:44:42,640 --> 00:44:45,600 HAS BEEN SELECTED FOR THE NEXT 1136 00:44:45,600 --> 00:44:46,800 DIRECTOR OF THE INSTITUTE OF 1137 00:44:46,800 --> 00:44:50,280 ALLERGY AND INFECTIOUS DISEASES. 1138 00:44:50,280 --> 00:44:53,880 AS THE NIAID DIRECTOR 1139 00:44:53,880 --> 00:44:59,520 DR. MARRAZZO WILL OVERSEE 1140 00:44:59,520 --> 00:45:00,960 NIAID'S BUDGET TO SUPPORT 1141 00:45:00,960 --> 00:45:03,520 UNDERSTANDING AND TREATMENT OF 1142 00:45:03,520 --> 00:45:08,160 INFECTIOUS, IMMUNOLOGIC AND 1143 00:45:08,160 --> 00:45:09,160 ALLERGIC DISEASES AND JOINED US 1144 00:45:09,160 --> 00:45:10,560 FROM THE UNIVERSITY OF ALABAMA 1145 00:45:10,560 --> 00:45:13,160 AT BIRMINGHAM WHERE SHE SERVED 1146 00:45:13,160 --> 00:45:16,240 AS DIRECTOR OF THE DIVISION OF 1147 00:45:16,240 --> 00:45:18,200 INFECTIOUS DISEASES SINCE 2016. 1148 00:45:18,200 --> 00:45:19,800 SHE IS INTERNATIONALLY 1149 00:45:19,800 --> 00:45:21,840 RECOGNIZED FOR HER RESEARCH AND 1150 00:45:21,840 --> 00:45:23,200 EDUCATION EFFORTS IN THE FIELD 1151 00:45:23,200 --> 00:45:24,920 OF SEXUALLY TRANSMITTED 1152 00:45:24,920 --> 00:45:26,760 INFECTIONS AND ESPECIALLY AS 1153 00:45:26,760 --> 00:45:30,280 THEY EFFECT WOMEN'S HEALTH. 1154 00:45:30,280 --> 00:45:32,520 SO LET'S HAVE A QUICK BUDGET 1155 00:45:32,520 --> 00:45:35,320 UPDATE AS WE'RE DRAWING TO A 1156 00:45:35,320 --> 00:45:35,920 CLOSE. 1157 00:45:35,920 --> 00:45:37,320 HERE'S OUR APPROPRIATIONS 1158 00:45:37,320 --> 00:45:39,000 HISTORY OVER THE LAST FEW YEARS. 1159 00:45:39,000 --> 00:45:41,800 THE PRESIDENT SUBMITTED HIS 1160 00:45:41,800 --> 00:45:43,720 PHYSICAL YEAR '24 BUDGET BACK IN 1161 00:45:43,720 --> 00:45:45,160 MARCH HIGHLIGHTING HIS 1162 00:45:45,160 --> 00:45:46,040 PRIORITIES TO NIH. 1163 00:45:46,040 --> 00:45:47,960 THE PRESIDENT'S PROPOSED BUDGET 1164 00:45:47,960 --> 00:45:49,920 RETAINS THE $10 MILLION IN 1165 00:45:49,920 --> 00:45:52,440 ACTIVE FOR HEALTH DISPARITIES 1166 00:45:52,440 --> 00:45:55,160 RESEARCH THAT NINR RECEIVED IN 1167 00:45:55,160 --> 00:45:56,240 PHYSICAL YEAR '23. 1168 00:45:56,240 --> 00:45:58,360 NOW, CONGRESS WILL ULTIMATELY 1169 00:45:58,360 --> 00:46:04,280 DECIDE THE FINAL FUNDING LEVELS 1170 00:46:04,280 --> 00:46:08,800 BASED ON THE HOUSE SUBCOMMITTEE 1171 00:46:08,800 --> 00:46:12,120 DRAFT AND IT LOOKS LIKE FUNDING 1172 00:46:12,120 --> 00:46:14,960 FOR 2024 WILL REMAIN FLAT. 1173 00:46:14,960 --> 00:46:17,600 NOW MOST INSTITUTE, CENTERS AND 1174 00:46:17,600 --> 00:46:19,680 OFFICES ARE REPAIRING FOR A FLAT 1175 00:46:19,680 --> 00:46:22,280 OR EVEN DECREASING BUDGETS IN 1176 00:46:22,280 --> 00:46:23,800 FISCAL YEAR '24 BUT WE'LL HAVE A 1177 00:46:23,800 --> 00:46:27,400 BETTER IDEA IN THE NEAR FUTURE. 1178 00:46:27,400 --> 00:46:28,800 SO THAT BRINGS ME TO A 1179 00:46:28,800 --> 00:46:31,720 CONVERSATION I'D LIKE TO HAVE AS 1180 00:46:31,720 --> 00:46:32,520 A WRAP-UP. 1181 00:46:32,520 --> 00:46:37,720 SO THAT'S ABOUT THE FISCAL YEAR 1182 00:46:37,720 --> 00:46:38,520 '24 AND BEYOND. 1183 00:46:38,520 --> 00:46:40,880 THE PRESIDENT AND CONGRESS 1184 00:46:40,880 --> 00:46:43,680 PROPOSED FLAT BUDGETS FOR NINR 1185 00:46:43,680 --> 00:46:46,320 AND FOR MOST OF NIH AS WELL IN 1186 00:46:46,320 --> 00:46:48,280 FISCAL YEAR '24 WITH A CAVEAT OF 1187 00:46:48,280 --> 00:46:51,760 COURSE WE DON'T KNOW HOW FISCAL 1188 00:46:51,760 --> 00:46:53,280 '24 WILL ULTIMATELY PLAY OUT IN 1189 00:46:53,280 --> 00:46:56,160 THE WEEKS AND MONTHS TO COME. 1190 00:46:56,160 --> 00:46:58,760 FOR SEVERAL YEARS NOW NIH HAS 1191 00:46:58,760 --> 00:47:01,880 BEEN FORTUNATE TO RECEIVE BUDGET 1192 00:47:01,880 --> 00:47:03,200 INCREASES FROM CONGRESS AND WE 1193 00:47:03,200 --> 00:47:04,320 HAVE BEEN VERY GRATEFUL FOR THAT 1194 00:47:04,320 --> 00:47:05,600 SUPPORT. 1195 00:47:05,600 --> 00:47:07,640 BUT AS WE LOOK AHEAD TO NEXT 1196 00:47:07,640 --> 00:47:09,760 YEAR AND THE YEARS TO COME, WE 1197 00:47:09,760 --> 00:47:11,480 HAVE TO RECOGNIZE THAT 1198 00:47:11,480 --> 00:47:12,880 CHALLENGES MAY BE ON THE HORIZON 1199 00:47:12,880 --> 00:47:16,240 AND WE HAVE TO PLAN ACCORDINGLY. 1200 00:47:16,240 --> 00:47:19,840 SO THAT'S REALLY FOR ANY 1201 00:47:19,840 --> 00:47:22,320 SCENARIO, ANY BUDGET INCREASES, 1202 00:47:22,320 --> 00:47:25,360 BUDGET CUTS EVEN FLAT BUDGETS 1203 00:47:25,360 --> 00:47:26,640 WHICH ARE IN EFFECT SMALLER 1204 00:47:26,640 --> 00:47:29,480 BUDGET CUTS BECAUSE OF THE WAY 1205 00:47:29,480 --> 00:47:30,120 COST OF DOING SCIENCE CONTINUES 1206 00:47:30,120 --> 00:47:33,880 TO INCREASE. 1207 00:47:33,880 --> 00:47:35,320 NOW, NIH HAS OF COURSE DEALT 1208 00:47:35,320 --> 00:47:36,880 WITH SIMILAR CHALLENGES IN THE 1209 00:47:36,880 --> 00:47:38,480 PAST BUT IT HAS BEEN SOME TIME 1210 00:47:38,480 --> 00:47:40,320 SO I THOUGHT IT WAS WORTH A 1211 00:47:40,320 --> 00:47:42,320 DISCUSSION WITH ALL OF YOU TODAY 1212 00:47:42,320 --> 00:47:43,360 TO HEAR YOUR THOUGHTS ON 1213 00:47:43,360 --> 00:47:45,840 PLANNING FOR THE YEARS TO COME. 1214 00:47:45,840 --> 00:47:49,200 AND WHAT STRATEGIES WE SHOULD 1215 00:47:49,200 --> 00:47:50,440 CONSIDER FOR OUR EXTRAMURAL 1216 00:47:50,440 --> 00:47:50,720 PROGRAMS. 1217 00:47:50,720 --> 00:47:52,720 SO WHEN I IT COMES TO TRAINING 1218 00:47:52,720 --> 00:47:54,520 AND SCIENCE INITIATIVES AS WE 1219 00:47:54,520 --> 00:47:56,360 MAKE FUNDING DECISIONS, THERE 1220 00:47:56,360 --> 00:47:57,920 ARE A NUMBER OF QUESTION WE 1221 00:47:57,920 --> 00:47:59,200 COULD CONSIDER. 1222 00:47:59,200 --> 00:48:02,240 SHOULD WE FUND FEWER AWARDS? 1223 00:48:02,240 --> 00:48:04,720 SHOULD WE PRIORITIZE NEW AND 1224 00:48:04,720 --> 00:48:05,960 EARLY-STAGE INVESTIGATORS? 1225 00:48:05,960 --> 00:48:08,800 SHOULD WE JUST CUT ALL AWARDS BY 1226 00:48:08,800 --> 00:48:10,800 A CERTAIN PERCENTAGE AND JUST 1227 00:48:10,800 --> 00:48:13,880 CALL IT A DAY OR USE A MORE PRE 1228 00:48:13,880 --> 00:48:14,760 VICE APPROACH? 1229 00:48:14,760 --> 00:48:17,760 -- PRECISE APPROACH? 1230 00:48:17,760 --> 00:48:20,440 SHOULD WE FUND MORE SHORT-TERM 1231 00:48:20,440 --> 00:48:21,440 PROJECTS TO REDUCE OUR SHORT 1232 00:48:21,440 --> 00:48:23,800 TERM COMMITMENTS AND DECIDING ON 1233 00:48:23,800 --> 00:48:25,960 A NEW RO1 COMMITS US TO FUND THE 1234 00:48:25,960 --> 00:48:28,240 PROJECT FOR AT LEAST THREE AND 1235 00:48:28,240 --> 00:48:28,760 OFTEN FIVE YEARS. 1236 00:48:28,760 --> 00:48:30,680 HOW SHOULD WE THINK ABOUT OUR 1237 00:48:30,680 --> 00:48:32,080 TRAINING AND PRIORITIES THERE? 1238 00:48:32,080 --> 00:48:33,640 WE'D LOVE TO HEAR YOUR THOUGHTS 1239 00:48:33,640 --> 00:48:34,960 ON THESE TOPICS AND THINGS WE 1240 00:48:34,960 --> 00:48:37,280 SHOULD CONSIDER AS WE THINK 1241 00:48:37,280 --> 00:48:39,040 ABOUT OUR STRATEGIES IN THE 1242 00:48:39,040 --> 00:48:41,840 COMING YEAR AND YEARS AHEAD. 1243 00:48:41,840 --> 00:48:52,080 ANY THOUGHTS? 1244 00:48:53,840 --> 00:48:58,720 >>I DO THINK THE TRAINING IN 1245 00:48:58,720 --> 00:48:59,760 THE EARLY STAGE INVESTIGATORS IS 1246 00:48:59,760 --> 00:49:00,760 VERY IMPORTANT. 1247 00:49:00,760 --> 00:49:02,040 WE DON'T HAVE ENOUGH SCIENTISTS 1248 00:49:02,040 --> 00:49:05,280 AND NEED MORE SO I THINK 1249 00:49:05,280 --> 00:49:07,680 SUPPORTING THAT IS REALLY 1250 00:49:07,680 --> 00:49:08,400 IMPORTANT FOR THE FUTURE 1251 00:49:08,400 --> 00:49:16,560 GENERATION OF NURSE SCIENTISTS. 1252 00:49:16,560 --> 00:49:17,880 THE OTHER PART -- AND I DON'T 1253 00:49:17,880 --> 00:49:21,920 KNOW HOW TO DO THIS BUT THERE 1254 00:49:21,920 --> 00:49:22,800 ARE RESEARCH INTENSIVE 1255 00:49:22,800 --> 00:49:25,880 UNIVERSITIES. 1256 00:49:25,880 --> 00:49:27,040 I COME FROM ONE. 1257 00:49:27,040 --> 00:49:31,840 AND HOW DO WE SUPPORT NURSE 1258 00:49:31,840 --> 00:49:33,920 SCIENTISTS THE PEOPLE GETTING 1259 00:49:33,920 --> 00:49:37,920 THEIR Ph.D.s IN THE NON-RESEARCH 1260 00:49:37,920 --> 00:49:40,320 INSENSITIVE ENVIRONMENTS BUT 1261 00:49:40,320 --> 00:49:43,600 MAKING IT RIGOROUS. 1262 00:49:43,600 --> 00:49:46,760 MAYBE PARTNERSHIPS BETWEEN 1263 00:49:46,760 --> 00:49:48,280 NON-RIGOROUS -- THAT'S THE WRONG 1264 00:49:48,280 --> 00:49:49,880 WORD, NON-RIGOROUS. 1265 00:49:49,880 --> 00:49:52,320 THE SETTINGS THAT WANT TO 1266 00:49:52,320 --> 00:49:57,400 SUPPORT THE RIGHT PEOPLE THAT 1267 00:49:57,400 --> 00:49:58,640 AREN'T AT THE INSTITUTIONS THAT 1268 00:49:58,640 --> 00:49:59,440 HAVE THE MOST INFRASTRUCTURE AND 1269 00:49:59,440 --> 00:50:05,160 HOW DO WE DO THAT THINKING ABOUT 1270 00:50:05,160 --> 00:50:07,560 THAT IN INNOVATIVE WAYS CAN HELP 1271 00:50:07,560 --> 00:50:09,160 SUPPORT THE NEXT GENERATION OF 1272 00:50:09,160 --> 00:50:11,160 HEALTH SCIENTISTS. 1273 00:50:11,160 --> 00:50:12,960 >>THANK YOU FOR SHARING THAT. 1274 00:50:12,960 --> 00:50:15,240 >>I WOULD AGREE IT'S A LITTLE 1275 00:50:15,240 --> 00:50:17,920 BIT OF A CONUNDRUM BECAUSE WE 1276 00:50:17,920 --> 00:50:20,600 DEFINITELY NEED TO SUPPORT THE 1277 00:50:20,600 --> 00:50:22,360 PIPELINE BUT IF THERE'S NO 1278 00:50:22,360 --> 00:50:23,920 SENIOR INVESTIGATORS TO SUPPORT 1279 00:50:23,920 --> 00:50:25,920 THE DEVELOPMENT OF THOSE PEOPLE 1280 00:50:25,920 --> 00:50:30,440 THEY'RE GOING TO STRUGGLE. 1281 00:50:30,440 --> 00:50:32,480 I LIKE TO THE IDEA OF THINKING 1282 00:50:32,480 --> 00:50:34,400 OF WAYS TO PARTNER INSTITUTIONS 1283 00:50:34,400 --> 00:50:40,360 SO MOST EFFECTIVELY MAKE USE OF 1284 00:50:40,360 --> 00:50:49,600 THE INVESTMENTS NINR MAKES. 1285 00:50:49,600 --> 00:50:51,360 >>I'D LIKE TO SECOND 1286 00:50:51,360 --> 00:50:53,560 DR. STONE'S COMMENTS. 1287 00:50:53,560 --> 00:50:54,480 I THOUGHT ABOUT YOUR 1288 00:50:54,480 --> 00:50:58,520 PRESENTATION TODAY. 1289 00:50:58,520 --> 00:51:03,760 I LOVE THE FACT THAT YOU 1290 00:51:03,760 --> 00:51:04,440 APPROACHED HEALTH INEQUITIES AND 1291 00:51:04,440 --> 00:51:07,360 I LOVE THE IDEA OF YOU BEING 1292 00:51:07,360 --> 00:51:09,120 BOLD IN ADDRESSING THE 1293 00:51:09,120 --> 00:51:12,480 UNDERRATED ISSUES IN RESEARCH IN 1294 00:51:12,480 --> 00:51:13,120 PARTICULAR CLIMATE CHANGE AND 1295 00:51:13,120 --> 00:51:14,440 SOCIAL DETERMINATES OF HEALTH. 1296 00:51:14,440 --> 00:51:17,760 I THINK IF PUSH COMES TO SHOVE, 1297 00:51:17,760 --> 00:51:19,360 I WOULDN'T WANT TO SEE THOSE TWO 1298 00:51:19,360 --> 00:51:22,640 CRITICAL AREAS YOU MENTIONED ON 1299 00:51:22,640 --> 00:51:23,520 THE CHOPPING BLOCK. 1300 00:51:23,520 --> 00:51:29,040 I THINK THEY'RE CRITICAL. 1301 00:51:29,040 --> 00:51:32,520 PERHAPS YOUR POINT ABOUT MAYBE 1302 00:51:32,520 --> 00:51:35,280 FUNDING FEWER AWARDS TO ENSURE 1303 00:51:35,280 --> 00:51:36,880 WE DON'T LOSE THE GAINS THAT WE 1304 00:51:36,880 --> 00:51:38,480 MAY MAKE IN THESE OTHER AREAS 1305 00:51:38,480 --> 00:51:40,360 THAT ARE CRITICAL TO HEALTH 1306 00:51:40,360 --> 00:51:48,240 EQUITY. 1307 00:51:48,240 --> 00:51:49,720 >>I HAD A QUESTION REGARDING 1308 00:51:49,720 --> 00:51:50,960 THE NEW MECHANISMS TABLE. 1309 00:51:50,960 --> 00:51:53,360 I WAS WONDERING AND IT WAS ON 1310 00:51:53,360 --> 00:51:56,520 THE MEETING MATERIALS, I 1311 00:51:56,520 --> 00:51:59,720 WONDER -- I DIDN'T RECALL SEEING 1312 00:51:59,720 --> 00:52:01,760 SMALLER TYPE INTERVENTIONS AND 1313 00:52:01,760 --> 00:52:03,320 SO I THINK THAT'S ONE OF THE 1314 00:52:03,320 --> 00:52:04,240 BEAUTIFUL THINGS HAVE YOU GOING 1315 00:52:04,240 --> 00:52:07,600 ON IS YOU HAVE THAT FOCUS ON 1316 00:52:07,600 --> 00:52:10,640 CHANGE AND SPECIFICALLY SYSTEM 1317 00:52:10,640 --> 00:52:12,520 CHANGE, COMMUNITY CHANGE BUT 1318 00:52:12,520 --> 00:52:14,200 THEY'RE ALL BIG GRANTS AND SO 1319 00:52:14,200 --> 00:52:16,360 I'M WONDERING IF THAT MIGHT BE 1320 00:52:16,360 --> 00:52:18,720 POSSIBLE BECAUSE IT ALSO MIGHT 1321 00:52:18,720 --> 00:52:20,880 ALIGN IF YOU RETAIN MORE FOCUS 1322 00:52:20,880 --> 00:52:23,240 ON THE EARLY STAGE AND THAT 1323 00:52:23,240 --> 00:52:25,160 DEVELOPMENT PERIOD FOR THEM TO 1324 00:52:25,160 --> 00:52:26,360 GET UP TO A LARGER GRANT THOUGH 1325 00:52:26,360 --> 00:52:30,760 I DO AGREE WITH DR. MUNRO WE 1326 00:52:30,760 --> 00:52:41,280 NEED THE SENIOR PEOPLE AS WELL. 1327 00:52:46,440 --> 00:52:48,560 >>THANK YOU, SHANNON. 1328 00:52:48,560 --> 00:52:50,520 DR. STONE AND MUNRO, I THINK THE 1329 00:52:50,520 --> 00:52:52,320 IDEA OF FINDING WAYS TO CREATE 1330 00:52:52,320 --> 00:52:56,760 THESE PARTNERSHIPS GIVEN THAT WE 1331 00:52:56,760 --> 00:52:58,360 KNOW TO CHANGE THE NARRATIVE WE 1332 00:52:58,360 --> 00:53:01,920 HAVE TO CHANGE THE NARRATORS AND 1333 00:53:01,920 --> 00:53:05,840 EVEN AT THE MOST ELITE RESOURCED 1334 00:53:05,840 --> 00:53:08,440 INTENSIVE PLACES WE DON'T 1335 00:53:08,440 --> 00:53:09,920 NECESSARILY HAVE THE BROADEST 1336 00:53:09,920 --> 00:53:11,560 AND WIDEST DIVERSITY OF 1337 00:53:11,560 --> 00:53:13,640 DIFFERENT VOICES AT THE TABLE. 1338 00:53:13,640 --> 00:53:18,440 AND I THINK CREATING THOSE 1339 00:53:18,440 --> 00:53:21,520 BRIDGES BETWEEN MINORITY-SERVING 1340 00:53:21,520 --> 00:53:27,360 INSTITUTIONS AND HBCUs AND 1341 00:53:27,360 --> 00:53:31,080 PLACES JUST IN OUR COMMUNITIES 1342 00:53:31,080 --> 00:53:33,440 OF INVESTMENT WE TALKED ABOUT 1343 00:53:33,440 --> 00:53:35,600 MISSISSIPPI DELTA AND APPALACHIA 1344 00:53:35,600 --> 00:53:37,920 AND TRIBAL LANDS, FINDING WAYS 1345 00:53:37,920 --> 00:53:44,240 TO CONNECT AND LOOKING AT 1346 00:53:44,240 --> 00:53:45,160 DISTRIBUTION OF THE MOST 1347 00:53:45,160 --> 00:53:47,440 RESOURCE INTENSE PLACES ARE BUT 1348 00:53:47,440 --> 00:53:49,160 NOT IN THOSE PLACES. 1349 00:53:49,160 --> 00:53:51,040 TRYING TO CREATE THE BRIDGES I 1350 00:53:51,040 --> 00:53:52,040 THINK IS SOMETHING THAT TO ME 1351 00:53:52,040 --> 00:53:53,480 SEEMS LIKE A REALLY GOOD 1352 00:53:53,480 --> 00:53:55,800 STRATEGY AND A GOOD WAY FOR US 1353 00:53:55,800 --> 00:53:58,360 TO BE STRATEGIC AND SMARTER. 1354 00:53:58,360 --> 00:54:03,160 -- SMART. 1355 00:54:03,160 --> 00:54:04,680 >>IN THINKING ABOUT THIS IN ALL 1356 00:54:04,680 --> 00:54:06,360 THE TWO MINUTES I'VE BEEN 1357 00:54:06,360 --> 00:54:10,360 THINKING ABOUT IT, ONE OF THE 1358 00:54:10,360 --> 00:54:14,360 WAYS THE NOSI FOR FIREARM 1359 00:54:14,360 --> 00:54:16,520 SUPPLEMENTS WAS REALLY GOOD BUT 1360 00:54:16,520 --> 00:54:21,320 I CAN SEE A NOSI FOR T32s TO GET 1361 00:54:21,320 --> 00:54:22,960 SOMEBODY THAT'S MINORITY OR HBCU 1362 00:54:22,960 --> 00:54:26,200 TO BRING THEM IN NOT TO YOUR 1363 00:54:26,200 --> 00:54:27,440 PROGRAM, THEY GO THROUGH ANOTHER 1364 00:54:27,440 --> 00:54:29,120 PROGRAM BUT GET MENTORSHIP 1365 00:54:29,120 --> 00:54:35,000 THROUGH A T32 AND OTHER PROGRAM. 1366 00:54:35,000 --> 00:54:38,160 AND IT SEEMS LIKE SOMETHING THAT 1367 00:54:38,160 --> 00:54:41,000 COULD BE DONE THAT WOULD REACH 1368 00:54:41,000 --> 00:54:42,960 OUT TO OTHER PEOPLE TO GET THEM 1369 00:54:42,960 --> 00:54:44,400 THEIR EXPERIENCE. 1370 00:54:44,400 --> 00:54:45,920 GRANTED, I THOUGHT ABOUT IT ALL 1371 00:54:45,920 --> 00:54:48,320 TWO MINUTES. 1372 00:54:48,320 --> 00:54:50,200 >>THANK YOU FOR THESE IDEAS. 1373 00:54:50,200 --> 00:54:53,560 ANYTHING ELSE YOU WANT TO SHARE? 1374 00:54:53,560 --> 00:54:54,840 YOU CAN ALWAYS REACH OUT TO US 1375 00:54:54,840 --> 00:54:57,040 AT ANY TIME TO LET US KNOW YOUR 1376 00:54:57,040 --> 00:54:57,600 THOUGHTS AND WE'LL KEEP YOU 1377 00:54:57,600 --> 00:55:01,760 POSTED OF COURSE. 1378 00:55:01,760 --> 00:55:02,600 THANK YOU FOR THIS. 1379 00:55:02,600 --> 00:55:03,000 THIS WAS HELPFUL. 1380 00:55:03,000 --> 00:55:11,040 THANK YOU. 1381 00:55:11,040 --> 00:55:11,440 ALL RIGHT. 1382 00:55:11,440 --> 00:55:13,960 SO I DO WANT TO ACKNOWLEDGE 1383 00:55:13,960 --> 00:55:19,840 COLLEAGUES AT NINR, JOANIE 1384 00:55:19,840 --> 00:55:21,920 DAWSON AND EMILY BARROS IN 1385 00:55:21,920 --> 00:55:23,840 COMBINING THAT FOR THE UPDATE. 1386 00:55:23,840 --> 00:55:25,840 I WANT TO THANK MY COLLEAGUES AT 1387 00:55:25,840 --> 00:55:28,400 NINR AND ON COUNCIL FOR ALL YOUR 1388 00:55:28,400 --> 00:55:29,640 SUPPORT OF THE INSTITUTE SO YOU 1389 00:55:29,640 --> 00:55:32,200 CAN ALWAYS REACH OUT TO US 1390 00:55:32,200 --> 00:55:34,680 ANYTIME INCLUDING AT THE E-MAIL 1391 00:55:34,680 --> 00:55:36,200 ADDRESS YOU SEE HERE AND WE'LL 1392 00:55:36,200 --> 00:55:37,920 GET YOUR E-MAIL TO THE RIGHT 1393 00:55:37,920 --> 00:55:48,080 PERSON. 1394 00:56:01,600 --> 00:56:02,080 DR. JOANIE RUTTER IS THE 1395 00:56:02,080 --> 00:56:02,680 DIRECTOR OF THE NATIONAL CENTER 1396 00:56:02,680 --> 00:56:03,280 FOR ADVANCING TRANSLATIONAL 1397 00:56:03,280 --> 00:56:03,520 SCIENCES, 1398 00:56:03,520 --> 00:56:04,160 ALSO KNOWN AS NCATS. DR. RUTTER 1399 00:56:04,160 --> 00:56:04,680 OVERSEES THE PLANNING AND 1400 00:56:04,680 --> 00:56:05,240 EXECUTION OF THE CENTER'S 1401 00:56:05,240 --> 00:56:05,480 COMPLEX, 1402 00:56:05,480 --> 00:56:06,080 MULTIFACETED PROGRAMS THAT AIM 1403 00:56:06,080 --> 00:56:06,680 TO OVERCOME SCIENTIFIC AND 1404 00:56:06,680 --> 00:56:07,280 OPERATIONAL BARRIERS IMPEDING 1405 00:56:07,280 --> 00:56:09,920 THE 1406 00:56:09,920 --> 00:56:13,040 DEVELOPMENT AND DELIVERY OF NEW 1407 00:56:13,040 --> 00:56:13,600 TREATMENTS AND OTHER HEALTH 1408 00:56:13,600 --> 00:56:14,240 SOLUTIONS. UNDER HER DIRECTION, 1409 00:56:14,240 --> 00:56:14,880 NCATS SUPPORTS INNOVATIVE TOOLS 1410 00:56:14,880 --> 00:56:15,760 AND STRATEGIES TO MAKE EACH STEP 1411 00:56:15,760 --> 00:56:21,920 IN THE TRANSLATIONAL PROCESS 1412 00:56:21,920 --> 00:56:22,800 MORE EFFECTIVE AND EFFICIENT, 1413 00:56:22,800 --> 00:56:23,720 SPEEDING RESEARCH ACROSS A RANGE 1414 00:56:23,720 --> 00:56:27,280 OF DISEASES, WITH A PARTICULAR 1415 00:56:27,280 --> 00:56:28,520 FOCUS ON RARE DISEASES. BY 1416 00:56:28,520 --> 00:56:30,400 ADVANCING THE SCIENCE OF 1417 00:56:30,400 --> 00:56:32,960 TRANSLATION, NCATS HELPS TURN 1418 00:56:32,960 --> 00:56:33,240 PROMISING 1419 00:56:33,240 --> 00:56:36,360 RESEARCH DISCOVERIES INTO 1420 00:56:36,360 --> 00:56:36,960 REAL-WORLD APPLICATIONS THAT 1421 00:56:36,960 --> 00:56:39,920 IMPROVE PEOPLE'S HEALTH. IN HER 1422 00:56:39,920 --> 00:56:40,160 PREVIOUS 1423 00:56:40,160 --> 00:56:40,840 ROLE AS THE NCATS DEPUTY 1424 00:56:40,840 --> 00:56:44,680 DIRECTOR, SHE COLLABORATED WITH 1425 00:56:44,680 --> 00:56:45,240 COLLEAGUES FROM GOVERNMENT, 1426 00:56:45,240 --> 00:56:48,120 ACADEMIA, INDUSTRY, AND 1427 00:56:48,120 --> 00:56:48,760 NONPROFIT PATIENT ORGANIZATIONS 1428 00:56:48,760 --> 00:56:50,760 TO ESTABLISH ROBUST INTERACTIONS 1429 00:56:50,760 --> 00:56:51,120 WITH 1430 00:56:51,120 --> 00:56:52,760 NCATS PROGRAMS. 1431 00:56:52,760 --> 00:56:55,400 BEFORE JOINING NCATS, DR. RUTTER 1432 00:56:55,400 --> 00:57:01,600 SERVED AS THE DIRECTOR OF 1433 00:57:01,600 --> 00:57:02,240 SCIENTIFIC PROGRAMS FOR THE ALL 1434 00:57:02,240 --> 00:57:02,600 OF US 1435 00:57:02,600 --> 00:57:03,560 RESEARCH PROGRAM, WHERE SHE LED 1436 00:57:03,560 --> 00:57:04,040 SCIENTIFIC PROGRAMMATIC 1437 00:57:04,040 --> 00:57:04,640 DEVELOPMENT AND IMPLEMENTATION 1438 00:57:04,640 --> 00:57:05,240 EFFORTS TO BUILD A NATIONAL 1439 00:57:05,240 --> 00:57:06,640 RESEARCH COHORT OF AT LEAST 1 1440 00:57:06,640 --> 00:57:07,520 MILLION U.S. PARTICIPANTS TO 1441 00:57:07,520 --> 00:57:09,800 ADVANCE 1442 00:57:09,800 --> 00:57:13,920 PRECISION MEDICINE. DURING HER 1443 00:57:13,920 --> 00:57:15,920 TIME AT NIH, SHE ALSO HAS LED 1444 00:57:15,920 --> 00:57:16,560 THE DIVISION OF NEUROSCIENCE AND 1445 00:57:16,560 --> 00:57:19,520 BEHAVIOR AT THE NATIONAL 1446 00:57:19,520 --> 00:57:20,120 INSTITUTE ON DRUG ABUSE, OR 1447 00:57:20,120 --> 00:57:20,600 NIDA. IN THIS ROLE, SHE 1448 00:57:20,600 --> 00:57:20,920 DEVELOPED AND 1449 00:57:20,920 --> 00:57:21,520 COORDINATED RESEARCH ON BASIC 1450 00:57:21,520 --> 00:57:24,400 AND CLINICAL NEUROSCIENCE, BRAIN 1451 00:57:24,400 --> 00:57:25,960 AND BEHAVIORAL DEVELOPMENT, 1452 00:57:25,960 --> 00:57:27,440 GENETICS, EPIGENETICS, 1453 00:57:27,440 --> 00:57:29,120 COMPUTATIONAL NEUROSCIENCE, 1454 00:57:29,120 --> 00:57:31,800 BIOINFORMATICS, AND DRUG 1455 00:57:31,800 --> 00:57:35,320 DISCOVERY. SHE ALSO 1456 00:57:35,320 --> 00:57:38,280 COORDINATED THE GENETICS 1457 00:57:38,280 --> 00:57:44,480 CONSORTIUM AND BIO SPECIMEN 1458 00:57:44,480 --> 00:57:44,760 REPOSITORY. 1459 00:57:44,760 --> 00:57:46,880 TODAY SHE WILL SHARE NCATS 1460 00:57:46,880 --> 00:57:49,920 COLLABORATIONS WITH NINR. 1461 00:57:49,920 --> 00:57:55,760 WELCOME DR. RUTTER. 1462 00:57:55,760 --> 00:57:59,560 >>THAT WAS A VERY GENEROUS 1463 00:57:59,560 --> 00:57:59,880 INTRODUCTION. 1464 00:57:59,880 --> 00:58:00,160 THANK YOU. 1465 00:58:00,160 --> 00:58:04,240 THANK YOU FOR INVITING ME TODAY 1466 00:58:04,240 --> 00:58:06,360 AND I DIDN'T REALIZE YOU'RE SO 1467 00:58:06,360 --> 00:58:07,240 TALL. 1468 00:58:07,240 --> 00:58:08,640 I'M PULLING THIS MICROPHONE 1469 00:58:08,640 --> 00:58:09,080 DOWN. 1470 00:58:09,080 --> 00:58:09,520 YOU'RE A GIANT. 1471 00:58:09,520 --> 00:58:15,160 I HAD NO IDEA. 1472 00:58:15,160 --> 00:58:17,920 I'M HERE TO TALK TO YOU A LITTLE 1473 00:58:17,920 --> 00:58:19,680 BIT ABOUT WHAT WE'RE DOING AT 1474 00:58:19,680 --> 00:58:21,920 NCATS AND HOW IT INTERSECTS 1475 00:58:21,920 --> 00:58:23,320 QUITE WELL WHAT YOU'RE DOING IN 1476 00:58:23,320 --> 00:58:24,120 THE NURSING INSTITUTE. 1477 00:58:24,120 --> 00:58:25,960 TO DO THAT I WANT TO TELL YOU A 1478 00:58:25,960 --> 00:58:26,760 LITTLE BIT ABOUT WHO WE ARE AND 1479 00:58:26,760 --> 00:58:29,000 WHAT WE DO AND SOME OF OUR GOALS 1480 00:58:29,000 --> 00:58:31,840 AND ASPIRATIONS I SUPPOSE OVER 1481 00:58:31,840 --> 00:58:33,120 THE NEXT 10 YEARS AND TALKS 1482 00:58:33,120 --> 00:58:35,840 ABOUT THE HIGHLIGHTS THAT WE 1483 00:58:35,840 --> 00:58:37,640 HAVE RELATED TO NURSING RESEARCH 1484 00:58:37,640 --> 00:58:38,320 AND POTENTIAL OPPORTUNITIES I 1485 00:58:38,320 --> 00:58:40,240 THINK DOWN THE ROAD. 1486 00:58:40,240 --> 00:58:41,760 I'M GOING TO JUMP IN. 1487 00:58:41,760 --> 00:58:44,920 BURY GO I WANTED TO LET YOU 1488 00:58:44,920 --> 00:58:48,200 KNOW -- BEFORE I GO I WANTED TO 1489 00:58:48,200 --> 00:58:52,560 LET YOU KNOW I USE QR CODES 1490 00:58:52,560 --> 00:58:55,240 BECAUSE YOU CAN TAKE A PHOTO AND 1491 00:58:55,240 --> 00:58:57,280 YOU CAN HAVE IT TO PER USE LATER 1492 00:58:57,280 --> 00:58:57,640 ON. 1493 00:58:57,640 --> 00:58:59,800 I WANTED TO MAKE SURE YOU HAVE 1494 00:58:59,800 --> 00:59:00,800 ACCESS TO A LOT OF THE 1495 00:59:00,800 --> 00:59:04,440 INFORMATION I'LL BE RELAYING 1496 00:59:04,440 --> 00:59:04,680 TODAY. 1497 00:59:04,680 --> 00:59:07,280 SO A LITTLE BIT ABOUT NCATS IS 1498 00:59:07,280 --> 00:59:11,440 THAT THE CHALLENGE THAT WE THINK 1499 00:59:11,440 --> 00:59:13,480 ABOUT QUITE A BIT IS A PUBLIC 1500 00:59:13,480 --> 00:59:19,160 HEALTH CHALLENGE IN THAT WE HAVE 1501 00:59:19,160 --> 00:59:21,640 OVER 10,000 DISEASES THAT ARE 1502 00:59:21,640 --> 00:59:24,480 OUT THERE AND ONLY 5% HAVE A 1503 00:59:24,480 --> 00:59:27,880 TREATMENT OR A CURE. 1504 00:59:27,880 --> 00:59:29,920 AND WITH THAT THE TIME IT TAKES 1505 00:59:29,920 --> 00:59:32,280 TO DEVELOP TREATMENTS OR 1506 00:59:32,280 --> 00:59:33,920 THERAPIES TO GET INTO CLINICAL 1507 00:59:33,920 --> 00:59:35,360 TRIALS IS ABOUT 10 OR 15 YEARS 1508 00:59:35,360 --> 00:59:37,920 AND THEY'VE BEEN GETTING INTO 1509 00:59:37,920 --> 00:59:38,920 MEDICINE CABINETS ANOTHER 10 TO 1510 00:59:38,920 --> 00:59:39,520 15 YEARS. 1511 00:59:39,520 --> 00:59:42,240 IT CAN TAKE A LONG TIME AND AT A 1512 00:59:42,240 --> 00:59:45,440 BUDGET OF ABOUT $2.6 BILLION 1513 00:59:45,440 --> 00:59:47,200 THAT'S A LOT OF TIME AND MONEY. 1514 00:59:47,200 --> 00:59:49,640 NOT ONLY THAT, PROBABLY ONE OF 1515 00:59:49,640 --> 00:59:53,920 THE MORE DIRE STATISTICS HERE IS 1516 00:59:53,920 --> 00:59:57,400 THAT NINE OUT OF 10 TIMES A 1517 00:59:57,400 --> 00:59:58,360 PROMISING THERAPEUTIC CANDIDATE 1518 00:59:58,360 --> 01:00:03,360 THAT ENTERS CLINICAL TRIALS 1519 01:00:03,360 --> 01:00:03,560 FAILS. 1520 01:00:03,560 --> 01:00:06,480 60% OF THE TIME IT FAILS IN 1521 01:00:06,480 --> 01:00:08,120 PHASE II AND THE EFFICACY PHASE 1522 01:00:08,120 --> 01:00:10,400 AND THE OTHER 35% IT FAILS IN 1523 01:00:10,400 --> 01:00:11,880 PHASE 1. 1524 01:00:11,880 --> 01:00:13,360 SO THE SAFETY SAFE. 1525 01:00:13,360 --> 01:00:17,920 THE SAFETY EFFICACY WE'RE JUST 1526 01:00:17,920 --> 01:00:19,960 NOT DOING A VERY GOOD JOB PRE 1527 01:00:19,960 --> 01:00:26,440 CLINICALLY TO BE MORE PREDICTIVE 1528 01:00:26,440 --> 01:00:29,280 IN REACHING THE PEOPLE THAT HAVE 1529 01:00:29,280 --> 01:00:30,520 THESE THERAPIES. 1530 01:00:30,520 --> 01:00:32,080 THIS IS A BIG PROBLEM WE CAN 1531 01:00:32,080 --> 01:00:34,360 START TO TACKLE IN A SYSTEMATIC 1532 01:00:34,360 --> 01:00:37,040 WAY AND A BIG POINT OF WHAT 1533 01:00:37,040 --> 01:00:37,920 NCATS IS ABOUT. 1534 01:00:37,920 --> 01:00:41,720 OUR MISSION IS TO TURN RESEARCH 1535 01:00:41,720 --> 01:00:42,480 OBSERVATIONS INTO HEALTH 1536 01:00:42,480 --> 01:00:45,920 SOLUTIONS THROUGH TRANSLATIONAL 1537 01:00:45,920 --> 01:00:47,600 SCIENCE. 1538 01:00:47,600 --> 01:00:50,240 WE LIKE TO TALK ABOUT THE IDEA 1539 01:00:50,240 --> 01:00:51,920 AROUND THE PIPELINE THERE'S 1540 01:00:51,920 --> 01:00:53,560 BARRIERS THE BOTTLE NECKS THAT 1541 01:00:53,560 --> 01:00:54,800 PREVENT US FROM MOVING QUICKLY 1542 01:00:54,800 --> 01:00:56,440 DOWN THE ROAD. 1543 01:00:56,440 --> 01:00:59,640 IF WE CAN TACKLE THOSE 1544 01:00:59,640 --> 01:01:00,840 BOTTLENECKS OR BARRIERS WE'D 1545 01:01:00,840 --> 01:01:03,120 THEN BE ABLE TO MOVE MORE THINGS 1546 01:01:03,120 --> 01:01:05,480 THROUGH THAT PIPELINE. 1547 01:01:05,480 --> 01:01:08,280 THIS IS A GRAPHIC ILLUSTRATION 1548 01:01:08,280 --> 01:01:09,880 OF THIS YOU GET THE IDEA THIS IS 1549 01:01:09,880 --> 01:01:13,320 WHAT WE NEED TO DO IS START TO 1550 01:01:13,320 --> 01:01:14,960 ADDRESS THE BOTTLENECKS. 1551 01:01:14,960 --> 01:01:16,760 THROUGH TRANSLATIONAL SCIENCE WE 1552 01:01:16,760 --> 01:01:19,760 WANT TO USE TRANSLATIONAL 1553 01:01:19,760 --> 01:01:23,320 RESEARCH IN THE PROJECTS FOR ANY 1554 01:01:23,320 --> 01:01:24,960 SPECIFIC RESEARCH PROGRAM WE'RE 1555 01:01:24,960 --> 01:01:26,720 DOING TO BE THE EXAMPLE OF WHAT 1556 01:01:26,720 --> 01:01:32,160 WE'RE DOING FASTER AND BETTER 1557 01:01:32,160 --> 01:01:33,920 AND EFFICIENTLY AND ADDRESS THE 1558 01:01:33,920 --> 01:01:35,480 LONG STANDING BOTTLENECKS TO 1559 01:01:35,480 --> 01:01:37,640 REACH PEOPLE FASTER. 1560 01:01:37,640 --> 01:01:39,680 IF WE CAN DO THAT IN ANY GIVEN 1561 01:01:39,680 --> 01:01:41,920 PROJECT ON THE NEXT PROJECT WE 1562 01:01:41,920 --> 01:01:43,720 CAN START TO APPLY THE LEARNINGS 1563 01:01:43,720 --> 01:01:45,920 AND START TO CHIP AWAY AT THE 1564 01:01:45,920 --> 01:01:47,400 TIME FRAME. 1565 01:01:47,400 --> 01:01:49,560 I WANTED TO PROVIDE YOU SOME 1566 01:01:49,560 --> 01:01:51,640 EXAMPLES OF WHAT THE BOTTLENECKS 1567 01:01:51,640 --> 01:01:51,960 ARE. 1568 01:01:51,960 --> 01:01:56,760 I CAN SAY BOTTLENECKS ALL I WANT 1569 01:01:56,760 --> 01:01:58,080 BUT THE ONE SIZE FITS ALL 1570 01:01:58,080 --> 01:02:00,040 APPROACH TO CLINICAL TRIALS. 1571 01:02:00,040 --> 01:02:01,920 WE'RE STARTING TO GET OUT OF 1572 01:02:01,920 --> 01:02:03,440 THAT MOLD. 1573 01:02:03,440 --> 01:02:04,880 WE HAVE LOW ENROLLMENT AND 1574 01:02:04,880 --> 01:02:06,280 DIVERSITY IN CLINICAL TRIALS. 1575 01:02:06,280 --> 01:02:08,640 IT'S A LONG STANDING PROBLEM. 1576 01:02:08,640 --> 01:02:10,400 COLLECTIVELY IN A LOT OF THE 1577 01:02:10,400 --> 01:02:13,240 WORK DR. ZENK IS DOING THROUGH 1578 01:02:13,240 --> 01:02:14,360 COMMON FUND PROGRAMS AND OTHER 1579 01:02:14,360 --> 01:02:15,720 AREAS ACROSS THE NIH, WE'RE 1580 01:02:15,720 --> 01:02:17,800 STARTING TO GET AT HOW WE CAN 1581 01:02:17,800 --> 01:02:20,960 RELATE AND ENHANCE COMMUNITY 1582 01:02:20,960 --> 01:02:22,000 ENGAGEMENT TO TACKLE THESE SORTS 1583 01:02:22,000 --> 01:02:22,680 OF ISSUES. 1584 01:02:22,680 --> 01:02:25,160 THESE ARE SOME OF THE PROBLEMS 1585 01:02:25,160 --> 01:02:27,600 BUT THEY'RE ADMINISTRATIVE 1586 01:02:27,600 --> 01:02:30,360 PROBLEMS AND WORKFORCE PROBLEMS 1587 01:02:30,360 --> 01:02:31,600 AND SCIENTIFIC PROBLEMS. 1588 01:02:31,600 --> 01:02:32,800 A LOT OF TIMES IT'S NOT THE 1589 01:02:32,800 --> 01:02:33,680 SCIENTIFIC PROBLEMS IT'S THE 1590 01:02:33,680 --> 01:02:34,480 ADMINISTRATIVE AND OPERATIONAL 1591 01:02:34,480 --> 01:02:37,960 ONES THAT ARE PRETTY 1592 01:02:37,960 --> 01:02:38,240 CHALLENGING. 1593 01:02:38,240 --> 01:02:38,440 . 1594 01:02:38,440 --> 01:02:40,440 WE TAKE THE WHOLISTIC VIEW OF 1595 01:02:40,440 --> 01:02:41,920 TACKLING THE PROBLEMS TO 1596 01:02:41,920 --> 01:02:44,880 UNDERSTAND HOW TO MAKE THINGS GO 1597 01:02:44,880 --> 01:02:45,640 MORE EFFICIENTLY. 1598 01:02:45,640 --> 01:02:48,400 THESE ARE SOME OF THE SOLUTIONS. 1599 01:02:48,400 --> 01:02:49,360 WE'RE WORKING ON AN NCATS IN 1600 01:02:49,360 --> 01:02:51,320 PURPLE AND I WANT TO HIGHLIGHT 1601 01:02:51,320 --> 01:02:52,760 SOME AS I GO THROUGH THE 1602 01:02:52,760 --> 01:02:53,200 PRESENTATION TODAY. 1603 01:02:53,200 --> 01:02:56,560 ALL IN ALL, THIS IS HOW WE THINK 1604 01:02:56,560 --> 01:03:01,920 WE CAN REALLY ADDRESS BRINGING 1605 01:03:01,920 --> 01:03:04,200 MORE TREATMENTS FOR ALL PEOPLE 1606 01:03:04,200 --> 01:03:06,600 MORE QUICKLY AND TURNED THIS 1607 01:03:06,600 --> 01:03:08,320 INTO OUR THREE AUDACIOUS GOALS 1608 01:03:08,320 --> 01:03:09,920 OF MORE TREATMENTS, ALL PEOPLE 1609 01:03:09,920 --> 01:03:11,360 MORE QUICKLY. 1610 01:03:11,360 --> 01:03:14,240 5% OF THE TREATMENTS WITH 1611 01:03:14,240 --> 01:03:15,400 DISEASES WITH A TREATMENT. 1612 01:03:15,400 --> 01:03:18,200 WHAT IF WE CAN BRING THAT UP TO 1613 01:03:18,200 --> 01:03:19,440 25%. 1614 01:03:19,440 --> 01:03:21,520 FIVE-FOLD INCREASE OF DISEASES 1615 01:03:21,520 --> 01:03:22,960 WITH TREATMENTS? 1616 01:03:22,960 --> 01:03:24,880 THAT'S SOMETHING THAT IS 1617 01:03:24,880 --> 01:03:26,720 AUDACIOUS AND WE'VE BEEN AT 5% 1618 01:03:26,720 --> 01:03:29,480 FOR A VERY LONG TIME BUT WE HAVE 1619 01:03:29,480 --> 01:03:32,280 NEW TOOLS AND TECHNOLOGIES AND 1620 01:03:32,280 --> 01:03:34,520 WE HAVE THE SKILL AND ABILITY TO 1621 01:03:34,520 --> 01:03:36,080 BE ABLE TO BRING MORE TREATMENT 1622 01:03:36,080 --> 01:03:37,280 FOR ALL PEOPLE MORE QUICKLY. 1623 01:03:37,280 --> 01:03:40,200 I BELIEVE WE HAVE THE ABILITY TO 1624 01:03:40,200 --> 01:03:40,480 DO THIS. 1625 01:03:40,480 --> 01:03:42,640 I WOULD RATHER FAIL AT 25% THAN 1626 01:03:42,640 --> 01:03:43,600 SUCCESS AT 6%. 1627 01:03:43,600 --> 01:03:46,840 THIS IS WHY WE NEED TO HAVE THAT 1628 01:03:46,840 --> 01:03:48,080 AUDACIOUSNESS THERE. 1629 01:03:48,080 --> 01:03:50,000 FOR ALL PEOPLE, THIS IS EXACTLY 1630 01:03:50,000 --> 01:03:53,320 WHAT IT ENCOMPASSES, 1631 01:03:53,320 --> 01:03:56,200 DRAMATICALLY INCREASING 1632 01:03:56,200 --> 01:03:59,400 INCLUSIVITY ACROSS EVERY AREA 1633 01:03:59,400 --> 01:04:01,640 FROM TRAINING AND WORKFORCE 1634 01:04:01,640 --> 01:04:02,560 DEVELOPMENT AND P.I.s LEADING 1635 01:04:02,560 --> 01:04:04,960 DIFFERENT STUDIES THROUGH 1636 01:04:04,960 --> 01:04:06,520 INCREASING DIVERSITY IN ALL THE 1637 01:04:06,520 --> 01:04:11,680 WORK WE DO NOT JUST CLINICALLY 1638 01:04:11,680 --> 01:04:13,840 BUT PRECLINICALLY AND WHAT WE 1639 01:04:13,840 --> 01:04:14,800 MEAN BY FOR ALL PEOPLE. 1640 01:04:14,800 --> 01:04:17,160 WE NEED TO MAKE A DIFFERENCE 1641 01:04:17,160 --> 01:04:18,840 HERE AND LASTLY MORE QUICKLY. 1642 01:04:18,840 --> 01:04:21,920 WE WANT TO ENABLE DIAGNOSTICS 1643 01:04:21,920 --> 01:04:24,000 AND THERAPEUTICS TO REACH PEOPLE 1644 01:04:24,000 --> 01:04:25,680 TWICE AS FAST. 1645 01:04:25,680 --> 01:04:28,360 AND AN EXAMPLE HERE A TIDBIT OF 1646 01:04:28,360 --> 01:04:30,720 INFORMATION IS MUCH OF THE WORK 1647 01:04:30,720 --> 01:04:36,920 WE DO AT NCATS FOCUSES ON RARE 1648 01:04:36,920 --> 01:04:37,440 DISEASES. 1649 01:04:37,440 --> 01:04:41,920 THIS IS A BIG AREA FOR US TO USE 1650 01:04:41,920 --> 01:04:44,960 AS A NORTH STAR OF HOW WE LOOK 1651 01:04:44,960 --> 01:04:47,840 AT TRANSLATIONAL SCIENCE AND 1652 01:04:47,840 --> 01:04:49,640 WITH THOSE RARE DISEASES IT 1653 01:04:49,640 --> 01:04:52,840 TAKES ABOUT SEVEN TO TEN YEARS 1654 01:04:52,840 --> 01:04:54,640 ON AVERAGE FOR A PERSON WITH A 1655 01:04:54,640 --> 01:04:56,080 RARE DISEASE TO BE DIAGNOSED. 1656 01:04:56,080 --> 01:04:58,400 WE CAN CUT THAT TIME IN HALF 1657 01:04:58,400 --> 01:05:00,480 THAT WOULD ADD A HUGE AMOUNT OF 1658 01:05:00,480 --> 01:05:01,360 VALUE FOR THE RARE DISEASE 1659 01:05:01,360 --> 01:05:01,760 POPULATIONS. 1660 01:05:01,760 --> 01:05:05,120 GIVEN THE TIME IT TAKES TO 1661 01:05:05,120 --> 01:05:06,480 DIAGNOSE SOMEBODY WITH A RARE 1662 01:05:06,480 --> 01:05:08,400 DISEASE THEY AGED OUT OF A 1663 01:05:08,400 --> 01:05:09,880 WINDOW OF WHERE THEY MIGHT HAVE 1664 01:05:09,880 --> 01:05:10,360 MODIFYING THERAPIES. 1665 01:05:10,360 --> 01:05:11,920 THIS IS A CRITICAL PROBLEM FOR 1666 01:05:11,920 --> 01:05:15,000 US TO REALLY START TO ADDRESS. 1667 01:05:15,000 --> 01:05:16,800 THESE ARE SOME OF THE IDEAS WE 1668 01:05:16,800 --> 01:05:21,200 WANT TO TACKLE ALONG THE WAY AT 1669 01:05:21,200 --> 01:05:21,400 NCATS. 1670 01:05:21,400 --> 01:05:22,960 SOME KEY APPROACHES UNDERSTAND 1671 01:05:22,960 --> 01:05:25,440 WHAT IS SIMILAR ACROSS DISEASES 1672 01:05:25,440 --> 01:05:27,240 DISPLAYING MULTIPLE DISEASES AT 1673 01:05:27,240 --> 01:05:30,160 A TIME WITH OVER 10,000 DISEASES 1674 01:05:30,160 --> 01:05:31,800 IF WE GO ONE DISEASE AT A TIME 1675 01:05:31,800 --> 01:05:34,200 WE'LL BE HERE FOR A LONG TIME. 1676 01:05:34,200 --> 01:05:35,480 WE AREN'T HERE FOR A LONG TIME. 1677 01:05:35,480 --> 01:05:37,280 WE NEED TO FIGURE OUT SOMETHING 1678 01:05:37,280 --> 01:05:38,600 ELSE THAT WILL MAKE THIS GO 1679 01:05:38,600 --> 01:05:39,320 FASTER AND BETTER. 1680 01:05:39,320 --> 01:05:41,920 WE WANT TO DEVELOP MODELS THAT 1681 01:05:41,920 --> 01:05:43,160 BETTER PREDICT A PERSON'S 1682 01:05:43,160 --> 01:05:44,920 REACTION TO A THERAPY. 1683 01:05:44,920 --> 01:05:46,480 SO THIS IS A LOT OF THE EFFORT 1684 01:05:46,480 --> 01:05:48,200 THAT WE'RE DOING IN THE PRE 1685 01:05:48,200 --> 01:05:49,600 CLINICAL SPACE. 1686 01:05:49,600 --> 01:05:50,800 WE KNOW RODENTS AREN'T REALLY 1687 01:05:50,800 --> 01:05:52,360 HUMANS AND THIS IS PART OF THE 1688 01:05:52,360 --> 01:05:53,320 ISSUE WE NEED TO ADDRESS. 1689 01:05:53,320 --> 01:05:56,160 AT THE SAME TIME, THAT'S THE 1690 01:05:56,160 --> 01:05:57,120 GOLD STANDARD RIGHT NOW. 1691 01:05:57,120 --> 01:05:59,640 SO WE NEED TO FIGURE OUT HOW TO 1692 01:05:59,640 --> 01:06:02,120 BUILD MODELS THAT CAN BETTER 1693 01:06:02,120 --> 01:06:02,880 RECAPITULATE THE HUMAN 1694 01:06:02,880 --> 01:06:03,640 CONDITION. 1695 01:06:03,640 --> 01:06:05,280 WE NEED TO ENHANCE CLINICAL 1696 01:06:05,280 --> 01:06:07,640 TRIALS AND STUDIES SO THE 1697 01:06:07,640 --> 01:06:09,640 RESULTS AND PEOPLE IN THEM MORE 1698 01:06:09,640 --> 01:06:11,120 ACCURATELY REFLECT THE PATIENT 1699 01:06:11,120 --> 01:06:13,520 POPULATION OF WHAT WE'RE TRYING 1700 01:06:13,520 --> 01:06:14,800 TO STUDY AND THIS SOUNDS EASY 1701 01:06:14,800 --> 01:06:17,080 BUT IT'S NOT AND WE NEED TO DO A 1702 01:06:17,080 --> 01:06:18,560 LOT BETTER IN TERMS OF OUR 1703 01:06:18,560 --> 01:06:19,200 EFFORT TO GET THERE. 1704 01:06:19,200 --> 01:06:22,800 AND LASTLY WE WANT TO LEVERAGE 1705 01:06:22,800 --> 01:06:25,240 REAL WORLD DATA AND EVIDENCE TO 1706 01:06:25,240 --> 01:06:26,800 ADDRESS THE PUBLIC HEALTH NEEDS 1707 01:06:26,800 --> 01:06:29,920 AND THAT'S A BIG IMPETUS AS WELL 1708 01:06:29,920 --> 01:06:32,360 AS WHAT WE'RE DOING IN THE 1709 01:06:32,360 --> 01:06:33,120 SPACE. 1710 01:06:33,120 --> 01:06:34,400 I'LL ALSO SHOW THE NCATS BUT AT 1711 01:06:34,400 --> 01:06:37,400 A GLANCE. 1712 01:06:37,400 --> 01:06:41,880 THIS IS THE PIE OF NCATS AND YOU 1713 01:06:41,880 --> 01:06:46,080 SEE ABOUT 68% TO 78% IS 1714 01:06:46,080 --> 01:06:48,520 DEDICATED AND A LINE ITEM 1715 01:06:48,520 --> 01:06:50,360 DEDICATED OUR CLINICAL AND 1716 01:06:50,360 --> 01:06:51,520 TRANSLATIONAL SCIENCE AWARD 1717 01:06:51,520 --> 01:06:51,760 PROGRAM. 1718 01:06:51,760 --> 01:06:56,960 A FLAGSHIP PROGRAM AT THE NIH 1719 01:06:56,960 --> 01:06:57,640 AND AT NCATS. 1720 01:06:57,640 --> 01:07:00,120 THE LARGEST PROGRAM AT NIH. 1721 01:07:00,120 --> 01:07:01,600 WE'RE THRILLED TO BE ABLE TO 1722 01:07:01,600 --> 01:07:04,000 STEWARD THE WORK THAT GETS 1723 01:07:04,000 --> 01:07:06,800 CONDUCTED UNDER THIS PARTICULAR 1724 01:07:06,800 --> 01:07:07,040 PROGRAM. 1725 01:07:07,040 --> 01:07:10,400 THIS IS ABOUT 63 DIFFERENT 1726 01:07:10,400 --> 01:07:11,120 INSTITUTIONS IMPORTANT IN 1727 01:07:11,120 --> 01:07:12,080 ADDRESSING THE SCIENCE ACROSS 1728 01:07:12,080 --> 01:07:15,920 THE COUNTRY AND BUILDING THAT 1729 01:07:15,920 --> 01:07:17,320 INFRASTRUCTURE TO DO THE WORK WE 1730 01:07:17,320 --> 01:07:20,320 NEED TO DO AND ACROSS THE OTHER 1731 01:07:20,320 --> 01:07:23,680 AREAS AT NCATS IS THE REMAINING 1732 01:07:23,680 --> 01:07:25,360 BUDGET IN THE PURPLE PART OF THE 1733 01:07:25,360 --> 01:07:27,000 PIE AND THAT'S ABOUT DRUG 1734 01:07:27,000 --> 01:07:29,920 DEVELOPMENT AND REPURPOSING AND 1735 01:07:29,920 --> 01:07:31,040 HIGH THROUGHPUT SCREENING AND 1736 01:07:31,040 --> 01:07:34,120 EARLY TRANSLATION AND LATE 1737 01:07:34,120 --> 01:07:39,840 TRANSLATION THROUGH PRE-IND 1738 01:07:39,840 --> 01:07:41,840 PHASES AND TISSUES ON CHIPS, 3-D 1739 01:07:41,840 --> 01:07:42,280 PRINTING, DIAGNOSTICS. 1740 01:07:42,280 --> 01:07:43,400 THESE ARE ALL THE AREAS WE 1741 01:07:43,400 --> 01:07:45,920 SUPPORT THROUGH THE OTHER PART 1742 01:07:45,920 --> 01:07:48,160 OF THIS BUDGET INCLUDING THE 1743 01:07:48,160 --> 01:07:49,720 TRAINING AND EDUCATION PROGRAMS 1744 01:07:49,720 --> 01:07:50,600 WE SUPPORT AS WELL. 1745 01:07:50,600 --> 01:07:53,400 SO I WANTED TO JUST GIVE YOU A 1746 01:07:53,400 --> 01:07:57,000 SENSE WE'RE A $923 MILLION 1747 01:07:57,000 --> 01:07:58,360 CENTER AND AGAIN THE BULK OF 1748 01:07:58,360 --> 01:08:00,240 THAT IS REALLY AROUND BUILDING 1749 01:08:00,240 --> 01:08:00,920 THE INFRASTRUCTURE TO SUPPORT A 1750 01:08:00,920 --> 01:08:01,880 LOT OF THESE ACTIVITIES. 1751 01:08:01,880 --> 01:08:04,120 SO NOW I JUST WANT TO GIVE YOU A 1752 01:08:04,120 --> 01:08:06,920 SENSE OF SOME OF THOSE PRE 1753 01:08:06,920 --> 01:08:07,600 CLINICAL, CLINICAL AND OTHER 1754 01:08:07,600 --> 01:08:10,240 DATA SCIENCE APPROACHES WE'RE 1755 01:08:10,240 --> 01:08:12,240 DOING THAT I THINK INTERSECT 1756 01:08:12,240 --> 01:08:14,600 QUITE WELL WITH WHAT THE NURSING 1757 01:08:14,600 --> 01:08:16,400 INSTITUTE RESEARCH INTERESTS ARE 1758 01:08:16,400 --> 01:08:17,560 AS WELL. 1759 01:08:17,560 --> 01:08:19,080 I'M GOING TO START ON THE 1760 01:08:19,080 --> 01:08:19,760 PRE-CLINICAL SIDE. 1761 01:08:19,760 --> 01:08:23,720 I MENTIONED THE IDEA THAT 90% 1762 01:08:23,720 --> 01:08:25,480 EVALUATE AND THAT MICE AREN'T 1763 01:08:25,480 --> 01:08:29,760 PEOPLE, RODENTS AREN'T PEOPLE. 1764 01:08:29,760 --> 01:08:32,520 TWO CELL LINES AREN'T REFLECTIVE 1765 01:08:32,520 --> 01:08:33,560 OF THE PHYSIOLOGICAL CONDITION. 1766 01:08:33,560 --> 01:08:35,880 WE'RE NOT DOING A GREAT JOB 1767 01:08:35,880 --> 01:08:36,400 DOING THIS. 1768 01:08:36,400 --> 01:08:38,760 SO WHAT NCATS IS WORKING ON IN A 1769 01:08:38,760 --> 01:08:41,200 VERY LARGE WAY IS TO UNDERSTAND 1770 01:08:41,200 --> 01:08:44,640 HOW CAN WE BETTER 1771 01:08:44,640 --> 01:08:45,920 PHYSIOLOGICALLY RECAPITULATE THE 1772 01:08:45,920 --> 01:08:47,520 CONDITION ON A CHAMPION OR IN A 1773 01:08:47,520 --> 01:08:49,200 3-D PRINTED WAY. 1774 01:08:49,200 --> 01:08:51,760 WE'RE INCREASING THE COMPLEXITY. 1775 01:08:51,760 --> 01:08:53,920 THE KINDS OF CELLS WE CAN PULL 1776 01:08:53,920 --> 01:08:57,120 TOGETHER THAT ARE MULTIPLE CELL 1777 01:08:57,120 --> 01:08:59,840 TYPES THAT CREATE STEROIDS AND 1778 01:08:59,840 --> 01:09:02,600 ORGANOIDS AND PRINT THESE IN 1779 01:09:02,600 --> 01:09:04,040 WAYS THAT PROPERTY THE TISSUE 1780 01:09:04,040 --> 01:09:06,720 SYSTEM AND LOOK AT THAT MORE 1781 01:09:06,720 --> 01:09:11,600 COLLECTIVELY AND WHOLISTICALLY 1782 01:09:11,600 --> 01:09:14,240 IN A RESEARCH ENVIRONMENT AND 1783 01:09:14,240 --> 01:09:15,760 INCREASE THE COMPLEXITY YOU DO 1784 01:09:15,760 --> 01:09:18,400 ON A CHIP AND YOU REDUCE YOUR 1785 01:09:18,400 --> 01:09:23,480 ABILITY TO DO HIGH THROUGHPUT 1786 01:09:23,480 --> 01:09:25,400 SCREENING AND DON'T WANT TO LOSE 1787 01:09:25,400 --> 01:09:27,680 THAT CAPABILITY WHILE MAXIMIZING 1788 01:09:27,680 --> 01:09:31,640 OUR ABILITY TO RECAPITULATE IN 1789 01:09:31,640 --> 01:09:32,720 THE PHYSIOLOGICALLY RELEVANT 1790 01:09:32,720 --> 01:09:33,560 CONDITION. 1791 01:09:33,560 --> 01:09:35,160 WE'RE DEVELOPING NEW 1792 01:09:35,160 --> 01:09:37,360 TECHNOLOGIES TO BETTER PREDICT A 1793 01:09:37,360 --> 01:09:39,200 PERSON'S RESPONSE TO A 1794 01:09:39,200 --> 01:09:40,320 PARTICULAR TREATMENT OR HOW TO 1795 01:09:40,320 --> 01:09:41,880 UNDERSTAND PERHAPS DISEASES IN 1796 01:09:41,880 --> 01:09:44,520 DIFFERENT WAYS AND BE ABLE TO 1797 01:09:44,520 --> 01:09:49,920 EVALUATE THAT MORE EFFECTIVELY. 1798 01:09:49,920 --> 01:09:52,240 ONE OF THE PROGRAMS WE SUPPORT 1799 01:09:52,240 --> 01:09:54,160 IS A SPACE PROGRAM WE CREATED 1800 01:09:54,160 --> 01:09:56,080 THESE TISSUE CHIPS FOR JUST 1801 01:09:56,080 --> 01:09:58,400 ABOUT EVERY ORGAN IN THE HUMAN 1802 01:09:58,400 --> 01:09:58,600 BODY. 1803 01:09:58,600 --> 01:10:00,160 WHAT'S INTERESTING THOUGH IS 1804 01:10:00,160 --> 01:10:02,680 WHAT WE LEARNED FROM OUR COUNTER 1805 01:10:02,680 --> 01:10:04,400 PARTS AT NASA WHEN THEY SEND 1806 01:10:04,400 --> 01:10:07,520 THEIR ASTRONAUTS INTO THE SPACE 1807 01:10:07,520 --> 01:10:08,920 STATION THEY COULD SPEND MANY 1808 01:10:08,920 --> 01:10:10,160 MONTHS IN THE SPACE STATION AND 1809 01:10:10,160 --> 01:10:13,360 ALMOST NEARLY IMMEDIATELY START 1810 01:10:13,360 --> 01:10:15,680 TO EXPERIENCE SOME DISEASE 1811 01:10:15,680 --> 01:10:17,640 CONDITIONS LIKE THEY HAVE THEIR 1812 01:10:17,640 --> 01:10:19,120 IMMUNOCOMPROMISED FOR A BIT. 1813 01:10:19,120 --> 01:10:20,640 THEY HAVE THEIR HEART FUNCTION 1814 01:10:20,640 --> 01:10:22,600 STARTS TO DETERIORATE, THEIR 1815 01:10:22,600 --> 01:10:23,920 MUSCLE FUNCTION STARTS TO 1816 01:10:23,920 --> 01:10:24,240 DETERIORATE. 1817 01:10:24,240 --> 01:10:26,520 THEY EXPERIENCE BONE LOSS. 1818 01:10:26,520 --> 01:10:28,120 THE GOOD NEWS IS WHEN THEY 1819 01:10:28,120 --> 01:10:30,760 RETURN TO EARTH IT GOES BACK TO 1820 01:10:30,760 --> 01:10:31,040 NORMAL. 1821 01:10:31,040 --> 01:10:36,840 IT CAN BE REGENERATED IN A WAY 1822 01:10:36,840 --> 01:10:41,400 BUT THAT MICROPHYSIOLOGICAL 1823 01:10:41,400 --> 01:10:43,040 CHIPS THAT GO INTO SPACE CAN 1824 01:10:43,040 --> 01:10:44,720 DETECT THOSE DIFFERENCES IN THE 1825 01:10:44,720 --> 01:10:47,840 CELL TYPES WE SEND UP INTO SPACE 1826 01:10:47,840 --> 01:10:52,400 IN THAT LOW EARTH ORBIT GRAVITY. 1827 01:10:52,400 --> 01:10:53,320 THE MICROGRAVITY ENVIRONMENT 1828 01:10:53,320 --> 01:10:54,520 TURNS OUT TO BE CRITICAL AND 1829 01:10:54,520 --> 01:10:56,040 TELLS US A LOT ABOUT THE AGING 1830 01:10:56,040 --> 01:10:57,800 PROCESS AND FOR A LACK OF BETTER 1831 01:10:57,800 --> 01:10:59,440 PROCESS IS WHAT WE'RE CALLING 1832 01:10:59,440 --> 01:11:01,400 THESE ISSUES THESE AGING ISSUES. 1833 01:11:01,400 --> 01:11:03,080 SO WHEN WE GET THESE CHIPS BACK 1834 01:11:03,080 --> 01:11:07,200 TO SPACE AND THE CAPSULE ON THE 1835 01:11:07,200 --> 01:11:08,320 LOWER RIGHT WE'RE ABLE TO 1836 01:11:08,320 --> 01:11:09,040 EVALUATE DIFFERENT MARKERS 1837 01:11:09,040 --> 01:11:11,280 BETWEEN THE SYSTEMS WE'RE USING 1838 01:11:11,280 --> 01:11:12,360 AND A LOT OF TIMES WE IDENTIFY 1839 01:11:12,360 --> 01:11:14,720 DIFFERENT AREAS OF INFLAMMATION 1840 01:11:14,720 --> 01:11:17,240 THAT ARE CRITICAL AND SEEING 1841 01:11:17,240 --> 01:11:19,200 UPTICKS IN HOW THE LABORATORY 1842 01:11:19,200 --> 01:11:20,760 RESPONSES ARE BEING TWEAKED A 1843 01:11:20,760 --> 01:11:22,760 LITTLE BIT AND THAT MAY BE PART 1844 01:11:22,760 --> 01:11:23,880 OF THE ISSUE AND WHAT'S CAUSING 1845 01:11:23,880 --> 01:11:24,280 THE PROBLEMS. 1846 01:11:24,280 --> 01:11:27,320 BY DOING THIS WE'RE ABLE TO 1847 01:11:27,320 --> 01:11:29,520 LEARN AND UNDERSTAND IN THIS 1848 01:11:29,520 --> 01:11:31,200 ENVIRONMENT IN A MORE FASTER WAY 1849 01:11:31,200 --> 01:11:34,040 THAN WE WOULD EVER BE ABLE TO DO 1850 01:11:34,040 --> 01:11:35,720 ON EARTH WHAT THOSE MIGHT BE AND 1851 01:11:35,720 --> 01:11:37,880 HOW TO IDENTIFY PARTICULAR AREAS 1852 01:11:37,880 --> 01:11:39,480 WHERE WE CAN FOLLOW-UP FOR 1853 01:11:39,480 --> 01:11:41,160 THERAPEUTIC DEVELOPMENT. 1854 01:11:41,160 --> 01:11:44,480 THAT'S WHY THIS PROGRAM IS SO 1855 01:11:44,480 --> 01:11:46,240 IMPORTANT AND THAT PARTNERSHIP 1856 01:11:46,240 --> 01:11:47,800 WITH NASA HAS BEEN CRITICAL IN 1857 01:11:47,800 --> 01:11:51,040 ALLOWING US TO BE ABLE TO DO 1858 01:11:51,040 --> 01:11:51,240 THIS. 1859 01:11:51,240 --> 01:11:52,920 THEY'RE INTERESTED HOW THEY CAN 1860 01:11:52,920 --> 01:11:54,760 EXAMINE HOW TO PUT PERHAPS 1861 01:11:54,760 --> 01:11:55,920 PEOPLE IN MARS AND HOW ARE THEY 1862 01:11:55,920 --> 01:11:57,920 GOING TO LIVE IN SPACE FOR THAT 1863 01:11:57,920 --> 01:12:00,440 LONG AMOUNT OF TIME? 1864 01:12:00,440 --> 01:12:01,040 CAN THEY? 1865 01:12:01,040 --> 01:12:02,600 WHAT OTHER ISSUES DO WE NEED TO 1866 01:12:02,600 --> 01:12:02,880 LOOK FOR? 1867 01:12:02,880 --> 01:12:04,440 THESE ARE QUESTIONS WE CAN WORK 1868 01:12:04,440 --> 01:12:06,040 TOGETHER ON IN ADDRESSING. 1869 01:12:06,040 --> 01:12:08,720 IT'S BEEN A VERY VALUABLE 1870 01:12:08,720 --> 01:12:09,040 PARTNERSHIP. 1871 01:12:09,040 --> 01:12:15,080 THE OTHER AREA I THINK I 1872 01:12:15,080 --> 01:12:21,920 MENTIONED WE WORK ON IT'S 1873 01:12:21,920 --> 01:12:22,520 ADVANCING ON MY SCREEN BUT NOT 1874 01:12:22,520 --> 01:12:32,800 ADVANCING THERE. 1875 01:12:53,440 --> 01:12:55,040 >>SO ANOTHER AREA IS RARE 1876 01:12:55,040 --> 01:12:55,720 DISEASES. 1877 01:12:55,720 --> 01:12:56,840 NCATS IS A HOME FOR RARE DISEASE 1878 01:12:56,840 --> 01:12:59,040 BUT WE DON'T DO THIS ALONE. 1879 01:12:59,040 --> 01:13:00,160 RARE DISEASES AFFECT JUST ABOUT 1880 01:13:00,160 --> 01:13:02,480 EVERY SYSTEM, ORGAN, DISEASE 1881 01:13:02,480 --> 01:13:03,200 THAT NIH STUDIES. 1882 01:13:03,200 --> 01:13:07,800 AND SO WE PARTNER WITH THE OVER 1883 01:13:07,800 --> 01:13:09,560 10 OR 11 DIFFERENT INSTITUTES 1884 01:13:09,560 --> 01:13:12,240 AND CENTERS ACROSS THE NIH TO 1885 01:13:12,240 --> 01:13:13,920 REALLY HELP US ADDRESS ISSUES 1886 01:13:13,920 --> 01:13:14,840 AROUND RARE DISEASES. 1887 01:13:14,840 --> 01:13:16,680 WHAT I WANTED TO TELL YOU HERE 1888 01:13:16,680 --> 01:13:18,680 IS WHY ARE RARE DISEASES SO 1889 01:13:18,680 --> 01:13:18,920 IMPORTANT? 1890 01:13:18,920 --> 01:13:21,520 I KNOW I PROBABLY DON'T NEED TO 1891 01:13:21,520 --> 01:13:23,360 TELL THIS AUDIENCE BUT 1892 01:13:23,360 --> 01:13:25,920 UNDERSTANDING THE MAGNITUDE OF 1893 01:13:25,920 --> 01:13:26,840 THE ECONOMIC BURDEN OF RARE 1894 01:13:26,840 --> 01:13:27,920 DISEASES IS IMPORTANT. 1895 01:13:27,920 --> 01:13:31,240 WE LOOKED AT INDIVIDUAL MEDICAL 1896 01:13:31,240 --> 01:13:31,880 COSTS FOR PEOPLE WITH RARE 1897 01:13:31,880 --> 01:13:33,440 DISEASE AND WHEN WE COMPARED 1898 01:13:33,440 --> 01:13:34,360 THEM TO PEOPLE WITHOUT A RARE 1899 01:13:34,360 --> 01:13:36,400 DISEASE THE MEDICAL COSTS WERE 1900 01:13:36,400 --> 01:13:37,920 THREE TO FIVE TIMES HIGHER IN 1901 01:13:37,920 --> 01:13:39,640 RARE DISEASE PATIENTS THAN IN 1902 01:13:39,640 --> 01:13:40,320 NON-RARE DISEASE PATIENTS. 1903 01:13:40,320 --> 01:13:41,920 WHEN YOU ADD THAT ON TO THE 1904 01:13:41,920 --> 01:13:43,200 NUMBER OF RARE DISEASES THAT WE 1905 01:13:43,200 --> 01:13:49,600 HAVE IN THIS COUNTRY, ABOUT 25 1906 01:13:49,600 --> 01:13:52,400 TO 30 MILLION IT TRANSLATES TO 1907 01:13:52,400 --> 01:13:55,160 MEDICAL COSTS OF AROUND $400 1908 01:13:55,160 --> 01:13:57,560 BILLION PER YEAR FOR THE RARE 1909 01:13:57,560 --> 01:13:58,160 DISEASE POPULATION. 1910 01:13:58,160 --> 01:14:00,800 NOW, WHEN YOU ADD ON TO THAT THE 1911 01:14:00,800 --> 01:14:03,760 HOME CARE NEEDED, THE 1912 01:14:03,760 --> 01:14:05,880 HOSPITALIZATIONS NEEDED AND 1913 01:14:05,880 --> 01:14:07,640 OTHER CARE ASSOCIATED WITH NOT 1914 01:14:07,640 --> 01:14:09,200 NECESSARILY DIRECT MEDICAL COSTS 1915 01:14:09,200 --> 01:14:11,320 BUT INDIRECT MEDICAL COSTS IT 1916 01:14:11,320 --> 01:14:13,560 GOES UP TO A TRILLION DOLLARS 1917 01:14:13,560 --> 01:14:16,400 PER YEAR IN TOTAL COSTS FOR THE 1918 01:14:16,400 --> 01:14:17,760 RARE DISEASE POPULATION. 1919 01:14:17,760 --> 01:14:19,200 SO THIS IS A PUBLIC HEALTH 1920 01:14:19,200 --> 01:14:20,240 CHALLENGE WE HAVE. 1921 01:14:20,240 --> 01:14:25,760 ONE OF THE AREAS WE'RE 1922 01:14:25,760 --> 01:14:29,920 INTERESTED IN IS 1923 01:14:29,920 --> 01:14:30,920 QUINTESSENTIALLY A 1924 01:14:30,920 --> 01:14:31,400 PLATFORM-BASED PROBLEM. 1925 01:14:31,400 --> 01:14:34,880 WE'RE COUNTING ON THE FACT THAT 1926 01:14:34,880 --> 01:14:36,680 GIVEN THERE ARE OVER 10,000 RARE 1927 01:14:36,680 --> 01:14:38,560 DISEASES ABOUT 80% OF THOSE ARE 1928 01:14:38,560 --> 01:14:40,360 CAUSED BY A SINGLE GENE 1929 01:14:40,360 --> 01:14:40,600 MUTATION. 1930 01:14:40,600 --> 01:14:42,440 A SINGLE GENE. 1931 01:14:42,440 --> 01:14:45,240 SO WITH THAT INFORMATION WE KNOW 1932 01:14:45,240 --> 01:14:48,960 THAT PERHAPS GENE THERAPY, GENE 1933 01:14:48,960 --> 01:14:51,280 EDITING, THESE SORTS OF 1934 01:14:51,280 --> 01:14:52,840 GENETICALLY DRIVEN MODALITIES 1935 01:14:52,840 --> 01:14:54,160 FOR TREATMENTS COULD BE 1936 01:14:54,160 --> 01:14:56,480 SIGNIFICANT FOR RARE DISEASE 1937 01:14:56,480 --> 01:14:57,240 POPULATION. 1938 01:14:57,240 --> 01:14:58,840 IF WE DEVELOP A PLATFORM-BASED 1939 01:14:58,840 --> 01:15:00,640 APPROACH FOR THESE MODALITIES 1940 01:15:00,640 --> 01:15:03,520 FOR THERAPEUTICS PERHAPS THAT 1941 01:15:03,520 --> 01:15:07,240 CAN DEMOCRATIZE FOR MORE TO 1942 01:15:07,240 --> 01:15:08,520 EXPLORE THESE AND WE HAVE THREE 1943 01:15:08,520 --> 01:15:10,760 PROGRAMS IN THIS AREA AND I'M 1944 01:15:10,760 --> 01:15:12,000 GIVING THANK YOU QR CODES 1945 01:15:12,000 --> 01:15:13,120 BECAUSE I'M NOT GOING TO BE ABLE 1946 01:15:13,120 --> 01:15:14,800 TO DO ANY OF THEM JUSTICE. 1947 01:15:14,800 --> 01:15:16,680 THEY'RE IN VARIOUS STAGES OF 1948 01:15:16,680 --> 01:15:18,680 DEVELOPMENT. 1949 01:15:18,680 --> 01:15:21,320 SOME ARE MORE ON THE DEVELOPMENT 1950 01:15:21,320 --> 01:15:23,600 SIDE, SOME ARE GETTING MORE 1951 01:15:23,600 --> 01:15:26,000 CLOSELY TO THE CLINICAL TRIALS 1952 01:15:26,000 --> 01:15:27,640 SIDE AND THAT WILL BE 1953 01:15:27,640 --> 01:15:29,240 SIGNIFICANT I THINK AND THE LAST 1954 01:15:29,240 --> 01:15:31,800 ONE HERE WE'RE ABOUT A YEAR OUT 1955 01:15:31,800 --> 01:15:32,640 FROM OUR FIRST CLINICAL TRIAL 1956 01:15:32,640 --> 01:15:35,880 FOR A GENE THERAPY WHERE WE'RE 1957 01:15:35,880 --> 01:15:38,400 USING THE SAME AAV VIRUS FOR TWO 1958 01:15:38,400 --> 01:15:40,200 DIFFERENT GENE THERAPY GENES TO 1959 01:15:40,200 --> 01:15:43,840 SEE IF WE CAN STREAMLINE AND THE 1960 01:15:43,840 --> 01:15:45,560 ABILITY TO DEVELOP THE 1961 01:15:45,560 --> 01:15:48,440 STREAMLINED APPROACHES FOR 1962 01:15:48,440 --> 01:15:51,640 REGULATORY UNDERSTANDING OF THE 1963 01:15:51,640 --> 01:15:53,600 CAPSID DELIVERY DECIDE TO CREATE 1964 01:15:53,600 --> 01:15:55,800 A WAY IN WHICH OTHER PEOPLE CAN 1965 01:15:55,800 --> 01:15:57,440 LEARN AND USE TEMPLATED APPROACH 1966 01:15:57,440 --> 01:15:59,520 FOR THE REGULATORY DEVELOPMENT 1967 01:15:59,520 --> 01:16:01,640 OF DELIVERING MECHANISM WHEN 1968 01:16:01,640 --> 01:16:04,320 THEY JUST NEED TO FOCUS ON A 1969 01:16:04,320 --> 01:16:05,920 THERAPEUTIC MECHANISM. 1970 01:16:05,920 --> 01:16:08,520 WITH THAT PERHAPS YOU CAN CUT 1971 01:16:08,520 --> 01:16:09,760 DOWN THE TIME OF REGULATORY NEED 1972 01:16:09,760 --> 01:16:10,920 ONE THE APPROVAL. 1973 01:16:10,920 --> 01:16:13,920 THAT'S ONE EXAMPLE HOW WE'RE 1974 01:16:13,920 --> 01:16:15,280 TRYING TO EXPLORE THE 1975 01:16:15,280 --> 01:16:16,240 PLATFORM-BASED APPROACHES FOR 1976 01:16:16,240 --> 01:16:17,160 THERAPEUTIC DEVELOPMENT. 1977 01:16:17,160 --> 01:16:20,320 WE HAVE OTHER APPROACHES IN GENE 1978 01:16:20,320 --> 01:16:24,360 THERAPY THROUGH A CONSORTIUM AND 1979 01:16:24,360 --> 01:16:25,560 WE'RE PART OF THE COMMON FUND 1980 01:16:25,560 --> 01:16:28,200 PROGRAM FOR GENE EDITING. 1981 01:16:28,200 --> 01:16:30,040 LOOK AT THE QR CODES TO LEARN 1982 01:16:30,040 --> 01:16:30,320 MORE. 1983 01:16:30,320 --> 01:16:33,920 WHAT I'LL ALSO SAY IS THIS IS 1984 01:16:33,920 --> 01:16:37,640 GOING TO MEAN WE WILL NEED 1985 01:16:37,640 --> 01:16:38,400 DIFFERENT WORKFORCE COMMUNITIES 1986 01:16:38,400 --> 01:16:41,720 TO HELP US TRANSLATE INTO THAT 1987 01:16:41,720 --> 01:16:42,720 THERAPEUTIC DEVELOPMENT. 1988 01:16:42,720 --> 01:16:45,520 THAT MEANS NURSES, THAT MEANS 1989 01:16:45,520 --> 01:16:48,920 PHARMACY STAFF, THAT MEANS 1990 01:16:48,920 --> 01:16:49,440 STATISTICIANS, ETCETERA. 1991 01:16:49,440 --> 01:16:50,840 THIS IS GOING TO BE A KEY AREA 1992 01:16:50,840 --> 01:16:52,000 FOR US MOVING FORWARD. 1993 01:16:52,000 --> 01:16:53,920 I WANT TO END ON TALKING A 1994 01:16:53,920 --> 01:16:56,600 LITTLE BIT ABOUT THE CTSA 1995 01:16:56,600 --> 01:16:56,840 PROGRAM. 1996 01:16:56,840 --> 01:16:59,400 WE HAVE 63 DIFFERENT 1997 01:16:59,400 --> 01:17:01,000 INSTITUTIONS ACROSS THE COUNTRY 1998 01:17:01,000 --> 01:17:01,920 FOCUSSED ON DEVELOPING THE 1999 01:17:01,920 --> 01:17:05,920 INFRASTRUCTURE FOR WHAT WE DO IN 2000 01:17:05,920 --> 01:17:07,600 THIS SPACE. 2001 01:17:07,600 --> 01:17:09,240 I ALSO WANTED TO TELL YOU ABOUT 2002 01:17:09,240 --> 01:17:12,080 THE POPULATION OF NURSES IN THE 2003 01:17:12,080 --> 01:17:13,640 CTSA PROGRAM. 2004 01:17:13,640 --> 01:17:17,120 WE HAVE FOUR P.I.s WITH NURSING 2005 01:17:17,120 --> 01:17:18,200 DEGREES AND FOUR INSTITUTIONS 2006 01:17:18,200 --> 01:17:20,720 THAT HAVE AND ASSOCIATED WITH A 2007 01:17:20,720 --> 01:17:21,920 NURSING SCHOOL AND 24 NURSING 2008 01:17:21,920 --> 01:17:24,080 DEGREES IN TERMS OF SCHOLARS AND 2009 01:17:24,080 --> 01:17:25,240 TRAINEES AND I'M GOING TO TALK 2010 01:17:25,240 --> 01:17:26,600 ABOUT A FEW OF THOSE. 2011 01:17:26,600 --> 01:17:28,400 WE ALSO HAVE A VARIETY OF PILOT 2012 01:17:28,400 --> 01:17:37,160 PROJECTS RELATED TO NURSING 2013 01:17:37,160 --> 01:17:38,480 DEGREES WITH NURSING INTERESTS. 2014 01:17:38,480 --> 01:17:40,360 I'M EXCITED TO SEE THE DEPTH AND 2015 01:17:40,360 --> 01:17:43,440 BREADTH WE HAVE WITHIN THE CTSA 2016 01:17:43,440 --> 01:17:45,400 PROGRAM AND ALLOWS US TO HAVE 2017 01:17:45,400 --> 01:17:46,480 POTENTIAL OPPORTUNITIES FOR 2018 01:17:46,480 --> 01:17:47,440 FURTHER COLLABORATION. 2019 01:17:47,440 --> 01:17:49,920 THIS IS REALLY WHAT THE CTSA 2020 01:17:49,920 --> 01:17:50,520 PROGRAM DOES. 2021 01:17:50,520 --> 01:17:52,320 THEY HAVE THESE LOCAL STRENGTHS 2022 01:17:52,320 --> 01:17:55,840 IN THEIR OWN COMMUNITIES BUT 2023 01:17:55,840 --> 01:18:00,440 THEY COLLECTIVELY CAN ENABLE 2024 01:18:00,440 --> 01:18:01,920 RESPONSES TO A NATIONAL PUBLIC 2025 01:18:01,920 --> 01:18:03,280 HEALTH CHALLENGE THE OPIOID 2026 01:18:03,280 --> 01:18:05,960 CRISIS OR PANDEMIC OR COMMUNITY 2027 01:18:05,960 --> 01:18:09,200 ENGAGEMENT NEEDS OR TELEHEALTH 2028 01:18:09,200 --> 01:18:11,480 OR TELEMEDICINE OR WORK IN 2029 01:18:11,480 --> 01:18:13,000 GENOMICS AND RARE DISEASES. 2030 01:18:13,000 --> 01:18:14,560 SO THINKING MORE OPERATIONALLY 2031 01:18:14,560 --> 01:18:16,400 IN THINKING OF AN IRB PLATFORM 2032 01:18:16,400 --> 01:18:19,040 THAT CAN BE MORE STREAMLINED. 2033 01:18:19,040 --> 01:18:21,120 THOSE ARE SOME OF THE AREAS WE 2034 01:18:21,120 --> 01:18:22,520 HELPED TO SUPPORT. 2035 01:18:22,520 --> 01:18:25,400 I THINK THE GRAPH ON THE UPPER 2036 01:18:25,400 --> 01:18:27,480 RIGHT HAND CORNER THERE IS 2037 01:18:27,480 --> 01:18:28,360 REALLY FOCUSSED ON WEARABLE 2038 01:18:28,360 --> 01:18:28,960 DEVICES. 2039 01:18:28,960 --> 01:18:31,880 I WANT TO GET TO WHY I WANTED TO 2040 01:18:31,880 --> 01:18:33,160 HIGHLIGHT THAT IN JUST A MOMENT. 2041 01:18:33,160 --> 01:18:35,760 I WANTED TO JUST TOUCH SOME OF 2042 01:18:35,760 --> 01:18:37,120 THE COMMUNITY ENGAGEMENT 2043 01:18:37,120 --> 01:18:40,240 ACTIVITY THE CTSA PROGRAM DOES. 2044 01:18:40,240 --> 01:18:42,360 THIS IS ANOTHER AREA WHERE 2045 01:18:42,360 --> 01:18:43,520 PARTNERSHIPS IN THIS SPACE ARE 2046 01:18:43,520 --> 01:18:44,120 GOING TO BE CRITICAL. 2047 01:18:44,120 --> 01:18:45,920 WE CAN'T DO THIS ALONE. 2048 01:18:45,920 --> 01:18:49,600 THE CTSA'S CAN'T DO THIS ALONE 2049 01:18:49,600 --> 01:18:50,280 AND OTHER PROGRAMS ACROSS THE 2050 01:18:50,280 --> 01:18:52,080 NIH CAN'T DO THIS ALONE. 2051 01:18:52,080 --> 01:18:56,520 ONE PROGRAM WITHIN THE CTSA IS A 2052 01:18:56,520 --> 01:18:58,520 TRIAL INNOVATION NETWORK. 2053 01:18:58,520 --> 01:18:59,920 WHERE DESIGNING CLINICAL TRIAL 2054 01:18:59,920 --> 01:19:05,360 TO DISSEMINATION OUTREACH, WE 2055 01:19:05,360 --> 01:19:09,080 HAVE TOOLS AND RESOURCES TO HELP 2056 01:19:09,080 --> 01:19:11,320 PEOPLE DEVELOP THE FULL GAMUT OF 2057 01:19:11,320 --> 01:19:13,920 WHAT THAT MIGHT ENTAIL AND SOME 2058 01:19:13,920 --> 01:19:15,400 RESOURCES ARE IN THE QR CODE 2059 01:19:15,400 --> 01:19:17,160 ABOVE AND BRINGING THE VALUE 2060 01:19:17,160 --> 01:19:18,240 PROPOSITION TO UNIVERSITY WHAT 2061 01:19:18,240 --> 01:19:20,360 PART OF WHAT WE'RE TRYING TO DO. 2062 01:19:20,360 --> 01:19:21,920 I WANT TO GIVE A LITTLE BIT OF 2063 01:19:21,920 --> 01:19:23,680 RENDITION OF A COMPELLING STORY 2064 01:19:23,680 --> 01:19:25,920 AND THE QR CODE FOR THE VIDEO IS 2065 01:19:25,920 --> 01:19:28,240 SHOWN HERE TOO. 2066 01:19:28,240 --> 01:19:29,480 THIS IS A COMMUNITY ADVISORY 2067 01:19:29,480 --> 01:19:32,440 BOARD MEMBER OF ONE OF THE CTSA 2068 01:19:32,440 --> 01:19:33,320 PROGRAMS AT U.C. DAVIS AND PART 2069 01:19:33,320 --> 01:19:35,640 OF A NATIONAL ACADEMY STUDY. 2070 01:19:35,640 --> 01:19:38,360 IN THE VIDEO SHE TALKS ABOUT THE 2071 01:19:38,360 --> 01:19:39,920 IDEA OF GOING INTO A COMMUNITY 2072 01:19:39,920 --> 01:19:42,680 THAT WAS DOCUMENTED AS A FOOD 2073 01:19:42,680 --> 01:19:42,920 DESERT. 2074 01:19:42,920 --> 01:19:44,320 WHEN SHE WENT INTO THE COMMUNITY 2075 01:19:44,320 --> 01:19:47,040 TO TALK ABOUT THESE ISSUES OF 2076 01:19:47,040 --> 01:19:52,680 BEING IN A FOOD DESERT SHE FOUND 2077 01:19:52,680 --> 01:19:53,920 THE COMMUNITY DESERT WASN'T A 2078 01:19:53,920 --> 01:19:55,320 PROBLEM BUT THE COMMUNITY DIDN'T 2079 01:19:55,320 --> 01:19:56,840 FEEL SAFE WALKING IN THE STREET 2080 01:19:56,840 --> 01:19:58,640 AND THE SIDEWALKS ARE BROKEN AND 2081 01:19:58,640 --> 01:19:59,720 CRACKED, YOU CAN'T PUSH 2082 01:19:59,720 --> 01:20:01,920 STROLLERS DOWN THEM. 2083 01:20:01,920 --> 01:20:04,400 THESE SIMPLE FIXES WOULD GO A 2084 01:20:04,400 --> 01:20:07,280 LONG WAY TO ENHANCING THE 2085 01:20:07,280 --> 01:20:09,800 COMMUNITY'S OUT THERE AND 2086 01:20:09,800 --> 01:20:11,880 ENABLING THEM TO BE MORE 2087 01:20:11,880 --> 01:20:13,920 SELF-SUFFICIENT AND PERHAPS NOT 2088 01:20:13,920 --> 01:20:16,400 BEING MISLABELLED AS BEING IN A 2089 01:20:16,400 --> 01:20:21,000 FOOD DESERT BUT BEING A VIBRANT 2090 01:20:21,000 --> 01:20:21,240 COMMUNITY. 2091 01:20:21,240 --> 01:20:23,640 THESE ARE THE KINDS OF THINGS 2092 01:20:23,640 --> 01:20:25,320 THE TALKS ABOUT AND WHERE THE 2093 01:20:25,320 --> 01:20:27,240 PROGRAM CAN GO OUT AND LEARN 2094 01:20:27,240 --> 01:20:29,640 THESE SORTS OF THINGS. 2095 01:20:29,640 --> 01:20:33,000 ANOTHER KEY PROGRAM IS ONE THAT 2096 01:20:33,000 --> 01:20:34,560 DR. ZENK LEADS THROUGH THE 2097 01:20:34,560 --> 01:20:36,400 COMMON FUND PROGRAM CALLED 2098 01:20:36,400 --> 01:20:39,400 COMPASS AND WE RECENTLY 2099 01:20:39,400 --> 01:20:40,400 SUPPLEMENTED AN AWARD THROUGH 2100 01:20:40,400 --> 01:20:45,920 OUR CTSA PROGRAM THROUGH THE 2101 01:20:45,920 --> 01:20:54,160 COMMUNITY THROUGH THE 2102 01:20:54,160 --> 01:20:55,200 MEHARRY-VANDERBILT COMMUNITY 2103 01:20:55,200 --> 01:20:57,720 ENGAGED RESEARCH CORE AND WE'RE 2104 01:20:57,720 --> 01:20:58,920 GOING TO LEARN FROM ONE ANOTHER 2105 01:20:58,920 --> 01:21:01,280 AND BE ABLE TO BUILD A STRONGER 2106 01:21:01,280 --> 01:21:03,680 WAY TO ENHANCE THE COMMUNITY 2107 01:21:03,680 --> 01:21:04,680 ENGAGEMENTS THAT ARE NEEDED. 2108 01:21:04,680 --> 01:21:07,800 NOW, I WANTED TO GIVE YOU 2109 01:21:07,800 --> 01:21:09,040 ADDITIONAL HIGHLIGHTS FROM THE 2110 01:21:09,040 --> 01:21:10,520 CSTS PROGRAM FROM THE NURSING 2111 01:21:10,520 --> 01:21:10,800 STANDPOINT. 2112 01:21:10,800 --> 01:21:13,360 YOU PROBABLY HEARD SOME OF THESE 2113 01:21:13,360 --> 01:21:13,920 STORIES ALREADY. 2114 01:21:13,920 --> 01:21:15,720 I WON'T SPEND TOO MUCH TIME ON 2115 01:21:15,720 --> 01:21:19,760 THEM BUT I'M PRETTY PROUD OF 2116 01:21:19,760 --> 01:21:19,960 THEM. 2117 01:21:19,960 --> 01:21:24,480 THIS IS SHANINA KNIGHT THINKING 2118 01:21:24,480 --> 01:21:27,480 OF WAYS TO ENHANCE HYGIENE OF 2119 01:21:27,480 --> 01:21:29,920 OLDER ABUTS. 2120 01:21:29,920 --> 01:21:32,560 PUTTING THE HYGIENE EQUIPMENT ON 2121 01:21:32,560 --> 01:21:33,600 HOSPITAL BEDS. 2122 01:21:33,600 --> 01:21:34,240 IT'S BRILLIANT AND EASY. 2123 01:21:34,240 --> 01:21:37,040 SHE WAS THE WINNER OF A 40 UNDER 2124 01:21:37,040 --> 01:21:39,560 40 LEADER IN MINORITY HEALTH 2125 01:21:39,560 --> 01:21:39,960 AWARD. 2126 01:21:39,960 --> 01:21:41,920 SO I'M SUPER THRILLED SHE'S 2127 01:21:41,920 --> 01:21:45,520 GETTING RECOGNIZED IN THAT WAY. 2128 01:21:45,520 --> 01:21:49,920 ANOTHER SUCCESSFUL STORY IS 2129 01:21:49,920 --> 01:21:54,960 ALEXUS DUNN-AMORE LOOKED AT 2130 01:21:54,960 --> 01:21:58,800 MATERNAL MORTALITY CRISIS IN THE 2131 01:21:58,800 --> 01:22:02,400 U.S. AND COVID AND THIS IS AN 2132 01:22:02,400 --> 01:22:03,680 AREA IN IMPROVING MATERNAL 2133 01:22:03,680 --> 01:22:04,360 HEALTH. 2134 01:22:04,360 --> 01:22:08,000 I'D LIKE TO HIGHLIGHT TWO 2135 01:22:08,000 --> 01:22:09,840 NURSING SCHOLARS AT ROCKEFELLER. 2136 01:22:09,840 --> 01:22:16,080 THE ONE ON TOP HERE IS DR. POLLY 2137 01:22:16,080 --> 01:22:17,480 JOSEPH DOING RESEARCH ON TASTE 2138 01:22:17,480 --> 01:22:18,880 AND SMELL DISORDERS AND IT TURNS 2139 01:22:18,880 --> 01:22:20,520 OUT IT WAS IMPORTANT DURING THE 2140 01:22:20,520 --> 01:22:21,920 PANDEMIC. 2141 01:22:21,920 --> 01:22:24,840 WE WERE ABLE TO LEARN A LOT FROM 2142 01:22:24,840 --> 01:22:26,760 HER AND THE ONE ON THE BOTTOM IS 2143 01:22:26,760 --> 01:22:33,080 LOOKING AT OLDER ADULTS IN SLEEP 2144 01:22:33,080 --> 01:22:35,800 PATTERNS, DR. GODZIK HAS LOOKED 2145 01:22:35,800 --> 01:22:37,880 AT THIS AND IMPORTANT FOR US TO 2146 01:22:37,880 --> 01:22:38,440 SUPPORT. 2147 01:22:38,440 --> 01:22:40,880 AND I WANT TO HIGHLIGHT THE 2148 01:22:40,880 --> 01:22:44,120 IMPACT OF WEARABLES. 2149 01:22:44,120 --> 01:22:48,560 I THINK I TEASED ABOUT THE IDEA 2150 01:22:48,560 --> 01:22:49,080 OF WEARABLES. 2151 01:22:49,080 --> 01:22:53,560 ONE OF THE ASPECTS OF THE CTSA 2152 01:22:53,560 --> 01:22:58,240 PROGRAM AND THE GEORGIA CTSA IS 2153 01:22:58,240 --> 01:22:59,960 QUINTESSENTIAL WORKING ON THE 2154 01:22:59,960 --> 01:23:03,720 WEARABLES AND MOBILE 2155 01:23:03,720 --> 01:23:04,040 TECHNOLOGIES. 2156 01:23:04,040 --> 01:23:04,920 AND I THINK THAT THERE'S A LOT 2157 01:23:04,920 --> 01:23:05,960 OF WORK IN THE SPACE TO FILL 2158 01:23:05,960 --> 01:23:09,760 GAPS THAT ARE NEEDED TO MONITOR 2159 01:23:09,760 --> 01:23:11,840 POTENTIAL DISEASE PROGRESSION OR 2160 01:23:11,840 --> 01:23:13,240 ACTIVITIES AND THIS ONE IN 2161 01:23:13,240 --> 01:23:14,360 PARTICULAR IS ADDRESSING 2162 01:23:14,360 --> 01:23:16,280 LANGUAGE BARRIERS FOR PEOPLE OUT 2163 01:23:16,280 --> 01:23:17,880 IN COMMUNITIES AND HAVE 2164 01:23:17,880 --> 01:23:19,280 DIFFICULTIES IN INTERACTING WITH 2165 01:23:19,280 --> 01:23:20,240 PATIENTS. 2166 01:23:20,240 --> 01:23:22,400 THIS IS AN APP THAT HELPS 2167 01:23:22,400 --> 01:23:24,280 ADDRESS THAT. 2168 01:23:24,280 --> 01:23:25,800 BUT THERE'S MANY APPS BEING 2169 01:23:25,800 --> 01:23:26,920 GENERATED TO FILL THESE CERTAIN 2170 01:23:26,920 --> 01:23:27,400 GAPS. 2171 01:23:27,400 --> 01:23:30,880 I'M SHOWING TWO MORE HERE. 2172 01:23:30,880 --> 01:23:33,280 ONE IS FROM SCRIPPS RESEARCH 2173 01:23:33,280 --> 01:23:35,840 INSTITUTE LOOKING ON SYMPTOMS OF 2174 01:23:35,840 --> 01:23:37,920 COVID AND SYMPTOMS OF COVID 2175 01:23:37,920 --> 01:23:39,400 ALONG WITH USING DIGITAL HEALTH 2176 01:23:39,400 --> 01:23:41,520 TECHNOLOGIES AND IT TURNS OUT IF 2177 01:23:41,520 --> 01:23:44,160 YOU USE BOTH SYMPTOMS AND 2178 01:23:44,160 --> 01:23:44,840 DIGITAL TECHNOLOGIES YOU GET 2179 01:23:44,840 --> 01:23:46,960 MORE CONFIDENCE IN THE RESULTS. 2180 01:23:46,960 --> 01:23:49,440 LOOKING AT SLEEP PATTERNS, I 2181 01:23:49,440 --> 01:23:50,840 MENTIONED THIS IS A KEY ISSUE 2182 01:23:50,840 --> 01:23:52,400 AND ONE OF THE FELLOWS WORK 2183 01:23:52,400 --> 01:23:54,760 BEING DONE. 2184 01:23:54,760 --> 01:23:56,200 THIS ONE IS LOOKING AT COMPARING 2185 01:23:56,200 --> 01:23:57,680 SLEEP WEARABLES AND EVALUATING 2186 01:23:57,680 --> 01:24:00,080 THE DIFFERENT WEARABLES WE HAVE 2187 01:24:00,080 --> 01:24:01,440 OUT THERE FOR SLEEP AND THE 2188 01:24:01,440 --> 01:24:03,080 GROWING CONFIDENCE IN LOOKING AT 2189 01:24:03,080 --> 01:24:04,400 DIGITAL TECHNOLOGIES AND HOW 2190 01:24:04,400 --> 01:24:06,360 THEY'RE ABLE TO TELL US THAT A 2191 01:24:06,360 --> 01:24:08,880 LOT MORE DETAIL ABOUT OUR SLEEP 2192 01:24:08,880 --> 01:24:09,600 PATTERNS AND HOW THAT MIGHT 2193 01:24:09,600 --> 01:24:10,760 AFFECT OUR COMMUNITY. 2194 01:24:10,760 --> 01:24:14,600 THESE ARE A FEW AREAS I THINK 2195 01:24:14,600 --> 01:24:15,720 ARE INTERESTING AND COULD ADD A 2196 01:24:15,720 --> 01:24:16,960 LOT OF VALUE TO WHAT WE'RE DOING 2197 01:24:16,960 --> 01:24:18,240 IN BRINGING IN THE DATA. 2198 01:24:18,240 --> 01:24:20,440 WHAT I'M SUPER EXCITED ABOUT IS 2199 01:24:20,440 --> 01:24:23,760 WHEN WE LOOKED AT A VARIETY OF 2200 01:24:23,760 --> 01:24:24,960 THE DIGITAL TECHNOLOGIES ACROSS 2201 01:24:24,960 --> 01:24:27,960 THE NIH, WHAT WE FOUND IS IF YOU 2202 01:24:27,960 --> 01:24:30,520 LOOK AT THE PERCENT OF NIH 2203 01:24:30,520 --> 01:24:32,760 FUNDING BY I.C. IN THE DIGITAL 2204 01:24:32,760 --> 01:24:35,240 HEALTH SPACE OVER THE LAST SEVEN 2205 01:24:35,240 --> 01:24:37,800 YEARS IT TURNS OUT WHO'S THE ONE 2206 01:24:37,800 --> 01:24:38,640 ON TOP IS NINR. 2207 01:24:38,640 --> 01:24:44,240 AND NINR IS LEADING THE WAY IN 2208 01:24:44,240 --> 01:24:45,920 THIS SPACE. 2209 01:24:45,920 --> 01:24:50,880 NOW, IF YOU DON'T DO IT BY 2210 01:24:50,880 --> 01:24:53,240 PERCENT OF FUNDING PER I.C. 2211 01:24:53,240 --> 01:24:55,920 THERE ARE SOME THAT ARE BIGGER 2212 01:24:55,920 --> 01:24:58,680 IN THE SPACE BUT IT TELLS ME 2213 01:24:58,680 --> 01:25:02,520 THERE'S A THERE, THERE. 2214 01:25:02,520 --> 01:25:04,720 YOU'RE MORE FROM IN THE THERE, 2215 01:25:04,720 --> 01:25:04,920 THERE. 2216 01:25:04,920 --> 01:25:07,800 HOW DO WE THINK OF THIS AS 2217 01:25:07,800 --> 01:25:08,520 FERTILE GROUND TO CONTINUE 2218 01:25:08,520 --> 01:25:10,280 PATHWAYS FOR PARTNERSHIPS IN 2219 01:25:10,280 --> 01:25:12,240 COLLABORATION AND AREAS OF NEED 2220 01:25:12,240 --> 01:25:14,080 AND HOW DO WE COORDINATE THAT 2221 01:25:14,080 --> 01:25:16,240 EFFORT AND ALIGN TO CERTAIN 2222 01:25:16,240 --> 01:25:18,760 GOALS WE THINK ARE VALUED AND 2223 01:25:18,760 --> 01:25:21,400 HOW DO WE PRIORITIZE THAT WORK 2224 01:25:21,400 --> 01:25:25,840 AND PUT OUR SIGHT ON IT. 2225 01:25:25,840 --> 01:25:29,680 WE NEED THE PARTNERSHIPS WE HAVE 2226 01:25:29,680 --> 01:25:32,520 ACROSS THE NIH AND HHS AND OTHER 2227 01:25:32,520 --> 01:25:33,720 STAKEHOLDERS IN THE COMMUNITY. 2228 01:25:33,720 --> 01:25:36,280 WE'RE UNDERGOING A STRATEGIC 2229 01:25:36,280 --> 01:25:37,360 PLAN DEVELOPMENT AND THIS IS -- 2230 01:25:37,360 --> 01:25:39,920 YOU DON'T NEED TO READ THIS 2231 01:25:39,920 --> 01:25:40,200 SLIDE. 2232 01:25:40,200 --> 01:25:41,440 THE QR CODE IS THERE IF YOU'RE 2233 01:25:41,440 --> 01:25:43,120 INTERESTED IN OUR DEVELOPMENT OF 2234 01:25:43,120 --> 01:25:43,760 THAT. 2235 01:25:43,760 --> 01:25:47,240 WE HAVE GONE THROUGH OVER 40 2236 01:25:47,240 --> 01:25:49,560 DIFFERENT ROUNDTABLES MEETING 2237 01:25:49,560 --> 01:25:51,600 WITH STAKEHOLDERS AND PATIENT, 2238 01:25:51,600 --> 01:25:53,000 PATIENT ADVOCACY GROUPS AND 2239 01:25:53,000 --> 01:25:53,920 ADVISORY BOARDS AND THE PUBLIC 2240 01:25:53,920 --> 01:25:57,400 AND WE'RE AT THE POINT WHERE WE 2241 01:25:57,400 --> 01:25:58,760 HAVE REQUEST FOR INFORMATION 2242 01:25:58,760 --> 01:26:01,280 WRITTEN AND STANDING AND WAITING 2243 01:26:01,280 --> 01:26:02,840 TO BE PUBLICIZED. 2244 01:26:02,840 --> 01:26:04,680 I HOPE I CAN CALL ON YOU AND 2245 01:26:04,680 --> 01:26:07,880 DR. ZENK TO FORWARD IT TO YOU TO 2246 01:26:07,880 --> 01:26:09,680 GIVE YOUR INPUT PERHAPS ON WHAT 2247 01:26:09,680 --> 01:26:12,760 YOU MIGHT SEE AS POTENTIAL FOR 2248 01:26:12,760 --> 01:26:13,920 INTERACTIONS WITH NCATS AND HOW 2249 01:26:13,920 --> 01:26:15,880 TO START TO BUILD THAT INTO OUR 2250 01:26:15,880 --> 01:26:17,480 STRATEGIC PLAN AS WELL. 2251 01:26:17,480 --> 01:26:19,760 I ASK FOR YOUR HELP AND WITH 2252 01:26:19,760 --> 01:26:24,520 THAT I'LL AND I KNOW I'M 2253 01:26:24,520 --> 01:26:26,520 PROBABLY OVER TIME BUT HAPPY TO 2254 01:26:26,520 --> 01:26:28,400 ANSWER ANY QUESTIONS YOU MIGHT 2255 01:26:28,400 --> 01:26:28,600 HAVE. 2256 01:26:28,600 --> 01:26:35,480 THANK YOU. 2257 01:26:35,480 --> 01:26:39,520 >>THANK YOU, DR. RUTTER. 2258 01:26:39,520 --> 01:26:41,480 I'LL ASK DR. MUNRO TO LEAD US IN 2259 01:26:41,480 --> 01:26:41,760 DISCUSSION. 2260 01:26:41,760 --> 01:26:45,040 >>THANK YOU VERY MUCH FOR YOUR 2261 01:26:45,040 --> 01:26:45,680 VERY INFORMATIVE PRESENTATION 2262 01:26:45,680 --> 01:26:48,120 AND I APPRECIATED THE HIGHLIGHTS 2263 01:26:48,120 --> 01:26:49,920 OF HOW NURSING RESEARCH 2264 01:26:49,920 --> 01:26:52,160 INTERSECTS WITH THE WORK OF 2265 01:26:52,160 --> 01:26:53,240 NCATS. 2266 01:26:53,240 --> 01:26:56,160 AND ONE APPROACH IS LEVERAGE 2267 01:26:56,160 --> 01:26:58,200 SIMILARITIES ACROSS DISEASES. 2268 01:26:58,200 --> 01:27:00,600 NURSING RESEARCH HAS BEEN WELL 2269 01:27:00,600 --> 01:27:01,240 POSITIONED TO CONTRIBUTE BECAUSE 2270 01:27:01,240 --> 01:27:04,240 IT FOCUSES OB PEOPLE'S LIVES AND 2271 01:27:04,240 --> 01:27:05,720 LIVING CONDITIONS ADDRESSING 2272 01:27:05,720 --> 01:27:07,040 HEALTH AND MENTAL HEALTH THROUGH 2273 01:27:07,040 --> 01:27:08,040 THE LENS OF SOCIAL DETERMINATES 2274 01:27:08,040 --> 01:27:09,880 OF HEALTH AND THAT COULD BE 2275 01:27:09,880 --> 01:27:15,840 APPLIED ACROSS THE SPECTRUM. 2276 01:27:15,840 --> 01:27:19,000 I CONTINUE TO BE STRUCK BY THE 2277 01:27:19,000 --> 01:27:23,600 INTERVENTIONS OF PHARMACOLOGIC 2278 01:27:23,600 --> 01:27:27,200 AND THE TIME LINE FOR DIAGNOSIS 2279 01:27:27,200 --> 01:27:30,360 IS TEN TO 15 YEARS AND IT HASN'T 2280 01:27:30,360 --> 01:27:31,200 IMPROVED VERY MUCH AND WE'RE 2281 01:27:31,200 --> 01:27:32,560 STUCK AT THAT NUMBER. 2282 01:27:32,560 --> 01:27:34,560 I THINK SPEEDING THE DELIVERY OF 2283 01:27:34,560 --> 01:27:35,480 EFFECTIVE TREATMENTS TO THE 2284 01:27:35,480 --> 01:27:36,280 PEOPLE THAT NEED THEM IS AN 2285 01:27:36,280 --> 01:27:41,720 IMPORTANT GOAL. 2286 01:27:41,720 --> 01:27:44,360 I WOULD NOTE NURSING 2287 01:27:44,360 --> 01:27:46,400 INTERVENTIONS TARGET FACTORS IN 2288 01:27:46,400 --> 01:27:48,120 RESILIENCE AND NURSE SCIENCE 2289 01:27:48,120 --> 01:27:53,240 TESTS PROPOSE SOLUTION CAN BE 2290 01:27:53,240 --> 01:27:58,400 TESTED MORE QUICKLY THAN 2291 01:27:58,400 --> 01:28:00,520 PHARMACOLOGIC AND THE HAND 2292 01:28:00,520 --> 01:28:02,680 CLEANING IS EASY AND BRILLIANT 2293 01:28:02,680 --> 01:28:04,400 AND CLEAR SCIENCE HAS A CLEAR 2294 01:28:04,400 --> 01:28:08,360 PATH TO ASSIST THE GOALS OF 2295 01:28:08,360 --> 01:28:12,240 NCATS TO GET MORE PEOPLE TO ALL 2296 01:28:12,240 --> 01:28:13,560 PEOPLE PARTICULARLY WITH A VIEW 2297 01:28:13,560 --> 01:28:15,240 OF HEALTH INNOVATIONS. 2298 01:28:15,240 --> 01:28:17,280 YOU PRESENTED NURSE SCIENTISTS 2299 01:28:17,280 --> 01:28:18,600 MAKE SIGNIFICANT CONTRIBUTION TO 2300 01:28:18,600 --> 01:28:21,840 THE NATIONAL NETWORK AND IN TURN 2301 01:28:21,840 --> 01:28:23,760 CTSAs SUPPORT THE DEVELOPMENT OF 2302 01:28:23,760 --> 01:28:25,800 THE PIPELINE OF NURSE SCIENTISTS 2303 01:28:25,800 --> 01:28:29,600 AND ENHANCED INTERDISCIPLINARY 2304 01:28:29,600 --> 01:28:30,840 TEAM SCIENCE AND THAT'S A 2305 01:28:30,840 --> 01:28:32,760 TRADITION I HOPE WILL CONTINUE. 2306 01:28:32,760 --> 01:28:34,440 MY QUESTION IS ABOUT THE 2307 01:28:34,440 --> 01:28:36,040 EXAMPLES THAT YOU PROVIDED OF 2308 01:28:36,040 --> 01:28:37,920 THE EXCELLENT PROJECTS THAT HAVE 2309 01:28:37,920 --> 01:28:43,120 BEEN DONE IN THE CTSAs. 2310 01:28:43,120 --> 01:28:45,920 NOTING THE NUMBERS, 43CTSA 2311 01:28:45,920 --> 01:28:48,400 INSTITUTIONS HAVE A NURSING 2312 01:28:48,400 --> 01:28:49,800 SCHOOL OUT OF ABOUT 60. 2313 01:28:49,800 --> 01:28:51,560 ABOUT TWO-THIRDS OF THEM HAVE A 2314 01:28:51,560 --> 01:28:54,320 NURSING SCHOOL ASSOCIATED WITH 2315 01:28:54,320 --> 01:28:54,560 THEM. 2316 01:28:54,560 --> 01:28:56,800 AND I WONDERED ABOUT THE NUMBER 2317 01:28:56,800 --> 01:29:00,680 OF SCHOLARS AND TRAINEES, 24 2318 01:29:00,680 --> 01:29:01,920 WITH NURSING DEGREES. 2319 01:29:01,920 --> 01:29:02,880 HOW'S THAT COMPARE TO THE TOTAL 2320 01:29:02,880 --> 01:29:04,360 NUMBER OF TRAINEES. 2321 01:29:04,360 --> 01:29:07,320 >>I DON'T KNOW THE ANSWER TO 2322 01:29:07,320 --> 01:29:07,920 THAT QUESTION. 2323 01:29:07,920 --> 01:29:10,720 THE CSTA PROGRAM TRAINS A LOT OF 2324 01:29:10,720 --> 01:29:11,000 TRAINEES. 2325 01:29:11,000 --> 01:29:15,480 SO IT'S PROBABLY ON THE LOWER 2326 01:29:15,480 --> 01:29:15,680 SIDE. 2327 01:29:15,680 --> 01:29:20,280 AND SO WITH THE IDEA THAT THERE 2328 01:29:20,280 --> 01:29:21,800 ARE MANY NURSING SCHOOLS 2329 01:29:21,800 --> 01:29:24,880 ASSOCIATED WITH CTSAs, PERHAPS 2330 01:29:24,880 --> 01:29:27,080 THAT'S AN AREA WE CAN REALLY 2331 01:29:27,080 --> 01:29:32,120 DRAW FROM AND BUILD MORE FROM. 2332 01:29:32,120 --> 01:29:34,560 AND I THINK THAT IS -- THAT'S 2333 01:29:34,560 --> 01:29:35,320 THERE. 2334 01:29:35,320 --> 01:29:37,280 THAT'S SOMETHING WE CAN DO VERY 2335 01:29:37,280 --> 01:29:38,480 EASILY IN MAKING THOSE 2336 01:29:38,480 --> 01:29:39,200 CONNECTIONS. 2337 01:29:39,200 --> 01:29:43,600 SO I THINK WHAT WE COULD DO IS 2338 01:29:43,600 --> 01:29:45,840 UNDERSTAND HOW IT CAN BETTER 2339 01:29:45,840 --> 01:29:48,600 NAVIGATE AND MAKE AWARE THE 2340 01:29:48,600 --> 01:29:49,640 NURSING SCHOOLS THAT THERE ARE 2341 01:29:49,640 --> 01:29:50,840 OPPORTUNITIES THAT ARE 2342 01:29:50,840 --> 01:29:55,160 ASSOCIATED WITH THE CTSA PROGRAM 2343 01:29:55,160 --> 01:29:56,440 FOR SCHOLARLY DEVELOPMENT IN A 2344 01:29:56,440 --> 01:29:58,880 VARIETY OF ACTIVITY ARE NEEDED 2345 01:29:58,880 --> 01:29:59,560 IN THE INFRASTRUCTURE WE SUPPORT 2346 01:29:59,560 --> 01:30:01,680 FOR CLINICAL RESEARCH. 2347 01:30:01,680 --> 01:30:03,800 I THINK THIS IS A KEY THING WE 2348 01:30:03,800 --> 01:30:06,240 CAN DO BUT THE OTHER THING THAT 2349 01:30:06,240 --> 01:30:09,560 YOU ARE POINTING TO AS WELL IS 2350 01:30:09,560 --> 01:30:11,560 PERHAPS THOSE 24 PEOPLE CAN BE 2351 01:30:11,560 --> 01:30:13,760 AMBASSADORS BACK TO THE NURSING 2352 01:30:13,760 --> 01:30:18,800 SCHOOLS AND TALK ABOUT WHAT THEY 2353 01:30:18,800 --> 01:30:19,920 DO IN THE TRAINING THEY RECEIVE 2354 01:30:19,920 --> 01:30:21,600 THROUGH THE CTSA PROGRAM AND 2355 01:30:21,600 --> 01:30:22,800 MAYBE THAT'S ONE WAY TO 2356 01:30:22,800 --> 01:30:24,400 HIGHLIGHT THAT EVEN MORE. 2357 01:30:24,400 --> 01:30:25,920 >>AND I THINK FOR EXAMPLE WE 2358 01:30:25,920 --> 01:30:30,160 HAVE A CTSA IN MIAMI AND WE ARE 2359 01:30:30,160 --> 01:30:32,000 VERY WELL CONNECTED WITH IT IN 2360 01:30:32,000 --> 01:30:33,880 TERMS OF THE PROGRAMS THAT ARE 2361 01:30:33,880 --> 01:30:35,720 OFFERED IN THOSE KINDS OF THINGS 2362 01:30:35,720 --> 01:30:36,880 BUT I'M NOT CERTAIN WITH THE 2363 01:30:36,880 --> 01:30:41,160 NUMBER OF TRAINEES WE HAVE IS 2364 01:30:41,160 --> 01:30:41,840 REPRESENTATIVE OF OUR POPULATION 2365 01:30:41,840 --> 01:30:43,120 OF SCIENTISTS. 2366 01:30:43,120 --> 01:30:43,800 >>YEAH. 2367 01:30:43,800 --> 01:30:46,400 AND IT'S A COMPETITIVE 2368 01:30:46,400 --> 01:30:46,720 ENVIRONMENT. 2369 01:30:46,720 --> 01:30:48,440 SO ONE OF THE THINGS WE CAN DO 2370 01:30:48,440 --> 01:30:50,640 TO HELP SUPPORT INDIVIDUALS WHO 2371 01:30:50,640 --> 01:30:52,400 ARE INTERESTED IN BECOMING 2372 01:30:52,400 --> 01:30:53,520 TRAINEES I THINK AWARENESS IS 2373 01:30:53,520 --> 01:30:55,200 GOING TO BE THE BIGGEST THING 2374 01:30:55,200 --> 01:30:57,440 BUT HOW WE REALLY MAKE SURE 2375 01:30:57,440 --> 01:30:59,600 THOSE ARE CONNECTION ARE KNOWN 2376 01:30:59,600 --> 01:31:02,040 AND UNDERSTOOD HOW TO GET INTO 2377 01:31:02,040 --> 01:31:02,800 THOSE PROGRAMS. 2378 01:31:02,800 --> 01:31:05,960 SEEMS LIKE THAT'S SOMETHING WE 2379 01:31:05,960 --> 01:31:07,560 COULD DO. 2380 01:31:07,560 --> 01:31:08,680 WOULD LOVE ANY ADDITIONAL 2381 01:31:08,680 --> 01:31:09,800 THOUGHTS YOU HAVE ON THAT AS 2382 01:31:09,800 --> 01:31:11,480 WELL IF YOU DON'T MIND E-MAILING 2383 01:31:11,480 --> 01:31:13,680 ME OR IF YOU HAVE THOUGHTS IN 2384 01:31:13,680 --> 01:31:15,560 THE FUTURE PERHAPS HOW YOUR 2385 01:31:15,560 --> 01:31:16,440 SCHOOL IS THINKING ABOUT THAT. 2386 01:31:16,440 --> 01:31:17,200 THANK YOU. 2387 01:31:17,200 --> 01:31:20,560 >>MY OTHER QUESTION IS ABOUT I 2388 01:31:20,560 --> 01:31:21,800 THOUGHT IT WAS REALLY INTRIGUING 2389 01:31:21,800 --> 01:31:24,680 WHEN YOU TALKED ABOUT THE GENE 2390 01:31:24,680 --> 01:31:26,000 TARGET THE DELIVERY PROGRAM YOU 2391 01:31:26,000 --> 01:31:30,880 TALKED ABOUT IT NEEDING A VERY 2392 01:31:30,880 --> 01:31:31,560 BROAD REPRESENTATION THE HEALTH 2393 01:31:31,560 --> 01:31:31,960 CARE WORKFORCE. 2394 01:31:31,960 --> 01:31:33,920 IN ADDITION TO THE ROLE OF 2395 01:31:33,920 --> 01:31:36,240 NURSES IN PERHAPS TRANSLATING 2396 01:31:36,240 --> 01:31:37,960 THAT TO PEOPLE WHO ARE IN THE 2397 01:31:37,960 --> 01:31:39,000 CLINICAL TRIALS, WHAT WOULD YOU 2398 01:31:39,000 --> 01:31:43,800 SEE AS THE ROLE OF NURSING 2399 01:31:43,800 --> 01:31:44,040 SCIENCE? 2400 01:31:44,040 --> 01:31:51,960 >>THAT'S A GREAT QUESTION. 2401 01:31:51,960 --> 01:31:53,760 IN CLINICAL TRIALS IN THE NEW 2402 01:31:53,760 --> 01:31:55,600 MODALITIES WE'RE USING IN GENE 2403 01:31:55,600 --> 01:31:56,760 THERAPY FOR EXAMPLE, WE'RE 2404 01:31:56,760 --> 01:31:58,800 SEEING -- IT'S BEEN A ROCKY ROAD 2405 01:31:58,800 --> 01:32:01,920 THE LAST 20 YEARS IN LOOKING AT 2406 01:32:01,920 --> 01:32:04,000 GENE THERAPIES. 2407 01:32:04,000 --> 01:32:06,120 WE DON'T KNOW NECESSARILY THE 2408 01:32:06,120 --> 01:32:08,000 SAFETY AND EFFICACY OF THESE 2409 01:32:08,000 --> 01:32:08,440 GENE THERAPIES. 2410 01:32:08,440 --> 01:32:10,960 WE THINK WE KNOW THE EFFICACY 2411 01:32:10,960 --> 01:32:13,880 PROBABLY A LITTLE BIT MORE BUT 2412 01:32:13,880 --> 01:32:15,720 THE SAFETY I THINK IS STILL WE 2413 01:32:15,720 --> 01:32:20,160 WANT TO MAKE SURE WE HAVE THE 2414 01:32:20,160 --> 01:32:23,520 VIEW OF THE WHOLISTIC PERSON 2415 01:32:23,520 --> 01:32:24,760 WHEN WE'RE THINKING ABOUT CARE 2416 01:32:24,760 --> 01:32:28,640 EVEN IF IT'S FOR A THERAPY FOR A 2417 01:32:28,640 --> 01:32:31,040 DISEASE ON METABOLISM, FOR 2418 01:32:31,040 --> 01:32:31,320 EXAMPLE. 2419 01:32:31,320 --> 01:32:35,240 THERE MAY BE ISSUES THAT ARISE 2420 01:32:35,240 --> 01:32:37,920 BECAUSE OF THE THERAPY AND THE 2421 01:32:37,920 --> 01:32:42,560 VIRAL VECTORS WE USE ARE 2422 01:32:42,560 --> 01:32:43,520 NON-IMMUNOGENIC BUT THEY'RE 2423 01:32:43,520 --> 01:32:45,920 REALLY NOT NON-IMMUNOGENIC AND 2424 01:32:45,920 --> 01:32:48,440 PERHAPS WHAT WHAT THAT DO I TO 2425 01:32:48,440 --> 01:32:49,920 ORGAN SYSTEMS WE CAN SEE 2426 01:32:49,920 --> 01:32:51,600 TOXICITIES THAT WERE UNEXPECTED 2427 01:32:51,600 --> 01:32:53,280 IN ORGAN SYSTEMS. 2428 01:32:53,280 --> 01:32:54,920 MIGHT THAT BE BECAUSE OF 2429 01:32:54,920 --> 01:32:55,640 UNDERLYING CONDITIONS? 2430 01:32:55,640 --> 01:33:00,320 HOW CAN WE UNDERSTAND MORE ABOUT 2431 01:33:00,320 --> 01:33:05,520 THE SYMPTOMOTOLOGY OF DISEASE 2432 01:33:05,520 --> 01:33:08,520 AND WE MAY BE TREAT PARTICULAR 2433 01:33:08,520 --> 01:33:09,960 DISEASE BUT NEED TO LOOK FOR 2434 01:33:09,960 --> 01:33:11,560 THINGS WE AREN'T EXPECTING AND 2435 01:33:11,560 --> 01:33:13,920 CAN DO THAT THROUGH THE CARE. 2436 01:33:13,920 --> 01:33:16,440 THAT'S GOING TO GET US PART WAY 2437 01:33:16,440 --> 01:33:19,520 BUT NOT ALL THE WAY. 2438 01:33:19,520 --> 01:33:21,280 THOSE ARE AREAS WHERE 2439 01:33:21,280 --> 01:33:22,160 INTERSECTIONS WITH NURSING 2440 01:33:22,160 --> 01:33:23,840 SCHOOLS AND TRAINING NURSES IN 2441 01:33:23,840 --> 01:33:25,720 THIS SPACE COULD BE REALLY 2442 01:33:25,720 --> 01:33:27,440 CRITICAL TO HELP ENSURE THAT WE 2443 01:33:27,440 --> 01:33:29,920 HAVE THE ABILITY TO CARE FOR 2444 01:33:29,920 --> 01:33:33,800 JUST ABOUT ANY OUTCOME THAT CAN 2445 01:33:33,800 --> 01:33:35,560 ARISE IN THESE KINDS OF RESEARCH 2446 01:33:35,560 --> 01:33:36,960 CLINICAL RESEARCH OR CLINICAL 2447 01:33:36,960 --> 01:33:37,400 TRIALS. 2448 01:33:37,400 --> 01:33:39,400 SO I THINK THAT'S ONE OF THE KEY 2449 01:33:39,400 --> 01:33:41,920 THINGS I WOULD SEE IS MAKING 2450 01:33:41,920 --> 01:33:45,760 SURE WE TRAIN A WORKFORCE TO 2451 01:33:45,760 --> 01:33:48,280 HANDLE UNEXPECTED PROBLEMS IN A 2452 01:33:48,280 --> 01:33:50,640 WAY WITH NEW MODALITIES WE DON'T 2453 01:33:50,640 --> 01:33:51,200 KNOW TO EXPECT. 2454 01:33:51,200 --> 01:33:52,040 >>YOU'RE WELCOME. 2455 01:33:52,040 --> 01:33:54,120 >>THAT WAS AN AMAZING OVERVIEW. 2456 01:33:54,120 --> 01:33:56,880 THANK YOU SO MUCH. 2457 01:33:56,880 --> 01:33:57,280 YES. 2458 01:33:57,280 --> 01:33:59,960 >>I SAW A LOT OF EMPHASIS ON 2459 01:33:59,960 --> 01:34:01,760 PRECLINICAL AND CLINICAL 2460 01:34:01,760 --> 01:34:02,400 EFFICACY WORK. 2461 01:34:02,400 --> 01:34:06,320 WHERE DO YOU SEE EFFECTIVENESS 2462 01:34:06,320 --> 01:34:08,120 FALLING WITHIN NCATS? 2463 01:34:08,120 --> 01:34:11,200 SO THERAPIES WE DEVELOP THAT ARE 2464 01:34:11,200 --> 01:34:13,040 EFFICACIOUS FAIL FROM THE 2465 01:34:13,040 --> 01:34:14,200 EFFECTIVENESS PERSPECTIVE? 2466 01:34:14,200 --> 01:34:16,240 >>AGAIN, PRIMARILY IN THE 2467 01:34:16,240 --> 01:34:18,720 PREDICTIVE MODELS IT'S NOT JUST 2468 01:34:18,720 --> 01:34:20,520 PREDICTING SAFETY BUT ALSO 2469 01:34:20,520 --> 01:34:21,040 PREDICTING EFFICACY. 2470 01:34:21,040 --> 01:34:24,200 WHAT WE CAN DO IS PUT FOR 2471 01:34:24,200 --> 01:34:25,880 EXAMPLE DISEASE PRIMARY CELLS 2472 01:34:25,880 --> 01:34:28,240 FROM PEOPLE WITH PARTICULAR 2473 01:34:28,240 --> 01:34:30,920 DISEASES ON THESE CHIPS AND 2474 01:34:30,920 --> 01:34:31,920 UNDERSTAND THOSE COMPARE TO 2475 01:34:31,920 --> 01:34:33,120 PEOPLE PERHAPS WITHOUT THE 2476 01:34:33,120 --> 01:34:37,360 DISEASE AND LOOK AT THERAPEUTIC 2477 01:34:37,360 --> 01:34:39,160 DEVELOPMENT BY INFUSING THOSE 2478 01:34:39,160 --> 01:34:43,280 THERAPIES ON THE CHIPS TO LOOK 2479 01:34:43,280 --> 01:34:44,560 AT BIOMARKER DEVELOPMENT, FOR 2480 01:34:44,560 --> 01:34:46,240 EXAMPLE, TO THINK HOW EFFICACY 2481 01:34:46,240 --> 01:34:48,400 MIGHT BE EFFECTED. 2482 01:34:48,400 --> 01:34:52,000 ARE WE SEEING A DECREASE IN 2483 01:34:52,000 --> 01:34:53,640 BIOMARKER BY TREATING IT WITH A 2484 01:34:53,640 --> 01:34:54,640 VARIETY OF DIFFERENT THERAPIES. 2485 01:34:54,640 --> 01:34:56,840 THAT'S ONE WAY WE'RE ABLE TO 2486 01:34:56,840 --> 01:35:01,080 LOOK AT THOSE AND NOW WITH THE 2487 01:35:01,080 --> 01:35:04,440 FDA MODERNIZATION ACT 2.0 WHICH 2488 01:35:04,440 --> 01:35:08,320 REDUCES THE USE OF ANIMAL MODELS 2489 01:35:08,320 --> 01:35:12,360 IN IND ENABLING STUDIES I 2490 01:35:12,360 --> 01:35:16,080 BELIEVE THE MORE PHYSIO RELEVANT 2491 01:35:16,080 --> 01:35:17,480 IN VITRO SYSTEMS WILL BE MORE 2492 01:35:17,480 --> 01:35:19,240 ELEVATED IN HOW WE CAN LOOK AT 2493 01:35:19,240 --> 01:35:25,240 THE EFFICACY SIDE FOR REGULATORY 2494 01:35:25,240 --> 01:35:28,440 PACKAGES THAT CAN BE USED FOR 2495 01:35:28,440 --> 01:35:29,640 THE FDA. 2496 01:35:29,640 --> 01:35:30,880 I THINK WE'RE A LITTLE BIT AWAY 2497 01:35:30,880 --> 01:35:33,880 FROM THAT AND NEEDS TO BE MORE 2498 01:35:33,880 --> 01:35:34,600 VALIDATION AND EXPERIMENTAL WORK 2499 01:35:34,600 --> 01:35:36,800 DONE BUT I THINK THAT'S THE WAVE 2500 01:35:36,800 --> 01:35:47,040 OF THE FUTURE. 2501 01:35:48,720 --> 01:35:52,400 THANK YOU AGAIN FOR THE 2502 01:35:52,400 --> 01:35:54,760 WONDERFUL CONVERSATION AND LOOK 2503 01:35:54,760 --> 01:35:56,640 FORWARD TO INTERSECTING WITH YOU 2504 01:35:56,640 --> 01:36:01,440 IN THE FUTURE AND PLEASE GIVE 2505 01:36:01,440 --> 01:36:02,520 THOUGHTS ON THE REQUEST FOR 2506 01:36:02,520 --> 01:36:04,440 INFORMATION. 2507 01:36:04,440 --> 01:36:04,800 I APPRECIATE IT. 2508 01:36:04,800 --> 01:36:09,080 THANK YOU. 2509 01:36:09,080 --> 01:36:09,920 >>THANK YOU SO MUCH, 2510 01:36:09,920 --> 01:36:10,800 DR. RUTTER. 2511 01:36:10,800 --> 01:36:12,520 ALWAYS GREAT TO SEE YOU. 2512 01:36:12,520 --> 01:36:13,920 I APPRECIATE YOU JOINING US AND 2513 01:36:13,920 --> 01:36:16,440 LOOKING FORWARD TO TALKING MORE. 2514 01:36:16,440 --> 01:36:18,320 THANK YOU. 2515 01:36:18,320 --> 01:36:22,560 SO WE ARE GOING TO TAKE A BREAK. 2516 01:36:22,560 --> 01:36:26,200 SO LET'S REGROUP AT 10:50 2517 01:36:26,200 --> 01:36:26,440 EASTERN. 2518 01:36:26,440 --> 01:36:32,080 THANKS. 2519 01:36:32,080 --> 01:36:32,600 >>THANK YOU. 2520 01:36:32,600 --> 01:36:35,040 I WAS SO EXCITED TO GET THE 2521 01:36:35,040 --> 01:36:36,120 MEETING UNDERWAY THAT I 2522 01:36:36,120 --> 01:36:40,800 NEGLECTED TO CALL FOR A VOTE ON 2523 01:36:40,800 --> 01:36:41,920 THE MINUTES FROM THE LAST 2524 01:36:41,920 --> 01:36:42,280 COUNCIL MEETING. 2525 01:36:42,280 --> 01:36:44,320 SO WE'LL DO THAT NOW. 2526 01:36:44,320 --> 01:36:46,160 MINUTES OF THE MAIN MEETING WERE 2527 01:36:46,160 --> 01:36:49,040 MADE AVAILABLE TO YOU ON THE 2528 01:36:49,040 --> 01:36:54,160 ELECTRONIC COUNCIL BOOK FOR YOUR 2529 01:36:54,160 --> 01:36:58,440 REVIEW. 2530 01:36:58,440 --> 01:37:00,160 MAY I HAVE A MOTION TO APPROVE. 2531 01:37:00,160 --> 01:37:01,200 >>APPROVE. 2532 01:37:01,200 --> 01:37:02,400 >>THANK YOU. 2533 01:37:02,400 --> 01:37:07,240 ANY SECOND? 2534 01:37:07,240 --> 01:37:11,480 ANY DISCUSSION? 2535 01:37:11,480 --> 01:37:12,120 ANY OPPOSED? 2536 01:37:12,120 --> 01:37:12,560 THE MOTION CARRIES. 2537 01:37:12,560 --> 01:37:14,520 THANK YOU. 2538 01:37:14,520 --> 01:37:17,760 ALSO, FOR THE MINUTES, I WOULD 2539 01:37:17,760 --> 01:37:22,080 LIKE TO NOTE THAT DR. ATKINS IS 2540 01:37:22,080 --> 01:37:22,520 PRESENT AND ALSO THAT DR. 2541 01:37:25,920 --> 01:37:30,800 BEKEMIRE AND 2542 01:37:30,800 --> 01:37:32,560 DR. PROVENCIO-VASQUEZ WAS 2543 01:37:32,560 --> 01:37:35,600 ANNIBLE TO BE WITH US TODAY. 2544 01:37:35,600 --> 01:37:39,040 THANK YOU. 2545 01:37:39,040 --> 01:37:41,240 >>GOOD MORNING AGAIN. 2546 01:37:41,240 --> 01:37:46,520 I AM DELIGHTED TO INTRODUCE OUR 2547 01:37:46,520 --> 01:37:47,280 NEXT SPEAKER. 2548 01:37:47,280 --> 01:37:47,920 OUR NEXT SPEAKER IS DR. CHERYL 2549 01:37:47,920 --> 01:37:48,480 ANNE BOYCE, WHO WILL SHARE 2550 01:37:48,480 --> 01:37:49,000 UPDATES ON THE COMMUNITY 2551 01:37:49,000 --> 01:37:49,640 PARTNERSHIPS TO ADVANCE SCIENCE 2552 01:37:49,640 --> 01:37:50,200 FOR SOCIETY INITIATIVE, OR 2553 01:37:50,200 --> 01:37:50,760 COMPASS. 2554 01:37:50,760 --> 01:37:53,840 DR. BOYCE IS THE ASSISTANT 2555 01:37:53,840 --> 01:37:54,480 DIRECTOR FOR RE-ENGINEERING THE 2556 01:37:54,480 --> 01:37:56,920 RESEARCH ENTERPRISE OFFICE OF 2557 01:37:56,920 --> 01:37:59,600 STRATEGIC 2558 01:37:59,600 --> 01:38:00,360 COORDINATION AT THE NIH COMMON 2559 01:38:00,360 --> 01:38:03,200 FUND. IN THIS ROLE SHE DIRECTS 2560 01:38:03,200 --> 01:38:05,960 NOVEL, TRANSFORMATIVE PROGRAMS 2561 01:38:05,960 --> 01:38:09,000 FOCUSED ON TRANSLATIONAL 2562 01:38:09,000 --> 01:38:09,520 SCIENCE, COMMUNITY-DRIVEN 2563 01:38:09,520 --> 01:38:10,480 RESEARCH, SOCIAL DETERMINANTS OF 2564 01:38:10,480 --> 01:38:12,320 HEALTH, 2565 01:38:12,320 --> 01:38:15,120 AND INCLUSIVE EXCELLENCE IN 2566 01:38:15,120 --> 01:38:16,240 ACADEMIC AND RESEARCH TRAINING. 2567 01:38:16,240 --> 01:38:17,280 SHE PREVIOUSLY SERVED AS THE 2568 01:38:17,280 --> 01:38:19,280 FIRST 2569 01:38:19,280 --> 01:38:20,200 PERMANENT CHIEF OF THE 2570 01:38:20,200 --> 01:38:23,000 IMPLEMENTATION SCIENCE BRANCH AT 2571 01:38:23,000 --> 01:38:25,440 NHLBI. DURING OVER TWO DECADES 2572 01:38:25,440 --> 01:38:28,120 OF 2573 01:38:28,120 --> 01:38:30,160 PUBLIC SERVICE, SHE HAS HELD 2574 01:38:30,160 --> 01:38:32,760 SCIENTIFIC LEADERSHIP POSITIONS 2575 01:38:32,760 --> 01:38:34,920 WITH THE NIH OD, NIDA, AND THE 2576 01:38:34,920 --> 01:38:36,760 NATIONAL INSTITUTE OF MENTAL 2577 01:38:36,760 --> 01:38:37,920 HEALTH, AS WELL AS IN THE OFFICE 2578 01:38:37,920 --> 01:38:39,160 OF NATIONAL DRUG CONTROL POLICY 2579 01:38:39,160 --> 01:38:40,360 WITHIN THE OFFICE OF THE 2580 01:38:40,360 --> 01:38:41,840 PRESIDENT. SHE COMPLETED HER 2581 01:38:41,840 --> 01:38:44,120 PH.D. AT UNC-CHAPEL HILL, HOLDS 2582 01:38:44,120 --> 01:38:54,640 DR. BOYCE, THE FLOOR IS YOURS. 2583 01:38:57,280 --> 01:38:59,600 DR. BOYCE, WELCOME. 2584 01:38:59,600 --> 01:39:09,960 THE FLOOR IS YOURS. 2585 01:39:12,720 --> 01:39:13,080 >>THANK YOU. 2586 01:39:13,080 --> 01:39:16,440 IN TERMS OF THE NURSING 2587 01:39:16,440 --> 01:39:23,640 INSTITUTE IS ONE OF THE PROUD 2588 01:39:23,640 --> 01:39:33,920 SPONSORS OF COMPASS. 2589 01:39:33,920 --> 01:39:39,600 COMMON FUND IS NOT AS COMMON AS 2590 01:39:39,600 --> 01:39:41,360 WE'D LIKE IN TERMS OF 2591 01:39:41,360 --> 01:39:41,680 OPPORTUNITIES. 2592 01:39:41,680 --> 01:39:43,320 I'D LIKE TO TALK ABOUT THE 2593 01:39:43,320 --> 01:39:45,240 OPPORTUNITIES BECAUSE THERE'S A 2594 01:39:45,240 --> 01:39:46,000 LOT OF INNOVATIVE OPPORTUNITIES 2595 01:39:46,000 --> 01:39:49,200 FOR INDIVIDUAL INVESTIGATORS IN 2596 01:39:49,200 --> 01:39:51,840 TERMS OF PIONEERING AND 2597 01:39:51,840 --> 01:39:54,160 HIGH-RISK REWARD RESEARCH WHICH 2598 01:39:54,160 --> 01:39:55,640 I HOPE THOSE WATCHING TODAY OR 2599 01:39:55,640 --> 01:39:56,720 IN THE ROOM CAN PURSUE IN THE 2600 01:39:56,720 --> 01:39:57,080 FUTURE. 2601 01:39:57,080 --> 01:40:00,160 I ALSO COME TO YOU AS THE PROUD 2602 01:40:00,160 --> 01:40:02,200 DAUGHTER OF A NURSE. 2603 01:40:02,200 --> 01:40:04,080 MY MOTHER WAS A PUBLIC HEALTH 2604 01:40:04,080 --> 01:40:05,760 NURSE IN NEW YORK CITY BACK IN 2605 01:40:05,760 --> 01:40:07,240 THE DAY AND MIDWIFE. 2606 01:40:07,240 --> 01:40:09,920 I'M FIRST GENERATION BORN HERE 2607 01:40:09,920 --> 01:40:12,160 AND I AM A DAUGHTER OF A NURSE 2608 01:40:12,160 --> 01:40:14,960 AND NOW I'M A CLINICAL 2609 01:40:14,960 --> 01:40:15,680 PSYCHOLOGIST BUT IT'S A PLEASURE 2610 01:40:15,680 --> 01:40:17,280 TO BE HERE AT THE NURSING 2611 01:40:17,280 --> 01:40:17,560 INSTITUTE. 2612 01:40:17,560 --> 01:40:20,360 I KNOW SHE IS LOOKING DOWN UPON 2613 01:40:20,360 --> 01:40:21,680 ME AND PROUD I'M FINALLY DOING 2614 01:40:21,680 --> 01:40:24,040 WHAT I SHOULD HAVE DONE ALL 2615 01:40:24,040 --> 01:40:31,640 ALONG AND HANG OUT WITH MORE 2616 01:40:31,640 --> 01:40:38,560 NURSES. 2617 01:40:38,560 --> 01:40:40,880 COMPASS STANDS FOR THE COMMUNITY 2618 01:40:40,880 --> 01:40:41,520 PARTNERSHIPS TO ADVANCE SCIENCE 2619 01:40:41,520 --> 01:40:42,440 FOR SOCIETY. 2620 01:40:42,440 --> 01:40:47,560 WE HOPE WE'RE DOING IN THE RIGHT 2621 01:40:47,560 --> 01:40:50,000 DIRECTION AND DOING SOMETHING 2622 01:40:50,000 --> 01:40:52,240 BEING FOCUSSED ON HEALTH EQUITY 2623 01:40:52,240 --> 01:40:53,000 AND WE'RE DOING SOMETHING 2624 01:40:53,000 --> 01:40:55,080 COMMUNITY LED. 2625 01:40:55,080 --> 01:41:00,200 WHEN WE STARTED COMPASS 2626 01:41:00,200 --> 01:41:07,200 EVERYTHING WAS DOING SOMETHING 2627 01:41:07,200 --> 01:41:08,680 DIFFERENT AND THEY FUNDED 2628 01:41:08,680 --> 01:41:10,320 COMMUNITY RESEARCH IN THE PAST. 2629 01:41:10,320 --> 01:41:12,920 WE HAD COMMUNITY-BASED 2630 01:41:12,920 --> 01:41:13,960 PARTICIPATORY RESEARCH PROGRAMS 2631 01:41:13,960 --> 01:41:15,320 BUT HAVE NOT A LARGE EFFORT THAT 2632 01:41:15,320 --> 01:41:17,960 WAS COMMUNITY LED AND SOMETHING 2633 01:41:17,960 --> 01:41:19,640 THAT LEVERAGED MULTI-SECTORIAL 2634 01:41:19,640 --> 01:41:25,200 PARTNERSHIPS. 2635 01:41:25,200 --> 01:41:28,960 AND WHAT'S RELEVANT IS IT'S 2636 01:41:28,960 --> 01:41:29,560 INTERVENING ON SOCIAL 2637 01:41:29,560 --> 01:41:34,560 DETERMINATES OF HEALTH IN TERMS 2638 01:41:34,560 --> 01:41:37,520 OF LEADERS AND IN TERMS OF NIMHD 2639 01:41:37,520 --> 01:41:41,120 AND ELISO IS ALSO LEADING SOME 2640 01:41:41,120 --> 01:41:44,520 EFFORTS ON SOCIAL DETERMINATES 2641 01:41:44,520 --> 01:41:45,720 OF HEALTH AND STARTING TO BUILD 2642 01:41:45,720 --> 01:41:47,280 THIS AREA TO MAKE AN IMPACT. 2643 01:41:47,280 --> 01:41:49,680 IN TERMS OF INTERVENING WE'RE 2644 01:41:49,680 --> 01:41:51,760 LOOKING TO IMPROVE HEALTH 2645 01:41:51,760 --> 01:41:54,160 OUTCOMES AND REDUCE HEALTH 2646 01:41:54,160 --> 01:41:55,360 DISPARITIES AND ADVANCE HEALTH 2647 01:41:55,360 --> 01:41:55,600 EQUITY. 2648 01:41:55,600 --> 01:41:59,600 WE'RE GOING TO LEVERAGE THOSE 2649 01:41:59,600 --> 01:42:00,840 STRUCTURAL INTERVENTIONS IN 2650 01:42:00,840 --> 01:42:01,960 TERMS OF CHANGING AND INFORMING 2651 01:42:01,960 --> 01:42:03,640 SYSTEMS AND POLICIES AND MAKING 2652 01:42:03,640 --> 01:42:05,240 A DIFFERENCE. 2653 01:42:05,240 --> 01:42:07,600 OUR RESEARCH IS NOT POLICY 2654 01:42:07,600 --> 01:42:09,320 RESEARCH BUT WE'RE GETTING THE 2655 01:42:09,320 --> 01:42:10,120 EVIDENCE TO INFORM POLICY 2656 01:42:10,120 --> 01:42:12,080 RESEARCH AND I'LL TALK HOW WE'LL 2657 01:42:12,080 --> 01:42:15,600 DO THAT WITH COMPASS. 2658 01:42:15,600 --> 01:42:17,160 WHAT MAKES COMMON FUND DIFFERENT 2659 01:42:17,160 --> 01:42:19,640 IS WHEN WE SAY COMMON IT IS 2660 01:42:19,640 --> 01:42:23,640 REALLY BRINGING TOGETHER 2661 01:42:23,640 --> 01:42:25,960 SOMETHING THAT'S UNIQUE ONE 2662 01:42:25,960 --> 01:42:28,640 INSTITUTE DOES NOT DO ALONE. 2663 01:42:28,640 --> 01:42:29,880 IT MAKES SUBSTANTIAL INVESTMENTS 2664 01:42:29,880 --> 01:42:32,760 AND TIME DRIVEN AND GOAL DRIVEN 2665 01:42:32,760 --> 01:42:34,960 AND TO CHANGE THE TRAJECTORY AND 2666 01:42:34,960 --> 01:42:36,200 BRINGS THE INTEREST OF MANY 2667 01:42:36,200 --> 01:42:40,160 INSTITUTES AT ONCE AND MOVE 2668 01:42:40,160 --> 01:42:42,800 SOMETHING AT A QUICK PACE AND 2669 01:42:42,800 --> 01:42:49,280 REMOVE RESEARCH ROAD BLOCKS 2670 01:42:49,280 --> 01:42:50,320 ENHANCING THE RESEARCH WORKFORCE 2671 01:42:50,320 --> 01:42:54,440 AND REWARDING HIGH REWARD 2672 01:42:54,440 --> 01:42:54,920 SCIENCE. 2673 01:42:54,920 --> 01:42:56,320 IT CATALYZES DISCOVERY. 2674 01:42:56,320 --> 01:42:58,760 IN DOING THAT WE'RE DOING 2675 01:42:58,760 --> 01:43:00,360 SOMETHING AT A FAST PACE THAT IF 2676 01:43:00,360 --> 01:43:02,400 ONE OR TWO INSTITUTES TRY TO DO 2677 01:43:02,400 --> 01:43:03,680 THEY JUST COULDN'T DO AND YOU'LL 2678 01:43:03,680 --> 01:43:06,200 SEE HOW IN TERMS OF HOW WE'RE 2679 01:43:06,200 --> 01:43:08,840 DOING CAMPUS. 2680 01:43:08,840 --> 01:43:13,640 OUR CO-CHAIRS WE'RE PROUD TO 2681 01:43:13,640 --> 01:43:15,440 HAVE THE DIRECTOR OF NIR AS WELL 2682 01:43:15,440 --> 01:43:17,440 AS DIRECTORS FROM THE NATIONAL 2683 01:43:17,440 --> 01:43:18,160 INSTITUTE OF MINORITY HEALTH AND 2684 01:43:18,160 --> 01:43:22,280 HEALTH DISPARITIES AND THE 2685 01:43:22,280 --> 01:43:22,880 DIRECTOR OF THE OFFICE OF 2686 01:43:22,880 --> 01:43:25,440 RESEARCH ON WOMEN'S HEALTH AND 2687 01:43:25,440 --> 01:43:27,200 ALSO HAVE THE DIRECTOR OF TRIBAL 2688 01:43:27,200 --> 01:43:28,920 HEALTH RESEARCH OFFICE AS ONE OF 2689 01:43:28,920 --> 01:43:30,000 OUR CO-CHAIR WHO'S INFORMED A 2690 01:43:30,000 --> 01:43:32,360 LOT OF WHATEVER WE DID IN TERMS 2691 01:43:32,360 --> 01:43:35,000 OF OUTREACH TO THE POPULATIONS 2692 01:43:35,000 --> 01:43:35,960 WHO HAVE BEEN UNDER REPRESENTED 2693 01:43:35,960 --> 01:43:37,920 IN RESEARCH AND IN COMMUNITY-LED 2694 01:43:37,920 --> 01:43:44,080 INTERVENTIONS. 2695 01:43:44,080 --> 01:43:45,880 THIS IS THE WORKING GROUP. 2696 01:43:45,880 --> 01:43:48,960 WE ALSO HAVE SO MANY OTHERS WHO 2697 01:43:48,960 --> 01:43:50,720 ARE SERVING AS SUBJECT MATTER 2698 01:43:50,720 --> 01:43:54,200 EXPERTS WHO ARE PROJECT OFFICERS 2699 01:43:54,200 --> 01:43:55,640 AND SCIENTISTS AND I DID 2700 01:43:55,640 --> 01:43:58,040 HIGHLIGHT THE STAFF WORKING 2701 01:43:58,040 --> 01:43:59,360 DIRECTLY IN TERMS OF THE WORK 2702 01:43:59,360 --> 01:44:01,040 GROUP AND REALLY IMPORTANT IS 2703 01:44:01,040 --> 01:44:02,440 THE GRANTS MANAGEMENT AND REVIEW 2704 01:44:02,440 --> 01:44:05,080 BECAUSE WE DID NOVEL THINGS IN 2705 01:44:05,080 --> 01:44:10,720 TERMS OF HOW WE MANAGED REVIEW 2706 01:44:10,720 --> 01:44:19,640 IN TERMS OF LIVED EXPERIENCE AND 2707 01:44:19,640 --> 01:44:21,520 HOW WE CAN FUND THINGS INVOLVING 2708 01:44:21,520 --> 01:44:30,480 COMMUNITY AND HAVE IMPACT. 2709 01:44:30,480 --> 01:44:39,240 AND THOSE WHO ARE AT NINR. 2710 01:44:39,240 --> 01:44:41,080 AND EVALUATE COMMUNITY-LED 2711 01:44:41,080 --> 01:44:42,480 HEALTH EQUITY STRUCTURAL 2712 01:44:42,480 --> 01:44:44,760 INTERVENTION LEVERAGE 2713 01:44:44,760 --> 01:44:47,560 PARTNERSHIPS ACROSS MULTIPLE 2714 01:44:47,560 --> 01:44:48,080 SECTOR TO REDUCE HEALTH 2715 01:44:48,080 --> 01:44:53,640 DISPARITIES. 2716 01:44:53,640 --> 01:44:56,640 THE SECOND GOAL IS TO DEVELOP A 2717 01:44:56,640 --> 01:44:59,080 HEALTH EQUITY MODEL FOR 2718 01:44:59,080 --> 01:45:02,000 COMMUNITY-LED MULTISECTORIAL 2719 01:45:02,000 --> 01:45:02,760 STRUCTURAL INTERVENTION RESEARCH 2720 01:45:02,760 --> 01:45:13,280 ACROSS NIH AND OTHER FEDERAL 2721 01:45:17,000 --> 01:45:18,200 AGENCIES IS AND WE THOUGHT IT 2722 01:45:18,200 --> 01:45:22,880 WAS VERY IMPORTANT THAT NOT ONLY 2723 01:45:22,880 --> 01:45:24,200 NOT ONLY DO WE HAVE 2724 01:45:24,200 --> 01:45:25,640 INTERVENTIONS THAT MAKE AN 2725 01:45:25,640 --> 01:45:27,640 IMPACT BUT TO CHANGE HOW NIH 2726 01:45:27,640 --> 01:45:29,080 DOES BUSINESS. 2727 01:45:29,080 --> 01:45:31,360 HOW CAN WE LEAVE AN IMPACT IN 2728 01:45:31,360 --> 01:45:34,080 TERMS OF MODELS FOR 2729 01:45:34,080 --> 01:45:34,760 COMMUNITY-LED RESEARCH THAT CAN 2730 01:45:34,760 --> 01:45:35,640 SERVE ACROSS INSTITUTES IN THE 2731 01:45:35,640 --> 01:45:40,360 FUTURE. 2732 01:45:40,360 --> 01:45:42,080 WE'LL HAVE AN EVALUATION 2733 01:45:42,080 --> 01:45:44,760 COMPONENT OF THE WAY WE ARE 2734 01:45:44,760 --> 01:45:46,120 RUNNING THE MECHANISM AND 2735 01:45:46,120 --> 01:45:47,640 INVOLVING COMMUNITIES SO 2736 01:45:47,640 --> 01:45:52,200 INSTITUTES CAN CONTINUE TO THINK 2737 01:45:52,200 --> 01:46:02,640 ABOUT THE FUTURE IN AN AFFECTIVE 2738 01:46:02,640 --> 01:46:02,960 WAY. 2739 01:46:02,960 --> 01:46:09,480 HOW WILL WE PUT THIS TOGETHER IN 2740 01:46:09,480 --> 01:46:17,280 TERMS OF OF THE PROGRAMS. 2741 01:46:17,280 --> 01:46:22,920 THERE'S $153 MILLION BROKEN DOWN 2742 01:46:22,920 --> 01:46:26,480 IN THREE XART COMPARTMENT 2743 01:46:29,720 --> 01:46:31,440 COMPARTMENTS AND THEY'RE 2744 01:46:31,440 --> 01:46:32,560 COMMUNITY-LED INTERVENTION. 2745 01:46:32,560 --> 01:46:34,360 WE'RE USING OTHER TRANSACTION 2746 01:46:34,360 --> 01:46:34,640 AWARDS. 2747 01:46:34,640 --> 01:46:40,280 I'M NOT SURE IF ANYBODY HEARD OF 2748 01:46:40,280 --> 01:46:43,920 THOSE BEFORE USUALLY THROUGH A 2749 01:46:43,920 --> 01:46:49,400 COOPERATIVE AGREEMENT AWARDS AND 2750 01:46:49,400 --> 01:46:53,160 CONTRACTS, TRAINING AWARDS 2751 01:46:53,160 --> 01:46:58,200 THEY'VE BEEN AUTHORIZED TO BE 2752 01:46:58,200 --> 01:46:59,520 USED AND BECAUSE THEY'RE MORE 2753 01:46:59,520 --> 01:47:02,360 FLEXIBLE THEY HAVE FEATURES THAT 2754 01:47:02,360 --> 01:47:04,040 ARE ATTRACTIVE FOR US TO WORK 2755 01:47:04,040 --> 01:47:04,600 WITH COMMUNITY. 2756 01:47:04,600 --> 01:47:07,240 WE ALSO WILL HAVE SOMETHING 2757 01:47:07,240 --> 01:47:08,840 CALLED HEALTH EQUITY RESEARCH 2758 01:47:08,840 --> 01:47:09,080 HUBS. 2759 01:47:09,080 --> 01:47:13,840 AND WE'RE GOING HAVE FIVE OF 2760 01:47:13,840 --> 01:47:17,800 THOSE AWARDS AND THAT'S THROUGH 2761 01:47:17,800 --> 01:47:21,200 AN RFA CURRENTLY OUT. 2762 01:47:21,200 --> 01:47:23,640 THE CHESSY AWARDS ANNOUNCEMENT 2763 01:47:23,640 --> 01:47:25,720 CLOSED AND WE HAVE A 2764 01:47:25,720 --> 01:47:27,040 COORDINATING CENTER AND THAT'S 2765 01:47:27,040 --> 01:47:31,640 GOING TO BE ONE AWARD AND THAT 2766 01:47:31,640 --> 01:47:33,920 WILL BE ANNOUNCED AND CLOSED. 2767 01:47:33,920 --> 01:47:35,640 THIS WILL FORM THE CONSORTIUM 2768 01:47:35,640 --> 01:47:45,720 FOR THE COMPASS. 2769 01:47:45,720 --> 01:47:50,120 FIRST LET'S TALK ABOUT THE 2770 01:47:50,120 --> 01:47:50,920 CHESSI INTERVENTION. 2771 01:47:50,920 --> 01:47:53,320 WE'LL HAVE A THREE-PHASED 2772 01:47:53,320 --> 01:47:53,560 APPROACH. 2773 01:47:53,560 --> 01:47:56,400 THE FIRST TWO YEARS AND THE 2774 01:47:56,400 --> 01:47:58,120 FIRST STAGE IS PLANNING. 2775 01:47:58,120 --> 01:48:04,960 THAT IS TO PILOT, TO PLAN THE 2776 01:48:04,960 --> 01:48:06,200 STRUCTURAL INTERVENTIONS 2777 01:48:06,200 --> 01:48:08,680 CAPACITY AND PARTNERSHIP 2778 01:48:08,680 --> 01:48:10,480 BUILDING AND FOR WHAT WE'RE 2779 01:48:10,480 --> 01:48:13,280 CALLING THE LOCAL HEALTH EQUITY 2780 01:48:13,280 --> 01:48:13,840 RESEARCH ASSEMBLY. 2781 01:48:13,840 --> 01:48:17,880 NOW, WHAT WE DECIDED IS THAT 2782 01:48:17,880 --> 01:48:19,640 IT'S GOING TO BE IMPORTANT I'M 2783 01:48:19,640 --> 01:48:20,840 AN IMPLEMENTATION SCIENTIST AND 2784 01:48:20,840 --> 01:48:22,280 YOU NEED TO THINK ABOUT THE 2785 01:48:22,280 --> 01:48:24,320 IMPLEMENTATION FROM THE START. 2786 01:48:24,320 --> 01:48:26,240 YOU CAN'T WAIT UNTIL YOU FINISH 2787 01:48:26,240 --> 01:48:28,480 THE PROJECT AND SAY OKAY LET'S 2788 01:48:28,480 --> 01:48:30,880 GO AND LET'S DISSEMINATE AND 2789 01:48:30,880 --> 01:48:31,640 IMPLEMENT AND FUND ANOTHER 2790 01:48:31,640 --> 01:48:33,120 PROJECT TO GET IT DONE AND HOPE 2791 01:48:33,120 --> 01:48:35,640 WHAT WE DID WAS GOING TO WORK 2792 01:48:35,640 --> 01:48:37,160 FOR YOU. 2793 01:48:37,160 --> 01:48:39,640 WE WANT TO THINK ABOUT THAT FROM 2794 01:48:39,640 --> 01:48:40,200 THE START. 2795 01:48:40,200 --> 01:48:41,720 HAVING HEALTH EQUITY RESEARCH 2796 01:48:41,720 --> 01:48:43,680 ASSEMBLY AS YOU DESIGN 2797 01:48:43,680 --> 01:48:47,640 INTERVENTION YOU ARE THINKING 2798 01:48:47,640 --> 01:48:50,160 ABOUT THE PARTNERS IN TERMS OF 2799 01:48:50,160 --> 01:48:51,640 THE INTERVENTION, COMMUNITY, 2800 01:48:51,640 --> 01:48:51,880 POLICY. 2801 01:48:51,880 --> 01:48:55,720 ANYBODY THAT WOULD BE NEEDED FOR 2802 01:48:55,720 --> 01:48:57,320 AN INTERVENTION TO WORK AND 2803 01:48:57,320 --> 01:48:59,400 NEEDED FOR FUTURE 2804 01:48:59,400 --> 01:48:59,760 IMPLEMENTATION. 2805 01:48:59,760 --> 01:49:03,760 AND THAT CONSISTS OF YOUR LOCAL 2806 01:49:03,760 --> 01:49:05,760 HEALTH EQUITY RESEARCH ASSEMBLY. 2807 01:49:05,760 --> 01:49:09,040 WE'LL ALSO HAVE THAT AT THE 2808 01:49:09,040 --> 01:49:11,360 NATIONAL LEVEL BECAUSE UP TERMS 2809 01:49:11,360 --> 01:49:13,600 MUCH WHAT -- IN TERMS OF WHAT WE 2810 01:49:13,600 --> 01:49:15,080 CAN BRING TO THE PROJECT IN TRUE 2811 01:49:15,080 --> 01:49:16,680 COLLABORATION WE CAN BRING TO 2812 01:49:16,680 --> 01:49:17,720 BEAR THE NATIONAL LEVEL 2813 01:49:17,720 --> 01:49:18,440 RESOURCES AND CONNECTION TO 2814 01:49:18,440 --> 01:49:26,280 FACILITATE SUCCESS. 2815 01:49:26,280 --> 01:49:31,440 AND THE NEXT IS WHERE 2816 01:49:31,440 --> 01:49:36,560 COMMUNITIES WILL HAVE STRUCTURAL 2817 01:49:36,560 --> 01:49:37,560 INVENTIONS AND THAT WILL 2818 01:49:37,560 --> 01:49:38,720 INFLUENCE HEALTH OUTCOMES ACROSS 2819 01:49:38,720 --> 01:49:39,920 MULTIPLE HEALTH CONDITIONS AND 2820 01:49:39,920 --> 01:49:45,640 DISEASES. 2821 01:49:45,640 --> 01:49:47,640 IN YEARS NINE AND 10 WE HAVE 2822 01:49:47,640 --> 01:49:52,760 DISSEMINATION. 2823 01:49:52,760 --> 01:49:54,200 ASSET THE HEALTH IMPACTS AND 2824 01:49:54,200 --> 01:49:57,960 LOOK AT FINDINGS AND THINK ABOUT 2825 01:49:57,960 --> 01:50:00,200 SUSTAINABILITY AND THAT'S OFTEN 2826 01:50:00,200 --> 01:50:02,120 SOMETHING WE DON'T BRILLED IN 2827 01:50:02,120 --> 01:50:03,240 AND SOMETHING THAT IS IMPORTANT 2828 01:50:03,240 --> 01:50:03,920 IN TEMS OF THE MISSION OF THIS 2829 01:50:03,920 --> 01:50:08,080 INITIATIVE. 2830 01:50:08,080 --> 01:50:09,520 AND TO PLAN FOR THE STRUCTURAL 2831 01:50:09,520 --> 01:50:17,440 INTERVENTION TO STAY. 2832 01:50:17,440 --> 01:50:20,200 NOW, THE AWARDS ARE GOING TO BE 2833 01:50:20,200 --> 01:50:23,840 NAMED SOON. 2834 01:50:23,840 --> 01:50:25,040 UNFORTUNATELY I'M NOT ALLOWED TO 2835 01:50:25,040 --> 01:50:27,680 TELL YOU YET BUT WHEN THE PRESS 2836 01:50:27,680 --> 01:50:28,920 RELEASE WE'LL MAKE SURE THOSE 2837 01:50:28,920 --> 01:50:30,200 ARE AVAILABLE TO YOU BUT I WANT 2838 01:50:30,200 --> 01:50:35,640 TO TELL YOU THEY ARE ACROSS ALL 2839 01:50:35,640 --> 01:50:37,800 THE SOCIAL DETERMINATES OF 2840 01:50:37,800 --> 01:50:39,720 HEALTH AREAS AND THEY'LL BE 2841 01:50:39,720 --> 01:50:40,880 AWARDED THIS MONTH AND TO TELL 2842 01:50:40,880 --> 01:50:42,960 YOU HOW WE WERE ABLE TO GET 2843 01:50:42,960 --> 01:50:45,840 THROUGH THE 25 AWARDS THAT WILL 2844 01:50:45,840 --> 01:50:46,600 BE NAMED. 2845 01:50:46,600 --> 01:50:49,960 THE SCIENTIFIC REVIEW WAS VERY 2846 01:50:49,960 --> 01:50:55,280 DIFFERENT AND WE INCORPORATED 2847 01:50:55,280 --> 01:50:57,520 THE COMMUNITY AND DID NOT USE 2848 01:50:57,520 --> 01:50:58,680 THE CENTER FOR SCIENTIFIC REVIEW 2849 01:50:58,680 --> 01:51:00,200 WE RAN IT OURSELVES AND PILOT A 2850 01:51:00,200 --> 01:51:02,640 DIFFERENT TYPE OF REVIEW AND 2851 01:51:02,640 --> 01:51:07,960 USED UP TO 200 REVIEWERS TO BE 2852 01:51:07,960 --> 01:51:12,920 ABLE TO ASSESS THE NUMBER OF 2853 01:51:12,920 --> 01:51:17,000 GRANTS WE HAD WHICH WAS 2854 01:51:17,000 --> 01:51:17,360 OVERWHELMING. 2855 01:51:17,360 --> 01:51:25,000 WE HAD A WONDERFUL RESPONSE. 2856 01:51:25,000 --> 01:51:27,640 WE STARTED OUT HAVING A COUPLE 2857 01:51:27,640 --> 01:51:28,960 TECHNOLOGY ASSISTANCE WEBINARS 2858 01:51:28,960 --> 01:51:29,800 BUT THE RESPONSE WAS SO GREAT 2859 01:51:29,800 --> 01:51:31,640 WITH THE FIRST WHERE WE HAD 2860 01:51:31,640 --> 01:51:36,800 ALMOST 800 PEOPLE ATTENDING WE 2861 01:51:36,800 --> 01:51:39,800 HAD TO ADD SIX MORE AND HAD 2862 01:51:39,800 --> 01:51:43,320 EIGHT TECHNICAL ASSISTANCE 2863 01:51:43,320 --> 01:51:46,440 WEBINARS AND AT THE END OVER 2864 01:51:46,440 --> 01:51:47,720 2400 PARTICIPANTS TO LEARN ABOUT 2865 01:51:47,720 --> 01:51:48,240 COMPASS. 2866 01:51:48,240 --> 01:51:50,880 SO WE DO THINK THAT COMMUNITIES 2867 01:51:50,880 --> 01:51:56,280 WERE WAITING AND READY FOR THIS 2868 01:51:56,280 --> 01:52:00,080 TYPE OF ANNOUNCEMENT AND THINK 2869 01:52:00,080 --> 01:52:01,400 THEY'VE BEEN WAITING FOR NIH FOR 2870 01:52:01,400 --> 01:52:03,600 A WHILE AND ON OUR VIDEOS ON 2871 01:52:03,600 --> 01:52:04,960 YOUTUBE WE MADE SURE EVERYTHING 2872 01:52:04,960 --> 01:52:06,600 WAS VERY ACCESSIBLE. 2873 01:52:06,600 --> 01:52:08,560 THE MINUTE WE POSTED THE 2874 01:52:08,560 --> 01:52:10,520 ANNOUNCEMENT, WE HAD 2875 01:52:10,520 --> 01:52:12,200 PRE-RECORDED VIDEOS AND WANTS TO 2876 01:52:12,200 --> 01:52:14,640 MAKE SURE PEOPLE CAN GET ACCESS 2877 01:52:14,640 --> 01:52:15,880 RIGHT AWAY AND WATCH IT OVER AND 2878 01:52:15,880 --> 01:52:18,480 OVER AND THEY DID OVER 300 2879 01:52:18,480 --> 01:52:19,000 VIEWS. 2880 01:52:19,000 --> 01:52:21,480 THEY WATCHED IT OVER AND OVER. 2881 01:52:21,480 --> 01:52:23,640 WE HAVE DONE EDUCATION AND 2882 01:52:23,640 --> 01:52:24,960 CAPACITY BUILDING FOR LEARNING 2883 01:52:24,960 --> 01:52:27,120 ABOUT NIH AND LEARNING ABOUT THE 2884 01:52:27,120 --> 01:52:29,400 PROCESS FOR COMMUNITY MEMBERS 2885 01:52:29,400 --> 01:52:33,000 WHO DID NOT HAVE EXPOSURE TO 2886 01:52:33,000 --> 01:52:33,200 NIH. 2887 01:52:33,200 --> 01:52:35,440 THEY MAY HAVE HAD OTHER GRANTS 2888 01:52:35,440 --> 01:52:37,600 LIKE CDC AND OTHER AGENCIES BUT 2889 01:52:37,600 --> 01:52:39,320 LEARNING ABOUT NIH AND 2890 01:52:39,320 --> 01:52:39,960 COMMUNITY-RESEARCH PARTNERSHIPS 2891 01:52:39,960 --> 01:52:42,880 THAT ARE AVAILABLE. 2892 01:52:42,880 --> 01:52:47,080 HOW TO THE CHESSI AWARDS HAVE A 2893 01:52:47,080 --> 01:52:49,680 SCIENTIFIC FOCUS ACROSS ALL THE 2894 01:52:49,680 --> 01:52:50,320 SOCIAL DETERMINATE AREAS AND 2895 01:52:50,320 --> 01:52:52,600 HAVE A STRONG APPROACH FOR 2896 01:52:52,600 --> 01:52:53,240 COMMUNITY-ENGAGED RESEARCH AND 2897 01:52:53,240 --> 01:52:54,200 HIGH POTENTIAL IMPACT FOR HEALTH 2898 01:52:54,200 --> 01:53:04,360 EQUITY. 2899 01:53:04,760 --> 01:53:07,120 THERE'S A BROAD DISTRIBUTION OF 2900 01:53:07,120 --> 01:53:09,600 PROJECTS AND HIGH AND LOW 2901 01:53:09,600 --> 01:53:12,000 COMMUNITY RESOURCE ORGANIZATIONS 2902 01:53:12,000 --> 01:53:14,240 AND FOCUS ON NUTRITION RESEARCH 2903 01:53:14,240 --> 01:53:14,520 PRIORITIES. 2904 01:53:14,520 --> 01:53:15,640 AND THE OTHER CRITERIA WE HAVE 2905 01:53:15,640 --> 01:53:17,320 FOR THE AWARDS WE'RE GOING TO 2906 01:53:17,320 --> 01:53:19,280 MAKE IS THEY'RE READY TO CONDUCT 2907 01:53:19,280 --> 01:53:20,280 STRUCTURAL INTERVENTION 2908 01:53:20,280 --> 01:53:20,520 RESEARCH. 2909 01:53:20,520 --> 01:53:22,880 THESE TWO YEARS OF INTERVENTION 2910 01:53:22,880 --> 01:53:24,000 DEVELOPMENT ARE FOR COMMUNITIES 2911 01:53:24,000 --> 01:53:25,720 AND RESEARCH PARTNERS THAT ARE 2912 01:53:25,720 --> 01:53:25,920 READY. 2913 01:53:25,920 --> 01:53:28,320 THE GRANTS ARE GOING TO 2914 01:53:28,320 --> 01:53:30,280 COMMUNITIES BUT THEY CHOSE THEIR 2915 01:53:30,280 --> 01:53:31,640 RESEARCH PARTNER. 2916 01:53:31,640 --> 01:53:33,960 IT'S VERY DIFFERENT. 2917 01:53:33,960 --> 01:53:35,320 WE KNOW THAT THIS IS A MODEL 2918 01:53:35,320 --> 01:53:39,640 THAT HAS NOT BEEN USED AT NIH 2919 01:53:39,640 --> 01:53:47,040 BEFORE. 2920 01:53:47,040 --> 01:53:49,640 THERE'S GOING TO BE ONE SINGLE 2921 01:53:49,640 --> 01:53:53,000 COORDINATION CENTER AND BE THE 2922 01:53:53,000 --> 01:53:53,800 PROGRAM MANAGEMENT AND 2923 01:53:53,800 --> 01:53:57,200 ADMINISTRATIVE WORK AND CAPACITY 2924 01:53:57,200 --> 01:53:59,440 BUILDING AND PAST AND TRAINING 2925 01:53:59,440 --> 01:54:00,840 AND WE'RE EXCITING PART OF THIS 2926 01:54:00,840 --> 01:54:01,800 WILL BE RESEARCH CAPACITY 2927 01:54:01,800 --> 01:54:04,360 BUILDING AND TRAINING AND THE 2928 01:54:04,360 --> 01:54:05,040 RESOURCES WILL BE MADE AVAILABLE 2929 01:54:05,040 --> 01:54:08,840 TO ALL AS MUCH AS POSSIBLE. 2930 01:54:08,840 --> 01:54:11,640 THAT WILL BE AWARDED THIS MONTH 2931 01:54:11,640 --> 01:54:14,560 AND THOSE THREE COMPONENTS ARE 2932 01:54:14,560 --> 01:54:18,200 VERY IMPORTANT IN TERMS OF NOT 2933 01:54:18,200 --> 01:54:19,600 ONLY BUILDING FOR THE SITES BUT 2934 01:54:19,600 --> 01:54:25,000 THE IDEA IS TO MAKE THE 2935 01:54:25,000 --> 01:54:27,640 RESOURCES AVAILABLE AS MUCH AS 2936 01:54:27,640 --> 01:54:31,640 POSSIBLE FOR BUILD COMMUNITIES 2937 01:54:31,640 --> 01:54:36,200 AND DATA THAT'S AVAILABLE SO 2938 01:54:36,200 --> 01:54:39,640 COMMUNITY RESOURCE CAN BUILD FOR 2939 01:54:39,640 --> 01:54:44,840 OTHER PARTNERING AGENCIES. 2940 01:54:44,840 --> 01:54:47,200 SOME WORK IS THINKING OF COMMON 2941 01:54:47,200 --> 01:54:48,640 DATA ELEMENTS WHERE POSSIBLE AND 2942 01:54:48,640 --> 01:54:51,640 TO MAKE SURE COMMUNITIES THINK 2943 01:54:51,640 --> 01:54:59,120 HOW CAN WE FIT INTO THE POLICIES 2944 01:54:59,120 --> 01:55:01,320 AND THAT'S BEEN THE ROAD BLOCK 2945 01:55:01,320 --> 01:55:03,240 IN RIGOR AND HOW CAN WE 2946 01:55:03,240 --> 01:55:04,080 TRANSLATE THIS AND MAKE IT 2947 01:55:04,080 --> 01:55:05,520 EASIER FOR THEM. 2948 01:55:05,520 --> 01:55:12,160 THESE ARE THE IMPORTANT ROAD 2949 01:55:12,160 --> 01:55:14,640 BLOCKS AND THE NATIONAL HEALTH 2950 01:55:14,640 --> 01:55:19,640 EQUITY RESEARCH ASSEMBLY WILL 2951 01:55:19,640 --> 01:55:20,400 HAVE REPRESENTS ASSEMBLED AND 2952 01:55:20,400 --> 01:55:22,920 WE'LL CONTINUE TO ASSEMBLE 2953 01:55:22,920 --> 01:55:27,360 NON-PROFIT FOUNDATION INTERESTED 2954 01:55:27,360 --> 01:55:28,440 IN THE SAME MISSION AREAS AND 2955 01:55:28,440 --> 01:55:30,200 THE FUNDED AWARDEES. 2956 01:55:30,200 --> 01:55:33,680 IF THERE'S A PROJECT LOOKING AT 2957 01:55:33,680 --> 01:55:34,320 SOCIAL DETERMINATES OF HEALTH 2958 01:55:34,320 --> 01:55:35,640 THAT IMPACTS HOUSING THAN WE 2959 01:55:35,640 --> 01:55:39,680 HAVE A FEDERAL PARTNER IN HUD 2960 01:55:39,680 --> 01:55:43,320 THAT CAN IDENTIFY LOCAL AND 2961 01:55:43,320 --> 01:55:44,080 REGIONAL RESOURCES TO HELP 2962 01:55:44,080 --> 01:55:45,960 ADVANCE THE PROJECT AND 2963 01:55:45,960 --> 01:55:47,360 CONTRIBUTE TO ITS SUCCESS. 2964 01:55:47,360 --> 01:55:49,400 SIMILAR FOR NUTRITION. 2965 01:55:49,400 --> 01:55:54,080 WE HAVE A FEDERAL PARTNER USDA 2966 01:55:54,080 --> 01:55:55,960 TO THINK DOWN THE LINE WHAT IT 2967 01:55:55,960 --> 01:55:57,120 MEANS FOR SUSTAINABILITY. 2968 01:55:57,120 --> 01:56:00,040 WE ARE THINKING FROM THE START 2969 01:56:00,040 --> 01:56:03,640 ABOUT IMPLEMENTATION AND 2970 01:56:03,640 --> 01:56:04,920 SUSTAINABILITY AS WELL AS TRYING 2971 01:56:04,920 --> 01:56:06,320 TO ADVANCE THE MISSION AND THINK 2972 01:56:06,320 --> 01:56:07,640 ABOUT THE SUCCESS OF INDIVIDUAL 2973 01:56:07,640 --> 01:56:15,360 PROJECT. 2974 01:56:15,360 --> 01:56:21,040 USUALLY WE THINK OF HUBS FOR 2975 01:56:21,040 --> 01:56:28,960 DATA OR FOR TRAINING WITH 2976 01:56:28,960 --> 01:56:32,200 COMMUNITIES WE REALIZE THE 2977 01:56:32,200 --> 01:56:33,040 TYPICAL DATA COORDINATION CENTER 2978 01:56:33,040 --> 01:56:35,160 MAY NOT BE ABLE TO DO IT ALL. 2979 01:56:35,160 --> 01:56:42,200 WE MAY NEED ADDITIONAL SUPPORT 2980 01:56:42,200 --> 01:56:44,640 AND EXPERTISE AND THERE'S FIVE 2981 01:56:44,640 --> 01:56:47,560 HUBS TO ASSIST THE CHESSIS IN 2982 01:56:47,560 --> 01:56:48,520 THINKING OF RESEARCH CAPACITY 2983 01:56:48,520 --> 01:56:49,440 BUILDING AND TRAINING AND 2984 01:56:49,440 --> 01:56:50,800 COMMUNITY ENGAGEMENT. 2985 01:56:50,800 --> 01:56:54,200 IN ADDITION TO THEIR RESEARCH 2986 01:56:54,200 --> 01:56:55,640 PARTNERS THE INTERVENTION SITES 2987 01:56:55,640 --> 01:57:02,200 WILL HAVE HUBS TO GO TO SO WE'RE 2988 01:57:02,200 --> 01:57:03,640 BUILDING INFRASTRUCTURE FOR THE 2989 01:57:03,640 --> 01:57:05,000 COMMUNITY INTERVENTION SITES 2990 01:57:05,000 --> 01:57:06,200 THAT WILL SUPPORT THEM FOR 2991 01:57:06,200 --> 01:57:14,280 SUCCESS. 2992 01:57:14,280 --> 01:57:15,320 IN TERMS OF HUBS THERE'S AN 2993 01:57:15,320 --> 01:57:17,280 OPPORTUNITY AND THE LETTER OF 2994 01:57:17,280 --> 01:57:18,720 INTENT IS DUE AT THE END OF THE 2995 01:57:18,720 --> 01:57:20,280 MONTH AND THE APPLICATION 2996 01:57:20,280 --> 01:57:24,200 DEADLINE IS OCTOBER 31 AND THE 2997 01:57:24,200 --> 01:57:26,120 WEB DMINAR AND MATERIALS ARE ONE 2998 01:57:26,120 --> 01:57:35,120 RIGHT NOW. 2999 01:57:35,120 --> 01:57:38,080 THAT'S STAGED TO COME LATER SO 3000 01:57:38,080 --> 01:57:39,080 THE INTERVENTION CENTER STARTED 3001 01:57:39,080 --> 01:57:39,280 FIRST. 3002 01:57:39,280 --> 01:57:49,760 IN ADDITION TO ALL THAT, WE 3003 01:57:51,320 --> 01:57:52,080 BUILT WITH COMMUNITY PARTNERS 3004 01:57:52,080 --> 01:57:54,200 AND HAD A NETWORK OF PEOPLE WE 3005 01:57:54,200 --> 01:57:56,200 DIDN'T WANT TO LEAVE BEHIND. 3006 01:57:56,200 --> 01:57:58,080 WE'RE ONLY FUNDING 25 SITES AND 3007 01:57:58,080 --> 01:58:00,160 IN TERMS OF THE MISSION AS YOU 3008 01:58:00,160 --> 01:58:01,160 REMEMBER THAT SECOND MISSION 3009 01:58:01,160 --> 01:58:05,560 AREA WAS TO THINK ABOUT THE WAY 3010 01:58:05,560 --> 01:58:06,880 NIH BUILDS COMMUNITY-LED 3011 01:58:06,880 --> 01:58:07,160 RESEARCH. 3012 01:58:07,160 --> 01:58:09,000 SO IN THINKING ABOUT THAT, WE 3013 01:58:09,000 --> 01:58:10,600 TRY TO IDENTIFY WHAT WE COULD DO 3014 01:58:10,600 --> 01:58:14,160 TO REALLY BUILD THAT NETWORK AND 3015 01:58:14,160 --> 01:58:16,840 THERE'S A LOT OF EFFORTS GOING 3016 01:58:16,840 --> 01:58:17,920 ON THROUGH NIH BUT WANTED TO 3017 01:58:17,920 --> 01:58:19,640 THINK WITH THE THREAT WORK WE 3018 01:58:19,640 --> 01:58:22,440 BUILT AND HOW DO WE GALVANIZE 3019 01:58:22,440 --> 01:58:23,640 THE EFFORTS AND WE TRY TO THINK 3020 01:58:23,640 --> 01:58:32,280 IN A COMMON WAY. 3021 01:58:32,280 --> 01:58:38,560 ONE HAS BEEN THE SEAL NETWORK 3022 01:58:38,560 --> 01:58:41,840 LED BY NIHD AND SHIFTED AND 3023 01:58:41,840 --> 01:58:43,680 CONTINUED TO LEAD COMMUNITY 3024 01:58:43,680 --> 01:58:48,160 ENGAGEMENT EFFORTS AND AS PART 3025 01:58:48,160 --> 01:58:49,720 OF THAT THEY HAVE CONSULTATIVE 3026 01:58:49,720 --> 01:58:50,080 RESOURCE. 3027 01:58:50,080 --> 01:58:52,680 AS PART OF COMPASS WE'RE 3028 01:58:52,680 --> 01:58:59,640 BUILDING A CONSULTATIVE RESOURCE 3029 01:58:59,640 --> 01:59:01,440 AND SUPPLEMENTING SEAL TO 3030 01:59:01,440 --> 01:59:04,520 CONSULT WITH THE NETWORK WE 3031 01:59:04,520 --> 01:59:05,760 BUILT THROUGH THE EFFORTS OF 3032 01:59:05,760 --> 01:59:12,160 COMPASS AND THE WEBINARS AND THE 3033 01:59:12,160 --> 01:59:14,600 NETWORK WE BUILT WE'RE GOING TO 3034 01:59:14,600 --> 01:59:16,560 HAVE WORKS SHOPS AND OTHER 3035 01:59:16,560 --> 01:59:18,960 ACTIVITIES TO CONTINUE BUILDING 3036 01:59:18,960 --> 01:59:20,760 THOSE COMMUNITY AND RESEARCH 3037 01:59:20,760 --> 01:59:22,040 PARTNERSHIPS SO THEY CONTINUE TO 3038 01:59:22,040 --> 01:59:26,720 THINK ABOUT FUNDING AND PROJECTS 3039 01:59:26,720 --> 01:59:27,080 IN THE FUTURE. 3040 01:59:27,080 --> 01:59:30,200 THAT WILL BE HAPPENING AND WE 3041 01:59:30,200 --> 01:59:32,320 HAVE A CONSULTATIVE ARM IN 3042 01:59:32,320 --> 01:59:35,640 PARTNERSHIP WITH SEAL THAT WILL 3043 01:59:35,640 --> 01:59:37,320 BE START. 3044 01:59:37,320 --> 01:59:39,640 PARTING. 3045 01:59:39,640 --> 01:59:41,480 WE'RE REALLY EXCITED BECAUSE 3046 01:59:41,480 --> 01:59:44,040 NCATS HAS WONDERFUL ENGAGEMENT 3047 01:59:44,040 --> 01:59:47,640 CORES THROUGH THE CTSAs AS SHE 3048 01:59:47,640 --> 01:59:49,760 PRESENTED THAT HAVE A GREAT NEW 3049 01:59:49,760 --> 01:59:53,440 COLLECTIVE FOR COMMUNITY 3050 01:59:53,440 --> 01:59:54,480 ENGAGEMENT. 3051 01:59:54,480 --> 01:59:56,040 AND PARTNERING WITH IT NCATS WE 3052 01:59:56,040 --> 02:00:03,200 HOPE TO CONNECT COMMUNITIES TO 3053 02:00:03,200 --> 02:00:05,960 THE NCAT SITES AND CONTINUE TO 3054 02:00:05,960 --> 02:00:10,360 BUILD RESOURCES ON COMMUNITY 3055 02:00:10,360 --> 02:00:13,640 ENGAGEMENT WITH THE 3056 02:00:13,640 --> 02:00:14,320 MEHARRY-VANDERBILT RESEARCH CORE 3057 02:00:14,320 --> 02:00:15,800 WHICH HAS A LONG HISTORY OF 3058 02:00:15,800 --> 02:00:18,160 DESIGNING ENGAGEMENT STUDIOS AND 3059 02:00:18,160 --> 02:00:19,040 A LOT OF TOOLS THAT CAN BE 3060 02:00:19,040 --> 02:00:21,960 USEFUL FOR THE NETWORK WE HAVE 3061 02:00:21,960 --> 02:00:22,200 BUILT. 3062 02:00:22,200 --> 02:00:25,200 SO WHILE WE'RE GOING TO BUILD 3063 02:00:25,200 --> 02:00:26,200 MORE OF THOSE THINGS THROUGH 3064 02:00:26,200 --> 02:00:27,800 COMPASS WE FELT THERE WAS A NEED 3065 02:00:27,800 --> 02:00:30,160 NOW TO ASSIST THE NETWORK THAT 3066 02:00:30,160 --> 02:00:34,240 WE HAD BUILT IN GEARING UP FOR 3067 02:00:34,240 --> 02:00:37,560 COMPASS AND NOT LEAVE THOSE 3068 02:00:37,560 --> 02:00:40,840 BEHIND THAT DON'T RECEIVE AWARDS 3069 02:00:40,840 --> 02:00:42,880 BECAUSE OF THE NETWORK AND THE 3070 02:00:42,880 --> 02:00:44,560 CAPACITY BUILT IN TERM OF 3071 02:00:44,560 --> 02:00:45,200 COMMUNITY IDENTIFYING RESEARCH 3072 02:00:45,200 --> 02:00:46,600 PARTNERS JUST TO APPLY FOR THE 3073 02:00:46,600 --> 02:00:48,160 AWARDS AND THINK WHAT THEY CAN 3074 02:00:48,160 --> 02:00:48,560 DO. 3075 02:00:48,560 --> 02:00:51,280 WE WANTED TO LEVERAGE THOSE RICH 3076 02:00:51,280 --> 02:00:54,200 PARTNERSHIPS THAT HAVE BEEN 3077 02:00:54,200 --> 02:00:57,600 BUILT AS PART OF COMPASS SO 3078 02:00:57,600 --> 02:00:59,640 WE'RE NOT LEAVING ANYONE BEHIND. 3079 02:00:59,640 --> 02:01:01,480 WE'RE ENGAGING THEM EVEN IF THEY 3080 02:01:01,480 --> 02:01:03,600 DON'T GET AWARDS THROUGH THESE 3081 02:01:03,600 --> 02:01:04,440 DIFFERENT TYPES OF OPPORTUNITIES 3082 02:01:04,440 --> 02:01:06,760 TO CONTINUE TO BUILD AND TO 3083 02:01:06,760 --> 02:01:07,640 CONTINUE TO BUILD CAPACITY 3084 02:01:07,640 --> 02:01:09,560 ACROSS NIH. 3085 02:01:09,560 --> 02:01:12,200 SO WE HOPE THAT WILL LEAD TO 3086 02:01:12,200 --> 02:01:14,280 TEMPERATURE APPLICATION TO THE 3087 02:01:14,280 --> 02:01:16,480 BENEFIT OF ALL OF NIH IN TERMS 3088 02:01:16,480 --> 02:01:19,600 OF COMMUNITY-DRIVEN AND 3089 02:01:19,600 --> 02:01:21,120 COMMUNITY-PARTNERED RESEARCH. 3090 02:01:21,120 --> 02:01:22,640 THOSE ARE TWO GREAT-BREAKING 3091 02:01:22,640 --> 02:01:23,640 OPPORTUNITIES WE HAVE IN TERMS 3092 02:01:23,640 --> 02:01:24,920 OF CAMPUS FOR THE SECOND GOAL 3093 02:01:24,920 --> 02:01:27,640 WHICH IS NOT TYPICAL FOR OUR 3094 02:01:27,640 --> 02:01:37,400 INITIATIVES. 3095 02:01:37,400 --> 02:01:39,080 I'M EXCITED ABOUT THE CHALLENGE 3096 02:01:39,080 --> 02:01:40,560 GRANTS AND AN OPPORTUNITY TO 3097 02:01:40,560 --> 02:01:42,760 GREAT A PRIZE AND THINK OF WAYS 3098 02:01:42,760 --> 02:01:46,600 TO GET GREAT IDEAS FROM THE 3099 02:01:46,600 --> 02:01:47,720 PUBLIC AND YOU HAVE TO BE 18 3100 02:01:47,720 --> 02:01:50,320 YEARS OLD AND IT CAN COME FROM 3101 02:01:50,320 --> 02:01:52,680 ANYONE IN THE PUBLIC. 3102 02:01:52,680 --> 02:01:54,160 I ENCOURAGE SOMETIMES WE DO 3103 02:01:54,160 --> 02:01:55,800 THESE FOR STUDENTS AND I'VE DONE 3104 02:01:55,800 --> 02:01:56,600 CHALLENGE GRANTS BEFORE. 3105 02:01:56,600 --> 02:01:58,520 THERE'S A LOT OF PEOPLE WITH 3106 02:01:58,520 --> 02:01:59,760 GREAT IDEAS, COMMUNITY MEMBERS 3107 02:01:59,760 --> 02:02:00,840 CAN TAKE PART. 3108 02:02:00,840 --> 02:02:04,040 I WOULD LOVE TO SEE A COMMUNITY 3109 02:02:04,040 --> 02:02:06,640 MEMBER WIN ONE OF THESE AWARDS 3110 02:02:06,640 --> 02:02:08,080 BECAUSE I THINK THEY'RE UNTAPPED 3111 02:02:08,080 --> 02:02:13,880 RESOURCE AND WHO BETTER TO SAY 3112 02:02:13,880 --> 02:02:15,080 HOW WE BUILD COMMUNITY TRUST 3113 02:02:15,080 --> 02:02:21,080 THAN THE COMMUNITY MEMBER THIS 3114 02:02:21,080 --> 02:02:23,640 IS FUNDED BY THE "ALL OF US" 3115 02:02:23,640 --> 02:02:31,640 RESEARCH PROGRAM AND NIBIB AND 3116 02:02:31,640 --> 02:02:34,840 NINDS AND OTHERS AND YOU CAN WIN 3117 02:02:34,840 --> 02:02:36,160 $40,000 FOR A GREAT IDEA. 3118 02:02:36,160 --> 02:02:38,240 WE LOVE GREAT IDEAS. 3119 02:02:38,240 --> 02:02:41,560 AND THE BUILD UP TRUST CHALLENGE 3120 02:02:41,560 --> 02:02:44,040 YOU JUST HAVE TO REGISTER BY 3121 02:02:44,040 --> 02:02:44,920 NOVEMBER 14. 3122 02:02:44,920 --> 02:02:45,960 THEY HAVE TOOLS TO HELP YOU 3123 02:02:45,960 --> 02:02:47,160 THINK ABOUT THE IDEA. 3124 02:02:47,160 --> 02:02:50,400 THIS IS ALL REALLY TO GET THE 3125 02:02:50,400 --> 02:02:53,800 BEST IDEAS OUT OF US AND IT'S A 3126 02:02:53,800 --> 02:02:54,200 GREAT THING. 3127 02:02:54,200 --> 02:02:55,800 YOU CAN GET PEOPLE IN YOUR 3128 02:02:55,800 --> 02:02:57,720 HOUSE -- IT'S A GREAT THING FOR 3129 02:02:57,720 --> 02:02:58,720 STUDENTS AND FOR COMMUNITY 3130 02:02:58,720 --> 02:03:00,040 MEMBERS TO SIT THERE AND THINK 3131 02:03:00,040 --> 02:03:02,640 ABOUT WHAT ARE THE WAYS THAT WE 3132 02:03:02,640 --> 02:03:05,160 NEED TO THINK ABOUT TO BUILD UP 3133 02:03:05,160 --> 02:03:06,920 TRUST AND IMPROVE ENGAGEMENT. 3134 02:03:06,920 --> 02:03:09,000 THIS IS ONE OF OUR BIGGEST 3135 02:03:09,000 --> 02:03:11,120 CHALLENGES IN TERMS OF NIH IS 3136 02:03:11,120 --> 02:03:11,320 TRUST. 3137 02:03:11,320 --> 02:03:13,680 WE NEED NEW IDEAS AND SO WHAT 3138 02:03:13,680 --> 02:03:16,040 BETTER WAY THAN TO SAY HOW ABOUT 3139 02:03:16,040 --> 02:03:17,920 LET'S GIVE YOU A PRIZE. 3140 02:03:17,920 --> 02:03:21,920 WE KNOW PRIZES DO WORK. 3141 02:03:21,920 --> 02:03:26,640 I ENCOURAGE YOU TO THINK ABOUT 3142 02:03:26,640 --> 02:03:28,960 DISSEMINATING THIS TO ALL YOU 3143 02:03:28,960 --> 02:03:31,240 KNOW AND I DON'T GET A 3144 02:03:31,240 --> 02:03:33,560 PERCENTAGE OF THE PRIZE BUT I 3145 02:03:33,560 --> 02:03:35,640 WOULD LOVE TO HEAR LATER ON, I'M 3146 02:03:35,640 --> 02:03:37,760 SO GLAD TO HEAR ABOUT THAT. 3147 02:03:37,760 --> 02:03:39,640 WE WON. 3148 02:03:39,640 --> 02:03:41,600 I WOULD LOVE TO HEAR SOMEONE IN 3149 02:03:41,600 --> 02:03:43,320 YOUR COMMUNITY MEMBERS WON THE 3150 02:03:43,320 --> 02:03:45,240 PRIZE OR SOMEONE FROM YOUR TEAM 3151 02:03:45,240 --> 02:03:48,200 OR SOME OF YOUR STUDENTS WON THE 3152 02:03:48,200 --> 02:03:48,400 PRIZE. 3153 02:03:48,400 --> 02:03:49,680 SOME OF THE BEST IDEAS HAVE COME 3154 02:03:49,680 --> 02:03:54,200 FROM STUDENTS IN TERMS OF 3155 02:03:54,200 --> 02:03:55,480 WORKING TOGETHER AND SO I CAN'T 3156 02:03:55,480 --> 02:03:57,520 WAIT TO SEE WHO WINS AND WHAT 3157 02:03:57,520 --> 02:03:59,440 THE IDEAS WILL BE BECAUSE I 3158 02:03:59,440 --> 02:04:01,080 CAN'T IMAGINE SOME OF THE THINGS 3159 02:04:01,080 --> 02:04:02,800 WE JUST HAVEN'T THOUGHT ABOUT IN 3160 02:04:02,800 --> 02:04:04,760 TERMS OF BUILDING TRUST BECAUSE 3161 02:04:04,760 --> 02:04:07,840 OF WHERE WE SIT AND WE CAN'T SEE 3162 02:04:07,840 --> 02:04:08,720 SOME OF THE THINGS WE'RE 3163 02:04:08,720 --> 02:04:09,520 MISSING. 3164 02:04:09,520 --> 02:04:11,640 WITH THAT I'M GOING TO CLOSE. 3165 02:04:11,640 --> 02:04:13,600 I'M REALLY EXCITED ABOUT 3166 02:04:13,600 --> 02:04:13,800 COMPASS. 3167 02:04:13,800 --> 02:04:15,640 I'M EXCITED ABOUT MAKING THE 3168 02:04:15,640 --> 02:04:16,800 AWARD ANNOUNCEMENTS SOON. 3169 02:04:16,800 --> 02:04:19,160 I FEEL I'M PULLING THIS GREAT 3170 02:04:19,160 --> 02:04:21,040 JOY IN AND WE HAVE A LOT OF WORK 3171 02:04:21,040 --> 02:04:23,960 TO DO AND WE'RE GOING TO NEED 3172 02:04:23,960 --> 02:04:25,480 EVERYONE'S GREAT IDEAS AND 3173 02:04:25,480 --> 02:04:27,640 PARTNERSHIP AND I PERSONALLY 3174 02:04:27,640 --> 02:04:29,280 WANT TO THANK SHANNON ZENK. 3175 02:04:29,280 --> 02:04:30,960 SHE HAS REALLY PUSHED US TO 3176 02:04:30,960 --> 02:04:34,960 THINK OUTSIDE THE BOX AND TO 3177 02:04:34,960 --> 02:04:38,160 REALLY THINK STRONGLY OF MAKING 3178 02:04:38,160 --> 02:04:40,480 AN IMPACT IN TERMS OF SOCIAL 3179 02:04:40,480 --> 02:04:41,600 DETERMINATES OF HEALTH AND 3180 02:04:41,600 --> 02:04:44,160 MULTISECTORIAL PARTNERSHIPS AND 3181 02:04:44,160 --> 02:04:44,800 INTERVENTIONS AND LEADING A LOT 3182 02:04:44,800 --> 02:04:46,920 OF THAT PARTNERSHIP AT NIH. 3183 02:04:46,920 --> 02:04:48,200 WITH THAT I'LL CLOSE AND HAPPY 3184 02:04:48,200 --> 02:04:50,600 TO TAKE COMMENTS AND SOME 3185 02:04:50,600 --> 02:04:51,640 QUESTIONS. 3186 02:04:51,640 --> 02:05:01,840 THANK YOU. 3187 02:05:11,720 --> 02:05:14,520 >>I'VE BEEN WAITING FOR THIS MY 3188 02:05:14,520 --> 02:05:16,520 WHOLE LIFE AND GLAD WE'RE 3189 02:05:16,520 --> 02:05:18,200 STEPPING INTO THIS IN TERMS MUCH 3190 02:05:18,200 --> 02:05:20,000 MECHANISMS AND AWARDS FUNDING. 3191 02:05:20,000 --> 02:05:26,040 TO RECAP QUICKLY. 3192 02:05:26,040 --> 02:05:27,880 DR. BOYCE PRESENTED ON THE 3193 02:05:27,880 --> 02:05:30,200 COMPASS INITIATIVE A NEW 3194 02:05:30,200 --> 02:05:35,080 APPROACH NIH IS MAKING TO TRY TO 3195 02:05:35,080 --> 02:05:38,240 IDENTIFY SYSTEMS AND POLICY 3196 02:05:38,240 --> 02:05:42,200 RELEVANT CHANGES FOR HOPEFULLY 3197 02:05:42,200 --> 02:05:42,880 SUSTAINABLE CHANGES IN THE WAY 3198 02:05:42,880 --> 02:05:43,720 HEALTH CARE IS DELIVERED AND 3199 02:05:43,720 --> 02:05:46,520 OTHER WAYS OF PREVENT AND 3200 02:05:46,520 --> 02:05:47,720 CONTROLLING THE NUMEROUS CHRONIC 3201 02:05:47,720 --> 02:05:51,800 CONDITIONS AFFECTS PEOPLE'S 3202 02:05:51,800 --> 02:05:52,160 LIVES. 3203 02:05:52,160 --> 02:05:54,720 I APPRECIATE THE WHOLE 3204 02:05:54,720 --> 02:05:56,800 DISCUSSION ON INVOLVING A LOCAL 3205 02:05:56,800 --> 02:05:59,440 AND NATIONAL RESEARCH ASSEMBLY 3206 02:05:59,440 --> 02:06:00,560 BUT THAT'S ALSO ONE OF MY 3207 02:06:00,560 --> 02:06:01,720 QUESTIONS. 3208 02:06:01,720 --> 02:06:03,640 HOW IS AN ASSEMBLY DIFFERENT 3209 02:06:03,640 --> 02:06:06,200 FROM OR SIMILAR TO A COALITION 3210 02:06:06,200 --> 02:06:07,640 OR ADVISORY COMMITTEE MANY OF US 3211 02:06:07,640 --> 02:06:10,200 ARE ACCUSTOMED TO HAVING ON OUR 3212 02:06:10,200 --> 02:06:10,480 PROJECTS? 3213 02:06:10,480 --> 02:06:18,400 >>THAT'S A VERY GOOD QUESTION. 3214 02:06:18,400 --> 02:06:20,120 THOSE ARE OFTEN SELF-DEFINED. 3215 02:06:20,120 --> 02:06:26,000 WE OFTEN HEAR OF ADVISORY 3216 02:06:26,000 --> 02:06:26,800 BOARDS. 3217 02:06:26,800 --> 02:06:35,640 WE GOT VERY -- WE THOUGHT A LOT 3218 02:06:35,640 --> 02:06:41,440 ABOUT WHAT TO CALL ITS AND IT 3219 02:06:41,440 --> 02:06:43,080 DOESN'T HAVE ANY KIND OF POWER 3220 02:06:43,080 --> 02:06:46,000 IB A USUAL WAY IN TERMS OF 3221 02:06:46,000 --> 02:06:46,280 DIRECTION. 3222 02:06:46,280 --> 02:06:47,320 THERE'LL BE THOSE KINDS OF 3223 02:06:47,320 --> 02:06:48,320 BODIES THAT ARE PART OF THE 3224 02:06:48,320 --> 02:06:49,640 GRANT AND TYPICAL STRUCTURE. 3225 02:06:49,640 --> 02:06:54,600 WE WANTED TO HAVE A BODY THAT 3226 02:06:54,600 --> 02:06:58,840 BROUGHT TOGETHER DIFFERENT 3227 02:06:58,840 --> 02:07:05,680 GROUPS TO HAVE THE EMPHASIS ON 3228 02:07:05,680 --> 02:07:06,600 THE STAINSABILITY PIECE AND THE 3229 02:07:06,600 --> 02:07:11,080 POLICY PIECE IN A WAY THAT WAS 3230 02:07:11,080 --> 02:07:11,320 UNIQUE. 3231 02:07:11,320 --> 02:07:12,520 I THINK COALITIONS PEOPLE DEFINE 3232 02:07:12,520 --> 02:07:13,280 THEM IN MANY WAYS. 3233 02:07:13,280 --> 02:07:19,280 WE NEED TO DO SOMETHING 3234 02:07:19,280 --> 02:07:19,520 DIFFERENT. 3235 02:07:19,520 --> 02:07:22,880 THIS IS ON WHAT YOU NEED FOR 3236 02:07:22,880 --> 02:07:27,640 SUCCESS AND THE PAST FOR 3237 02:07:27,640 --> 02:07:32,400 SUSTAINABILITY IN AN 3238 02:07:32,400 --> 02:07:33,280 IMPLEMENTATION SCIENCE MODEL AND 3239 02:07:33,280 --> 02:07:40,040 WHAT WE MODELLED FOR AND WE WERE 3240 02:07:40,040 --> 02:07:45,000 CONCERNED ABOUT COMMUNITIES AND 3241 02:07:45,000 --> 02:07:46,600 HOW TO BUILD IN SOME KIND OF 3242 02:07:46,600 --> 02:07:49,240 BODY THAT ALLOWED FOR LOCAL AND 3243 02:07:49,240 --> 02:07:51,840 NATIONAL RESOURCES FROM OTHER 3244 02:07:51,840 --> 02:07:56,520 AGENCIES. 3245 02:07:56,520 --> 02:07:59,160 THAT'S WHY WE DID IT THAT WAY 3246 02:07:59,160 --> 02:08:02,440 AND FOR THE SUBMISSION FOR THE 3247 02:08:02,440 --> 02:08:04,160 COORDINATING CENTERS THEY DID 3248 02:08:04,160 --> 02:08:06,240 LAY OUT HOW THEY WERE GOING TO 3249 02:08:06,240 --> 02:08:08,520 DO IT SO WE DID GIVE 3250 02:08:08,520 --> 02:08:09,720 FLEXIBILITY. 3251 02:08:09,720 --> 02:08:11,560 >>NEXT QUESTION IS RELATED TO 3252 02:08:11,560 --> 02:08:12,000 EVALUATION. 3253 02:08:12,000 --> 02:08:14,440 I SEE THERE'S GOING TO BE 3254 02:08:14,440 --> 02:08:15,560 EVALUATING THE STRUCTURAL 3255 02:08:15,560 --> 02:08:16,600 INVENTIONS ON WHATEVER THE 3256 02:08:16,600 --> 02:08:19,640 OUTCOMES MIGHT BE BUT I KNOW AS 3257 02:08:19,640 --> 02:08:21,680 SOMEBODY WHO LEADS THE SEVERAL 3258 02:08:21,680 --> 02:08:24,480 CENTER GRANTS THE EXPECTATIONS 3259 02:08:24,480 --> 02:08:25,680 OF ADDITIONAL EXTRAMURAL FUNDING 3260 02:08:25,680 --> 02:08:28,480 AND PUBLICATIONS ARE NOT 3261 02:08:28,480 --> 02:08:33,760 NECESSARILY THINGS THE PRIME 3262 02:08:33,760 --> 02:08:36,480 INSTITUTIONS ARE NORMALLY TASKED 3263 02:08:36,480 --> 02:08:38,200 WITH TRYING TO ACCOMPLISH. 3264 02:08:38,200 --> 02:08:39,480 ARE THERE OTHER WAYS OF 3265 02:08:39,480 --> 02:08:42,880 EVALUATING NIH IS GOING TO BE 3266 02:08:42,880 --> 02:08:44,880 TAKING ON HOW IT'S ARE AND ARE 3267 02:08:44,880 --> 02:08:47,240 THOSE METRICS PART OF IT OR NOT? 3268 02:08:47,240 --> 02:08:48,000 >>THEY ARE. 3269 02:08:48,000 --> 02:08:51,480 AS PART OF COMMON FUND THERE'S 3270 02:08:51,480 --> 02:08:52,160 ADDITIONAL METRICS. 3271 02:08:52,160 --> 02:08:53,800 THERE'S A REALLY CLEAR PLAN. 3272 02:08:53,800 --> 02:08:57,680 THE METRICS ARE NOT ONLY 3273 02:08:57,680 --> 02:08:58,040 PUBLICATIONS. 3274 02:08:58,040 --> 02:09:00,120 WE HAVE DIFFERENT METRICS FOR 3275 02:09:00,120 --> 02:09:03,080 CAPACITY BUILDING. 3276 02:09:03,080 --> 02:09:04,880 WE'LL HAVE DISSEMINATION 3277 02:09:04,880 --> 02:09:06,280 MATERIALS, EVALUATION MATERIALS. 3278 02:09:06,280 --> 02:09:09,760 WE HAVE CONSULTANTS REVIEWING 3279 02:09:09,760 --> 02:09:10,120 MATERIALS. 3280 02:09:10,120 --> 02:09:11,160 IT'S VERY DIFFERENT IN TERMS OF 3281 02:09:11,160 --> 02:09:15,240 THE WAY WE HAVE A DETAILED 3282 02:09:15,240 --> 02:09:15,880 IMPLEMENTATION PLAN IN TERMS OF 3283 02:09:15,880 --> 02:09:17,520 THE PROJECT WHICH ARE DIFFERENT. 3284 02:09:17,520 --> 02:09:18,600 I THINK IT GOES TO THE SECOND 3285 02:09:18,600 --> 02:09:22,880 AIM IN TERMS OF WHY THERE'S NOT 3286 02:09:22,880 --> 02:09:24,320 ONLY BE AN AIM FOR DO THE 3287 02:09:24,320 --> 02:09:27,640 INTERVENTIONS WORK OR NOT AND 3288 02:09:27,640 --> 02:09:30,680 THERE'S AN AIM HOW DO THESE 3289 02:09:30,680 --> 02:09:33,600 DIFFERENT COMPONENTS WORK 3290 02:09:33,600 --> 02:09:35,640 BECAUSE FOR COMPASS, SOME OF THE 3291 02:09:35,640 --> 02:09:37,400 DELIVERABLES PER SE ARE REALLY 3292 02:09:37,400 --> 02:09:39,480 DOES THIS WHOLE THING WORK AS 3293 02:09:39,480 --> 02:09:40,560 MUCH AS CAN WE SAY THIS WORKS OR 3294 02:09:40,560 --> 02:09:44,360 DIDN'T WORK AND WHY SO THAT WE 3295 02:09:44,360 --> 02:09:47,600 CAN ADVISE NIH ON HOW WILL IT 3296 02:09:47,600 --> 02:09:50,560 PROCEED AS AN INSTITUTE FOR 3297 02:09:50,560 --> 02:09:52,120 USING DIFFERENT TYPES OF 3298 02:09:52,120 --> 02:09:57,640 MECHANISMS IN HOW THEY INVOLVE 3299 02:09:57,640 --> 02:10:01,280 COMMUNITIES IN THE FUTURE AND 3300 02:10:01,280 --> 02:10:02,480 LOOKING AT IMPLEMENTATION 3301 02:10:02,480 --> 02:10:04,000 RESEARCH FOR DIFFERENT HEALTH 3302 02:10:04,000 --> 02:10:10,440 AREAS. 3303 02:10:10,440 --> 02:10:12,400 >>I'M HOPING THERE'S FOLKS WITH 3304 02:10:12,400 --> 02:10:14,520 PROCESS EVALUATION EXPERTISE 3305 02:10:14,520 --> 02:10:16,240 BECAUSE HAVING DONE THE COMPLEX 3306 02:10:16,240 --> 02:10:19,640 INTERVENTIONS I FIND THERE'S A 3307 02:10:19,640 --> 02:10:24,280 KEY COMPONENT AND CREATES SYSTEM 3308 02:10:24,280 --> 02:10:26,480 CHANGE FOR A DIFFERENT QUALITY 3309 02:10:26,480 --> 02:10:26,840 OF CARE. 3310 02:10:26,840 --> 02:10:28,840 IT'S A COMPONENT OF IT. 3311 02:10:28,840 --> 02:10:32,160 WE FOUND THAT IN THE OFFICE OF 3312 02:10:32,160 --> 02:10:34,080 EVALUATION MORE THAN 3313 02:10:34,080 --> 02:10:36,720 IMPLEMENTATION AS A TRIAL. 3314 02:10:36,720 --> 02:10:39,640 MY LAST QUESTION DR. BOYCE IS 3315 02:10:39,640 --> 02:10:41,880 RELATED TO TRANSLATION TO THE 3316 02:10:41,880 --> 02:10:43,360 APPROACHES WITH COMPASS AND HOW 3317 02:10:43,360 --> 02:10:44,840 THAT MIGHT INFLUENCE THE WAY 3318 02:10:44,840 --> 02:10:47,040 THINGS ARE DONE AT NIH AS IT 3319 02:10:47,040 --> 02:10:48,360 RELATES TO EXTRAMURAL AWARDS. 3320 02:10:48,360 --> 02:10:51,640 YOU MENTIONED AS ONE EXAMPLE THE 3321 02:10:51,640 --> 02:10:54,600 OTA IS A MORE FLEXIBLE CAN YOU 3322 02:10:54,600 --> 02:10:57,720 TALK ABOUT THAT AND THE EXTENT 3323 02:10:57,720 --> 02:11:00,600 TO WHICH IT MAY MOVE TO FUNDING 3324 02:11:00,600 --> 02:11:04,000 ACADEMIC INSTITUTIONS? 3325 02:11:04,000 --> 02:11:05,200 >>RIGHT. 3326 02:11:05,200 --> 02:11:08,040 OTAs HAVE BEEN USED AT OTHER 3327 02:11:08,040 --> 02:11:10,080 GOVERNMENT AGENCIES AND HAVE 3328 02:11:10,080 --> 02:11:12,880 BEEN USED WITH OTHER AGENCIES IN 3329 02:11:12,880 --> 02:11:14,440 THE PAST AND NIH GOT THE 3330 02:11:14,440 --> 02:11:14,920 AUTHORITY. 3331 02:11:14,920 --> 02:11:20,040 NOT ALL INSTITUTES HAVE USED 3332 02:11:20,040 --> 02:11:20,560 THEM. 3333 02:11:20,560 --> 02:11:21,360 IT'S NEW AND REQUIRES DIFFERENT 3334 02:11:21,360 --> 02:11:26,520 CAPACITY IN TERMS OF STAFF. 3335 02:11:26,520 --> 02:11:28,840 IT WAS USED DURING COVID. 3336 02:11:28,840 --> 02:11:36,200 I THINK AS NIH HAS TRIED TO 3337 02:11:36,200 --> 02:11:44,960 TACKLE NEW TYPES OF PROBLEMS AND 3338 02:11:44,960 --> 02:11:47,640 THAT'S WHAT WE DID. 3339 02:11:47,640 --> 02:11:51,480 WE'RE KEEPING TRACK AND THERE'S 3340 02:11:51,480 --> 02:11:53,280 BEEN CHALLENGES SO AS WE SOLVE 3341 02:11:53,280 --> 02:11:54,560 THEM WE HAVE A COMMUNITY 3342 02:11:54,560 --> 02:11:56,080 PRACTICE WITH OTHER PARTS OF NIH 3343 02:11:56,080 --> 02:11:58,160 AND THAT'S PART OF OUR MISSION 3344 02:11:58,160 --> 02:11:59,640 TO SAY WHAT WORKS AND DOESN'T 3345 02:11:59,640 --> 02:12:03,080 WORK SO OTHER INSTITUTES WILL 3346 02:12:03,080 --> 02:12:04,120 CONSIDER USING THEM FOR THE NEXT 3347 02:12:04,120 --> 02:12:05,480 TYPE OF PROBLEM THEY HAVE OR 3348 02:12:05,480 --> 02:12:07,240 WHEN THEY HAVE OBJECTIVE IN 3349 02:12:07,240 --> 02:12:08,440 TERMS OF HEALTH THEY SAY WHY 3350 02:12:08,440 --> 02:12:10,840 DON'T WE TRY AN OTA AND SEE IF 3351 02:12:10,840 --> 02:12:11,800 THAT WOULD WORK BETTER. 3352 02:12:11,800 --> 02:12:15,640 IN TERMS OF FLEXIBILITY IT'S 3353 02:12:15,640 --> 02:12:18,240 VERY MILESTONE DRIVEN FOR 3354 02:12:18,240 --> 02:12:18,520 COMMUNITY. 3355 02:12:18,520 --> 02:12:24,920 WE HAD LISTENING SESSIONS EARLY 3356 02:12:24,920 --> 02:12:27,640 ON AND WE WANT TO ASK THE 3357 02:12:27,640 --> 02:12:29,520 QUESTION FOR OUR COMMUNITY AND 3358 02:12:29,520 --> 02:12:30,960 WE THINK IT'S NICE WHEN 3359 02:12:30,960 --> 02:12:33,040 RESEARCHERS WANT TO PARTNER WITH 3360 02:12:33,040 --> 02:12:36,200 US BUT NOT SO NICE WHEN THEY 3361 02:12:36,200 --> 02:12:37,800 COME IN WITH THE QUESTION THEY 3362 02:12:37,800 --> 02:12:39,880 THINK WE WANT ANSWERED AND WE 3363 02:12:39,880 --> 02:12:40,720 WANTED THE MECHANISM WHERE THEY 3364 02:12:40,720 --> 02:12:42,160 WOULD GET THE FUNDS AND THEY 3365 02:12:42,160 --> 02:12:46,320 WOULD GET A PARTNER AND THE OTA 3366 02:12:46,320 --> 02:12:48,200 HAS DIFFERENT KINDS OF STRUCTURE 3367 02:12:48,200 --> 02:12:50,400 IN TERMS OF HOW THEY ACTUALLY 3368 02:12:50,400 --> 02:12:52,320 APPLY SO THAT'S WHY WE DID IT 3369 02:12:52,320 --> 02:12:52,960 THAT WAY. 3370 02:12:52,960 --> 02:12:54,880 THERE'S DIFFERENT STEPS SO WE 3371 02:12:54,880 --> 02:12:56,320 WERE ABLE TO HELP IN TERMS OF 3372 02:12:56,320 --> 02:12:56,720 THAT. 3373 02:12:56,720 --> 02:13:01,480 THE APPLICATION PROCESS WAS 3374 02:13:01,480 --> 02:13:03,640 CONSIDERED VERY FATEFUL AT NIH 3375 02:13:03,640 --> 02:13:05,240 AND WE ALSO THOUGHT ABOUT WAY 3376 02:13:05,240 --> 02:13:07,800 THE MILESTONES WERE DRIVEN BEING 3377 02:13:07,800 --> 02:13:10,920 A HIGH-RISK, HIGH-REWARD TYPE OF 3378 02:13:10,920 --> 02:13:14,080 PROJECT WE ALSO NEED TO HAVE 3379 02:13:14,080 --> 02:13:15,400 CLOSE EYES ON THIS AS WELL 3380 02:13:15,400 --> 02:13:17,800 BECAUSE WE DO WANT SUCCESS BUT 3381 02:13:17,800 --> 02:13:19,640 WE ALSO NEED TO HAVE A CLOSED 3382 02:13:19,640 --> 02:13:21,880 EYE IN TERMS OF SCRUTINY IN THE 3383 02:13:21,880 --> 02:13:23,640 PROJECT AND WE DO WANT TO MAKE 3384 02:13:23,640 --> 02:13:25,520 SURE IT'S SUCCESSFUL SO THAT'S 3385 02:13:25,520 --> 02:13:30,120 WHY WE'RE USING OTA. 3386 02:13:30,120 --> 02:13:34,480 IT'S CLOSELY MILE-STONE DRIVEN 3387 02:13:34,480 --> 02:13:35,520 AND IF YOU HAVE A GRANT ONCE A 3388 02:13:35,520 --> 02:13:36,880 YEAR WE HEAR FROM YOU. 3389 02:13:36,880 --> 02:13:38,520 THAT'S NOT THE WAY IT'S GOING TO 3390 02:13:38,520 --> 02:13:39,400 WORK. 3391 02:13:39,400 --> 02:13:41,160 WE'LL HEAR FROM THEM MORE 3392 02:13:41,160 --> 02:13:41,960 FREQUENTLY AND WILL HELP BECAUSE 3393 02:13:41,960 --> 02:13:43,600 IF THEY NEED HELP WE CAN KIND OF 3394 02:13:43,600 --> 02:13:45,640 SHIFT IT OR IF WE NEED TO CHANGE 3395 02:13:45,640 --> 02:13:47,200 MILESTONES WE CAN DO THAT. 3396 02:13:47,200 --> 02:13:48,200 IT'S VERY DIFFICULT TO DO THAT 3397 02:13:48,200 --> 02:13:50,840 WITH THE STRUCTURE OF GRANTS AS 3398 02:13:50,840 --> 02:13:52,880 YOU KNOW WHEN YOU HAVE TO CALL 3399 02:13:52,880 --> 02:13:54,760 YOUR PROJECT OFFICER IT'S NOT SO 3400 02:13:54,760 --> 02:13:57,320 EASY TO SHIFT AND MOVE. 3401 02:13:57,320 --> 02:13:59,200 WE WANT TO HELP COMMUNITIES DO 3402 02:13:59,200 --> 02:14:02,640 THAT AND HELP GUIDE FOR SUCCESS. 3403 02:14:02,640 --> 02:14:06,960 >>THANK YOU SO MUCH. 3404 02:14:06,960 --> 02:14:09,520 >>I HAVE A QUESTION FOR YOU. 3405 02:14:09,520 --> 02:14:14,600 I'M SURE A LOT OF THOUGHT WENT 3406 02:14:14,600 --> 02:14:19,360 INTO THIS BUT 10 YEARS OF 3407 02:14:19,360 --> 02:14:21,720 FUNDING, A LOT'S GOING TO HAPPEN 3408 02:14:21,720 --> 02:14:24,200 IN 10 YEARS WHERE IT'S SUCH A 3409 02:14:24,200 --> 02:14:27,640 DYNAMIC SOCIETY AND THINGS DON'T 3410 02:14:27,640 --> 02:14:28,440 STAY. 3411 02:14:28,440 --> 02:14:29,240 HAVE YOU THOUGHT ABOUT HOW 3412 02:14:29,240 --> 02:14:30,360 YOU'RE GOING TO FIND WHAT'S 3413 02:14:30,360 --> 02:14:33,520 WORKING WITH THE CHANGING 3414 02:14:33,520 --> 02:14:36,720 ENVIRONMENT AND THE CHANGING 3415 02:14:36,720 --> 02:14:37,920 CULTURAL THINGS HAPPENING. 3416 02:14:37,920 --> 02:14:39,760 WE'RE SO DYNAMIC I WAS THINKING 3417 02:14:39,760 --> 02:14:41,760 ABOUT THE 10-YEAR TIME LINE. 3418 02:14:41,760 --> 02:14:43,040 WHAT WAS THE THOUGHT? 3419 02:14:43,040 --> 02:14:45,280 >>SO AFTER FIVE YEARS WE DO 3420 02:14:45,280 --> 02:14:49,080 HAVE TO GO BACK AND ASK FOR THE 3421 02:14:49,080 --> 02:14:50,000 NEXT FIVE YEARS. 3422 02:14:50,000 --> 02:14:53,480 SO THAT IS SOMETHING I THINK 3423 02:14:53,480 --> 02:14:54,800 WE'LL NEED FIVE YEARS TO SAY 3424 02:14:54,800 --> 02:14:57,040 LET'S KEEP GOING. 3425 02:14:57,040 --> 02:14:59,000 WE'LL HAVE TO PROVE AND GO TO 3426 02:14:59,000 --> 02:15:00,760 OUR COUNCIL AND SAY WE'LL HAVE 3427 02:15:00,760 --> 02:15:02,280 TO HAVE SOME INDICATION SO THERE 3428 02:15:02,280 --> 02:15:04,200 IS A CHECKS AND BALANCES TO GO 3429 02:15:04,200 --> 02:15:06,600 ALL THE WAY TO 10 YEARS. 3430 02:15:06,600 --> 02:15:10,360 AND I THINK WITH THE O.T. IF 3431 02:15:10,360 --> 02:15:11,440 THERE'S A SITE THAT ISN'T DOING 3432 02:15:11,440 --> 02:15:13,600 SO WELL AND NEEDS TO STOP, THEN 3433 02:15:13,600 --> 02:15:14,640 WE'LL BE ABLE TO SAY, YOU NEED 3434 02:15:14,640 --> 02:15:20,040 TO STOP OR IF WE NEED TO ADJUST 3435 02:15:20,040 --> 02:15:22,280 WE NEED TO DID THAT. 3436 02:15:22,280 --> 02:15:23,600 IT'S MORE NIMBLE. 3437 02:15:23,600 --> 02:15:25,440 IT'S HARD TO DO THAT WITH THE 3438 02:15:25,440 --> 02:15:27,040 CURRENT STRUCTURE OF GRANTS. 3439 02:15:27,040 --> 02:15:30,200 WE NOW HAVE PHASED AWARDS WHICH 3440 02:15:30,200 --> 02:15:32,720 THIS IS A LITTLE BIT LIKE THAT 3441 02:15:32,720 --> 02:15:35,080 BUT IT'S HARD. 3442 02:15:35,080 --> 02:15:37,080 I TOO WORRY ABOUT 10 YEARS AGO 3443 02:15:37,080 --> 02:15:40,080 AND ALL THE DISCOVERY WE'VE HAD. 3444 02:15:40,080 --> 02:15:45,680 LET'S SAY THERE IS A DISCOVERY 3445 02:15:45,680 --> 02:15:54,080 WE CAN MAYBE BRING THAT IN AND 3446 02:15:54,080 --> 02:15:59,640 OFTEN WHEN GOVERNMENT IS BIG 3447 02:15:59,640 --> 02:16:03,600 THERE'S SILOS SO IN TERMS OF 3448 02:16:03,600 --> 02:16:06,880 KNOWING SOMETHING'S COMING THE 3449 02:16:06,880 --> 02:16:08,160 AFFECT THE STRUCTURAL 3450 02:16:08,160 --> 02:16:11,200 INTERVENTIONS IF SOMETHING'S 3451 02:16:11,200 --> 02:16:12,040 CHANGING THE STRUCTURE WE NEED 3452 02:16:12,040 --> 02:16:13,440 TO KNOW ABOUT THAT BECAUSE IT 3453 02:16:13,440 --> 02:16:20,600 WOULD AFFECT THE INTERVENTION. 3454 02:16:20,600 --> 02:16:21,400 >>ANY ADDITIONAL QUESTIONS FOR 3455 02:16:21,400 --> 02:16:26,240 DR. BOYCE? 3456 02:16:26,240 --> 02:16:36,720 >>THANK YOU FOR HAVING ME. 3457 02:16:50,400 --> 02:16:52,560 >>THANK YOU, DR. BOYCE. 3458 02:16:52,560 --> 02:16:56,040 I WANT TO RECOGNIZE HER FOR HER 3459 02:16:56,040 --> 02:16:57,440 TRANSFORMATIVE PROGRAM FOR NIH. 3460 02:16:57,440 --> 02:16:59,160 I'VE LEARNED SO MUCH FROM YOU 3461 02:16:59,160 --> 02:17:00,200 AND APPRECIATE YOUR DEDICATION 3462 02:17:00,200 --> 02:17:04,200 AND COMMITMENT AND ALSO WANT TO 3463 02:17:04,200 --> 02:17:05,360 RECOGNIZE DR. BOYCE IS THE FIRST 3464 02:17:05,360 --> 02:17:07,520 TO SAY THIS AND IT WAS SHOWN ON 3465 02:17:07,520 --> 02:17:10,240 THE SLIDE, THIS IS A HUGE 3466 02:17:10,240 --> 02:17:12,320 UNDERTAKING FOR NIH. 3467 02:17:12,320 --> 02:17:18,080 WE HAVE SO MANY AT NINR. 3468 02:17:18,080 --> 02:17:20,040 DR. BINEHEIM HELPED LAUNCH 3469 02:17:20,040 --> 02:17:23,600 CAMPUS. 3470 02:17:23,600 --> 02:17:28,200 -- COMPASS. 3471 02:17:28,200 --> 02:17:31,600 ALSO, NOW SO MANY ARE 3472 02:17:31,600 --> 02:17:33,600 CONTRIBUTING TO COMPASS AND SO 3473 02:17:33,600 --> 02:17:35,560 MANY ACROSS NIH AND IT'S A LABOR 3474 02:17:35,560 --> 02:17:36,080 OF LOVE. 3475 02:17:36,080 --> 02:17:38,280 THERE'S NO AMOUNT OF MONEY AND 3476 02:17:38,280 --> 02:17:39,840 COMPENSATION THAT CAN COMPENSATE 3477 02:17:39,840 --> 02:17:42,200 FOR THE TREMENDOUS INVESTMENT 3478 02:17:42,200 --> 02:17:43,720 AND COMMITMENT OF THIS TEAM. 3479 02:17:43,720 --> 02:17:45,640 I WANT TO ACKNOWLEDGE THEM. 3480 02:17:45,640 --> 02:17:56,000 THANK YOU, DR. BOYCE. 3481 02:18:00,360 --> 02:18:02,120 WE'LL BE OVERSEEING THE GRANTS 3482 02:18:02,120 --> 02:18:07,600 MANAGEMENT CENTER AND IN ARE 3483 02:18:07,600 --> 02:18:10,600 INVOLVED AND I HATE TO NAME 3484 02:18:10,600 --> 02:18:11,800 NAMES BECAUSE I FORGET PEOPLE SO 3485 02:18:11,800 --> 02:18:14,120 I'LL LEAVE IT THAT THE BUT I 3486 02:18:14,120 --> 02:18:15,160 WANT TO ACKNOWLEDGE EVERYBODY'S 3487 02:18:15,160 --> 02:18:15,640 CONTRIBUTIONS. 3488 02:18:15,640 --> 02:18:18,960 THANK YOU. 3489 02:18:18,960 --> 02:18:22,880 SO, WITH THAT I SEE MY COLLEAGUE 3490 02:18:22,880 --> 02:18:27,640 DR. SUSAN GREGURICK IN THE BACK, 3491 02:18:27,640 --> 02:18:33,680 MAKE YOUR WAY TO THE FRONT. 3492 02:18:33,680 --> 02:18:41,000 SHE'LL PROVIDE AN OVERVIEW OF 3493 02:18:41,000 --> 02:18:41,760 THE ARTIFICIAL 3494 02:18:41,760 --> 02:18:42,200 INTELLIGENCE/MACHINE 3495 02:18:42,200 --> 02:18:42,800 LEARNING CONSORTIUM TO ADVANCE 3496 02:18:42,800 --> 02:18:43,640 HEALTH EQUITY AND RESEARCHER 3497 02:18:43,640 --> 02:18:44,400 DIVERSITY, OR AIM-AHEAD 3498 02:18:44,400 --> 02:18:47,000 PROGRAM. 3499 02:18:47,000 --> 02:18:47,560 DR. GREGURICK WAS APPOINTED 3500 02:18:47,560 --> 02:18:48,920 ASSOCIATE DIRECTOR FOR DATA 3501 02:18:48,920 --> 02:18:50,760 SCIENCE AND DIRECTOR OF THE NIH 3502 02:18:50,760 --> 02:18:54,200 OFFICE OF DATA SCIENCE STRATEGY 3503 02:18:54,200 --> 02:18:56,280 IN 2019. UNDER DR. GREGURICK 3504 02:18:56,280 --> 02:18:58,760 LEADERSHIP, THE ODSS LEADS 3505 02:18:58,760 --> 02:18:59,520 THE IMPLEMENTATION OF THE NIH 3506 02:18:59,520 --> 02:19:00,480 STRATEGIC PLAN FOR DATA SCIENCE 3507 02:19:00,480 --> 02:19:03,600 THROUGH SCIENTIFIC, TECHNICAL, 3508 02:19:03,600 --> 02:19:05,600 AND 3509 02:19:05,600 --> 02:19:07,840 OPERATIONAL COLLABORATION ACROSS 3510 02:19:07,840 --> 02:19:09,960 NIH. SHE RECEIVED THE 2020 3511 02:19:09,960 --> 02:19:11,000 LEADERSHIP IN BIOLOGICAL 3512 02:19:11,000 --> 02:19:12,040 SCIENCES 3513 02:19:12,040 --> 02:19:14,600 AWARD FROM THE WASHINGTON 3514 02:19:14,600 --> 02:19:16,720 ACADEMY OF SCIENCES FOR HER WORK 3515 02:19:16,720 --> 02:19:21,720 IN THIS ROLE. SHE WAS 3516 02:19:21,720 --> 02:19:22,360 INSTRUMENTAL IN THE CREATION OF 3517 02:19:22,360 --> 02:19:23,000 THE ODSS IN 2018 AND SERVED AS A 3518 02:19:23,000 --> 02:19:24,800 SENIOR ADVISOR TO THE OFFICE 3519 02:19:24,800 --> 02:19:26,240 UNTIL BEING NAMED TO HER CURRENT 3520 02:19:26,240 --> 02:19:29,720 POSITION. 3521 02:19:29,720 --> 02:19:32,400 SHE WAS PREVIOUSLY THE DIVISION 3522 02:19:32,400 --> 02:19:33,440 DIRECTOR FOR BIOPHYSICS, 3523 02:19:33,440 --> 02:19:34,960 BIOMEDICAL TECHNOLOGY, AND 3524 02:19:34,960 --> 02:19:36,800 COMPUTATIONAL BIOSCIENCES AT THE 3525 02:19:36,800 --> 02:19:44,000 NATIONAL INSTITUTE OF GENERAL 3526 02:19:44,000 --> 02:19:46,800 MEDICAL SCIENCES, OR NIGMS. HER 3527 02:19:46,800 --> 02:19:47,360 MISSION IN THIS ROLE WAS TO 3528 02:19:47,360 --> 02:19:47,800 ADVANCE RESEARCH IN 3529 02:19:47,800 --> 02:19:48,280 COMPUTATIONAL BIOLOGY; 3530 02:19:48,280 --> 02:19:50,080 BIOPHYSICS AND DATA 3531 02:19:50,080 --> 02:19:51,440 SCIENCES; MATHEMATICAL AND 3532 02:19:51,440 --> 02:19:54,240 BIOSTATISTICAL METHODS; AND 3533 02:19:54,240 --> 02:19:54,840 BIOMEDICAL TECHNOLOGIES IN 3534 02:19:54,840 --> 02:19:56,240 SUPPORT OF 3535 02:19:56,240 --> 02:19:59,880 THE NIGMS MISSION TO INCREASE 3536 02:19:59,880 --> 02:20:02,760 OUR UNDERSTANDING OF LIFE 3537 02:20:02,760 --> 02:20:03,520 PROCESSES. IN THIS ROLE SHE LED 3538 02:20:03,520 --> 02:20:05,640 THE 3539 02:20:05,640 --> 02:20:07,920 INSTITUTE'S EFFORT TO REIMAGINE 3540 02:20:07,920 --> 02:20:09,560 NIGMS TECHNOLOGY PROGRAMS, 3541 02:20:09,560 --> 02:20:11,480 INCLUDING EARLY STAGE, CONCEPT 3542 02:20:11,480 --> 02:20:15,200 DEVELOPMENT, FOCUSED TECHNOLOGY 3543 02:20:15,200 --> 02:20:17,840 PROGRAMS, AND DEVELOPMENT AND 3544 02:20:17,840 --> 02:20:19,600 DISSEMINATION CENTERS, 3545 02:20:19,600 --> 02:20:22,160 THROUGH NATIONAL AND REGIONAL 3546 02:20:22,160 --> 02:20:22,600 RESOURCES TO SUPPORT 3547 02:20:22,600 --> 02:20:23,520 STATE-OF-THE-ART FACILITIES, 3548 02:20:23,520 --> 02:20:24,120 EQUIPMENT, 3549 02:20:24,120 --> 02:20:25,840 TECHNOLOGIES, RESEARCH TOOLS, 3550 02:20:25,840 --> 02:20:32,120 SOFTWARE, AND SERVICE. 3551 02:20:32,120 --> 02:20:33,400 SO WELCOME, DR. GREGURICK. 3552 02:20:33,400 --> 02:20:35,640 IT'S A PLEASURE TO HAVE YOU. 3553 02:20:35,640 --> 02:20:42,880 THANK YOU. 3554 02:20:42,880 --> 02:20:44,240 >>THANK YOU, DR. ZENK. 3555 02:20:44,240 --> 02:20:45,200 THAT'S THE BEST INTRODUCTION 3556 02:20:45,200 --> 02:20:45,560 I'VE HAD. 3557 02:20:45,560 --> 02:20:47,760 IT'S WONDERFUL TO BE HERE TODAY. 3558 02:20:47,760 --> 02:20:51,760 I THINK WHAT HAPPENS IS I JUST 3559 02:20:51,760 --> 02:20:53,320 DO NEXT. 3560 02:20:53,320 --> 02:20:55,600 AS DR. ZENK SAID I'M THE 3561 02:20:55,600 --> 02:20:57,160 DIRECTOR OF THE DATA SCIENCE AT 3562 02:20:57,160 --> 02:20:59,160 THE NATIONAL INSTITUTES OF 3563 02:20:59,160 --> 02:20:59,640 HEALTH. 3564 02:20:59,640 --> 02:21:01,800 I SILT WITHIN THE OFFICE OF THE 3565 02:21:01,800 --> 02:21:03,760 DIRECTOR AND LEAD THE OFFICE OF 3566 02:21:03,760 --> 02:21:04,640 DATA SCIENCE STRATEGY. 3567 02:21:04,640 --> 02:21:06,680 IT'S A PLEASURE TO TELL YOU 3568 02:21:06,680 --> 02:21:10,680 ABOUT OUR PROGRAM IN ARTIFICIAL 3569 02:21:10,680 --> 02:21:12,760 INTELLIGENCE AND MACHINE 3570 02:21:12,760 --> 02:21:16,360 LEARNING OUR CONSORTIUM AT THE 3571 02:21:16,360 --> 02:21:17,440 AIM AHEAD PROGRAM. 3572 02:21:17,440 --> 02:21:18,560 I LOVE THE LAST PRESENTATION AND 3573 02:21:18,560 --> 02:21:21,760 WE'LL WAIT TO ENGAGE BUT I HOPE 3574 02:21:21,760 --> 02:21:25,080 WE'LL FIND SYNERGIES WHEN IN I 3575 02:21:25,080 --> 02:21:28,200 PRESENT IN AIM AHEAD AND WHAT 3576 02:21:28,200 --> 02:21:30,760 YOU'RE THINKING ABOUT COMPASS AS 3577 02:21:30,760 --> 02:21:30,960 WELL. 3578 02:21:30,960 --> 02:21:32,720 SO THERE'S JUST BEEN A LOT OF 3579 02:21:32,720 --> 02:21:34,440 INTEREST IN ARTIFICIAL 3580 02:21:34,440 --> 02:21:36,320 INTELLIGENCE RECENTLY AND I'M 3581 02:21:36,320 --> 02:21:37,640 SURE YOU'RE INTERESTED AS WELL 3582 02:21:37,640 --> 02:21:39,400 AS. 3583 02:21:39,400 --> 02:21:43,640 I WANT TO POINT OUT A FEW 3584 02:21:43,640 --> 02:21:45,520 EXAMPLES HAPPEN THIS SUMMER. 3585 02:21:45,520 --> 02:21:46,680 THE FIRST IS THE USE OF 3586 02:21:46,680 --> 02:21:52,520 ARTIFICIAL INTELLIGENCE IN 3587 02:21:52,520 --> 02:21:53,880 PUBLIC HEALTH. 3588 02:21:53,880 --> 02:21:56,760 THEY LOOKED AT THE USE OF 3589 02:21:56,760 --> 02:21:59,600 GENERATIVE A.I. OR CHAT GPT TO 3590 02:21:59,600 --> 02:22:01,280 ANSWER CITIZENS QUESTIONS ON 3591 02:22:01,280 --> 02:22:01,800 PUBLIC HEALTH. 3592 02:22:01,800 --> 02:22:07,240 UTILIZING THIS METHOD, THEY 3593 02:22:07,240 --> 02:22:11,640 FOUND THAT WHILE GENERATIVE A.I. 3594 02:22:11,640 --> 02:22:15,040 CAN CONSTRUCT ANSWERS THE TRUTH 3595 02:22:15,040 --> 02:22:16,480 MOST INFORMATION WAS BOGUS AND 3596 02:22:16,480 --> 02:22:18,200 NOT IN ANY WAY ACCURATE AN 3597 02:22:18,200 --> 02:22:23,120 THERE'S A LOVELY PUBLICATION 3598 02:22:23,120 --> 02:22:25,080 THAT CAME OUT I THINK AT THE END 3599 02:22:25,080 --> 02:22:27,320 OF JULY. 3600 02:22:27,320 --> 02:22:33,480 HOW CAN WE IMPROVE A.I. TO BE 3601 02:22:33,480 --> 02:22:34,880 REFLECTIVE OF MEDICINE AND 3602 02:22:34,880 --> 02:22:35,520 HEALTH. 3603 02:22:35,520 --> 02:22:39,640 THERE'S A LOT OF DISCUSSION IN 3604 02:22:39,640 --> 02:22:42,200 THE A.I. WORLD ABOUT USING LIVE 3605 02:22:42,200 --> 02:22:44,840 LANGUAGE MODELS AND THERE'S A 3606 02:22:44,840 --> 02:22:46,440 ROBUST CLINICAL DATA SET OR 3607 02:22:46,440 --> 02:22:48,440 USING JUST FOUNDATIONAL MODELS 3608 02:22:48,440 --> 02:22:50,640 LIKE YOU SEE IN CHAT GPT. 3609 02:22:50,640 --> 02:22:54,000 THE DISCUSSION IS STILL GOING 3610 02:22:54,000 --> 02:22:54,200 ON. 3611 02:22:54,200 --> 02:22:58,880 THERE'S A LOVELY PAPER PRESENTED 3612 02:22:58,880 --> 02:23:00,640 IN THE NEW ENGLAND JOURNAL OF 3613 02:23:00,640 --> 02:23:02,960 MEDICINE COMPARING LARGE 3614 02:23:02,960 --> 02:23:04,320 LANGUAGE MODELS AND CLINICAL 3615 02:23:04,320 --> 02:23:06,200 MODELS FINDING STRENGTHS AND 3616 02:23:06,200 --> 02:23:06,520 WEAKNESSES. 3617 02:23:06,520 --> 02:23:09,800 I THINK THAT CAME OUT IN JULY IN 3618 02:23:09,800 --> 02:23:13,040 THE ISSUE OF THE NEW ENGLAND 3619 02:23:13,040 --> 02:23:14,360 JOURNAL OF MEDICINE. 3620 02:23:14,360 --> 02:23:15,520 IT'S AN INCREDIBLY ACTIVE AREA 3621 02:23:15,520 --> 02:23:16,000 OF RESEARCH. 3622 02:23:16,000 --> 02:23:17,520 I THINK IT'S AN AREA OF RESEARCH 3623 02:23:17,520 --> 02:23:20,680 THAT NURSING RESEARCHERS AND 3624 02:23:20,680 --> 02:23:21,760 NURSING PROFESSIONALS CAN ADD 3625 02:23:21,760 --> 02:23:23,640 QUITE A LOT OF VALUE TO AND 3626 02:23:23,640 --> 02:23:29,440 YOU'LL SEE WHY IN MY NEXT 3627 02:23:29,440 --> 02:23:39,600 SLIDES. 3628 02:23:39,600 --> 02:23:41,400 MOVING ON TO JUNE OF THIS PAST 3629 02:23:41,400 --> 02:23:43,240 YEAR, YOU SEE THERE'S A NUMBER 3630 02:23:43,240 --> 02:23:46,520 OF PUBLICATIONS THAT EXPLICITLY 3631 02:23:46,520 --> 02:23:48,920 USE CHAT GPT OR OTHER 3632 02:23:48,920 --> 02:23:51,080 FOUNDATIONAL MODELS IN THEIR 3633 02:23:51,080 --> 02:23:51,440 PUBLICATIONS. 3634 02:23:51,440 --> 02:23:54,000 THIS IS RESEARCH PUBLISHING 3635 02:23:54,000 --> 02:23:56,200 USING FOUNDATIONAL MODELS 3636 02:23:56,200 --> 02:23:57,240 EXPLICITLY FOR EXAMPLE, CHAT 3637 02:23:57,240 --> 02:23:57,440 GPT. 3638 02:23:57,440 --> 02:23:58,640 WHAT ARE THE TYPES OF QUESTIONS 3639 02:23:58,640 --> 02:24:01,400 THEY'RE LOOKING AT? 3640 02:24:01,400 --> 02:24:04,200 THEY GO FROM ETHICAL MEDICAL 3641 02:24:04,200 --> 02:24:07,800 RESEARCH TO CLINICAL PRACTICE TO 3642 02:24:07,800 --> 02:24:09,920 MEDICAL EDUCATION AND OTHER 3643 02:24:09,920 --> 02:24:11,640 ACTIVITIES SUCH AS PATIENT 3644 02:24:11,640 --> 02:24:15,240 EDUCATION. 3645 02:24:15,240 --> 02:24:25,240 THIS IS A WONDERFUL PAPER IN THE 3646 02:24:25,240 --> 02:24:27,240 PAPER AND THERE'S AN INTEREST IN 3647 02:24:27,240 --> 02:24:29,760 UNDERSTANDING HEALTH AND HEALTH 3648 02:24:29,760 --> 02:24:31,000 CARE AND HEALTH EDUCATION. 3649 02:24:31,000 --> 02:24:33,120 HOW CAN WE CAPITALIZE ON THIS 3650 02:24:33,120 --> 02:24:36,520 WONDERFUL OPPORTUNITY? 3651 02:24:36,520 --> 02:24:40,680 I PROPOSE AND I THINK I'LL FIND 3652 02:24:40,680 --> 02:24:44,720 YOU AGREE NURSING AND DATA 3653 02:24:44,720 --> 02:24:47,600 SCIENCE ARE A MAJOR MADE IN 3654 02:24:47,600 --> 02:24:47,840 HEAVEN. 3655 02:24:47,840 --> 02:24:51,520 NURSES ARE LEADERS IN USING AND 3656 02:24:51,520 --> 02:24:52,960 COLLECTING REAL WORLD DATA NOT 3657 02:24:52,960 --> 02:24:54,240 ONLY FOR RESEARCH BUT IN GENERAL 3658 02:24:54,240 --> 02:24:54,640 PRACTICE. 3659 02:24:54,640 --> 02:24:57,000 I THINK YOU'LL AGREE WITH ME 3660 02:24:57,000 --> 02:24:58,800 HERE THAT YOU ACTUALLY 3661 02:24:58,800 --> 02:25:00,800 UNDERSTAND THE DATA CHALLENGES 3662 02:25:00,800 --> 02:25:03,640 AT A FAIRLY DEEP WAY. 3663 02:25:03,640 --> 02:25:07,120 YOU UNDERSTAND SPECIFIC DATA 3664 02:25:07,120 --> 02:25:09,400 ELEMENTS DIFFER IN REAL PRACTICE 3665 02:25:09,400 --> 02:25:12,200 AND IT'S BEEN A CONUNDRUM FOR 3666 02:25:12,200 --> 02:25:14,920 NIH MOVING FORWARD AND USING 3667 02:25:14,920 --> 02:25:16,160 DATA AT AN UNPRECEDENTED DATA 3668 02:25:16,160 --> 02:25:17,920 BUT I THINK YOU'LL AGREE THE 3669 02:25:17,920 --> 02:25:20,000 DATA QUALITY AND ACCESS AND 3670 02:25:20,000 --> 02:25:25,520 ACCURACY AND COMPLETENESS REMAIN 3671 02:25:25,520 --> 02:25:29,640 AN INCREDIBLE CHALLENGE JUST 3672 02:25:29,640 --> 02:25:30,440 LOOKING AT ELECTRONIC HEALTH 3673 02:25:30,440 --> 02:25:31,360 RECORD THERE'S DIFFERENCE EVEN 3674 02:25:31,360 --> 02:25:32,960 WITHIN THE SAME INSTITUTION. 3675 02:25:32,960 --> 02:25:36,200 THIS OFTEN REQUIRES EXTENSIVE 3676 02:25:36,200 --> 02:25:40,120 DATA MAPPING, DATA CLEANING, 3677 02:25:40,120 --> 02:25:40,640 CURAT 3678 02:25:40,640 --> 02:25:40,920 CURATION. 3679 02:25:40,920 --> 02:25:43,640 IT'S TRULY A LABOR OF LOVE IF 3680 02:25:43,640 --> 02:25:48,200 YOU'RE IN THE NURSING 3681 02:25:48,200 --> 02:25:51,400 PROFESSION. 3682 02:25:51,400 --> 02:25:54,200 LACK OF INTEROPERABILITY 3683 02:25:54,200 --> 02:26:04,760 UTILIZING ACTIVITIES WE TAKE VNK 3684 02:26:05,080 --> 02:26:05,840 OF AND THERE'S ALWAYS NEED FOR 3685 02:26:05,840 --> 02:26:06,600 GREATER TRAINING OPPORTUNITIES 3686 02:26:06,600 --> 02:26:09,680 TO IMPROVE OUR COORDINATION AND 3687 02:26:09,680 --> 02:26:10,880 COLLABORATION ON DATA SCIENCE. 3688 02:26:10,880 --> 02:26:12,520 SO WHAT CAN WE DO TO PARTNER 3689 02:26:12,520 --> 02:26:18,800 TOGETHER AND HOW DOES THIS CAUSE 3690 02:26:18,800 --> 02:26:19,640 IMPACT. 3691 02:26:19,640 --> 02:26:22,360 FIRST THE PROMISES OF WHAT 3692 02:26:22,360 --> 02:26:23,720 HAPPENS HAPPEN IN A.I. FOR 3693 02:26:23,720 --> 02:26:26,000 HEALTH CARE AND HEALTH RESEARCH 3694 02:26:26,000 --> 02:26:28,480 AND WHAT ARE THE GREATEST 3695 02:26:28,480 --> 02:26:30,200 CHALLENGES AND WHAT ARE WE DOING 3696 02:26:30,200 --> 02:26:31,720 IN AIM AHEAD AND WHAT ARE SOME 3697 02:26:31,720 --> 02:26:35,440 OF OUR IMPACT AND NEW 3698 02:26:35,440 --> 02:26:36,240 OPPORTUNITIES GENERALLY IN A.I. 3699 02:26:36,240 --> 02:26:36,840 HERE AT NIH? 3700 02:26:36,840 --> 02:26:39,880 I THINK THAT WILL TAKE US INTO A 3701 02:26:39,880 --> 02:26:40,520 30 MINUTES. 3702 02:26:40,520 --> 02:26:42,800 I'M LOOKING FORWARD TO ENGAGING. 3703 02:26:42,800 --> 02:26:44,760 THE FIRST THING I WANT TO SHOW 3704 02:26:44,760 --> 02:26:46,080 YOU IS ONE EXAMPLE. 3705 02:26:46,080 --> 02:26:49,120 IT'S ONE OF MY FAVORITE 3706 02:26:49,120 --> 02:26:49,360 EXAMPLES. 3707 02:26:49,360 --> 02:26:54,640 IT'S A LITTLE DATED AND THE 3708 02:26:54,640 --> 02:26:58,360 PROMISE OF WHAT IT CAN DO FOR 3709 02:26:58,360 --> 02:27:00,920 PARTICULAR PATIENTS. 3710 02:27:00,920 --> 02:27:03,600 RARE DISEASES IN PEDIATRIC CASES 3711 02:27:03,600 --> 02:27:05,360 ARE INCREDIBLY CHALLENGING AND 3712 02:27:05,360 --> 02:27:07,800 OFTEN HEARTBREAKING AND YOU NEED 3713 02:27:07,800 --> 02:27:09,880 TO MAKE A DIAGNOSIS EARLY ON TO 3714 02:27:09,880 --> 02:27:10,360 GET TREATMENT. 3715 02:27:10,360 --> 02:27:12,120 THESE ARE INFANTS. 3716 02:27:12,120 --> 02:27:15,600 THEY WORKED ON DEVELOPING A 3717 02:27:15,600 --> 02:27:17,640 PIPELINE THAT WOULD INCORPORATE 3718 02:27:17,640 --> 02:27:20,240 GENETIC DATA WITH DATA IN THE 3719 02:27:20,240 --> 02:27:21,640 ELECTRONIC HEALTH RECORD 3720 02:27:21,640 --> 02:27:22,960 COMPARED TO A DATABASE UTILIZING 3721 02:27:22,960 --> 02:27:27,000 A.I. TO MAKE A PIPELINE TO DRAW 3722 02:27:27,000 --> 02:27:30,880 BLOOD SAMPLES FROM INFANTS AND 3723 02:27:30,880 --> 02:27:31,760 QUICKLY SEQUENCE THEM, COMPARE 3724 02:27:31,760 --> 02:27:35,280 THEIR GENETIC DATA TO THOSE IN 3725 02:27:35,280 --> 02:27:39,440 THE DATABASE AND MAKE A 3726 02:27:39,440 --> 02:27:40,320 PRELIMINARY DIAGNOSIS. 3727 02:27:40,320 --> 02:27:42,040 AND WITHIN 24 HOURS. 3728 02:27:42,040 --> 02:27:45,800 WHICH IS IN THE CARE OF 3729 02:27:45,800 --> 02:27:47,680 PEDIATRICS WITH LIFE DISEASES IS 3730 02:27:47,680 --> 02:27:48,920 LIVE SAVING. 3731 02:27:48,920 --> 02:27:51,640 THE PIPELINE THEY DEVELOPED MAY 3732 02:27:51,640 --> 02:27:53,960 BE PARTICULAR FOR HER 3733 02:27:53,960 --> 02:27:54,800 INSTITUTION AND HOSPITAL. 3734 02:27:54,800 --> 02:27:57,720 APPLICATION OF THIS BEYOND HER 3735 02:27:57,720 --> 02:27:59,640 ONE HOSPITAL NEEDS TO BE 3736 02:27:59,640 --> 02:28:01,600 CONSIDERED WITH RIGOR AND 3737 02:28:01,600 --> 02:28:04,880 THOUGHT BUT POINTS TO THE 3738 02:28:04,880 --> 02:28:09,600 APPLICATIONS OF USING A.I. IN 3739 02:28:09,600 --> 02:28:10,080 HEALTH DIAGNOSIS. 3740 02:28:10,080 --> 02:28:11,600 YOU WON'T BE SUR SURPRISED WHEN 3741 02:28:11,600 --> 02:28:14,120 I TELL YOU ABOUT ALL THE 3742 02:28:14,120 --> 02:28:14,480 CHALLENGES. 3743 02:28:14,480 --> 02:28:19,360 JUST FOR EXAMPLE OFTEN TIMES 3744 02:28:19,360 --> 02:28:21,880 WHEN WE ARE TRYING TO UNDERSTAND 3745 02:28:21,880 --> 02:28:23,640 HEALTH AND HEALTH DISEASE WE 3746 02:28:23,640 --> 02:28:26,760 NEED PROXIES FOR A LEADING 3747 02:28:26,760 --> 02:28:27,080 INDICATOR. 3748 02:28:27,080 --> 02:28:28,520 IT'S NOT SOMEONE FOR ALGORITHMS 3749 02:28:28,520 --> 02:28:32,600 TO USE A PROXY TO DIAGNOSE OR 3750 02:28:32,600 --> 02:28:33,360 IDENTIFY PATIENTS AT RISK. 3751 02:28:33,360 --> 02:28:35,560 ONE PROXY IS THE NUMBER OF TIMES 3752 02:28:35,560 --> 02:28:37,720 YOU HAVE TO VISIT A HEALTH CARE 3753 02:28:37,720 --> 02:28:37,960 CLINIC. 3754 02:28:37,960 --> 02:28:48,440 THAT WOULD MAKE SENSE, RIGHT. 3755 02:28:50,640 --> 02:28:53,680 AND WHAT YOU ARE LOOKING FOR A 3756 02:28:53,680 --> 02:28:55,440 LOT OF IS USING IT AS A PROXY 3757 02:28:55,440 --> 02:28:56,600 FOR HEALTH CARE YOU'RE LOOKING 3758 02:28:56,600 --> 02:28:58,280 AT SOMETHING ELSE AND YOU'RE NOT 3759 02:28:58,280 --> 02:28:59,560 ASSESSING THE HEALTH OF THAT 3760 02:28:59,560 --> 02:29:00,880 INDIVIDUAL AND THIS HAS BEEN 3761 02:29:00,880 --> 02:29:03,640 DOCUMENTS IN A NUMBER OF 3762 02:29:03,640 --> 02:29:05,800 STUDIES. 3763 02:29:05,800 --> 02:29:08,480 THIS IS AN EXAMPLE OF IN SENSE 3764 02:29:08,480 --> 02:29:15,400 OF MISLEADING DATA. 3765 02:29:15,400 --> 02:29:18,120 AND HERE'S EXAMPLES FROM COVID. 3766 02:29:18,120 --> 02:29:20,560 DIAGNOSING COVID EARLY ON BY 3767 02:29:20,560 --> 02:29:21,840 UTILIZING CT TEST SCANS WAS AN 3768 02:29:21,840 --> 02:29:24,880 IMPORTANT FACTOR AND THE MODELS 3769 02:29:24,880 --> 02:29:27,880 ARE TRAINED ON HEALTHY AND 3770 02:29:27,880 --> 02:29:30,080 COVID-INFECTED ADULTS USING CT 3771 02:29:30,080 --> 02:29:31,640 SCANS. 3772 02:29:31,640 --> 02:29:33,120 GUESS WHAT HAPPENED WHEN YOU 3773 02:29:33,120 --> 02:29:34,600 TRIED TO DO THAT WITH CHILDREN 3774 02:29:34,600 --> 02:29:35,840 THEIR LUNG ARE DIFFERENT SO THEY 3775 02:29:35,840 --> 02:29:39,320 WERE OVER PREDICTED TO HAVE 3776 02:29:39,320 --> 02:29:40,760 COVID. 3777 02:29:40,760 --> 02:29:42,000 GETTING THE DIAGNOSIS EARLY ON 3778 02:29:42,000 --> 02:29:43,600 FOR CHILDREN IS IMPORTANT. 3779 02:29:43,600 --> 02:29:46,040 THEY INTERACT IN THE COMMUNITY 3780 02:29:46,040 --> 02:29:47,600 EXTENSIVELY AND THE RISK OF 3781 02:29:47,600 --> 02:29:49,320 COVID INFECTION AND UNDERLYING 3782 02:29:49,320 --> 02:29:50,800 CIRCUMSTANCES FOR COVID IS 3783 02:29:50,800 --> 02:29:51,480 IMPORTANT. 3784 02:29:51,480 --> 02:29:53,520 SO THAT JUST GIVES A SENSE THAT 3785 02:29:53,520 --> 02:29:55,440 THE DATA HAS TO REPRESENT THE 3786 02:29:55,440 --> 02:29:57,320 TYPE OF QUESTION YOU WANT TO 3787 02:29:57,320 --> 02:29:59,320 ANSWER AND THIS HAS BEEN A 3788 02:29:59,320 --> 02:30:02,080 CONUNDRUM FOR DATA SCIENCE. 3789 02:30:02,080 --> 02:30:03,880 SO SOMETIMES THE DATA IS UNDER 3790 02:30:03,880 --> 02:30:05,680 REPRESENTED OF THE POPULATIONS. 3791 02:30:05,680 --> 02:30:06,560 IT DOESN'T REFLECT THE 3792 02:30:06,560 --> 02:30:08,560 POPULATIONS AT HAND. 3793 02:30:08,560 --> 02:30:13,840 OR THERE'S BIASES WITHIN THE 3794 02:30:13,840 --> 02:30:15,720 TRAINING DATA SET OR SOMETIMES 3795 02:30:15,720 --> 02:30:17,040 THE QUESTION THAT YOU'RE ASKING 3796 02:30:17,040 --> 02:30:19,600 IS NOT GOING TO BE ANSWERED BY 3797 02:30:19,600 --> 02:30:20,800 THE DATA THAT YOU HAVE AS YOU 3798 02:30:20,800 --> 02:30:23,360 SAW WITH THE PROXY OF USING 3799 02:30:23,360 --> 02:30:26,200 HEALTH VISITS FOR WELLNESS. 3800 02:30:26,200 --> 02:30:27,640 ANOTHER THING THAT I HAVEN'T 3801 02:30:27,640 --> 02:30:30,240 SAID I THINK YOU'RE GOING TO 3802 02:30:30,240 --> 02:30:34,000 RESONATE WITH IS THE 3803 02:30:34,000 --> 02:30:34,960 RESEARCHERS, THE A.I. 3804 02:30:34,960 --> 02:30:35,680 RESEARCHERS ARE DIFFERENT AND 3805 02:30:35,680 --> 02:30:38,280 THERE'S A LACK OF DIVERSITY IN 3806 02:30:38,280 --> 02:30:39,600 THE A.I. COMMUNITY IN 3807 02:30:39,600 --> 02:30:42,680 UNDERSTANDING THE DIVERSITY OF 3808 02:30:42,680 --> 02:30:45,320 HEALTH ISSUES INTEGRATING HEALTH 3809 02:30:45,320 --> 02:30:46,840 DISPARITIES RESEARCH AND 3810 02:30:46,840 --> 02:30:48,200 ARTIFICIAL INTELLIGENCE IS A 3811 02:30:48,200 --> 02:30:49,480 UNIQUE OPPORTUNITY FOR NIH. 3812 02:30:49,480 --> 02:30:52,680 WE'RE THE ONLY AGENCY IN MY 3813 02:30:52,680 --> 02:30:54,200 OPINION THAT CAN DO THAT WITH 3814 02:30:54,200 --> 02:30:56,120 REAL DIFFERENCES. 3815 02:30:56,120 --> 02:30:57,960 FINALLY, DATA NEEDS LIVED 3816 02:30:57,960 --> 02:30:58,240 EXPERIENCES. 3817 02:30:58,240 --> 02:31:01,440 IT NEEDS HISTORICAL AND CULTURAL 3818 02:31:01,440 --> 02:31:03,640 CONTACTS AND SOCIAL DETERMINATES 3819 02:31:03,640 --> 02:31:06,240 OF HEALTH AND A PERFECT EXAMPLE 3820 02:31:06,240 --> 02:31:08,640 WAS PUT OUT LAST YEAR IN THE 3821 02:31:08,640 --> 02:31:11,640 JAMA OF CARDIOLOGY IF YOU 3822 02:31:11,640 --> 02:31:12,680 INTEGRATE SOCIAL DETERMINATES OF 3823 02:31:12,680 --> 02:31:16,600 HEALTH INTO PREDICTING HEART 3824 02:31:16,600 --> 02:31:19,840 RATE AND FAILURE DEATHS 3825 02:31:19,840 --> 02:31:22,040 PARTICULARLY AMONG AFRICAN 3826 02:31:22,040 --> 02:31:25,120 AMERICANS MAKES A BIG DIFFERENCE 3827 02:31:25,120 --> 02:31:28,040 AND IT'S A GOAL FOR MY OFFICE. 3828 02:31:28,040 --> 02:31:29,080 THESE PROBLEMS AREN'T STATIC. 3829 02:31:29,080 --> 02:31:30,720 THIS IS NOT A SNAPSHOT OF 3830 02:31:30,720 --> 02:31:31,000 PROBLEMS. 3831 02:31:31,000 --> 02:31:33,040 THESE CONTINUE TO GO ON. 3832 02:31:33,040 --> 02:31:37,480 YOU MAY FIND WE DEPLOY AN A.I. 3833 02:31:37,480 --> 02:31:39,680 ALGORITHM AND WORKS FINE BUT 3834 02:31:39,680 --> 02:31:41,480 SLOWLY BUT SURELY IT STOPS BEING 3835 02:31:41,480 --> 02:31:42,960 AS ACCURATE AS YOU WOULD HOPE. 3836 02:31:42,960 --> 02:31:43,680 THERE'S REASONS. 3837 02:31:43,680 --> 02:31:47,160 THE DATA SHIFTS. 3838 02:31:47,160 --> 02:31:48,600 PEOPLE CHANGE AND PARTICULARLY 3839 02:31:48,600 --> 02:31:50,440 WHEN WE LOOK AT SOCIAL 3840 02:31:50,440 --> 02:31:54,160 DETERMINATES OF HEALTH, THE 3841 02:31:54,160 --> 02:31:57,320 HEALTH ENCOUNTERS, ENVIRONMENT, 3842 02:31:57,320 --> 02:32:00,200 EMPLOYMENTS AND THAT CHANGES IN 3843 02:32:00,200 --> 02:32:02,320 WHICH THE A.I. ALGORITHM WAS 3844 02:32:02,320 --> 02:32:04,000 TRAINED OR THERE'S CONCEPT 3845 02:32:04,000 --> 02:32:04,600 SHIFTS. 3846 02:32:04,600 --> 02:32:06,840 INPUT AND OUTPUT VARIABLES HAVE 3847 02:32:06,840 --> 02:32:07,640 CHANGE. 3848 02:32:07,640 --> 02:32:12,200 IF YOU'RE USING QUALITY OF LIFE 3849 02:32:12,200 --> 02:32:13,280 SURVEYS IT'S A BIG RISK. 3850 02:32:13,280 --> 02:32:15,280 THERE'S RISKS TO THINK ABOUT 3851 02:32:15,280 --> 02:32:15,840 WHEN WE USE A.I. FOR HEALTH 3852 02:32:15,840 --> 02:32:26,000 RESEARCH. 3853 02:32:30,280 --> 02:32:36,200 AND HHS A.I. DATA STRATEGY, A 3854 02:32:36,200 --> 02:32:39,640 LOT OF PROMISE HERE. 3855 02:32:39,640 --> 02:32:41,600 AND YOU CAN TAKE ON THE 3856 02:32:41,600 --> 02:32:42,560 CHALLENGE AND MAKE A BIG 3857 02:32:42,560 --> 02:32:47,400 DIFFERENCE BUT IT'S GOING TO 3858 02:32:47,400 --> 02:32:48,640 TAKE A BIG EFFORT AND YOU I HAVE 3859 02:32:48,640 --> 02:32:50,480 TO INTRODUCE THE AIM AHEAD 3860 02:32:50,480 --> 02:32:50,720 PROGRAM. 3861 02:32:50,720 --> 02:32:51,640 IT HAS THREE MAIN GOALS. 3862 02:32:51,640 --> 02:32:54,160 TO ENHANCE THE PARTICIPATION AND 3863 02:32:54,160 --> 02:32:56,720 REPRESENTATION OF RESEARCHERS 3864 02:32:56,720 --> 02:32:59,040 AND COMMUNITIES WHO ARE 3865 02:32:59,040 --> 02:33:00,360 CURRENTLY UNDER REPRESENTED IN 3866 02:33:00,360 --> 02:33:02,160 THE DEVELOPMENT OF ARTIFICIAL 3867 02:33:02,160 --> 02:33:03,200 INTELLIGENCE INTO THIS EQUATION. 3868 02:33:03,200 --> 02:33:05,600 OUR GOAL IN RESEARCH IS TO 3869 02:33:05,600 --> 02:33:09,200 ADDRESS HEALTH DISPARITIES AND 3870 02:33:09,200 --> 02:33:11,280 EQUITIES USING A.I. AND M.L. TO 3871 02:33:11,280 --> 02:33:13,520 THE BEST WE CAN AND IMPROVE THE 3872 02:33:13,520 --> 02:33:14,640 CAPACITY IN THESE COMMUNITIES. 3873 02:33:14,640 --> 02:33:19,880 THOSE ARE OUR THREE GOALS. 3874 02:33:19,880 --> 02:33:24,200 IT IS A CONSORTIUM. 3875 02:33:24,200 --> 02:33:27,640 AND YOU'LL GET A SENSE OF THE 3876 02:33:27,640 --> 02:33:27,880 IMPACT. 3877 02:33:27,880 --> 02:33:30,560 THIS MAP IT'S A LITTLE BIT 3878 02:33:30,560 --> 02:33:32,560 COMPLICATED WITH COLORINGS AND 3879 02:33:32,560 --> 02:33:34,320 TRIANGLES AND SQUARES AND WHAT 3880 02:33:34,320 --> 02:33:34,480 NOT. 3881 02:33:34,480 --> 02:33:36,960 IT'S A CONSORTIUM MADE UP OF 3882 02:33:36,960 --> 02:33:39,600 FOUR MAIN CORES. 3883 02:33:39,600 --> 02:33:41,120 THERE'S THE LEADERSHIP CORE. 3884 02:33:41,120 --> 02:33:43,640 IT'S LED FROM THE UNIVERSITY OF 3885 02:33:43,640 --> 02:33:45,720 NORTH TEXAS HEALTH CARE CENTER. 3886 02:33:45,720 --> 02:33:46,960 THE RESEARCH CORE AIMS TO 3887 02:33:46,960 --> 02:33:48,240 ADDRESS RESEARCH PRIORITIES AND 3888 02:33:48,240 --> 02:33:49,320 NEEDS THAT ARE WITH THE 3889 02:33:49,320 --> 02:33:49,600 COMMUNITY. 3890 02:33:49,600 --> 02:33:53,880 I'LL TELL BUT A CONCEPT CALLED 3891 02:33:53,880 --> 02:33:57,520 CO-DESIGN HOW WE DEVELOP OUR 3892 02:33:57,520 --> 02:34:01,720 RESEARCH PRIORITIES WITH THE 3893 02:34:01,720 --> 02:34:01,960 COMMUNITY. 3894 02:34:01,960 --> 02:34:05,240 THE TRAINING CORE AT HOWARD IS 3895 02:34:05,240 --> 02:34:06,160 LOOKING AT IMPLEMENT DATA 3896 02:34:06,160 --> 02:34:07,720 SCIENCE TRAINING CURRICULA AND 3897 02:34:07,720 --> 02:34:12,600 CAPACITY ACROSS OUR ENTITIES AND 3898 02:34:12,600 --> 02:34:13,600 OUR INFRASTRUCTURE CORE. 3899 02:34:13,600 --> 02:34:17,840 THIS ADDRESSES DATA, XULTING AND 3900 02:34:17,840 --> 02:34:22,040 SOFTWARE TO FACILITATE THE 3901 02:34:22,040 --> 02:34:23,480 CAPABILITIES OF A.I. AND M.L. 3902 02:34:23,480 --> 02:34:24,280 RESEARCH. 3903 02:34:24,280 --> 02:34:25,720 THERE'S NO ONE SIZE FITS ALL 3904 02:34:25,720 --> 02:34:27,640 INFRASTRUCTURE THAT WILL SOLVE 3905 02:34:27,640 --> 02:34:28,040 THE PROBLEM. 3906 02:34:28,040 --> 02:34:30,200 EACH COMMUNITY COMES WITH THEIR 3907 02:34:30,200 --> 02:34:37,560 OWN NEEDS AND LEVEL OF EXPERTISE 3908 02:34:37,560 --> 02:34:40,000 AND YOU HAVE TO THINK OF IT AS A 3909 02:34:40,000 --> 02:34:41,280 MULTIPRONGED APPROACH AIMED AT 3910 02:34:41,280 --> 02:34:44,120 DIFFERENT COMMUNITIES AND IT'S A 3911 02:34:44,120 --> 02:34:53,800 RESEARCH PROGRAM AFTER ALL. 3912 02:34:53,800 --> 02:34:56,040 THIS IS COLOR CODED FOR A 3913 02:34:56,040 --> 02:34:56,280 REASON. 3914 02:34:56,280 --> 02:34:58,640 YOU'LL SEE IT'S BROKEN UP INTO 3915 02:34:58,640 --> 02:34:59,520 DIFFERENT COMPONENTS OF THE 3916 02:34:59,520 --> 02:35:01,360 U.S. AND EACH HAS HUBS. 3917 02:35:01,360 --> 02:35:03,280 THAT'S HOW WE ENGAGE 3918 02:35:03,280 --> 02:35:05,680 RESEARCHERS, HOW WE ENGAGE 3919 02:35:05,680 --> 02:35:07,120 ACADEMIC INSTITUTIONS AND 3920 02:35:07,120 --> 02:35:08,880 COMMUNITY COLLEGES AND HOW WE 3921 02:35:08,880 --> 02:35:09,560 ENGAGE COMMUNITY. 3922 02:35:09,560 --> 02:35:11,600 EACH HUB IS RESPONSIBLE FOR 3923 02:35:11,600 --> 02:35:13,840 ENGAGING WITH THE DIFFERENT 3924 02:35:13,840 --> 02:35:15,600 SECTORS, SOUTHWEST, SOUTHEAST, 3925 02:35:15,600 --> 02:35:20,680 NORTHWEST AND NORTHEAST AND 3926 02:35:20,680 --> 02:35:20,920 MIDWEST. 3927 02:35:20,920 --> 02:35:22,480 WHEN I TALK ABOUT THE PRIORITIES 3928 02:35:22,480 --> 02:35:24,160 OF THOSE HUBS IT WILL MAKE MORE 3929 02:35:24,160 --> 02:35:26,040 SPENCE THE VISION OF AIM AHEAD 3930 02:35:26,040 --> 02:35:27,640 IS BASED ON THE VISION OF NORTH 3931 02:35:27,640 --> 02:35:28,160 STARS. 3932 02:35:28,160 --> 02:35:30,880 THE FIRST IS WE NEED A DIVERSE 3933 02:35:30,880 --> 02:35:31,160 WORKFORCE. 3934 02:35:31,160 --> 02:35:34,840 TIME AND TIME AGAIN RESEARCH 3935 02:35:34,840 --> 02:35:39,360 SHOWS IF YOU HAVE DIVERSITY IN 3936 02:35:39,360 --> 02:35:40,600 YOUR COMPANY THE CAPABILITY IS 3937 02:35:40,600 --> 02:35:44,880 GREATER THAN IF YOU HAVE A MORE 3938 02:35:44,880 --> 02:35:46,680 INSULAR GROUP AND IT MEANS 3939 02:35:46,680 --> 02:35:49,160 ENGAGING BEYOND RESEARCHERS AND 3940 02:35:49,160 --> 02:35:50,120 ACADEMICS AND COMMUNITY LEADERS 3941 02:35:50,120 --> 02:35:50,760 TO THINK OF ARTIFICIAL 3942 02:35:50,760 --> 02:35:56,280 INTELLIGENCE IN A DIFFERENT WAY. 3943 02:35:56,280 --> 02:35:58,480 THAT MEANS PARTNERING WITH 3944 02:35:58,480 --> 02:36:00,200 COMMUNITIES AND CO-DESIGN MEANS 3945 02:36:00,200 --> 02:36:01,080 YOU DEVELOP YOUR RESEARCH 3946 02:36:01,080 --> 02:36:03,640 PRIORITIES IN PARTNERSHIP WITH 3947 02:36:03,640 --> 02:36:05,920 THE COMMUNITIES. 3948 02:36:05,920 --> 02:36:08,960 IT'S NOT TOO DISSIMILAR FROM 3949 02:36:08,960 --> 02:36:10,080 WHAT COMPASS IS DOING AND THAT'S 3950 02:36:10,080 --> 02:36:11,680 AN IMPORTANT POINT IT'S RESEARCH 3951 02:36:11,680 --> 02:36:18,920 WITH THE COMMUNITY. 3952 02:36:18,920 --> 02:36:20,480 AND WE HAVE TO DELIVER 3953 02:36:20,480 --> 02:36:22,600 CAPABILITIES FOR DIFFERENT 3954 02:36:22,600 --> 02:36:24,240 ACADEMIC SETTINGS AND THERE'S A 3955 02:36:24,240 --> 02:36:25,400 COMPONENT THAT'S A.I. 3956 02:36:25,400 --> 02:36:26,920 INFRASTRUCTURE AND FINALLY, THIS 3957 02:36:26,920 --> 02:36:28,560 SAY RESEARCH PROGRAM AND IT'S A 3958 02:36:28,560 --> 02:36:31,040 RESEARCH AND HEALTH DISPARITIES 3959 02:36:31,040 --> 02:36:33,440 AND THE CONSORTIUM CAME TOGETHER 3960 02:36:33,440 --> 02:36:36,320 AND CHOSE PRIORITIES FOR 3961 02:36:36,320 --> 02:36:37,200 COMMUNITIES, CARDIOVASCULAR 3962 02:36:37,200 --> 02:36:37,920 DISEASE AND CANCER. 3963 02:36:37,920 --> 02:36:39,640 YOU'LL HEAR A LOT ABOUT THESE 3964 02:36:39,640 --> 02:36:41,160 TWO DIFFERENT TYPES OF 3965 02:36:41,160 --> 02:36:41,480 PRIORITIES. 3966 02:36:41,480 --> 02:36:42,520 THIS IS WHAT THE COMMUNITY TOLD 3967 02:36:42,520 --> 02:36:43,680 US THEY WERE MOST INTERESTED IN 3968 02:36:43,680 --> 02:36:54,000 RESEARCH QUESTIONS. 3969 02:36:57,400 --> 02:36:59,640 I THOUGHT I WOULD EXEMPLIFY WHAT 3970 02:36:59,640 --> 02:37:01,200 SOME OF THE RESEARCH WAS IN THE 3971 02:37:01,200 --> 02:37:05,680 CENTRAL HUB MAKING EXISTING 3972 02:37:05,680 --> 02:37:16,240 COMMUNITY DATA MORE A.I. READY. 3973 02:37:19,600 --> 02:37:22,320 AND THE INTEGRATING HEALTH CARE 3974 02:37:22,320 --> 02:37:24,960 DATA TO ADDRESS HUNG CANCER IN 3975 02:37:24,960 --> 02:37:26,600 NATIVE HAWAIIAN AND OTHER 3976 02:37:26,600 --> 02:37:28,200 PACIFIC ISLANDER POPULATIONS AND 3977 02:37:28,200 --> 02:37:29,960 TRAINING COMMUNITY HEALTH CARE 3978 02:37:29,960 --> 02:37:31,240 WORKERS IN DELIVERING 3979 02:37:31,240 --> 02:37:32,760 INFORMATION ABOUT A.I. AND M.L. 3980 02:37:32,760 --> 02:37:34,520 BECAUSE TO MANY PEOPLE IN 3981 02:37:34,520 --> 02:37:36,200 COMMUNITIES IT'S A BIT OF AN 3982 02:37:36,200 --> 02:37:38,080 UNKNOWN BLACK BOX AND THEY MAY 3983 02:37:38,080 --> 02:37:39,720 BE FAMILIAR WITH CHAT GPT AND 3984 02:37:39,720 --> 02:37:40,840 OTHERS BUT REALLY THE 3985 02:37:40,840 --> 02:37:44,520 UNDERSTANDING OF WHAT IT CAN AND 3986 02:37:44,520 --> 02:37:45,800 CAN'T DO IS IMPORTANT. 3987 02:37:45,800 --> 02:37:49,360 THE WEST HUB IS CONDUCTING LARGE 3988 02:37:49,360 --> 02:37:52,360 SCALE ANALYSIS TO ADDRESS CARDIO 3989 02:37:52,360 --> 02:37:53,080 METABOLIC HEALTH IN AMERICAN 3990 02:37:53,080 --> 02:37:53,960 INDIAN AND ALASKAN NATIVE. 3991 02:37:53,960 --> 02:37:57,680 I'LL TALK MORE IN A MOMENT BUT 3992 02:37:57,680 --> 02:37:59,600 IT'S AN IMPORTANT PROGRAM 3993 02:37:59,600 --> 02:38:02,480 BECAUSE OF THE RISK OF DIABETES 3994 02:38:02,480 --> 02:38:03,520 IN AMERICAN INDIAN AND ALASKAN 3995 02:38:03,520 --> 02:38:03,960 NATIVE POPULATIONS. 3996 02:38:03,960 --> 02:38:14,440 THIS WAS A PRIORITY FOR THEM. 3997 02:38:15,680 --> 02:38:18,920 AND THERE'S UPTAKE AMONG SPANISH 3998 02:38:18,920 --> 02:38:19,640 SPEAKING PATIENTS. 3999 02:38:19,640 --> 02:38:23,560 MOST OF WHAT WE DO IS IN ENGLISH 4000 02:38:23,560 --> 02:38:25,680 AND THE DISSEMINATION OF A.I. IS 4001 02:38:25,680 --> 02:38:29,400 MOSTLY IN ENGLISH BUT THE 4002 02:38:29,400 --> 02:38:31,200 COMMUNITIES THAT NEED THIS SPEAK 4003 02:38:31,200 --> 02:38:33,520 MANY DIFFERENT LANGUAGE. 4004 02:38:33,520 --> 02:38:34,920 WE'RE LOOKING AT INCORPORATING 4005 02:38:34,920 --> 02:38:42,680 LANGUAGE INTO A.I. 4006 02:38:42,680 --> 02:38:46,560 AND THERE'S HIGH RISK DEATH 4007 02:38:46,560 --> 02:38:50,480 RATES IN RURAL APPALACHIA AND 4008 02:38:50,480 --> 02:38:52,240 THE CLINICAL TRANSLATIONAL 4009 02:38:52,240 --> 02:38:53,000 SCIENCE INSTITUTE FOR DELIVERING 4010 02:38:53,000 --> 02:38:54,680 SOME INFRASTRUCTURE NEEDED. 4011 02:38:54,680 --> 02:38:56,520 THIS IS A COMPONENT OF AIM AHEAD 4012 02:38:56,520 --> 02:38:59,240 AND SO THIS PARTICULAR GROUP IS 4013 02:38:59,240 --> 02:39:02,720 LOOKING TO SEE WHAT TYPE OF 4014 02:39:02,720 --> 02:39:04,080 INFRASTRUCTURE WOULD HELP 4015 02:39:04,080 --> 02:39:05,560 APPALACHIAN CLINICAL SCIENCE 4016 02:39:05,560 --> 02:39:05,880 INSTITUTES. 4017 02:39:05,880 --> 02:39:08,240 AND FINALLY THE NORTH AND 4018 02:39:08,240 --> 02:39:12,200 MIDWEST HUB ARE DEVELOPING A 4019 02:39:12,200 --> 02:39:15,600 RISK PREDICTION FOR ALASKAN 4020 02:39:15,600 --> 02:39:17,360 NATIVE POPULATIONS TO IMPROVE 4021 02:39:17,360 --> 02:39:20,120 DIAGNOSIS AND CARE AND A CHATBOT 4022 02:39:20,120 --> 02:39:23,040 TO ASSIST PATIENTS WITH DIABETES 4023 02:39:23,040 --> 02:39:24,480 DIAGNOSIS, SELF-CARE MANAGEMENT. 4024 02:39:24,480 --> 02:39:27,640 IT'S A REAL CONCERN IN 4025 02:39:27,640 --> 02:39:30,240 POPULATIONS OF AMERICAN INDIAN 4026 02:39:30,240 --> 02:39:38,360 AND ALASKAN NATIVES. 4027 02:39:38,360 --> 02:39:40,600 ONE THING I'M PROUD OF IS THE 4028 02:39:40,600 --> 02:39:43,120 WAY WE ENGAGE YOUNG PEOPLE AND 4029 02:39:43,120 --> 02:39:46,400 EARLY CAREER LEADERS ACROSS THE 4030 02:39:46,400 --> 02:39:46,760 UNITED STATES. 4031 02:39:46,760 --> 02:39:51,480 WHILE THERE IS CORES AND HUBS 4032 02:39:51,480 --> 02:39:53,080 THERE'S AN OUTREACH AND THERE'S 4033 02:39:53,080 --> 02:39:59,600 AIM AHEAD CONNECTS THAT CONNECTS 4034 02:39:59,600 --> 02:40:01,720 MENTEES AND CONNECT THEM WITH 4035 02:40:01,720 --> 02:40:03,600 MENTORS AND COMMUNITY LEADERS, 4036 02:40:03,600 --> 02:40:05,080 A.I. RESEARCHERS, RESEARCHERS IN 4037 02:40:05,080 --> 02:40:07,560 HEALTH DISPARITIES AND EQUITY 4038 02:40:07,560 --> 02:40:11,600 MEMBERS ACROSS THE CONSORTIUM 4039 02:40:11,600 --> 02:40:15,600 AND GROUPS. 4040 02:40:15,600 --> 02:40:18,640 THEY HAVE THE GENERATION OF A.I. 4041 02:40:18,640 --> 02:40:22,960 RESEARCHERS AND GROW A NEW 4042 02:40:22,960 --> 02:40:23,240 GENERATION. 4043 02:40:23,240 --> 02:40:25,080 ENGAGING IN GRADUATE STUDENT 4044 02:40:25,080 --> 02:40:26,440 TRAINING AND AIM AHEAD 4045 02:40:26,440 --> 02:40:30,640 DISSEMINATES A NUMBER OF AWARDS, 4046 02:40:30,640 --> 02:40:31,320 GRADUATE FELLOW. 4047 02:40:31,320 --> 02:40:33,720 AWARDS AND AWARDS FOR LEADERS 4048 02:40:33,720 --> 02:40:35,280 AND FOR COMMUNITY MEMBERS SO 4049 02:40:35,280 --> 02:40:37,880 THEY CAN CONDUCT RESEARCH AND 4050 02:40:37,880 --> 02:40:39,840 PARTICIPATE IN AIM AHEAD. 4051 02:40:39,840 --> 02:40:43,560 WE HAVE 25 GRADUATE TRAINEES AND 4052 02:40:43,560 --> 02:40:46,680 22 EARLY YEAR INVESTIGATORS AND 4053 02:40:46,680 --> 02:40:49,440 26 LEADERSHIP FELLOWS FOR 4054 02:40:49,440 --> 02:40:51,200 EMERGING IN ACADEMIA OR IN THE 4055 02:40:51,200 --> 02:40:54,200 COMMUNITY TO BRING FORWARD NEW 4056 02:40:54,200 --> 02:40:59,560 IDEAS IN A.I. AND 46 HEALTH CARE 4057 02:40:59,560 --> 02:41:02,560 WORKERS AND THEY COULD BE 4058 02:41:02,560 --> 02:41:03,640 NURSING PRACTITIONERS, PUBLIC 4059 02:41:03,640 --> 02:41:04,240 HEALTH RESEARCHERS INTERESTED IN 4060 02:41:04,240 --> 02:41:12,920 THIS PROGRAM AS WELL. 4061 02:41:12,920 --> 02:41:14,640 I'LL TELL YOU ABOUT WHAT SOME OF 4062 02:41:14,640 --> 02:41:17,920 THE RESEARCHERS ARE DOING IN AIM 4063 02:41:17,920 --> 02:41:18,200 AHEAD. 4064 02:41:18,200 --> 02:41:23,560 FOR EXAMPLE, AMY WATERMAN IS AT 4065 02:41:23,560 --> 02:41:25,560 HOUSTON METHODIST INSTITUTE IS 4066 02:41:25,560 --> 02:41:28,160 LOOKING AT KIDNEY TRANSPLANT 4067 02:41:28,160 --> 02:41:30,560 DERAILERS TO PREDICT TRANSPLANT 4068 02:41:30,560 --> 02:41:31,760 DROP OUT RATE AMONGST AFRICAN 4069 02:41:31,760 --> 02:41:34,760 AMERICANS AND HISPANIC PATIENTS. 4070 02:41:34,760 --> 02:41:38,040 SHE'S WORKING WITH CLINICAL AND 4071 02:41:38,040 --> 02:41:38,840 COMMUNITY-LED FOLKS WITH 4072 02:41:38,840 --> 02:41:41,120 MULTI-ETHNIC POPULATIONS TO 4073 02:41:41,120 --> 02:41:42,760 BUILD THOSE INTO HER A.I. MODEL 4074 02:41:42,760 --> 02:41:46,280 SO SHE CAN HELP PREDICT WHO IS 4075 02:41:46,280 --> 02:41:51,280 AT RISK FOR DROPPING OUT OF 4076 02:41:51,280 --> 02:41:51,840 KIDNEY TRANSPLANTS. 4077 02:41:51,840 --> 02:41:55,120 ANOTHER IS FROM THE UNIVERSITY 4078 02:41:55,120 --> 02:41:57,560 OF NORTH TEXAS, EVALUATING 4079 02:41:57,560 --> 02:41:59,600 BIASSED AND PREDICTIVE 4080 02:41:59,600 --> 02:42:02,280 ALGORITHMS AMONG OLDER ADULTS 4081 02:42:02,280 --> 02:42:04,480 WITH CANCER ALSO TAKING 4082 02:42:04,480 --> 02:42:06,520 MAGNESIUM SUPPLEMENTS AND 4083 02:42:06,520 --> 02:42:08,240 INTEGRATING MULTIPLE DATA 4084 02:42:08,240 --> 02:42:09,840 SOURCES, SOCIAL DETERMINATES OF 4085 02:42:09,840 --> 02:42:14,040 HEALTH AND OTHER DIVERSE TYPES 4086 02:42:14,040 --> 02:42:14,880 OF DATA INCLUDING POPULATION 4087 02:42:14,880 --> 02:42:18,320 DATA FROM RURAL POPULATIONS. 4088 02:42:18,320 --> 02:42:20,160 DR. STOKES IS ADDRESSING 4089 02:42:20,160 --> 02:42:22,760 INTERSECTIONS IN UNDER DIAGNOSED 4090 02:42:22,760 --> 02:42:23,760 AND UNDER RECOGNIZED ISSUES IN 4091 02:42:23,760 --> 02:42:26,160 THE COMMUNITY AND MITIGATING 4092 02:42:26,160 --> 02:42:28,920 BIAS IN THE APPLICATION OF A LOT 4093 02:42:28,920 --> 02:42:34,280 OF AT THE INTERSECTION. 4094 02:42:34,280 --> 02:42:44,840 FINALLY, JAINING IS LOOKING AT 4095 02:42:47,680 --> 02:42:49,200 AMERICAN INDIAN AND ALASKAN 4096 02:42:49,200 --> 02:42:51,600 NATIVES AND THESE ARE A FEW OF 4097 02:42:51,600 --> 02:42:58,080 THE EXAMPLES. 4098 02:42:58,080 --> 02:43:03,600 I WON'T PLAY THE VIDEO IT'S 4099 02:43:03,600 --> 02:43:05,920 WORTH WATCHING. 4100 02:43:05,920 --> 02:43:09,320 TO DEVELOP A.I. RISK ASSESSMENT 4101 02:43:09,320 --> 02:43:10,480 MODELS FOR THOSE WITH BLOOD 4102 02:43:10,480 --> 02:43:11,440 CLOTS AND CANCER. 4103 02:43:11,440 --> 02:43:15,640 IF YOU WANT TO WATCH IT IT'S 4104 02:43:15,640 --> 02:43:25,960 PRETTY INTERESTING. 4105 02:43:29,880 --> 02:43:31,600 WHAT I'M SUPER EXCITED ABOUT IS 4106 02:43:31,600 --> 02:43:34,920 THE WORK IN PARTNERSHIP WITH A 4107 02:43:34,920 --> 02:43:38,160 COMPANY IN BIRMINGHAM, ALABAMA 4108 02:43:38,160 --> 02:43:39,040 CALLED ACCELERATE. 4109 02:43:39,040 --> 02:43:41,960 AND IT ENGAGES WITH THE 4110 02:43:41,960 --> 02:43:44,360 BIRMINGHAM COMMUNITY AND 4111 02:43:44,360 --> 02:43:54,040 AIM-AHEAD CLOEGZ TO REALLY -- 4112 02:43:54,040 --> 02:43:55,640 COLLEAGUES AND IDENTIFY 4113 02:43:55,640 --> 02:43:57,480 OPPORTUNITIES IN A.I. TO IMPACT 4114 02:43:57,480 --> 02:44:00,200 THE COMMUNITY IN BIRMINGHAM, 4115 02:44:00,200 --> 02:44:03,520 ALABAMA WHO MAY HAVE DIFFERENT 4116 02:44:03,520 --> 02:44:05,200 HEALTH QUESTIONS THAN SOMEONE IN 4117 02:44:05,200 --> 02:44:05,400 TEXAS. 4118 02:44:05,400 --> 02:44:06,640 WE HAVE DIFFERENT COMMUNITY 4119 02:44:06,640 --> 02:44:06,840 NEEDS. 4120 02:44:06,840 --> 02:44:07,600 WE HAVE TO GET IN THERE WITH THE 4121 02:44:07,600 --> 02:44:12,520 COMMUNITY. 4122 02:44:12,520 --> 02:44:19,600 WHAT ARE ETHICAL AND BIASES 4123 02:44:19,600 --> 02:44:21,760 CHALLENGES WITHIN A.I. 4124 02:44:21,760 --> 02:44:24,240 THERE'S REAL NUANCE IN 4125 02:44:24,240 --> 02:44:26,920 DEVELOPING DATA AND ENABLES 4126 02:44:26,920 --> 02:44:27,960 RECALL UNDER REPRESENTED 4127 02:44:27,960 --> 02:44:32,840 COMMUNITIES TOE CONTRIBUTE TO 4128 02:44:32,840 --> 02:44:33,360 THE CONVERSATION. 4129 02:44:33,360 --> 02:44:35,600 YOU CAN'T FIND SOLUTIONS IF YOU 4130 02:44:35,600 --> 02:44:42,200 CAN'T BE HEARD. 4131 02:44:42,200 --> 02:44:46,480 IT TAKES A COMMUNITY AND THERE'S 4132 02:44:46,480 --> 02:44:48,680 A WONDERFUL VIDEO BY A NEWS 4133 02:44:48,680 --> 02:44:51,600 STATION IN BIRMINGHAM, ALABAMA 4134 02:44:51,600 --> 02:44:55,640 WHO INTERVIEWED THE PEOPLE AND 4135 02:44:55,640 --> 02:44:58,040 I'M EXCITED TO SHARE IT WITH 4136 02:44:58,040 --> 02:44:58,240 YOU. 4137 02:44:58,240 --> 02:45:02,640 FOR US IT'S A METRIC OF SUCCESS 4138 02:45:02,640 --> 02:45:05,480 HOND THE IMPACT OF SUCCESS AND 4139 02:45:05,480 --> 02:45:07,120 HOW DO WE ENGAGE IN THESE 4140 02:45:07,120 --> 02:45:08,680 COMMUNITIES. 4141 02:45:08,680 --> 02:45:10,720 LASTLY, I WANT TO TELL YOU 4142 02:45:10,720 --> 02:45:15,480 THERE'S OTHER THINGS HAPPEN IN 4143 02:45:15,480 --> 02:45:21,600 MY OFFICE AND IN THE A LOT OF 4144 02:45:21,600 --> 02:45:24,200 -- A.I. SPACE AND WITH WE'VE 4145 02:45:24,200 --> 02:45:25,040 SUPPLEMENTED EXISTING NIH 4146 02:45:25,040 --> 02:45:26,600 RESEARCHERS INTERESTED IN THIS 4147 02:45:26,600 --> 02:45:28,400 SPACE TO DEVELOP ETHICAL 4148 02:45:28,400 --> 02:45:31,640 FRAMEWORKS AND LOOK AT BIAS AND 4149 02:45:31,640 --> 02:45:35,880 RISK MITIGATION IN A.I. AND M.L. 4150 02:45:35,880 --> 02:45:40,200 THESE ARE EXAMPLE AWARDS ONE AT 4151 02:45:40,200 --> 02:45:41,480 THE GEORGE WASHINGTON UNIVERSITY 4152 02:45:41,480 --> 02:45:46,000 AND EXPLAINING TRUST MODELS TO 4153 02:45:46,000 --> 02:45:46,520 DETECT BIAS. 4154 02:45:46,520 --> 02:45:48,240 ANOTHER IS FROM THE UNIVERSITY 4155 02:45:48,240 --> 02:45:50,280 OF TEXAS HEALTH CENTER, HE'S 4156 02:45:50,280 --> 02:45:53,160 LOOKING AT INTEGRATING GENETICS 4157 02:45:53,160 --> 02:45:55,600 WITH NEURO IMAGING DATA AS A WAY 4158 02:45:55,600 --> 02:45:58,720 TO INTEGRATE AND UNDERSTAND 4159 02:45:58,720 --> 02:46:01,840 DETECTION OF ALZHEIMER'S DISEASE 4160 02:46:01,840 --> 02:46:04,560 AND DR. HOLDER FROM EMORY IS 4161 02:46:04,560 --> 02:46:07,080 LOOKING AT INTEGRATING CARDIO 4162 02:46:07,080 --> 02:46:14,600 METABOLIC DATA IN TIME SO I CAN 4163 02:46:14,600 --> 02:46:16,120 DETECT SEPSIS EARLY ON AND 4164 02:46:16,120 --> 02:46:17,520 INTERESTING WORK AND 4165 02:46:17,520 --> 02:46:19,480 CONGRATULATIONS TO ALL THE 4166 02:46:19,480 --> 02:46:20,880 RESEARCHERS AT THE FOREFRONT OF 4167 02:46:20,880 --> 02:46:23,960 ETHICAL AND DEVELOPMENT OF 4168 02:46:23,960 --> 02:46:26,080 ADDRESSING A.I. AND FINALLY WHAT 4169 02:46:26,080 --> 02:46:28,280 ARE SOME THINGS ON THE HORSON? 4170 02:46:28,280 --> 02:46:34,680 WE'LL -- HORIZON? 4171 02:46:34,680 --> 02:46:36,000 IT WAS JUST PRESENTED TO THE 4172 02:46:36,000 --> 02:46:38,320 COUNCIL OF COUNCILS. 4173 02:46:38,320 --> 02:46:39,480 SOME THINGS HAPPENING IN THE 4174 02:46:39,480 --> 02:46:41,160 FUTURE I HOPE WE CAN GET EXCITED 4175 02:46:41,160 --> 02:46:43,240 ABOUT ARE DEVELOPING SOCIAL AND 4176 02:46:43,240 --> 02:46:44,720 ETHICAL SOLUTIONS FOR A.I. 4177 02:46:44,720 --> 02:46:47,640 CREATING AND VALIDATING 4178 02:46:47,640 --> 02:46:49,640 APPROACHES FOR SYNTHETIC 4179 02:46:49,640 --> 02:46:54,200 APPROACHES FOR A.I. AND LOOKING 4180 02:46:54,200 --> 02:46:55,600 AT FOUNDATIONAL AND LARGE 4181 02:46:55,600 --> 02:46:59,400 LANGUAGE MODELS TO ACCELERATE 4182 02:46:59,400 --> 02:47:00,480 BEHAVIORAL RESEARCH AND 4183 02:47:00,480 --> 02:47:01,920 TECHNOLOGIES TO ENHANCE THE 4184 02:47:01,920 --> 02:47:04,040 TRANSLATION OF DATA TO 4185 02:47:04,040 --> 02:47:04,320 KNOWLEDGE. 4186 02:47:04,320 --> 02:47:05,640 KNOWLEDGE GRAPHS AND ENHANCING 4187 02:47:05,640 --> 02:47:09,440 OUR CAPACITY AND CAPABILITIES 4188 02:47:09,440 --> 02:47:12,840 THROUGH A.I. PARTNERSHIPS AND 4189 02:47:12,840 --> 02:47:13,880 COMPASS IS A PERFECT EXAMPLE OF 4190 02:47:13,880 --> 02:47:17,880 THE WORK THAT'S GOING TO HAPPEN 4191 02:47:17,880 --> 02:47:20,240 AND MAKING A SLICE OF THAT PIE 4192 02:47:20,240 --> 02:47:21,600 FOR A.I. MAY BE COOL. 4193 02:47:21,600 --> 02:47:22,600 AND FINALLY I WANT TO LEAVE YOU 4194 02:47:22,600 --> 02:47:25,120 WITH A PICTURE OF MY FRIEND AND 4195 02:47:25,120 --> 02:47:26,320 COLLEAGUE DR. PATTI BRENNAN WHO 4196 02:47:26,320 --> 02:47:27,880 IS RETIRING AT THE END OF THE 4197 02:47:27,880 --> 02:47:28,120 MONTH. 4198 02:47:28,120 --> 02:47:30,000 SO FAD FOR ALL OF US WHO SAID 4199 02:47:30,000 --> 02:47:34,080 THIS IS TAKEN FROM HER 2015 4200 02:47:34,080 --> 02:47:35,600 PUBLICATION IN THE JOURNAL OF 4201 02:47:35,600 --> 02:47:37,800 NURSING SCHOLARSHIP, NURSING 4202 02:47:37,800 --> 02:47:38,920 NEEDS BIG DATA AND BIG DATA 4203 02:47:38,920 --> 02:47:41,880 NEEDS NURSING SO WITH THAT I'D 4204 02:47:41,880 --> 02:47:43,640 SAY LET'S ENGAGE AND I'M HAPPY 4205 02:47:43,640 --> 02:47:54,080 TO TAKE SOME QUESTIONS. 4206 02:47:59,000 --> 02:48:00,520 >>THANK YOU. 4207 02:48:00,520 --> 02:48:06,120 I'VE ASKED DR. STONE TO LEAD OUR 4208 02:48:06,120 --> 02:48:08,120 DISCUSSION. 4209 02:48:08,120 --> 02:48:09,440 >>STIMULATING DISCUSSION AND 4210 02:48:09,440 --> 02:48:15,320 TALK AND THE PROBLEMS YOU BRING 4211 02:48:15,320 --> 02:48:17,520 UP WITH A.I. AND CHANGING AND 4212 02:48:17,520 --> 02:48:27,120 THE TOUCH OF DATA BIASES AND THE 4213 02:48:27,120 --> 02:48:29,040 CONCEPT AND ENGAMING THE 4214 02:48:29,040 --> 02:48:29,640 RESEARCH AND IT'S REAL. 4215 02:48:29,640 --> 02:48:34,960 NO DOUBT ABOUT IT. 4216 02:48:34,960 --> 02:48:37,240 SOME ARE A MARRIAGE MADE IN 4217 02:48:37,240 --> 02:48:37,600 HEAVEN. 4218 02:48:37,600 --> 02:48:43,000 I COME FROM A UNIVERSITY WITH A 4219 02:48:43,000 --> 02:48:50,960 LARGE DATA SCIENCE COHORT OF 4220 02:48:50,960 --> 02:48:56,960 RESEARCHERS LED BY A FEW AND 4221 02:48:56,960 --> 02:48:58,280 MANY THINGS YOU'VE TALKED ABOUT 4222 02:48:58,280 --> 02:49:00,280 HAS BEEN TALKED ABOUT BY A GROUP 4223 02:49:00,280 --> 02:49:05,600 OF INTERNATIONAL RESEARCHERS 4224 02:49:05,600 --> 02:49:10,680 WHEN THEY DISCOVERED HUMAN 4225 02:49:10,680 --> 02:49:19,600 CENTER 4226 02:49:19,600 --> 02:49:23,600 CENTERED TALKING ABOUT BIASES IN 4227 02:49:23,600 --> 02:49:24,800 DIFFERENT NOTES. 4228 02:49:24,800 --> 02:49:30,760 I DO KNOW SOME NURSE SCIENTISTS 4229 02:49:30,760 --> 02:49:34,560 THAT ARE USING NATURAL LANGUAGE 4230 02:49:34,560 --> 02:49:37,280 PROCESSING AND SPEECH VISION TO 4231 02:49:37,280 --> 02:49:39,640 LOOK AT PROBLEMS AND WHY PEOPLE 4232 02:49:39,640 --> 02:49:43,640 DON'T ACCEPT PALLIATIVE CARE AND 4233 02:49:43,640 --> 02:49:51,600 USE SPEECH RECOGNITION BY HAVING 4234 02:49:51,600 --> 02:49:59,640 THE AND ANOTHER NURSE WITH AN 4235 02:49:59,640 --> 02:50:02,400 RO1 LOOKING AT HOW THERE COULD 4236 02:50:02,400 --> 02:50:05,000 BE STIGMATIZING REMARKS IN OB 4237 02:50:05,000 --> 02:50:06,280 NOTES THAT CONTRIBUTE TO THE 4238 02:50:06,280 --> 02:50:08,440 POOR MATERNAL HEALTH OUTCOMES OF 4239 02:50:08,440 --> 02:50:18,720 MINORITY WOMEN. 4240 02:50:18,960 --> 02:50:19,600 IT'S VERY IMPORTANT AND TALK 4241 02:50:19,600 --> 02:50:23,360 ABOUT ALGORITHMS THAT SUPPORT 4242 02:50:23,360 --> 02:50:27,640 HEALTH EQUITY. 4243 02:50:27,640 --> 02:50:29,480 I THURCHBLGS THE CO-DESIGN IS 4244 02:50:29,480 --> 02:50:30,880 VERY IMPORTANT BECAUSE WE NEED 4245 02:50:30,880 --> 02:50:36,200 TO MAKE SURE A LOT OF WORKS AND 4246 02:50:36,200 --> 02:50:46,720 IS USER FRIEND FRIENDLY AS WELL 4247 02:50:46,720 --> 02:50:48,880 IT IMPACTS WORK FLOW BECAUSE 4248 02:50:48,880 --> 02:50:49,760 ELECTRONIC HEALTH RECORDS ARE 4249 02:50:49,760 --> 02:50:52,080 NOT THAT EASY IN THE CLINICAL 4250 02:50:52,080 --> 02:50:52,760 SETTING. 4251 02:50:52,760 --> 02:50:55,600 ONE OF THE THINGS AND THIS GETS 4252 02:50:55,600 --> 02:50:57,040 TO WHERE YOU TALKED ABOUT 4253 02:50:57,040 --> 02:50:58,200 CONCEPTS. 4254 02:50:58,200 --> 02:51:00,520 ONE THING THE OTHER ARTICLE 4255 02:51:00,520 --> 02:51:02,960 TALKED ABOUT THEY CALLED IT "IN 4256 02:51:02,960 --> 02:51:04,560 THE WILD." 4257 02:51:04,560 --> 02:51:07,680 I THINK OF IT AS COMPARATIVE 4258 02:51:07,680 --> 02:51:08,520 EFFECTIVENESS LIKE REAL WORLD 4259 02:51:08,520 --> 02:51:08,960 RESEARCH THEY CALL 4260 02:51:08,960 --> 02:51:14,040 IMPLEMENTATION SCIENCE. 4261 02:51:14,040 --> 02:51:19,920 WHAT DO WE NEED AS NURSES OR ANY 4262 02:51:19,920 --> 02:51:22,760 SCIENTISTS TO DO TO MAKE SURE 4263 02:51:22,760 --> 02:51:23,560 THE TRANSLATION OF THE A.I. 4264 02:51:23,560 --> 02:51:25,640 SYSTEMS WORK IN THE DYNAMIC 4265 02:51:25,640 --> 02:51:30,000 SOCIETY AND ANYTHING YOU CAN 4266 02:51:30,000 --> 02:51:30,600 TALK ABOUT THANK YOU. 4267 02:51:30,600 --> 02:51:32,360 THOSE ARE GRET QUESTIONS AND 4268 02:51:32,360 --> 02:51:35,640 GREAT COMMENTARY. 4269 02:51:35,640 --> 02:51:37,840 I'M FAMILIAR WITH THE WORK AND 4270 02:51:37,840 --> 02:51:42,480 IT'S VERY MORE WARD THI-- FORWA 4271 02:51:42,480 --> 02:51:42,760 THINKING. 4272 02:51:42,760 --> 02:51:44,000 FOR US WE NEED TO UNDERSTAND AND 4273 02:51:44,000 --> 02:51:46,920 THIS IS WHERE NURSES COME IN 4274 02:51:46,920 --> 02:51:50,040 HANDY, WHEN THE A.I. ALGORITHM 4275 02:51:50,040 --> 02:51:52,920 IS IMPLEMENTED AND PREDICTIVE 4276 02:51:52,920 --> 02:51:54,800 AND HELPFUL VERSUS WHEN IT'S NOT 4277 02:51:54,800 --> 02:51:56,400 PROVIDING CORRECT INFORMATION. 4278 02:51:56,400 --> 02:51:57,480 SOMETIMES WE CALL THAT GROUND 4279 02:51:57,480 --> 02:51:58,000 TRUTHING. 4280 02:51:58,000 --> 02:52:00,760 WE NEED TO UNDERSTAND THAT A.I. 4281 02:52:00,760 --> 02:52:02,320 CAN'T BE JUST TRANSPLANTED FROM 4282 02:52:02,320 --> 02:52:04,000 ONE SITE TO ANOTHER. 4283 02:52:04,000 --> 02:52:05,800 OFTEN TIMES IT'S VERY 4284 02:52:05,800 --> 02:52:07,640 CHALLENGING THOUGH I KNOW IT'S 4285 02:52:07,640 --> 02:52:08,640 THE HOLY GRAIL. 4286 02:52:08,640 --> 02:52:15,640 TESTING AND VALIDATING AND 4287 02:52:15,640 --> 02:52:18,240 ASSESSING THE HUMAN IN THE LOOP 4288 02:52:18,240 --> 02:52:21,720 CONCEPT WHERE WE'RE USING NEW 4289 02:52:21,720 --> 02:52:23,640 DATA AND IT TAKES SOMEBODY ON 4290 02:52:23,640 --> 02:52:25,240 THE GROUND AND UNDERSTANDS THE 4291 02:52:25,240 --> 02:52:25,800 DATA AND UNDERSTANDING THE 4292 02:52:25,800 --> 02:52:30,760 PATIENTS. 4293 02:52:30,760 --> 02:52:36,960 OFTEN PEOPLE KNOW IN THEIR CUT 4294 02:52:36,960 --> 02:52:42,880 WHAT'S COG -- GOING ON AND WE 4295 02:52:42,880 --> 02:52:44,440 NEED TO TAKE THE HUMAN 4296 02:52:44,440 --> 02:52:45,240 EXPERIENCE AND INTEGRATE THAT 4297 02:52:45,240 --> 02:52:47,560 INTO THE WAY WE WORK WITH AND 4298 02:52:47,560 --> 02:52:47,880 DELIVER A.I. 4299 02:52:47,880 --> 02:52:51,640 AT LEAST IN MY OPINION I THINK 4300 02:52:51,640 --> 02:52:56,360 THAT'S A NICE STRATEGY. 4301 02:52:56,360 --> 02:53:02,800 >>ONE OF THE OTHER THINGS YOU 4302 02:53:02,800 --> 02:53:05,000 MIGHT BE IS NURSING IN THE 4303 02:53:05,000 --> 02:53:05,520 ARTIFICIAL INTELLIGENCE 4304 02:53:05,520 --> 02:53:06,960 LEADERSHIP COLLABORATIVE. 4305 02:53:06,960 --> 02:53:10,800 NURSING LEADERS IN ARTIFICIAL 4306 02:53:10,800 --> 02:53:11,480 INTELLIGENCE HAVE BEEN THINKING 4307 02:53:11,480 --> 02:53:12,760 ABOUT THIS AND THEY DO REITERATE 4308 02:53:12,760 --> 02:53:17,560 MANY OF THE CHALLENGES YOU HAVE 4309 02:53:17,560 --> 02:53:19,480 BUT IT'S NICE TO KNOW WE HAVE 4310 02:53:19,480 --> 02:53:22,840 NURSING LEADERS THINKING ABOUT 4311 02:53:22,840 --> 02:53:23,320 THAT. 4312 02:53:23,320 --> 02:53:26,040 WIN OUR T32s THE TWO AT COLUMBIA 4313 02:53:26,040 --> 02:53:29,920 HAVE DATA SCIENCE COMPONENTS, 4314 02:53:29,920 --> 02:53:31,160 MACHINE LEARNING AND NATURAL 4315 02:53:31,160 --> 02:53:31,640 LANGUAGE PROCESSING. 4316 02:53:31,640 --> 02:53:34,200 AND I UNDERSTAND EMORY'S NEW T32 4317 02:53:34,200 --> 02:53:35,920 ON WOMEN'S HEALTH HAS A DATA 4318 02:53:35,920 --> 02:53:43,200 SCIENCE COMPONENT. 4319 02:53:43,200 --> 02:53:46,000 THIS AREA IS SO RIGHT WE NEED TO 4320 02:53:46,000 --> 02:53:49,280 ENCOURAGE AND FIND WAYS TO HAVE 4321 02:53:49,280 --> 02:53:50,200 MORE NURSING LEADERS INVOLVED 4322 02:53:50,200 --> 02:53:51,200 WITH IT. 4323 02:53:51,200 --> 02:53:52,720 AND ANYTHING WE CAN DO -- MAYBE 4324 02:53:52,720 --> 02:54:03,280 IT'S THROUGH THE CTSAs OR HAVING 4325 02:54:10,000 --> 02:54:11,120 MORE NURSES INVOLVED WOULD BE 4326 02:54:11,120 --> 02:54:12,760 GREAT AND I KNOW THERE'S NURSING 4327 02:54:12,760 --> 02:54:14,840 SCIENTIST ARE MENTORS BUT I 4328 02:54:14,840 --> 02:54:16,320 DON'T KNOW ABOUT NURSING 4329 02:54:16,320 --> 02:54:18,240 STUDENTS INVOLVED IN ANYTHING WE 4330 02:54:18,240 --> 02:54:19,920 CAN DO TO GET THEM INVOLVED OR 4331 02:54:19,920 --> 02:54:22,640 THOUGHTS ABOUT THAT I'D LIKE TO 4332 02:54:22,640 --> 02:54:22,840 HEAR. 4333 02:54:22,840 --> 02:54:28,760 >>ABSOLUTELY. 4334 02:54:28,760 --> 02:54:31,640 IN THE STRATEGIC PLAN THERE'S A 4335 02:54:31,640 --> 02:54:39,520 CALL OUT FOR EXISTING T32s AND 4336 02:54:39,520 --> 02:54:40,520 AUGMENT THEM AND THERE'S AN 4337 02:54:40,520 --> 02:54:41,280 OPPORTUNITY. 4338 02:54:41,280 --> 02:54:43,240 I WAS THRILLED TO BE PART OF THE 4339 02:54:43,240 --> 02:54:46,600 COUNCIL OF COUNCILS FOR OBSSR 4340 02:54:46,600 --> 02:54:48,680 WILL PUT OUT A PROGRAM THAT 4341 02:54:48,680 --> 02:54:50,360 INTEGRATES DATA SCIENCE AND 4342 02:54:50,360 --> 02:54:52,200 BEHAVIORAL AND SOCIAL STUDIES. 4343 02:54:52,200 --> 02:54:55,360 I THINK THIS IS A GREAT 4344 02:54:55,360 --> 02:54:57,240 OPPORTUNITY TO CAPITALIZE ON THE 4345 02:54:57,240 --> 02:54:59,640 PUSH FOR DATA IN A.I. TO ENHANCE 4346 02:54:59,640 --> 02:55:00,520 OUR EXISTING TRAINING PROGRAMS. 4347 02:55:00,520 --> 02:55:03,640 WE ALSO PARTNER WITH THE CTSRs 4348 02:55:03,640 --> 02:55:05,120 AND I THINK WE'LL MOVE OUT TO 4349 02:55:05,120 --> 02:55:10,280 THE CTSAs IN TRAINING AND 4350 02:55:10,280 --> 02:55:10,920 INTRAOPERABLE RESOURCES BECAUSE 4351 02:55:10,920 --> 02:55:13,160 IT'S A GREAT WAY TO THINK OF 4352 02:55:13,160 --> 02:55:16,360 STRUCTURED ELECTRONIC ELECTRONIC 4353 02:55:16,360 --> 02:55:19,280 HEALTH RECORD DATA AND HOW IT 4354 02:55:19,280 --> 02:55:20,120 CAN BE USED. 4355 02:55:20,120 --> 02:55:26,440 THERE'S AN OPPORTUNITY TO MOVE 4356 02:55:26,440 --> 02:55:29,040 FORWARD AN MAKE RAPID PROGRESS 4357 02:55:29,040 --> 02:55:30,160 AND WE SUPPORT A PROGRAM CALLED 4358 02:55:30,160 --> 02:55:31,800 SMART AND CONNECTED HEALTH WHERE 4359 02:55:31,800 --> 02:55:34,120 YOU ARE NURSING RESEARCHERS 4360 02:55:34,120 --> 02:55:35,680 DEVELOPING NEW DATA AND 4361 02:55:35,680 --> 02:55:37,960 TECHNOLOGIES TO IMPLEMENT IN THE 4362 02:55:37,960 --> 02:55:38,680 HEALTH CARE SETTINGS. 4363 02:55:38,680 --> 02:55:40,920 SO SHUT OUT TO THE PROGRAM AND 4364 02:55:40,920 --> 02:55:43,920 OUR PARTNERSHIP AND THAT'S A 4365 02:55:43,920 --> 02:55:47,640 PROGRAM WITH NSF. 4366 02:55:47,640 --> 02:55:51,360 >>THANK YOU SO MUCH FOR YOUR 4367 02:55:51,360 --> 02:55:51,640 COMMENTS. 4368 02:55:51,640 --> 02:56:01,960 THAT'S ALL I HAVE. 4369 02:56:06,800 --> 02:56:10,280 AS WE START TO LINK TO OMICS AND 4370 02:56:10,280 --> 02:56:12,720 BIGGER DATA DO WE HAVE TO 4371 02:56:12,720 --> 02:56:13,200 REVISIT THAT? 4372 02:56:13,200 --> 02:56:19,080 >>WE'RE LOOKING AT THAT 4373 02:56:19,080 --> 02:56:20,880 COMPONENT OF WHAT WE CALL 4374 02:56:20,880 --> 02:56:22,640 IDENTIFICATION AND IT'S USED AS 4375 02:56:22,640 --> 02:56:24,120 A COMMON PRACTICE AND ONCE THAT 4376 02:56:24,120 --> 02:56:27,600 IS DEIDENTIFIED IT'S NO LONGER 4377 02:56:27,600 --> 02:56:29,000 CONSIDERED PATIENT DATA JUST 4378 02:56:29,000 --> 02:56:29,600 DATA, DATA. 4379 02:56:29,600 --> 02:56:33,200 ONCE YOU RELINK IT WITH GENOMICS 4380 02:56:33,200 --> 02:56:34,480 THERE'S SOME CONCERNS ESPECIALLY 4381 02:56:34,480 --> 02:56:38,040 IN MANY COMMUNITIES OF UNDER 4382 02:56:38,040 --> 02:56:39,160 SERVED COMMUNITIES IN AMERICAN 4383 02:56:39,160 --> 02:56:40,720 INDIAN AND ALASKAN NATIVE THE 4384 02:56:40,720 --> 02:56:42,280 POTENTIAL FOR REIDENTIFICATION 4385 02:56:42,280 --> 02:56:43,040 IS HIGH. 4386 02:56:43,040 --> 02:56:47,400 WE'RE RE-LOOKING INTO THAT. 4387 02:56:47,400 --> 02:56:51,640 YOU'LL SEE WORK IN TERMS OF 4388 02:56:51,640 --> 02:56:53,320 SECURE SYSTEMS THAT WILL MAKE 4389 02:56:53,320 --> 02:56:59,200 SURE THAT DATA IS HELD AT A HIGH 4390 02:56:59,200 --> 02:57:01,840 SECURITY LEVEL AND WE'RE LOOKING 4391 02:57:01,840 --> 02:57:05,240 AT THE ROLE OF REIDENTIFICATION 4392 02:57:05,240 --> 02:57:11,440 AND THE PATIENT PRIVACY. 4393 02:57:11,440 --> 02:57:12,840 >>I'M CURIOUS BECAUSE IT CAME 4394 02:57:12,840 --> 02:57:15,000 UP IN A CONVERSATION WE WERE 4395 02:57:15,000 --> 02:57:16,040 HAVING LAST WEEK. 4396 02:57:16,040 --> 02:57:17,080 IN SOME OF THE INTERVENTIONS 4397 02:57:17,080 --> 02:57:19,960 WE'VE DONE AND BEING ABLE TO 4398 02:57:19,960 --> 02:57:22,000 FEEDBACK THE DATA TO CLINICIANS 4399 02:57:22,000 --> 02:57:23,760 IN A FEDERALLY QUALIFIED HEALTH 4400 02:57:23,760 --> 02:57:26,040 CENTER THAT STARTED CHANGING 4401 02:57:26,040 --> 02:57:27,520 THEIR PRACTICES INCLUDING HOW 4402 02:57:27,520 --> 02:57:30,720 THEY WERE USING THE E.H.R. AND 4403 02:57:30,720 --> 02:57:35,520 I'M CURIOUS IF ANYBODY KNOWS OF 4404 02:57:35,520 --> 02:57:37,400 ANY RESEARCH ANYBODY'S DOING 4405 02:57:37,400 --> 02:57:39,080 ONCE THEY USE THE NATURAL 4406 02:57:39,080 --> 02:57:40,520 LANGUAGE PROCESSING ON OTHER 4407 02:57:40,520 --> 02:57:42,240 HARE DATA THAT'S NOT AS 4408 02:57:42,240 --> 02:57:43,640 QUANTIFIABLE, DOES IT CHANGE 4409 02:57:43,640 --> 02:57:45,600 THEIR PRACTICES IN ANY WAY? 4410 02:57:45,600 --> 02:57:46,920 IS ANYONE LOOKING AT THAT IN 4411 02:57:46,920 --> 02:57:50,280 TERMS OF HOW THAT MIGHT IMPACT 4412 02:57:50,280 --> 02:57:51,280 QUALITY OF CARE? 4413 02:57:51,280 --> 02:57:53,000 I THINK THE ANSWER'S YES AND 4414 02:57:53,000 --> 02:57:54,840 MAYBE IN THE RESEARCH COMMUNITY 4415 02:57:54,840 --> 02:57:58,720 BUT IT'S CERTAINLY HAPPENING IN 4416 02:57:58,720 --> 02:58:00,880 THE LARGER HEALTH CARE SYSTEM 4417 02:58:00,880 --> 02:58:07,120 SUCH AS OTHERS WHERE THE RISK OF 4418 02:58:07,120 --> 02:58:10,880 DOCTOR BURN OUT IS HIGH AND 4419 02:58:10,880 --> 02:58:12,000 THERE'S HOOKING AT THE USE OF 4420 02:58:12,000 --> 02:58:16,320 A.I. IN THE CARE ITSELF. 4421 02:58:16,320 --> 02:58:17,680 THAT'S ACTUALLY HAPPENING. 4422 02:58:17,680 --> 02:58:18,920 IT'S AN INTERESTING AND 4423 02:58:18,920 --> 02:58:21,040 WONDERFUL FIELD OF RESEARCH THAT 4424 02:58:21,040 --> 02:58:23,120 I THINK NEEDS MORE ACADEMICS TO 4425 02:58:23,120 --> 02:58:33,320 LOOK AT THESE QUESTIONS. 4426 02:58:33,320 --> 02:58:35,640 >>ALSO IN THE PALLIATIVE CARE 4427 02:58:35,640 --> 02:58:39,200 SERVICES OF NEW YORK WHERE 4428 02:58:39,200 --> 02:58:40,080 THEY'RE DOING THE SPEECH 4429 02:58:40,080 --> 02:58:42,160 RECOGNITION BECAUSE THE NURSE 4430 02:58:42,160 --> 02:58:44,880 SERVICES OF NEW YORK HAD A 4431 02:58:44,880 --> 02:58:47,000 DEMONSTRATION PROJECT TO OFFER 4432 02:58:47,000 --> 02:58:49,440 PALLIATIVE CARE AND FOUND OUT A 4433 02:58:49,440 --> 02:58:51,640 LARGE PERCENTAGE OF PATIENTS 4434 02:58:51,640 --> 02:58:54,160 WEREN'T ACCEPTING IT. 4435 02:58:54,160 --> 02:58:55,680 THIS IS THE TRANSLATIONAL PIECE 4436 02:58:55,680 --> 02:59:05,920 WE NEED A LOT. 4437 02:59:06,240 --> 02:59:07,640 CLEARLY WE NEED TO DO MORE OF 4438 02:59:07,640 --> 02:59:15,200 IT. 4439 02:59:15,200 --> 02:59:17,600 IT WON'T BE ME BUT SOMEBODY 4440 02:59:17,600 --> 02:59:17,960 ELSE. 4441 02:59:17,960 --> 02:59:22,040 >>ANYTHING ELSE, LAST CHANCE? 4442 02:59:22,040 --> 02:59:22,440 ALL RIGHT. 4443 02:59:22,440 --> 02:59:24,560 WE'LL LEAVE IT AT THAT. 4444 02:59:24,560 --> 02:59:27,040 DR. GREGURICK THANK YOU FOR 4445 02:59:27,040 --> 02:59:27,440 JOINING US. 4446 02:59:27,440 --> 02:59:28,600 >>THANK YOU SO MUCH AND ENJOY 4447 02:59:28,600 --> 02:59:29,640 THE CONVERSATIONS TODAY. 4448 02:59:29,640 --> 02:59:33,560 I HOPE TO CONTINUE TO ENGAGE. 4449 02:59:33,560 --> 02:59:35,160 IT WAS LOVELY AND THANK YOU FOR 4450 02:59:35,160 --> 02:59:35,840 THE INVITATION. 4451 02:59:35,840 --> 02:59:36,600 >>THANK YOU SO MUCH. 4452 02:59:36,600 --> 02:59:37,720 ALL RIGHT. 4453 02:59:37,720 --> 02:59:41,600 WE MADE IT TO LUNCH. 4454 02:59:41,600 --> 02:59:42,280 WE'VE DONE IT. 4455 02:59:42,280 --> 02:59:45,240 WE WILL RECONVENE AND WE'RE 4456 02:59:45,240 --> 02:59:46,840 BREAKING NOW AT 12:16 EASTERN 4457 02:59:46,840 --> 02:59:50,720 AND WE'LL RECONVENE AT 12:50. 4458 02:59:50,720 --> 03:00:01,520 SEE YOU IN ABOUT 35 MINUTES. 4459 03:00:01,520 --> 03:00:04,280 WELCOME BACK, EVERYONE. 4460 03:00:04,280 --> 03:00:04,840 OUR NEXT SPEAKER, DR. NONI 4461 03:00:04,840 --> 03:00:05,400 BYRNES, WILL DISCUSS CSR'S 4462 03:00:05,400 --> 03:00:05,920 INITIATIVES RELATED TO 4463 03:00:05,920 --> 03:00:06,320 STRENGTHENING REVIEW 4464 03:00:06,320 --> 03:00:13,680 PANEL DIVERSITY, ADDRESSING 4465 03:00:13,680 --> 03:00:14,240 BIAS, AND EVALUATING PANEL 4466 03:00:14,240 --> 03:00:18,680 QUALITY. 4467 03:00:18,680 --> 03:00:19,280 AS DIRECTOR OF NIH'S CENTER FOR 4468 03:00:19,280 --> 03:00:19,920 SCIENTIFIC REVIEW, SHE LEADS A 4469 03:00:19,920 --> 03:00:24,560 STAFF OF ABOUT 600 AND IS 4470 03:00:24,560 --> 03:00:26,160 RESPONSIBLE FOR OVERSEEING A 4471 03:00:26,160 --> 03:00:28,280 MAJORITY OF THE NIH PEER REVIEW 4472 03:00:28,280 --> 03:00:30,200 PROCESS. 4473 03:00:30,200 --> 03:00:31,920 CSR HANDLES THE RECEIPT AND 4474 03:00:31,920 --> 03:00:33,000 REFERRAL OF ALL APPLICATIONS TO 4475 03:00:33,000 --> 03:00:36,480 NIH AS WELL AS THOSE TO OTHER 4476 03:00:36,480 --> 03:00:37,480 AGENCIES 4477 03:00:37,480 --> 03:00:38,120 WITHIN HHS, SUCH AS THE CDC AND 4478 03:00:38,120 --> 03:00:40,120 FDA. CSR REVIEWS ABOUT 4479 03:00:40,120 --> 03:00:46,240 THREE-QUARTERS OF ALL NIH GRANT 4480 03:00:46,240 --> 03:00:46,880 APPLICATIONS IN MORE THAN 1,200 4481 03:00:46,880 --> 03:00:47,480 REVIEW MEETINGS EACH YEAR. 4482 03:00:47,480 --> 03:00:49,840 BEFORE BEING APPOINTED CSR 4483 03:00:49,840 --> 03:00:57,760 DIRECTOR IN 2019, DR. BYRNES 4484 03:00:57,760 --> 03:00:59,920 SERVED IN A VARIETY OF ROLES 4485 03:00:59,920 --> 03:01:00,760 THERE, 4486 03:01:00,760 --> 03:01:02,480 INCLUDING SCIENTIFIC REVIEW 4487 03:01:02,480 --> 03:01:04,000 OFFICER, REVIEW BRANCH CHIEF, 4488 03:01:04,000 --> 03:01:06,000 DIVISION DIRECTOR, ACTING DEPUTY 4489 03:01:06,000 --> 03:01:09,120 DIRECTOR 4490 03:01:09,120 --> 03:01:10,480 AND ACTING DIRECTOR. SHE HOLDS A 4491 03:01:10,480 --> 03:01:16,320 PHD IN ANALYTICAL CHEMISTRY FROM 4492 03:01:16,320 --> 03:01:18,160 EMORY UNIVERSITY. BEFORE 4493 03:01:18,160 --> 03:01:19,320 JOINING NIH, SHE WORKED IN THE 4494 03:01:19,320 --> 03:01:20,280 PHARMACEUTICAL INDUSTRY, WHERE 4495 03:01:20,280 --> 03:01:21,560 SHE CONDUCTED RESEARCH IN 4496 03:01:21,560 --> 03:01:23,080 BIOANALYTICAL METHODS 4497 03:01:23,080 --> 03:01:25,640 DEVELOPMENT FOR PHASE 3 CLINICAL 4498 03:01:25,640 --> 03:01:28,080 TRIALS AND PROVIDED OVERSIGHT OF 4499 03:01:28,080 --> 03:01:28,720 CONTRACTS WITH CLINICAL RESEARCH 4500 03:01:28,720 --> 03:01:33,120 ORGANIZATIONS. 4501 03:01:33,120 --> 03:01:35,880 SO IT'S A PLEASURE TO HAVE YOU, 4502 03:01:35,880 --> 03:01:36,160 DR. BYRNES. 4503 03:01:36,160 --> 03:01:41,200 WELCOME. 4504 03:01:41,200 --> 03:01:42,400 >>THANK YOU SO MUCH. 4505 03:01:42,400 --> 03:01:48,360 THANKS FOR THE KIND 4506 03:01:48,360 --> 03:01:48,680 INTRODUCTION. 4507 03:01:48,680 --> 03:01:48,880 GREAT. 4508 03:01:48,880 --> 03:01:52,360 VERY NICE. 4509 03:01:52,360 --> 03:01:52,880 OKAY. 4510 03:01:52,880 --> 03:01:55,080 SO THANK YOU SHANNON, TO 4511 03:01:55,080 --> 03:01:56,240 EVERYONE FOR THE INVITE. 4512 03:01:56,240 --> 03:01:57,920 IT'S GREAT TO BE HERE. 4513 03:01:57,920 --> 03:02:01,120 I'M GOING TO JUST WALK YOU 4514 03:02:01,120 --> 03:02:05,960 THROUGH SOME OF CSR'S 4515 03:02:05,960 --> 03:02:08,360 INITIATIVES THAT ARE 4516 03:02:08,360 --> 03:02:09,760 MULTIDIMENSIONAL INITIATIVES TO 4517 03:02:09,760 --> 03:02:12,240 STRENGTHEN THE PEER REVIEW 4518 03:02:12,240 --> 03:02:12,480 PROCESS. 4519 03:02:12,480 --> 03:02:14,560 BEFORE I DO THAT I WANT TO TELL 4520 03:02:14,560 --> 03:02:15,800 YOU ABOUT THE CSR. 4521 03:02:15,800 --> 03:02:17,080 IT'S ONE OF THE 22 INSTITUTES 4522 03:02:17,080 --> 03:02:18,360 AND CENTERS OF NIH. 4523 03:02:18,360 --> 03:02:20,360 WE HAVE A SINGULAR MISSION. 4524 03:02:20,360 --> 03:02:22,160 THE BROADER GOAL IS TO IDENTIFY 4525 03:02:22,160 --> 03:02:25,280 THE STRONGEST SCIENCE FOR NIH TO 4526 03:02:25,280 --> 03:02:27,440 FUND AND DO THAT THROUGH 4527 03:02:27,440 --> 03:02:28,840 ENSURING NIH GRANT APPLICATIONS 4528 03:02:28,840 --> 03:02:31,480 GET FAIR, INDEPENDENT, EXPERT 4529 03:02:31,480 --> 03:02:34,080 AND TIMELY SCIENTIFIC REVIEWS 4530 03:02:34,080 --> 03:02:35,040 THAT ARE FREE FROM INAPPROPRIATE 4531 03:02:35,040 --> 03:02:40,080 INFLUENCES. 4532 03:02:40,080 --> 03:02:40,760 SHANNON MENTIONED A LITTLE BIT 4533 03:02:40,760 --> 03:02:43,280 OF THIS AND TO GIVE A SCOPE THE 4534 03:02:43,280 --> 03:02:47,040 CSR REVIEWED ABOUT 60,000 4535 03:02:47,040 --> 03:02:51,800 APPLICATIONS IN THE PAST FISCAL 4536 03:02:51,800 --> 03:02:56,320 YEAR THREE-QUARTERS OF THE 4537 03:02:56,320 --> 03:02:58,360 APPLICATIONS REVIEWED THROUGH 4538 03:02:58,360 --> 03:03:00,600 THE ASSISTANCE OF OVER 19,000 4539 03:03:00,600 --> 03:03:04,960 REVIEWERS AND 1200 MEETINGS. 4540 03:03:04,960 --> 03:03:07,320 IT'S A LARGE OPERATION. 4541 03:03:07,320 --> 03:03:09,520 IN ADDITION TO OUR STANDING 4542 03:03:09,520 --> 03:03:11,320 STUDY SECTIONS WHICH IS WHAT 4543 03:03:11,320 --> 03:03:15,960 PEOPLE ASSOCIATE WITH CSR WE RUN 4544 03:03:15,960 --> 03:03:18,080 MORE SPECIAL EMPHASIS PANELS 4545 03:03:18,080 --> 03:03:20,960 THAN ANY OTHER PLACE IN NIH AND 4546 03:03:20,960 --> 03:03:21,880 STANDING PANEL. 4547 03:03:21,880 --> 03:03:26,720 BECAUSE WE'RE TASKED WITH 4548 03:03:26,720 --> 03:03:28,840 SPECIAL INITIATIVES TRANS-NIH OR 4549 03:03:28,840 --> 03:03:29,640 OUT OF THE OFFICE OF THE 4550 03:03:29,640 --> 03:03:30,040 DIRECTOR. 4551 03:03:30,040 --> 03:03:32,320 THESE ARE SOME EXAMPLES BUT 4552 03:03:32,320 --> 03:03:40,080 THERE'S OTHERS AS WELL. 4553 03:03:40,080 --> 03:03:43,320 STARTING IN 2019 WE HAD THE 4554 03:03:43,320 --> 03:03:44,320 STRATEGIC FRAMEWORK ON WHICH WE 4555 03:03:44,320 --> 03:03:45,600 BASE OUR INITIATIVES AND 4556 03:03:45,600 --> 03:03:45,840 ACTIONS. 4557 03:03:45,840 --> 03:03:48,720 IT'S BEEN IN PLACE MORE THAN 4558 03:03:48,720 --> 03:03:49,680 FOUR YEARS NOW. 4559 03:03:49,680 --> 03:03:50,880 IT'S IN THREE DOMAINS. 4560 03:03:50,880 --> 03:03:52,840 THE BROADER GOAL IS TO OPTIMIZE 4561 03:03:52,840 --> 03:03:54,400 PEER REVIEW AND ENSURE WE'RE 4562 03:03:54,400 --> 03:03:56,360 GETTING HIGH QUALITY OUTPUT OUT 4563 03:03:56,360 --> 03:04:04,320 OF PEER REVIEW. 4564 03:04:04,320 --> 03:04:10,400 THE SO ON THE TOP RIGHT YOU SEE 4565 03:04:10,400 --> 03:04:11,120 STUDY SECTIONS. 4566 03:04:11,120 --> 03:04:13,480 SO THE STRUCTURE OF STUDY 4567 03:04:13,480 --> 03:04:16,000 SECTIONS AND THE SCOPE OF STUDY 4568 03:04:16,000 --> 03:04:17,760 SECTIONS AND THE BOUNDARIES VERY 4569 03:04:17,760 --> 03:04:18,640 MUCH DRIVE THE OUTCOMES. 4570 03:04:18,640 --> 03:04:20,960 YOU CAN HAVE A STUDY SECTION IN 4571 03:04:20,960 --> 03:04:22,760 AN AREA THAT'S KIND OF DYING AND 4572 03:04:22,760 --> 03:04:24,960 10% OF THAT IS STILL GOING TO 4573 03:04:24,960 --> 03:04:27,600 GET A FUNDAL SCORE AND LIKELY 4574 03:04:27,600 --> 03:04:28,200 GET FUNDED. 4575 03:04:28,200 --> 03:04:30,600 THE OTHER SIDE YOU MAY HAVE 4576 03:04:30,600 --> 03:04:32,640 REALLY HIGH IMPACT RESEARCH OR 4577 03:04:32,640 --> 03:04:33,840 GROWTH AREAS ALL COMPETING WITH 4578 03:04:33,840 --> 03:04:35,840 EACH OTHER IN A STUDY SECTION 4579 03:04:35,840 --> 03:04:38,360 AND ONLY 10% OF THAT IS GETTING 4580 03:04:38,360 --> 03:04:38,600 FUNDED. 4581 03:04:38,600 --> 03:04:41,080 SO IT'S REALLY A VERY CRITICAL 4582 03:04:41,080 --> 03:04:42,880 PART OF CONTROLLING OUTPUT OF 4583 03:04:42,880 --> 03:04:45,440 PEER REVIEW. 4584 03:04:45,440 --> 03:04:47,640 IN ADDITION TO THAT, ON THE LEFT 4585 03:04:47,640 --> 03:04:49,920 IS REVIEWERS BECAUSE YOU CAN 4586 03:04:49,920 --> 03:04:52,920 HAVE A PERFECTLY SCOPED STUDY 4587 03:04:52,920 --> 03:04:55,600 SECTION BUT THE QUALITY OF 4588 03:04:55,600 --> 03:04:56,440 REVIEWERS RECRUITMENT AND 4589 03:04:56,440 --> 03:04:58,280 TRAINING AND ALL OF THAT VERY 4590 03:04:58,280 --> 03:05:00,320 MUCH AFFECTS THE OUTPUT OF PEER 4591 03:05:00,320 --> 03:05:00,560 REVIEW. 4592 03:05:00,560 --> 03:05:03,160 AND THEN EVEN IF YOU HAVE 4593 03:05:03,160 --> 03:05:05,040 PERFECT REVIEWERS, WELL MATCHED 4594 03:05:05,040 --> 03:05:08,080 EXPERTISE, WELL TRAINED, GREAT 4595 03:05:08,080 --> 03:05:09,320 STUDY SECTIONS, THERE'S INHERENT 4596 03:05:09,320 --> 03:05:11,320 ISSUES IN THE PROCESS THAT CAN 4597 03:05:11,320 --> 03:05:14,320 ALSO AFFECT THE OUTCOMES 4598 03:05:14,320 --> 03:05:16,000 INCLUDING INTEGRITY OF THE 4599 03:05:16,000 --> 03:05:17,120 PROCESS AND OTHER PROCESS ISSUES 4600 03:05:17,120 --> 03:05:17,840 YOU SEE. 4601 03:05:17,840 --> 03:05:20,320 I'M GOING TO BE TALKING ABOUT 4602 03:05:20,320 --> 03:05:21,960 SOME OF THOSE. 4603 03:05:21,960 --> 03:05:24,320 AND THEN OUR UNDERLYING 4604 03:05:24,320 --> 03:05:26,240 FOUNDATION AND OUR OPERATIONAL 4605 03:05:26,240 --> 03:05:27,960 PRINCIPLES ARE ENSURING WE DO 4606 03:05:27,960 --> 03:05:30,040 EVERYTHING WITH ALL OF OUR 4607 03:05:30,040 --> 03:05:32,280 ACTIONS ARE DONE WITH 4608 03:05:32,280 --> 03:05:34,000 TRANSPARENCY AND THE PUBLIC WE 4609 03:05:34,000 --> 03:05:37,480 USE DATA TO DRIVE OUR DECISIONS. 4610 03:05:37,480 --> 03:05:40,000 WE HAVE HAD CONSIDERABLE 4611 03:05:40,000 --> 03:05:40,960 STAKEHOLDER ENGAGEMENT THAT'S 4612 03:05:40,960 --> 03:05:42,560 BEEN UP SINCE 2019 AND OF COURSE 4613 03:05:42,560 --> 03:05:44,760 NOTHING CAN HAPPEN, ALL OF THOSE 4614 03:05:44,760 --> 03:05:46,680 ARE STAFF ARE CRITICAL TO 4615 03:05:46,680 --> 03:05:48,320 CARRYING OUT OUR ENTIRE MISSION 4616 03:05:48,320 --> 03:05:54,080 AND SO WE'VE INVESTED A LOT OF 4617 03:05:54,080 --> 03:05:56,120 EFFORT IN STAFF ENGAGEMENT AND 4618 03:05:56,120 --> 03:05:59,600 TRAINING AND STAFF DEVELOPMENT. 4619 03:05:59,600 --> 03:06:02,880 OKAY, SO TODAY I'M GOING TO 4620 03:06:02,880 --> 03:06:04,800 TOUCH ON SOME TOPICS AND WHAT I 4621 03:06:04,800 --> 03:06:08,080 WANT TO TALK ABOUT TODAY ONE IS 4622 03:06:08,080 --> 03:06:09,800 INQUIRE OUR STUDY SECTION 4623 03:06:09,800 --> 03:06:10,280 RESTRUCTURING. 4624 03:06:10,280 --> 03:06:11,440 TALKING ABOUT THE SCOPE AND SIZE 4625 03:06:11,440 --> 03:06:16,760 OF THE STUDY SECTIONS. 4626 03:06:16,760 --> 03:06:21,920 AND THEN A COUPLE CHANGES TO 4627 03:06:21,920 --> 03:06:23,960 PEER REVIEW CRITERIA AND RPG 4628 03:06:23,960 --> 03:06:31,760 GRANTS AND ONE FOR NRSA 4629 03:06:31,760 --> 03:06:33,800 APPLICATION GRANTS AND ONE ON 4630 03:06:33,800 --> 03:06:36,000 DIVERSIFYING COMMITTEES. 4631 03:06:36,000 --> 03:06:44,040 STARTING WITH ENQUIRE IS 4632 03:06:44,040 --> 03:06:48,200 EVALUATING PANEL IN REVIEW. 4633 03:06:48,200 --> 03:06:51,760 THIS WAS LAUNCHED IN 2019 AND 4634 03:06:51,760 --> 03:06:53,840 IT'S A VERY SYSTEMATIC 4635 03:06:53,840 --> 03:06:58,640 DATA-DRIVEN PROCESS TO LOOK AT 4636 03:06:58,640 --> 03:07:00,320 ABOUT 20% OF ALL STUDY SECTIONS 4637 03:07:00,320 --> 03:07:02,520 IN CLUSTERS NOT RELATED TO OUR 4638 03:07:02,520 --> 03:07:03,520 ORGANIZATIONAL STRUCTURE BUT 4639 03:07:03,520 --> 03:07:05,560 REALLY HOW THE SCIENCE OVERLAPS. 4640 03:07:05,560 --> 03:07:08,360 AND THE GOAL IS IF WE DO 20% 4641 03:07:08,360 --> 03:07:09,960 EVERY YEAR AND WE'RE ON TRACK 4642 03:07:09,960 --> 03:07:12,360 THAT ALL OF OUR STUDY SECTIONS 4643 03:07:12,360 --> 03:07:13,600 WILL BE VAULTED IN FIVE YEARS 4644 03:07:13,600 --> 03:07:15,760 AND START THE CYCLE AGAIN. 4645 03:07:15,760 --> 03:07:16,360 SO EVERY STUDY SECTION GETS A 4646 03:07:16,360 --> 03:07:18,720 LOOK. 4647 03:07:18,720 --> 03:07:20,840 IT'S A TWO-STAGE PROCESS. 4648 03:07:20,840 --> 03:07:23,800 THE FIRST STAGE IS BE AN 4649 03:07:23,800 --> 03:07:25,240 EXTERNAL SCIENTIFIC EVALUATION 4650 03:07:25,240 --> 03:07:25,720 PANEL. 4651 03:07:25,720 --> 03:07:28,320 WE GET -- OUR BROADER GOAL IS TO 4652 03:07:28,320 --> 03:07:30,680 GET PEOPLE WHO ARE BROAD AND DO 4653 03:07:30,680 --> 03:07:32,320 NOT HAVE A VESTED INTERESTED IN 4654 03:07:32,320 --> 03:07:33,880 THE EXISTENCE OF ONE PANEL 4655 03:07:33,880 --> 03:07:35,240 BECAUSE THEN ALL WE GET IS 4656 03:07:35,240 --> 03:07:35,520 ADVOCACY. 4657 03:07:35,520 --> 03:07:37,480 WE'RE ACTUALLY LOOK FOR INPUT 4658 03:07:37,480 --> 03:07:39,400 FROM THE EXTERNAL COMMUNITY HOW 4659 03:07:39,400 --> 03:07:43,360 THE SCIENCE MAPS ON TO THE -- 4660 03:07:43,360 --> 03:07:46,200 HOW THE STUDY SECTION SCOPE MAPS 4661 03:07:46,200 --> 03:07:48,880 ON TO THE CURRENT STATE OF THE 4662 03:07:48,880 --> 03:07:50,200 SCIENCE AND HELP IDENTIFY 4663 03:07:50,200 --> 03:07:51,640 EMERGING AREAS. 4664 03:07:51,640 --> 03:07:53,720 WE ALSO GIVE THEM FREE REIN. 4665 03:07:53,720 --> 03:07:56,200 THEY CAN GET RID OF STUDY 4666 03:07:56,200 --> 03:07:58,280 SECTIONS, MERGE THEM, CREATE NEW 4667 03:07:58,280 --> 03:08:01,880 ONES AND GIVE THEM A NUMBER OF 4668 03:08:01,880 --> 03:08:03,880 DATA AND SOME ARE LISTED HIRE 4669 03:08:03,880 --> 03:08:08,320 AND THERE'S A WHOLE LOT MORE. 4670 03:08:08,320 --> 03:08:10,760 FOLLOWING THAT THERE'S A REPORT 4671 03:08:10,760 --> 03:08:12,080 AND RECOMMENDATIONS FOR 4672 03:08:12,080 --> 03:08:13,320 RESTRUCTURING COMMITTEES, 4673 03:08:13,320 --> 03:08:14,880 FORMING NEW ONES AND GETTING RID 4674 03:08:14,880 --> 03:08:16,920 OF SOME STUDY SECTIONS AND THE 4675 03:08:16,920 --> 03:08:18,080 SECOND STAGE IS PROCESS 4676 03:08:18,080 --> 03:08:21,640 EVALUATION AND HERE WE HAVE OUR 4677 03:08:21,640 --> 03:08:23,000 INSTITUTE AND CENTER 4678 03:08:23,000 --> 03:08:25,040 STAKEHOLDERS COME IN TO AN NIH 4679 03:08:25,040 --> 03:08:26,480 PANEL AND THEY LOOK AT FUNCTION 4680 03:08:26,480 --> 03:08:28,320 BECAUSE LIKE I SAID, YOU CAN 4681 03:08:28,320 --> 03:08:30,560 HAVE A PERFECTLY SCIENTIFICALLY 4682 03:08:30,560 --> 03:08:36,280 STRUCTURED STUDY SECTION BUT HOW 4683 03:08:36,280 --> 03:08:39,360 THE FUNCTION AFFECTS OUTCOMES. 4684 03:08:39,360 --> 03:08:42,080 HERE TOO THE PANEL THE SECOND 4685 03:08:42,080 --> 03:08:43,160 PANEL PROCESS EVALUATION PANEL 4686 03:08:43,160 --> 03:08:45,880 IS PROVIDED WITH THE REPORT OF 4687 03:08:45,880 --> 03:08:47,240 THE FIRST PANEL AS WELL AS OTHER 4688 03:08:47,240 --> 03:08:50,160 TYPES OF DATA LIKE APPLICATION 4689 03:08:50,160 --> 03:08:53,400 TRENDS, HOW ESIs DO SUCCESS 4690 03:08:53,400 --> 03:08:56,160 RATES FOR ESIs AND WE 4691 03:08:56,160 --> 03:08:57,200 INCORPORATE PROGRAM OFFICER 4692 03:08:57,200 --> 03:08:59,040 FEEDBACK THROUGH SURVEYS THAT GO 4693 03:08:59,040 --> 03:09:01,240 OUT RIGHT BEFORE CLUSTER IS 4694 03:09:01,240 --> 03:09:02,120 EVALUATED TO HEAR FROM PROGRAM 4695 03:09:02,120 --> 03:09:05,360 STAFF AS TO WHAT THE ISSUES ARE. 4696 03:09:05,360 --> 03:09:07,920 AND THEN WE HAVE THESE STUDY 4697 03:09:07,920 --> 03:09:10,360 SECTION SITE VISITS BY 4698 03:09:10,360 --> 03:09:20,760 NON-CONNECTED PARTIES. 4699 03:09:34,000 --> 03:09:36,640 THE WHOLE PROCESS IS OVERSEEN BY 4700 03:09:36,640 --> 03:09:37,960 OUR SCIENTIFIC DIVISION 4701 03:09:37,960 --> 03:09:38,280 DIRECTORS. 4702 03:09:38,280 --> 03:09:40,400 I WON'T GO THROUGH THIS A WHOLE 4703 03:09:40,400 --> 03:09:43,320 LOT BUT SIMPLY TO SAY THERE'S 4704 03:09:43,320 --> 03:09:45,640 MULTIPLE STEPS THAT FOLLOW THE 4705 03:09:45,640 --> 03:09:47,000 ADVISORY COUNCIL APPROVAL 4706 03:09:47,000 --> 03:09:50,120 BECAUSE WE HAVE TO TAKE TIME TO 4707 03:09:50,120 --> 03:09:53,640 DO SOME MOCK REFERRALS TO 4708 03:09:53,640 --> 03:09:54,560 PREPARE GUIDELINES, SCIENTIFIC 4709 03:09:54,560 --> 03:09:56,360 OVERLAP STATEMENTS AND FINALLY 4710 03:09:56,360 --> 03:09:59,000 MOVE STUDY SECTION MEMBERS 4711 03:09:59,000 --> 03:09:59,640 WHEREVER THEY'RE EXPERTISE IS 4712 03:09:59,640 --> 03:10:02,160 NOW MOVING. 4713 03:10:02,160 --> 03:10:05,760 SOME OF THESE ARE VERY SHUFFLED. 4714 03:10:05,760 --> 03:10:07,200 IT TAKES 12 TO 18 MONTHS FROM 4715 03:10:07,200 --> 03:10:09,200 THE TIME WE HOLD OUR FIRST EX 4716 03:10:09,200 --> 03:10:12,040 TERM PANEL MEETING TO WHERE WE 4717 03:10:12,040 --> 03:10:18,680 HAVE RESTRUCTURED SETTINGS. 4718 03:10:18,680 --> 03:10:22,800 THUS FAR WE'VE EVALUATED ABOUT 4719 03:10:22,800 --> 03:10:25,120 152 STUDY SECTIONS EITHER 4720 03:10:25,120 --> 03:10:25,760 COMPLETED OR IN PROCESS. 4721 03:10:25,760 --> 03:10:28,360 THESE ARE SOME OF THEM AND SOME 4722 03:10:28,360 --> 03:10:29,400 MAY BE FAMILIAR TO YOU. 4723 03:10:29,400 --> 03:10:31,840 THERE'S COMMITTEES WHERE NINR 4724 03:10:31,840 --> 03:10:34,320 STEMS APPLICATION WERE 4725 03:10:34,320 --> 03:10:35,800 RESTRUCTURED AND EXPANDED AND 4726 03:10:35,800 --> 03:10:36,960 THOSE WERE SOME OF THE EARLIER 4727 03:10:36,960 --> 03:10:39,040 ONES BUT THESE ARE SOME OF THE 4728 03:10:39,040 --> 03:10:41,640 CLUSTERS THAT WE HAVE DONE. 4729 03:10:41,640 --> 03:10:44,320 EACH HAVING 10 TO 15 STUDY 4730 03:10:44,320 --> 03:10:46,200 SECTIONS IN IT. 4731 03:10:46,200 --> 03:10:48,640 IN GENERAL, THE PROCESS RESULTS 4732 03:10:48,640 --> 03:10:50,600 IN QUITE A BIT OF CHANGE IN 4733 03:10:50,600 --> 03:10:51,200 STUDY SECTIONS. 4734 03:10:51,200 --> 03:10:54,040 PEOPLE TAKE IT SERIOUSLY AND 4735 03:10:54,040 --> 03:10:55,720 RECOMMEND REAL RESTRUCTURING. 4736 03:10:55,720 --> 03:10:57,760 WE HAVE ELIMINATED SMALLER 4737 03:10:57,760 --> 03:10:59,440 BOUTIQUE PANELS WHERE THERE'S 4738 03:10:59,440 --> 03:11:01,200 NOT THAT MUCH COMPETITION. 4739 03:11:01,200 --> 03:11:03,120 WE HAVE REFRESHED SCIENTIFIC 4740 03:11:03,120 --> 03:11:04,920 GUIDELINES AND FORMED NEW STUDY 4741 03:11:04,920 --> 03:11:05,200 SECTIONS. 4742 03:11:05,200 --> 03:11:07,120 THESE ARE JUST SOME EXAMPLES. 4743 03:11:07,120 --> 03:11:09,240 THERE'S A WHOLE LOT MORE LATE 4744 03:11:09,240 --> 03:11:10,840 STAGE THERAPEUTICS WAS A GAP 4745 03:11:10,840 --> 03:11:12,320 AREA IN FACT AS SOON AS WE 4746 03:11:12,320 --> 03:11:15,120 FORMED THAT STUDY SECTION AFTER 4747 03:11:15,120 --> 03:11:19,160 ENQUIRE IT WAS OVER SUBSCRIBED, 4748 03:11:19,160 --> 03:11:20,880 80 TO 90 APPLICATIONS. 4749 03:11:20,880 --> 03:11:22,480 THERE WAS A NEED. 4750 03:11:22,480 --> 03:11:24,120 SOCIAL DETERMINATES OF HEALTH 4751 03:11:24,120 --> 03:11:25,640 WAS DISCUSSED AND THE THOUGHT 4752 03:11:25,640 --> 03:11:27,040 FUNNELING IT INTO ONE STUDY 4753 03:11:27,040 --> 03:11:28,360 SECTION IS NOT CALLED FOR BUT 4754 03:11:28,360 --> 03:11:31,400 APPLIES TO A NUMBER OF FIELDS. 4755 03:11:31,400 --> 03:11:33,200 THOSE GUIDELINES AND THE 4756 03:11:33,200 --> 03:11:34,760 EXPERTISE HAS BEEN INCORPORATED 4757 03:11:34,760 --> 03:11:36,840 INTO MULTIPLE STUDY SECTIONS. 4758 03:11:36,840 --> 03:11:39,200 MOBILE HEALTH TECHNOLOGIES IS AN 4759 03:11:39,200 --> 03:11:42,040 EMERGING AREA AND CANCER 4760 03:11:42,040 --> 03:11:42,400 IMMUNOTHERAPY. 4761 03:11:42,400 --> 03:11:43,720 WE ALREADY HAD TWO COMMITTEES 4762 03:11:43,720 --> 03:11:45,240 HANDLING THAT BUT THERE WAS SO 4763 03:11:45,240 --> 03:11:46,640 MUCH INTEREST AND SO MANY 4764 03:11:46,640 --> 03:11:47,240 APPLICATIONS COMING IN THAT A 4765 03:11:47,240 --> 03:11:49,160 THIRD WAS FORMED. 4766 03:11:49,160 --> 03:11:52,760 THERE'S A WHOLE LOT MORE ON OUR 4767 03:11:52,760 --> 03:11:53,560 WEBSITE ABOUT THIS PROCESS AND 4768 03:11:53,560 --> 03:11:56,560 WHAT HAS EMERGED. 4769 03:11:56,560 --> 03:11:56,840 OKAY. 4770 03:11:56,840 --> 03:11:59,800 SO SHIFTING GEARS TO THE PROCESS 4771 03:11:59,800 --> 03:12:03,120 PART WHICH IS THE REVIEW 4772 03:12:03,120 --> 03:12:04,240 CRITERIA THAT WE'RE USING FOR 4773 03:12:04,240 --> 03:12:04,720 RESEARCH PROJECT GRANT 4774 03:12:04,720 --> 03:12:07,200 APPLICATIONS. 4775 03:12:07,200 --> 03:12:08,640 SO THE BROADER GOAL OF THIS 4776 03:12:08,640 --> 03:12:12,240 EFFORT WAS TO LOOK AT THE REVIEW 4777 03:12:12,240 --> 03:12:14,880 CRITERIA AND REMEMBER THESE ARE 4778 03:12:14,880 --> 03:12:16,280 NOT PERSONALS WE'RE EVALUATING 4779 03:12:16,280 --> 03:12:17,080 BUT SCIENTIFIC RESEARCH THAT'S 4780 03:12:17,080 --> 03:12:18,400 BEING PUT IN FRONT OF COMMITTEES 4781 03:12:18,400 --> 03:12:23,400 AND WE WANT TO OPTIMIZE THE 4782 03:12:23,400 --> 03:12:24,840 DE-IDENTIFICATION OF RESEARCH. 4783 03:12:24,840 --> 03:12:26,400 THE FIRST GOAL, THE FIRST WAY TO 4784 03:12:26,400 --> 03:12:30,120 DO THAT IS TO REMOVE ALL THE 4785 03:12:30,120 --> 03:12:31,360 ADMINISTRATIVE AND POLICY 4786 03:12:31,360 --> 03:12:37,320 CONFINES ITEMS ADDED TO THE PEER 4787 03:12:37,320 --> 03:12:38,960 REVIEWER WHICH WE HEARD 4788 03:12:38,960 --> 03:12:40,160 REVIEWERS ABOUT, WHY ARE YOU 4789 03:12:40,160 --> 03:12:41,520 MAKING ME DO THIS? 4790 03:12:41,520 --> 03:12:43,400 IN THE END IT'S BURDEN ON THE 4791 03:12:43,400 --> 03:12:44,560 REVIEWERS AND LESS ATTENTION ON 4792 03:12:44,560 --> 03:12:46,120 WHAT WE WANT TO USE THEM FOR 4793 03:12:46,120 --> 03:12:48,720 WHICH IS THEIR SCIENTIFIC ADVICE 4794 03:12:48,720 --> 03:12:50,240 AND THAT'S THE PURPOSE OF PEER 4795 03:12:50,240 --> 03:12:51,680 REVIEW. 4796 03:12:51,680 --> 03:12:54,760 THEN THE OTHER PART IS THE 4797 03:12:54,760 --> 03:12:58,040 INVESTIGATOR AND THE ENVIRONMENT 4798 03:12:58,040 --> 03:12:58,560 CRITERION. 4799 03:12:58,560 --> 03:13:01,560 THAT BECOMES PROBLEMATIC AND 4800 03:13:01,560 --> 03:13:03,520 BIASES CREEP IN BECAUSE PEOPLE 4801 03:13:03,520 --> 03:13:05,040 START INVESTIGATING THE 4802 03:13:05,040 --> 03:13:06,480 INVESTIGATOR AND THE INSTITUTION 4803 03:13:06,480 --> 03:13:10,160 WHERE REALLY WHAT WE'RE LOOKING 4804 03:13:10,160 --> 03:13:11,560 FOR IS TO EVALUATE THE RESEARCH 4805 03:13:11,560 --> 03:13:12,760 AND INVESTIGATOR AND ENVIRONMENT 4806 03:13:12,760 --> 03:13:14,360 IN THE CONTEXT OF THAT RESEARCH. 4807 03:13:14,360 --> 03:13:15,880 CAN THEY DO THE WORK? 4808 03:13:15,880 --> 03:13:17,360 ARE THE RESOURCES AVAILABLE? 4809 03:13:17,360 --> 03:13:18,360 THAT'S REALLY DIFFERENT THAN 4810 03:13:18,360 --> 03:13:20,040 TELL US WHAT YOU THINK ABOUT THE 4811 03:13:20,040 --> 03:13:20,680 INVESTIGATOR OR HOW GREAT IS THE 4812 03:13:20,680 --> 03:13:21,880 INSTITUTION. 4813 03:13:21,880 --> 03:13:24,400 SO IT'S REALLY THE REPUTATIONAL 4814 03:13:24,400 --> 03:13:28,520 BIAS ASPECT WE WERE LOOKING TO 4815 03:13:28,520 --> 03:13:29,840 ADDRESS THERE. 4816 03:13:29,840 --> 03:13:32,440 HERE'S A QUICK SNAPSHOT OF THE 4817 03:13:32,440 --> 03:13:35,080 CHANGES COMING TO PEER REVIEW 4818 03:13:35,080 --> 03:13:40,320 FRAMEWORK FOR RESEARCH PROJECT 4819 03:13:40,320 --> 03:13:40,600 GRANTS. 4820 03:13:40,600 --> 03:13:42,760 THE FIVE REVIEW CRITERIA WHICH 4821 03:13:42,760 --> 03:13:47,640 WE'RE REQUIRED TO USE LEGALLY, 4822 03:13:47,640 --> 03:13:49,160 SIGNIFICANCE, INVESTIGATION 4823 03:13:49,160 --> 03:13:49,760 APPROACH AND ENVIRONMENT ARE 4824 03:13:49,760 --> 03:13:51,920 BEING RESHUFFLED INTO THREE 4825 03:13:51,920 --> 03:13:52,360 FACTORS. 4826 03:13:52,360 --> 03:13:53,840 IF YOU THINK ABOUT IT, SHOULD IT 4827 03:13:53,840 --> 03:13:55,400 BE DONE, CAN IT BE DONE AND WILL 4828 03:13:55,400 --> 03:13:57,360 IT BE DONE. 4829 03:13:57,360 --> 03:13:59,520 FACTOR 1 IS IMPORTANCE OF THE 4830 03:13:59,520 --> 03:13:59,800 RESEARCH. 4831 03:13:59,800 --> 03:14:01,040 I'LL TALK ABOUT THE PROCESS. 4832 03:14:01,040 --> 03:14:03,520 THIS WAS NOT SOMETHING WE 4833 03:14:03,520 --> 03:14:04,080 DEVELOPED IN CSR. 4834 03:14:04,080 --> 03:14:06,000 IT WAS VERY MUCH UP PARTNERSHIP 4835 03:14:06,000 --> 03:14:07,720 WITH THE EXTERNAL COMMUNITY AND 4836 03:14:07,720 --> 03:14:08,280 WORKING GROUPS. 4837 03:14:08,280 --> 03:14:09,920 SO THE FIRST ONE IS IMPORTANCE 4838 03:14:09,920 --> 03:14:11,800 OF THE RESEARCH WHICH IS SCORED 4839 03:14:11,800 --> 03:14:13,920 AND THAT INCLUDES SIGNIFICANCE 4840 03:14:13,920 --> 03:14:14,640 IN INNOVATION. 4841 03:14:14,640 --> 03:14:16,520 INNOVATION AND SIGNIFICANCE BOTH 4842 03:14:16,520 --> 03:14:18,560 OF THEM WERE WHEN WE GOT 4843 03:14:18,560 --> 03:14:21,520 FEEDBACK WE HEARD THESE ARE 4844 03:14:21,520 --> 03:14:23,040 PROBLEMATIC CRITERIA FOR PEOPLE 4845 03:14:23,040 --> 03:14:24,520 TO INTERPRET AS A TECHNICAL 4846 03:14:24,520 --> 03:14:27,200 INNOVATION, CONCEPTUAL. 4847 03:14:27,200 --> 03:14:29,800 DOES EVERYTHING NEED TO BE 4848 03:14:29,800 --> 03:14:32,680 INNOVATIVE BUT IS IT IMPORTANT? 4849 03:14:32,680 --> 03:14:36,320 MY COLLEAGUE WAS HERE EARLIER, 4850 03:14:36,320 --> 03:14:37,600 SUSAN GREGURICK, DATABASE 4851 03:14:37,600 --> 03:14:38,960 ENVIRONMENT IS NOT THAT EXCITING 4852 03:14:38,960 --> 03:14:40,840 BUT REALLY IMPORTANT. 4853 03:14:40,840 --> 03:14:43,040 HOW DO WE DEAL WITH THINGS LIKE 4854 03:14:43,040 --> 03:14:43,240 THAT? 4855 03:14:43,240 --> 03:14:45,080 WHAT ABOUT BREADTH OF RESEARCH 4856 03:14:45,080 --> 03:14:46,360 AND COMMUNITY-BASED RESEARCH IF 4857 03:14:46,360 --> 03:14:47,920 THE IMPACT IS ON A SMALLER 4858 03:14:47,920 --> 03:14:49,120 COMMUNITY BUT REALLY IMPORTANT 4859 03:14:49,120 --> 03:14:51,720 FOR THAT COMMUNITY. 4860 03:14:51,720 --> 03:14:53,640 SO THERE'S MULTIPLE WAYS IN 4861 03:14:53,640 --> 03:14:54,960 WHICH THIS BECOMES CONFUSING. 4862 03:14:54,960 --> 03:14:56,440 WHAT THIS DOES IS ONE SCORE IS 4863 03:14:56,440 --> 03:15:03,400 NEEDED FOR THE REVIEWER'S 4864 03:15:03,400 --> 03:15:05,040 ASSESSMENT AND EACH IS SCORED. 4865 03:15:05,040 --> 03:15:06,760 RIGOR AND FEASIBILITY HAS THE 4866 03:15:06,760 --> 03:15:10,560 APPROACH AND WE RENAMED FACTOR 3 4867 03:15:10,560 --> 03:15:11,840 TO EXPERTISE AND RESOURCES 4868 03:15:11,840 --> 03:15:13,800 BECAUSE THAT'S WHAT WE WANT 4869 03:15:13,800 --> 03:15:15,080 EVALUATORS TO EVALUATE IN 4870 03:15:15,080 --> 03:15:15,800 MATERIALS OF THE PROJECT. 4871 03:15:15,800 --> 03:15:17,040 THAT ONE IS NOT GOING TO BE 4872 03:15:17,040 --> 03:15:23,040 SCORED BECAUSE WHEN YOU HAVE 4873 03:15:23,040 --> 03:15:24,040 NINE BINS BIAS CREEPS IN. 4874 03:15:24,040 --> 03:15:26,520 HAVE YOU DEATH BY A THOUSAND 4875 03:15:26,520 --> 03:15:27,760 CUTS. 4876 03:15:27,760 --> 03:15:30,040 HARVARD, ONE, HBCU HAS ALL THE 4877 03:15:30,040 --> 03:15:32,760 RESOURCES AVAILABLE TO DO THE 4878 03:15:32,760 --> 03:15:35,160 WORK, THREE, IT'S NOT BAD BUT 4879 03:15:35,160 --> 03:15:35,880 IT'S A THREE. 4880 03:15:35,880 --> 03:15:38,240 WHEN YOU MAKE IT A BINARY CHOICE 4881 03:15:38,240 --> 03:15:41,240 PEOPLE HAVE TO PUT UP OR NOT. 4882 03:15:41,240 --> 03:15:51,880 SO THEY HAVE TO THEN SAY, YEAH 4883 03:15:57,480 --> 03:15:58,960 IT MEETS CRITERIA. 4884 03:15:58,960 --> 03:16:00,360 AND THOSE THAT AFFECT OVER ALL 4885 03:16:00,360 --> 03:16:02,120 IMPACT SCORE REMAIN. 4886 03:16:02,120 --> 03:16:04,040 AND MOST ADDITIONAL REVIEW 4887 03:16:04,040 --> 03:16:05,160 CONSIDERATIONS WHICH NEVER HAVE 4888 03:16:05,160 --> 03:16:06,680 HAD ANY BEARING ON OVER ALL 4889 03:16:06,680 --> 03:16:08,440 SCORE HAVE BEEN TAKEN AWAY FROM 4890 03:16:08,440 --> 03:16:09,400 PEER REVIEW. 4891 03:16:09,400 --> 03:16:11,880 THERE'S NO POINT IN HAVING 4892 03:16:11,880 --> 03:16:13,440 SCIENTIFIC EXPERTS CONVENED AND 4893 03:16:13,440 --> 03:16:14,800 SPEND THEIR TIME ON THINGS WE 4894 03:16:14,800 --> 03:16:20,320 DON'T NEED THEM FOR. 4895 03:16:20,320 --> 03:16:21,960 FOUR CLINICAL TRIALS AND HUMAN 4896 03:16:21,960 --> 03:16:23,480 TRIAL RESEARCH THE COMMITTEE AND 4897 03:16:23,480 --> 03:16:26,520 OUR EXTERNAL ADVISORS AS WELL AS 4898 03:16:26,520 --> 03:16:35,840 INTERNAL NIH FELT IT SHOULDN'T 4899 03:16:35,840 --> 03:16:37,280 BE BE AN AFTER THOUGHT IN 4900 03:16:37,280 --> 03:16:39,400 ADDITIONAL CRITERIA BUT A STUDY 4901 03:16:39,400 --> 03:16:41,440 RIGOROUS IF IT DOESN'T INCLUDE 4902 03:16:41,440 --> 03:16:42,000 THE BROADER POPULATION. 4903 03:16:42,000 --> 03:16:44,320 I THINK THAT WAS REALLY 4904 03:16:44,320 --> 03:16:44,600 IMPORTANT. 4905 03:16:44,600 --> 03:16:46,920 THAT IS NOW BEING INCORPORATED 4906 03:16:46,920 --> 03:16:57,400 INTO THE SCORED FACTOR TWO. 4907 03:17:05,000 --> 03:17:06,520 AND THERE'S INITIAL INPUT 4908 03:17:06,520 --> 03:17:08,160 GATHERS THROUGH BLOG POSTS. 4909 03:17:08,160 --> 03:17:09,640 PEOPLE REALLY WANTED TO SAY AND 4910 03:17:09,640 --> 03:17:10,760 WE GOT A HUGE RESPONSE BECAUSE 4911 03:17:10,760 --> 03:17:12,160 WHEN YOU TALK ABOUT PEER REVIEW 4912 03:17:12,160 --> 03:17:14,520 EVERYTHING HAS AN OPINION AND WE 4913 03:17:14,520 --> 03:17:16,200 GOT IT. 4914 03:17:16,200 --> 03:17:17,320 BUT THEY WERE THOUGHTFUL. 4915 03:17:17,320 --> 03:17:19,840 WE NEEDED TO HEAR THAT. 4916 03:17:19,840 --> 03:17:21,640 WE FORMED TWO ADVISORY COUNCIL 4917 03:17:21,640 --> 03:17:24,240 WORKING GROUPS THEY HAD 4918 03:17:24,240 --> 03:17:25,600 OVERLAPPING MEMBERSHIP AND 4919 03:17:25,600 --> 03:17:26,800 LOOKED AT NON-CLINICAL TRIALS 4920 03:17:26,800 --> 03:17:28,880 WHICH IS THE VAST MAJORITY OF 4921 03:17:28,880 --> 03:17:29,800 NIH APPLICATIONS AND CLINICAL 4922 03:17:29,800 --> 03:17:32,840 TRIALS WHICH IS 10% OF NIH 4923 03:17:32,840 --> 03:17:33,160 APPLICATIONS. 4924 03:17:33,160 --> 03:17:34,960 WE PROVIDED THEM WITH THE 4925 03:17:34,960 --> 03:17:36,320 REGULATORY LEGAL GUARDRAILS AND 4926 03:17:36,320 --> 03:17:38,000 THEY HELD A NUMBER OF VIRTUAL 4927 03:17:38,000 --> 03:17:39,960 MEETINGS THROUGH THE PANDEMIC. 4928 03:17:39,960 --> 03:17:42,920 THEY WORKED VERY HARD AND IT WAS 4929 03:17:42,920 --> 03:17:44,360 FULLY APPROVED BY THE FULL 4930 03:17:44,360 --> 03:17:47,080 ADVISORY COUNCIL. 4931 03:17:47,080 --> 03:17:52,320 FOR JUST OVER A YEAR AFTER THAT, 4932 03:17:52,320 --> 03:17:57,120 AN INTERNAL HIGH LEVEL 4933 03:17:57,120 --> 03:17:58,280 EXTRAMURAL TOOK THE 4934 03:17:58,280 --> 03:17:59,240 RECOMMENDATIONS AND MADE SOME 4935 03:17:59,240 --> 03:18:00,320 MODIFICATIONS AND THAT WAS 4936 03:18:00,320 --> 03:18:02,600 APPROVED BY NIH LEADERSHIP. 4937 03:18:02,600 --> 03:18:06,120 WE PUT THIS OUT AS AN RFI WHEN 4938 03:18:06,120 --> 03:18:07,400 WE HAD SLIGHTLY MORE DEVELOPED 4939 03:18:07,400 --> 03:18:12,880 RECOMMENDATIONS AS AN R FFI AND 4940 03:18:12,880 --> 03:18:14,320 LOT OF WHAT WE GOT WAS THE 4941 03:18:14,320 --> 03:18:15,560 PUBLIC WAS SUPPORTIVE. 4942 03:18:15,560 --> 03:18:17,840 THAT WASN'T SURPRISING GIVEN WE 4943 03:18:17,840 --> 03:18:19,600 HAD GOTTEN A LOT OF INPUT AT THE 4944 03:18:19,600 --> 03:18:21,600 FRONT END. 4945 03:18:21,600 --> 03:18:24,000 IMPLEMENTATION IS PLANNED FOR 4946 03:18:24,000 --> 03:18:25,040 APPLICATIONS RECEIVED JANUARY 4947 03:18:25,040 --> 03:18:34,720 2025 FOR OCTOBER COUNCIL. 4948 03:18:34,720 --> 03:18:37,880 THERE'S A NUMBER OF NEXT STEPS 4949 03:18:37,880 --> 03:18:39,320 TO SOCIALIZE THE CHANGE FOR 4950 03:18:39,320 --> 03:18:41,760 COMMUNITY AND REVIEWERS AND OUR 4951 03:18:41,760 --> 03:18:44,360 OWN NIH STAFF SO STAY TUNED FOR 4952 03:18:44,360 --> 03:18:45,000 THAT AND THERE'S A LOT OF 4953 03:18:45,000 --> 03:18:47,040 SYSTEMS CHANGES THAT ARE 4954 03:18:47,040 --> 03:18:53,040 INVOLVED. 4955 03:18:53,040 --> 03:18:54,200 I WANT TO THANK OUR ADVISORY 4956 03:18:54,200 --> 03:18:55,920 COUNCIL WORKING GROUPS FOR WHAT 4957 03:18:55,920 --> 03:18:57,600 I THINK ARE EXCELLENT 4958 03:18:57,600 --> 03:18:59,320 ADJUSTMENTS TO CURRENT REVIEW 4959 03:18:59,320 --> 03:19:02,640 CRITERIA. 4960 03:19:02,640 --> 03:19:05,040 I'LL GO THROUGH THIS A LITTLE 4961 03:19:05,040 --> 03:19:05,760 FASTER. 4962 03:19:05,760 --> 03:19:08,120 FELLOWSHIP WE ALSO LOOKED AT 4963 03:19:08,120 --> 03:19:09,000 FELLOWSHIP REVIEW CRITERIA AND 4964 03:19:09,000 --> 03:19:12,320 HERE OF COURSE THE BROADER GOAL 4965 03:19:12,320 --> 03:19:21,520 FOR NRSA FELLOWSHIP IS FOR THE 4966 03:19:21,520 --> 03:19:23,760 MOST PROMISING FELLOWSHIP AND 4967 03:19:23,760 --> 03:19:26,280 THE SAME REPUTATIONAL BIAS IN 4968 03:19:26,280 --> 03:19:28,560 RPGs COMES THROUGH IN 4969 03:19:28,560 --> 03:19:28,840 FELLOWSHIPS. 4970 03:19:28,840 --> 03:19:30,600 IT FAVORS LEAD INSTITUTIONS, 4971 03:19:30,600 --> 03:19:32,280 SENIOR WELL-KNOWN SPONSORS. 4972 03:19:32,280 --> 03:19:34,120 SO WE CONDUCTED A DATA ANALYSIS 4973 03:19:34,120 --> 03:19:35,720 WITH ONE YEAR OF DATA BECAUSE WE 4974 03:19:35,720 --> 03:19:36,960 HAD FORMED A WORKING GROUP. 4975 03:19:36,960 --> 03:19:40,320 THEY WANT THE DATA AND WE JUST 4976 03:19:40,320 --> 03:19:41,440 CAPTURED THE PREVIOUS YEAR'S 4977 03:19:41,440 --> 03:19:43,760 DATA AND 6,000 APPLICATION AND 4978 03:19:43,760 --> 03:19:44,400 SURE ENOUGH EVERYTHING PEOPLE 4979 03:19:44,400 --> 03:19:46,320 FELT WAS TRUE. 4980 03:19:46,320 --> 03:19:48,320 THE DATA SHOWED WHICH IS 4981 03:19:48,320 --> 03:19:50,760 FELLOWSHIP APPLICATIONS COME 4982 03:19:50,760 --> 03:19:53,040 FROM A LARGE NUMBER COME FROM A 4983 03:19:53,040 --> 03:19:55,080 SMALL NUMBER OF INSTITUTIONS 4984 03:19:55,080 --> 03:19:56,080 THOSE THAT SUBMIT A LARGE NUMBER 4985 03:19:56,080 --> 03:19:58,160 OF APPLICATIONS, THOSE 4986 03:19:58,160 --> 03:19:59,560 INSTITUTIONS TEND TO DO BETTER 4987 03:19:59,560 --> 03:20:01,040 IN PEER REVIEW AND THEN THE 4988 03:20:01,040 --> 03:20:04,320 OUTCOMES AS DIRECTLY RELATED HOW 4989 03:20:04,320 --> 03:20:08,120 GOOD THE OUTCOME IS DIRECTLY 4990 03:20:08,120 --> 03:20:12,320 RELATED TO HOW SENIOR THE 4991 03:20:12,320 --> 03:20:14,640 SPONSOR IS. 4992 03:20:14,640 --> 03:20:16,320 I'VE TOLD YOU THE RESULTS AND 4993 03:20:16,320 --> 03:20:17,840 WE'RE LIMITED ON TIME WHAT THIS 4994 03:20:17,840 --> 03:20:22,880 SHOWS ON THE RIGHT-HAND SIDE IS 4995 03:20:22,880 --> 03:20:26,840 15 INSTITUTIONS FOR THAT 26,000 4996 03:20:26,840 --> 03:20:28,840 APPLICATIONS WITH ONE-YEAR 4997 03:20:28,840 --> 03:20:33,760 PERIOD AND 15,000 INSTITUTIONS 4998 03:20:33,760 --> 03:20:37,480 SUBMITTED THIS MANY APPLICATIONS 4999 03:20:37,480 --> 03:20:40,120 AND EVERYTHING IN THE MIDDLE AND 5000 03:20:40,120 --> 03:20:41,960 THIS SHOWS HOW SKEWED IT IS. 5001 03:20:41,960 --> 03:20:43,640 OUTCOMES, THOSE INSTITUTIONS 5002 03:20:43,640 --> 03:20:46,320 THAT SUBMITTED 100 PLUS HAD THE 5003 03:20:46,320 --> 03:20:47,880 LOWEST NON-DISCUSSED RATE. 5004 03:20:47,880 --> 03:20:53,960 THAT'S THE DARK BAR, 35% OF THE 5005 03:20:53,960 --> 03:20:54,440 BOTTOM RIGHT. 5006 03:20:54,440 --> 03:20:58,520 THE HIGHEST HIGH IMPACT RATE AND 5007 03:20:58,520 --> 03:21:04,760 THOSE THAT DIDN'T SUBMIT MANY 5008 03:21:04,760 --> 03:21:08,400 APPLICATIONS AND THERE'S NOT AS 5009 03:21:08,400 --> 03:21:10,840 MUCH AS INFRASTRUCTURE AND 5010 03:21:10,840 --> 03:21:12,840 KNOWLEDGE IN CERTAIN 5011 03:21:12,840 --> 03:21:14,080 INSTITUTIONS. 5012 03:21:14,080 --> 03:21:16,120 THERE'S THE SPONSOR RANKS. 5013 03:21:16,120 --> 03:21:17,040 LOOK AT THE FIRST TOP FOUR BARS 5014 03:21:17,040 --> 03:21:20,280 UP THERE. 5015 03:21:20,280 --> 03:21:23,040 IF YOU'RE AN ASSISTANT PROFESSOR 5016 03:21:23,040 --> 03:21:27,400 AND A SPONSOR, YOUR TRAINEE HAS 5017 03:21:27,400 --> 03:21:30,680 A 55% CHANCE FOT BEING 5018 03:21:30,680 --> 03:21:30,920 DISCUSSED. 5019 03:21:30,920 --> 03:21:34,520 FULL PROFESSORS, 39.7% HIGH 5020 03:21:34,520 --> 03:21:38,000 IMPACT AND A VAST MAJORITY ARE 5021 03:21:38,000 --> 03:21:40,240 BEING SUPPORT FULL PROFESSORS 5022 03:21:40,240 --> 03:21:42,040 AND WE HEARD JUNIOR FACULTY 5023 03:21:42,040 --> 03:21:44,160 CANNOT GET AN RSA FUNDED 5024 03:21:44,160 --> 03:21:46,080 TRAINEES IN THEIR LABS. 5025 03:21:46,080 --> 03:21:48,960 YOU LOOK AT THE OTHER CATEGORY 5026 03:21:48,960 --> 03:21:50,520 THAT DOES EVEN BETTER THAN FULL 5027 03:21:50,520 --> 03:21:52,200 PROFESSORS AND WE DUG INTO THAT 5028 03:21:52,200 --> 03:21:52,880 A LITTLE BIT AND THAT'S PROVOST 5029 03:21:52,880 --> 03:21:59,960 AND DEANS. 5030 03:21:59,960 --> 03:22:01,040 IT'S VERY MUCH RELATED TO THE 5031 03:22:01,040 --> 03:22:01,240 RANK. 5032 03:22:01,240 --> 03:22:02,720 WE DID THIS THROUGH A WORKING 5033 03:22:02,720 --> 03:22:03,960 GROUP WAS TO CHANGE THE 5034 03:22:03,960 --> 03:22:05,000 FELLOWSHIP REVIEW CRITERIA WHICH 5035 03:22:05,000 --> 03:22:07,360 IS TO FOCUS ON THE INDIVIDUAL 5036 03:22:07,360 --> 03:22:08,760 APPLICANT, THE STRENGTH OF THE 5037 03:22:08,760 --> 03:22:09,960 SCIENCE AND THE QUALITY OF THE 5038 03:22:09,960 --> 03:22:12,320 TRAINING PLAN AS IT RELATES TO 5039 03:22:12,320 --> 03:22:13,080 THE APPLICANT. 5040 03:22:13,080 --> 03:22:15,880 SO THESE ARE THE CURRENT REVIEW 5041 03:22:15,880 --> 03:22:17,080 CRITERIA ON THE LEFT. 5042 03:22:17,080 --> 03:22:20,320 THE PROPOSED REVIEW CRITERIA 5043 03:22:20,320 --> 03:22:21,520 ACTUALLY CONSOLIDATE THESE INTO 5044 03:22:21,520 --> 03:22:23,040 THREE CRITERIA. 5045 03:22:23,040 --> 03:22:25,440 THE FIRST ONE IS VERY MUCH 5046 03:22:25,440 --> 03:22:27,960 APPLICANT FOCUSSED THE POTENTIAL 5047 03:22:27,960 --> 03:22:28,600 AND THE GOALS OF THE APPLICANT 5048 03:22:28,600 --> 03:22:30,640 AND THE PREPAREDNESS OF THE 5049 03:22:30,640 --> 03:22:31,080 APPLICANT. 5050 03:22:31,080 --> 03:22:32,880 SECOND ONE IS MUCH MORE FOCUSSED 5051 03:22:32,880 --> 03:22:35,160 ON THE SCIENTIFIC PROJECT THAT 5052 03:22:35,160 --> 03:22:37,960 IS BEING USED TO TRAIN THE 5053 03:22:37,960 --> 03:22:38,240 APPLICANT. 5054 03:22:38,240 --> 03:22:41,480 AND IT HAS ELEMENTS OF THE 5055 03:22:41,480 --> 03:22:42,720 SPONSOR BECAUSE IT'S ALSO 5056 03:22:42,720 --> 03:22:43,960 SCIENTIFIC RESOURCES AVAILABLE 5057 03:22:43,960 --> 03:22:44,520 TO THE APPLICANT. 5058 03:22:44,520 --> 03:22:47,200 AND THIRD IS TRAINING PLAN AND 5059 03:22:47,200 --> 03:22:50,720 TRAINING RESOURCES. 5060 03:22:50,720 --> 03:22:52,320 THE SECOND RECOMMENDATION IS TO 5061 03:22:52,320 --> 03:22:53,880 REVISE THE FELLOWSHIP 5062 03:22:53,880 --> 03:22:55,600 APPLICATION WHICH IS THE 5063 03:22:55,600 --> 03:22:56,320 INFORMATION THAT REVIEWERS HAVE 5064 03:22:56,320 --> 03:22:59,240 PROVIDED. 5065 03:22:59,240 --> 03:23:01,480 THE RESEARCH TRAINING PLAN THE 5066 03:23:01,480 --> 03:23:02,960 SCIENTIFIC PROJECT DOES NOT 5067 03:23:02,960 --> 03:23:04,320 CHANGE. 5068 03:23:04,320 --> 03:23:05,560 IT'S STILL REQUIRED TO EXPLAIN 5069 03:23:05,560 --> 03:23:06,760 THE SCIENCE AND NEEDS TO BE 5070 03:23:06,760 --> 03:23:07,120 SOLID. 5071 03:23:07,120 --> 03:23:08,360 THERE SHOULD BE RESPONSIBLE 5072 03:23:08,360 --> 03:23:09,440 CONDUCT OF RESEARCH AND OTHER 5073 03:23:09,440 --> 03:23:15,120 KINDS OF TRAININGS IN THERE. 5074 03:23:15,120 --> 03:23:16,360 THE MAIN SECTIONS HAVE REALLY 5075 03:23:16,360 --> 03:23:20,760 BEEN REVISED AND A COUPLE THINGS 5076 03:23:20,760 --> 03:23:23,600 I'LL POINT TO UNDER THE 5077 03:23:23,600 --> 03:23:24,360 APPLICANT SECTION THE 5078 03:23:24,360 --> 03:23:29,520 RECOMMENDATION IS TO NOT HAVE 5079 03:23:29,520 --> 03:23:29,760 GRADES. 5080 03:23:29,760 --> 03:23:31,360 THAT WAS SOMETHING THAT CAME 5081 03:23:31,360 --> 03:23:33,280 THROUGH LOUD AND CLEAR FROM THE 5082 03:23:33,280 --> 03:23:34,600 COMMUNITIES AND WORKING GROUPS 5083 03:23:34,600 --> 03:23:36,360 AND THE IDEA THE UNDERGRADUATE 5084 03:23:36,360 --> 03:23:39,520 GRADES ARE NOT REALLY AN 5085 03:23:39,520 --> 03:23:41,920 INDICATOR OF SUCCESS SAY IN 5086 03:23:41,920 --> 03:23:42,640 POST-DOCTORAL RESEARCH. 5087 03:23:42,640 --> 03:23:48,400 IN FACT WHEN THEY'RE PROVIDED 5088 03:23:48,400 --> 03:23:52,400 PEOPLE THEY'RE USED FOR B PLUS 5089 03:23:52,400 --> 03:23:58,000 IN ORGANIC CHEMISTRY SOPHOMORE 5090 03:23:58,000 --> 03:23:58,840 YEAR VERSUS A B. 5091 03:23:58,840 --> 03:24:01,040 AND THE OTHER THING IS 5092 03:24:01,040 --> 03:24:02,040 ELIMINATING THE FINANCIAL 5093 03:24:02,040 --> 03:24:03,600 SUPPORT OR THE SPONSOR FUNDING 5094 03:24:03,600 --> 03:24:05,920 THIS IS MEANT TO SUPPORT THE 5095 03:24:05,920 --> 03:24:07,160 TRAINEE AND THE FINANCIAL 5096 03:24:07,160 --> 03:24:09,400 SUPPORT CAN PUT THE SPONSORS ON 5097 03:24:09,400 --> 03:24:11,160 AN UNEVEN FOOTING WHERE PEOPLE 5098 03:24:11,160 --> 03:24:13,320 HEAVILY FUNDED OR HAVE BIG 5099 03:24:13,320 --> 03:24:15,760 FACTORY LABS TEND TO DO BETTER. 5100 03:24:15,760 --> 03:24:16,360 THERE'S MORE. 5101 03:24:16,360 --> 03:24:19,440 THE BROADER GOAL IS TO MAKE THE 5102 03:24:19,440 --> 03:24:22,040 INFORMATION VERY TARGETED AND 5103 03:24:22,040 --> 03:24:24,160 THE TRAINING TARGETED SO YOU 5104 03:24:24,160 --> 03:24:25,760 CAN'T USE BOILER PLATE LANGUAGES 5105 03:24:25,760 --> 03:24:28,440 THAT WE'RE SEEING NOW IN LETTERS 5106 03:24:28,440 --> 03:24:33,680 OF SUPPORT AND SUCH. 5107 03:24:33,680 --> 03:24:35,880 ONE NEW ITEM BEING RECOMMENDED 5108 03:24:35,880 --> 03:24:37,840 IS TO ALLOW AN OPTIONAL 5109 03:24:37,840 --> 03:24:41,080 STATEMENT OF SPECIAL 5110 03:24:41,080 --> 03:24:41,440 CIRCUMSTANCES. 5111 03:24:41,440 --> 03:24:42,920 FOR EXAMPLE, IN COVID-19 5112 03:24:42,920 --> 03:24:45,080 PROVIDES ONE EXAMPLE OF WHERE 5113 03:24:45,080 --> 03:24:46,920 SOMETHING HINDERED THE 5114 03:24:46,920 --> 03:24:48,240 TRAINING'S PROGRESS AND ANOTHER 5115 03:24:48,240 --> 03:24:51,680 COULD BE THEY WERE HARASSED IN 5116 03:24:51,680 --> 03:24:53,720 THE LAB AND HAD TO MOVE MIDWAY 5117 03:24:53,720 --> 03:24:54,720 FROM THE LAB. 5118 03:24:54,720 --> 03:24:56,360 THOSE THINGS TO BE ALLOWED AS 5119 03:24:56,360 --> 03:24:57,640 OPTION BUT NOT REQUIRED. 5120 03:24:57,640 --> 03:24:59,200 SO WE'RE STILL DISCUSSING THAT 5121 03:24:59,200 --> 03:25:03,960 INTERNALLY. 5122 03:25:03,960 --> 03:25:05,920 SIMILAR TO THE OTHER RPG PROCESS 5123 03:25:05,920 --> 03:25:08,640 WE DID CONVENE A CSR ADVISORY 5124 03:25:08,640 --> 03:25:11,640 COUNCIL WORKING GROUP AND I 5125 03:25:11,640 --> 03:25:12,920 CHARGED THIS IN SEPTEMBER OF 5126 03:25:12,920 --> 03:25:13,600 '21. 5127 03:25:13,600 --> 03:25:16,360 AND THEN WE GATHERED AGAIN 5128 03:25:16,360 --> 03:25:17,880 THROUGH BLOG POSTS INFORMATION 5129 03:25:17,880 --> 03:25:19,880 AND PROVIDED THOSE DATA AND THE 5130 03:25:19,880 --> 03:25:21,840 CONTENT ANALYSIS TO THE WORKING 5131 03:25:21,840 --> 03:25:24,320 GROUP AND A LOT MORE DATA I 5132 03:25:24,320 --> 03:25:27,440 SHOWED YOU AND THEN THEY MADE 5133 03:25:27,440 --> 03:25:29,240 THESE RECOMMENDATIONS THE FULL 5134 03:25:29,240 --> 03:25:32,200 ADVISORY COUNCIL APPROVED. 5135 03:25:32,200 --> 03:25:36,400 FOLLOWING THAT IT WAS APPROVED 5136 03:25:36,400 --> 03:25:39,600 BY I.C. DIRECTORS AND NIH 5137 03:25:39,600 --> 03:25:39,880 LEADERSHIP. 5138 03:25:39,880 --> 03:25:41,400 WE OPENED AN RFI THAT JUST 5139 03:25:41,400 --> 03:25:42,320 CLOSED IN JUNE. 5140 03:25:42,320 --> 03:25:47,600 THE REPORT SHOULD BE AVAILABLE 5141 03:25:47,600 --> 03:25:51,680 HOPEFULLY THIS WEEK. 5142 03:25:51,680 --> 03:25:53,480 AGAIN THE MAJORITY OF SUPPORTIVE 5143 03:25:53,480 --> 03:25:55,040 OF THE CHANGES BECAUSE WE GOT 5144 03:25:55,040 --> 03:26:01,720 INPUT ON THE FRONT END ANYWAY. 5145 03:26:01,720 --> 03:26:02,360 SAME IMPLEMENTATION TIME LINE 5146 03:26:02,360 --> 03:26:11,400 FOR NOW IS OUR GOAL. 5147 03:26:11,400 --> 03:26:15,800 WE HAVE OUR COUNCIL MEMBERS AND 5148 03:26:15,800 --> 03:26:17,120 STAFF FROM ACROSS NIH AS WELL AS 5149 03:26:17,120 --> 03:26:17,600 A NUMBER OF AD HOCS. 5150 03:26:17,600 --> 03:26:23,080 OKAY. 5151 03:26:23,080 --> 03:26:26,640 I'D LIKE TO NOT JUST SIMPLIFIED 5152 03:26:26,640 --> 03:26:27,760 REVIEW NOW PEOPLE WANT ME TO 5153 03:26:27,760 --> 03:26:30,840 COME AND TALK ABOUT WHAT'S 5154 03:26:30,840 --> 03:26:32,360 CHANGING IN REVIEW CRITERIA BUT 5155 03:26:32,360 --> 03:26:34,440 INEVITABLY THE QUESTION COMES 5156 03:26:34,440 --> 03:26:37,480 THAT'S NOT ENOUGH TO CHANGE TO 5157 03:26:37,480 --> 03:26:38,560 REALLY AFFECT FAIRNESS OF 5158 03:26:38,560 --> 03:26:38,800 REVIEW. 5159 03:26:38,800 --> 03:26:40,360 IT'S A PIECE OF IT. 5160 03:26:40,360 --> 03:26:41,880 NOW I DON'T AFFECT THOSE 5161 03:26:41,880 --> 03:26:46,360 ASSIGNMENTS AND I WANT TO TALK 5162 03:26:46,360 --> 03:26:49,280 ABOUT OUR BROADER EFFORTS IN 5163 03:26:49,280 --> 03:26:49,560 FAIRNESS. 5164 03:26:49,560 --> 03:26:53,080 CSR CONDUCTS INCOMING CHAIR 5165 03:26:53,080 --> 03:26:54,880 ORIENTATION EVERY YEAR IN NINE 5166 03:26:54,880 --> 03:27:01,080 TO TEN SESSIONS AND WE HAVE 90 5167 03:27:01,080 --> 03:27:06,280 INCOMING CHAIRS WE HAVE TWO-YEAR 5168 03:27:06,280 --> 03:27:08,160 TERMS IN THE CYCLE. 5169 03:27:08,160 --> 03:27:09,520 EVERY YEAR HALF CYCLE OFF. 5170 03:27:09,520 --> 03:27:11,880 WE SPEND A FAIR AMOUNT OF TIME 5171 03:27:11,880 --> 03:27:16,360 LOOKING AT THE INFLUENCE OF THE 5172 03:27:16,360 --> 03:27:17,240 CHAIR PROMOTING FAIRNESS CULTURE 5173 03:27:17,240 --> 03:27:21,840 THAT'S POSITIVE AND INCLUSIVE 5174 03:27:21,840 --> 03:27:23,120 AND A LOT OF SPENT IN 5175 03:27:23,120 --> 03:27:25,200 INTERACTIONS WITH EACH OTHER AND 5176 03:27:25,200 --> 03:27:27,200 THERE'S A SLIDE SET AND VIDEO 5177 03:27:27,200 --> 03:27:28,800 SAMPLES AVAILABLE ON THE WEBSITE 5178 03:27:28,800 --> 03:27:32,920 YOU'RE WELCOME TO TAKE A LOOK AT 5179 03:27:32,920 --> 03:27:35,920 IT. IN 2021, CSR LAUNCHED A BIAS 5180 03:27:35,920 --> 03:27:36,440 AWARENESS TRAINING FOR 5181 03:27:36,440 --> 03:27:39,120 REVIEWERS. 5182 03:27:39,120 --> 03:27:40,080 I BELIEVE THAT WAS SENT OUT TO 5183 03:27:40,080 --> 03:27:48,920 COUNCIL NOW. 5184 03:27:48,920 --> 03:27:52,120 THIS IS 30-MINUTE TRAINING 5185 03:27:52,120 --> 03:27:53,160 DELIVERED FOUR WEEKS PRIOR TO 5186 03:27:53,160 --> 03:28:03,480 THE REVIEW MEETING. 5187 03:28:10,080 --> 03:28:14,440 WE'RE TRYING TO PREVENT THE 5188 03:28:14,440 --> 03:28:17,120 BIASES WE KNOW ARE OUT THERE IN 5189 03:28:17,120 --> 03:28:18,840 THE BIOMEDICAL COMMUNITY AND 5190 03:28:18,840 --> 03:28:20,360 RESEARCH COMMUNITY WHICH IS A 5191 03:28:20,360 --> 03:28:21,000 MICROCOSM OF THE COMMUNITY. 5192 03:28:21,000 --> 03:28:28,480 19,000 INDIVIDUALS OUT THERE. 5193 03:28:28,480 --> 03:28:32,080 SO WE'VE HAD 22,000 REVIEWERS, 5194 03:28:32,080 --> 03:28:32,880 TAKEN THE TRAINING. 5195 03:28:32,880 --> 03:28:39,760 IT'S BEEN WELL RECEIVED. 5196 03:28:39,760 --> 03:28:41,120 WE'VE DONE SIGNIFICANT SURVEYING 5197 03:28:41,120 --> 03:28:43,880 AND THE TRAINING IS REFERRED TO 5198 03:28:43,880 --> 03:28:47,160 DURING THE MEETING BY BYSTANDERS 5199 03:28:47,160 --> 03:28:48,160 SAYING THAT'S NOT ALLOWED 5200 03:28:48,160 --> 03:28:48,760 BECAUSE THAT'S WHAT WE LEARNED 5201 03:28:48,760 --> 03:28:59,040 IN THE TRAINING. 5202 03:29:00,600 --> 03:29:02,240 AND WANT IT TO BE REQUIRED FOR 5203 03:29:02,240 --> 03:29:03,840 ALL NIH REVIEWERS NOT JUST CSR 5204 03:29:03,840 --> 03:29:08,080 SO THAT'S GOING TO BE HAPPENING 5205 03:29:08,080 --> 03:29:10,080 SOON FOR FEBRUARY/MARCH 5206 03:29:10,080 --> 03:29:10,360 MEETINGS. 5207 03:29:10,360 --> 03:29:11,200 THE FULL SURVEY ANALYSIS IS 5208 03:29:11,200 --> 03:29:21,640 AVAILABLE ON OUR WEBSITE. 5209 03:29:22,960 --> 03:29:24,800 AND THERE WAS AN EXTERNAL 5210 03:29:24,800 --> 03:29:26,800 ADVISORY COUNCIL WORKING GROUPS. 5211 03:29:26,800 --> 03:29:28,520 IT'S LOOKING AT SCENARIO-BASED 5212 03:29:28,520 --> 03:29:32,280 TRAINING BEFORE, DURING AND 5213 03:29:32,280 --> 03:29:34,040 AFTER THE MEETING AND THESE ARE 5214 03:29:34,040 --> 03:29:35,120 ALL ACTUAL CASES. 5215 03:29:35,120 --> 03:29:39,080 I HOPE ALL OF WHEN YOU SERVED ON 5216 03:29:39,080 --> 03:29:41,080 COMMITTEES ARE LUCKY ENOUGH NOT 5217 03:29:41,080 --> 03:29:44,880 TO FIND ANY CASE STUDIES. 5218 03:29:44,880 --> 03:29:46,000 UNFORTUNATELY THEY'RE ALL REAL 5219 03:29:46,000 --> 03:29:47,320 CASE STUDIES BASED ON CASES 5220 03:29:47,320 --> 03:29:57,840 WE'VE SEEN AND TAKEN ACTION ON. 5221 03:30:02,560 --> 03:30:04,840 THEY WANTED WAYS TO HANDLE 5222 03:30:04,840 --> 03:30:05,600 INTEGRITY VIOLATION. 5223 03:30:05,600 --> 03:30:09,040 IF YOU GO TO A CONFERENCE AND 5224 03:30:09,040 --> 03:30:11,640 SAYS I KNOW YOU WERE A REVIEWER 5225 03:30:11,640 --> 03:30:15,560 ON MY COMMITTEE, HOW DID THIS GO 5226 03:30:15,560 --> 03:30:17,240 AND KEEP AN EYE OUT WHAT DO THEY 5227 03:30:17,240 --> 03:30:18,720 DO IN THE MOMENT BECAUSE YOU 5228 03:30:18,720 --> 03:30:20,880 WANT TO BE COLLEGIAL BUT THIS IS 5229 03:30:20,880 --> 03:30:21,640 REALLY CRITICAL TO MANAGE THIS 5230 03:30:21,640 --> 03:30:31,760 WELL. 5231 03:30:34,280 --> 03:30:39,200 WE'RE NOT UNDER ANY ILLUSIONS 5232 03:30:39,200 --> 03:30:40,720 WITH 16,000 APPLICATIONS AND 5233 03:30:40,720 --> 03:30:42,240 THERE'S CASES OF BIASES GOING ON 5234 03:30:42,240 --> 03:30:44,040 WE'RE NOT PERFECT ALL THE TIME 5235 03:30:44,040 --> 03:30:47,080 AND THERE'S BIASES IN STUDY 5236 03:30:47,080 --> 03:30:48,280 SECTIONS. 5237 03:30:48,280 --> 03:30:50,920 THERE MAY BE DISRESPECT OR LOOK 5238 03:30:50,920 --> 03:30:51,320 OF INCLUSION. 5239 03:30:51,320 --> 03:30:53,600 WE WANT TO HEAR ABOUT IT. 5240 03:30:53,600 --> 03:30:55,320 WITH 1200 MEETINGS WE'RE NOT 5241 03:30:55,320 --> 03:30:56,360 GOING TO BE EVERYWHERE AND WE 5242 03:30:56,360 --> 03:31:02,800 WANT TO HEAR ABOUT IT. 5243 03:31:02,800 --> 03:31:11,080 THIS IS OUR CHIEF DIVERSITY 5244 03:31:11,080 --> 03:31:18,120 OFFICER AND WHO TO GO TO TO 5245 03:31:18,120 --> 03:31:18,520 REPORT. 5246 03:31:18,520 --> 03:31:20,240 SENIOR MANAGEMENT AND THE 5247 03:31:20,240 --> 03:31:20,840 SCIENTIFIC DIVISION DIRECTOR 5248 03:31:20,840 --> 03:31:26,320 TAKE A LOOK. 5249 03:31:26,320 --> 03:31:28,920 IF WE AGREE THERE WAS A BIASSED 5250 03:31:28,920 --> 03:31:32,520 AR FLAWED REVIEW AND I WOULD SAY 5251 03:31:32,520 --> 03:31:34,320 HALF THE TIME THEY'RE RIGHT IF 5252 03:31:34,320 --> 03:31:36,600 SOMETHING WENT WRONG OR IT WAS 5253 03:31:36,600 --> 03:31:37,360 AN INAPPROPRIATE STATEMENT OR 5254 03:31:37,360 --> 03:31:39,040 SOMETHING, WE REVIEW THE 5255 03:31:39,040 --> 03:31:40,360 APPLICATION IN THE SAME COUNCIL 5256 03:31:40,360 --> 03:31:42,880 ROUND BECAUSE WE DON'T WANT TO 5257 03:31:42,880 --> 03:31:44,360 DISADVANTAGE THE APPLICANT IN 5258 03:31:44,360 --> 03:31:54,840 TERMS OF HIS OR HER FUNDING. 5259 03:32:00,520 --> 03:32:06,600 AND THE REVIEWER MESSED UP AND 5260 03:32:06,600 --> 03:32:10,280 ADDED A BIAS STATEMENT ONE OF 5261 03:32:10,280 --> 03:32:11,760 OUR DIVISION DIRECTORS WILL CALL 5262 03:32:11,760 --> 03:32:13,400 THE REVIEW AND SAY YOU MADE THIS 5263 03:32:13,400 --> 03:32:14,320 STATEMENT. 5264 03:32:14,320 --> 03:32:16,080 THIS RESULTS IN A COMPLETE 5265 03:32:16,080 --> 03:32:17,080 REVIEW BECAUSE IT WAS 5266 03:32:17,080 --> 03:32:17,400 INAPPROPRIATE. 5267 03:32:17,400 --> 03:32:20,120 THEN WE WAIT FOR THE REACTION. 5268 03:32:20,120 --> 03:32:21,200 THE REACTION THE VAST MAJORITY 5269 03:32:21,200 --> 03:32:23,520 OF THE TIME IS CONTRITION, 5270 03:32:23,520 --> 03:32:25,880 SORRY, I SHOULDN'T HAVE DONE 5271 03:32:25,880 --> 03:32:26,880 THIS, I WILL PAY MORE ATTENTION. 5272 03:32:26,880 --> 03:32:28,840 THAT'S CULTURE CHANGE. 5273 03:32:28,840 --> 03:32:30,840 A SMALL PERCENTAGE OF THE TIME 5274 03:32:30,840 --> 03:32:31,680 THEY ARGUE AND IT GIVES MORE 5275 03:32:31,680 --> 03:32:33,560 INFORMATION ABOUT THE REVIEWER 5276 03:32:33,560 --> 03:32:35,040 AND WE ALWAYS HAVE DISCRETION ON 5277 03:32:35,040 --> 03:32:36,360 WHO WE CHOOSE OR DON'T CHOOSE TO 5278 03:32:36,360 --> 03:32:43,440 INVITE. 5279 03:32:43,440 --> 03:32:48,360 FINALLY WE'LL TALK ABOUT 5280 03:32:48,360 --> 03:32:49,240 DIVERSIFYING REVIEW COMMUNITY. 5281 03:32:49,240 --> 03:32:52,440 THE GOAL IS TO BROADEN THE POOL 5282 03:32:52,440 --> 03:32:54,240 OF REVIEWERS. 5283 03:32:54,240 --> 03:32:56,240 WHY SROs GO TO FIND REVIEWERS 5284 03:32:56,240 --> 03:32:58,840 AND WE HAVE NICE DATABASES. 5285 03:32:58,840 --> 03:33:00,360 BUT THEY ONLY HAVE NIH 5286 03:33:00,360 --> 03:33:00,800 REVIEWERS. 5287 03:33:00,800 --> 03:33:02,320 WE WANT TO BROADEN THAT POOL AND 5288 03:33:02,320 --> 03:33:05,640 ADDED A NUMBER OF SOURCES, DATA 5289 03:33:05,640 --> 03:33:09,400 SOURCES, OTHER AGENCIES AND NSF, 5290 03:33:09,400 --> 03:33:11,320 OTHER RESEARCHERS. 5291 03:33:11,320 --> 03:33:14,000 SOCIETY RECOMMENDATIONS. 5292 03:33:14,000 --> 03:33:15,520 WE ENCOURAGE SCIENTIFIC SOCIETY 5293 03:33:15,520 --> 03:33:18,920 TO SUBMIT NAMES OF QUALIFIED 5294 03:33:18,920 --> 03:33:21,880 PEOPLE AND EARLY CAREER 5295 03:33:21,880 --> 03:33:23,440 REVIEWERS, ALL THAT IS AVAILABLE 5296 03:33:23,440 --> 03:33:25,960 IN A USER-FRIENDLY FORMAT FOR 5297 03:33:25,960 --> 03:33:27,680 SROs TO SEARCH QUICKLY WHEN 5298 03:33:27,680 --> 03:33:32,040 THEY'RE LOOKING FOR REVIEWERS. 5299 03:33:32,040 --> 03:33:32,880 WE NEED MORE THAN TOOLS. 5300 03:33:32,880 --> 03:33:40,360 WE NEED TO CHANGE THE CULTURE AS 5301 03:33:40,360 --> 03:33:47,120 WELL WE'VE TALKED ABOUT HOW 5302 03:33:47,120 --> 03:33:52,920 CRITICAL IT IS FOR NIH TO HEAR 5303 03:33:52,920 --> 03:33:54,040 DIVERSE PERSPECTIVES IN 5304 03:33:54,040 --> 03:33:56,520 IDENTIFYING THE STRONGEST 5305 03:33:56,520 --> 03:33:59,080 SCIENCE AND YOU'LL GET 5306 03:33:59,080 --> 03:33:59,960 DERIVATIVE SCIENCE AND LINKING 5307 03:33:59,960 --> 03:34:01,240 IT TO THE QUALITY OF OUTPUT 5308 03:34:01,240 --> 03:34:09,400 REVIEW IS LINKED TO DIVERSITY. 5309 03:34:09,400 --> 03:34:12,080 AND DEMOGRAPHIC, GEOGRAPHIC VERY 5310 03:34:12,080 --> 03:34:12,640 IMPORTANT AND SCIENTIFIC 5311 03:34:12,640 --> 03:34:16,360 BACKGROUND. 5312 03:34:16,360 --> 03:34:25,240 FOUR PEOPLE FROM THE SAME LAB 5313 03:34:25,240 --> 03:34:26,960 MAY NOT GIVE DIVERSE 5314 03:34:26,960 --> 03:34:28,120 PERSPECTIVES AND WE WANT 5315 03:34:28,120 --> 03:34:29,240 EXPERIENCED REVIEWERS AND LESS 5316 03:34:29,240 --> 03:34:32,360 EXPERIENCED AND SOME FRESH FACES 5317 03:34:32,360 --> 03:34:34,520 EVERY TIME. 5318 03:34:34,520 --> 03:34:37,000 OUR STANDING STUDY MEMBERSHIP 5319 03:34:37,000 --> 03:34:40,120 HAS LOTS OF OVERSIGHT BUT OUR 5320 03:34:40,120 --> 03:34:43,600 ISSUE IS SPECIAL EMPHASIS 5321 03:34:43,600 --> 03:34:44,120 PANELS. 5322 03:34:44,120 --> 03:34:45,760 THAT'S BECAUSE SPECIAL EMPHASIS 5323 03:34:45,760 --> 03:34:47,640 PANELS ARE GATHERED AD HOC. 5324 03:34:47,640 --> 03:34:51,760 THAT'S WHEN PEOPLE LEAN TO THE 5325 03:34:51,760 --> 03:34:52,800 TOOLS THEY KNOW. 5326 03:34:52,800 --> 03:34:54,160 THAT'S WHO THEY REACH OUT TO AND 5327 03:34:54,160 --> 03:34:56,360 WHERE THE TOOLS BECOME 5328 03:34:56,360 --> 03:34:57,360 IMPORTANT. 5329 03:34:57,360 --> 03:34:58,840 WE ALSO RAISED COLLECTIVE 5330 03:34:58,840 --> 03:35:01,920 AWARENESS AND SET EXPECTATIONS 5331 03:35:01,920 --> 03:35:04,800 AN SHARE PANEL-LEVEL DATA WITH 5332 03:35:04,800 --> 03:35:05,800 MANAGEMENT AND STAFF. 5333 03:35:05,800 --> 03:35:08,360 IT'S ALL AVAILABLE FOR ALL OF 5334 03:35:08,360 --> 03:35:14,880 OUR STAFF. 5335 03:35:14,880 --> 03:35:16,840 AND PEER-TO-PEER SHARING OF 5336 03:35:16,840 --> 03:35:20,080 STRATEGIES BECAUSE WE HAVE SROs 5337 03:35:20,080 --> 03:35:22,600 VERY GOOD AT IDENTIFYING BROAD 5338 03:35:22,600 --> 03:35:25,800 POOL OF REVIEWERS AND HAVING 5339 03:35:25,800 --> 03:35:27,280 THEM SHARE WITH EACH OTHER HAS 5340 03:35:27,280 --> 03:35:28,800 BEEN SUCCESSFUL. 5341 03:35:28,800 --> 03:35:35,000 TO SHOW YOU A LITTLE BIT OF DATA 5342 03:35:35,000 --> 03:35:42,360 STARTING WITH WOMEN THESE ARE 5343 03:35:42,360 --> 03:35:47,080 CSR APPLICATIONS AND 2013 5344 03:35:47,080 --> 03:35:49,160 THROUGH THE MOST RECENT CBS 5345 03:35:49,160 --> 03:35:49,360 ROUND. 5346 03:35:49,360 --> 03:35:52,280 AROUND 35% OF P.I.s ARE WOMEN. 5347 03:35:52,280 --> 03:35:53,880 THAT'S THAT'S NOT THAT DIFFERENT 5348 03:35:53,880 --> 03:36:03,760 FROM WHAT YOU SEE NIH WIDE. 5349 03:36:03,760 --> 03:36:06,600 THE MEMBERSHIP HAS ALWAYS BEEN 5350 03:36:06,600 --> 03:36:07,840 ENRICHED BECAUSE WE PAY A LOT OF 5351 03:36:07,840 --> 03:36:10,320 ATTENTION AND HAVE HISTORICALLY 5352 03:36:10,320 --> 03:36:12,840 PAID A LOT OF ATTENTION. 5353 03:36:12,840 --> 03:36:14,440 THE SPECIAL EMPHASIS PANEL THE 5354 03:36:14,440 --> 03:36:16,320 QUICK AD HOC REVIEWERS WE WERE 5355 03:36:16,320 --> 03:36:20,920 CONCERNED ABOUT AND THERE YOU 5356 03:36:20,920 --> 03:36:24,280 SEE A REAL SHIFT AS SROs GO TO A 5357 03:36:24,280 --> 03:36:28,360 BROADER POOL EVERY TIME THEY 5358 03:36:28,360 --> 03:36:38,760 RECRUIT FOR AN AD HOC. 5359 03:36:43,000 --> 03:36:45,320 AND THIS IS FOR NIH WIDE DATA 5360 03:36:45,320 --> 03:36:47,080 AND AGAIN MORE ENRICHED IN TERMS 5361 03:36:47,080 --> 03:36:48,360 OF MEMBERSHIP BECAUSE WE PAY 5362 03:36:48,360 --> 03:36:55,240 ATTENTION TO THAT. 5363 03:36:55,240 --> 03:36:58,080 THIS WAS LOWER THAN WHAT YOU 5364 03:36:58,080 --> 03:36:59,160 WOULD CALL A BENCHMARKING 5365 03:36:59,160 --> 03:37:01,320 AGAINST THE APPLICANT RATE. 5366 03:37:01,320 --> 03:37:03,640 AT THE WEREN'T BEING INVITED AS 5367 03:37:03,640 --> 03:37:04,680 MUCH AND AFTER THE EFFORT MADE 5368 03:37:04,680 --> 03:37:06,760 YOU CAN SEE A CHANGE IN THE 5369 03:37:06,760 --> 03:37:07,400 CONTINUUM TO GO UP. 5370 03:37:07,400 --> 03:37:09,360 THE SEP REVIEWERS ARE ALSO 5371 03:37:09,360 --> 03:37:10,760 LINKED TO MEMBERSHIP BECAUSE 5372 03:37:10,760 --> 03:37:11,960 ONCE PEOPLE TRIED THEM OUT AND 5373 03:37:11,960 --> 03:37:13,560 SEE THEY'RE REALLY GOOD, THEY 5374 03:37:13,560 --> 03:37:14,840 PUT THEM ON AS MEMBERS. 5375 03:37:14,840 --> 03:37:24,640 SO IT'S ALL KIND OF LINKED. 5376 03:37:24,640 --> 03:37:25,800 THERE'S DATA AND ANALYSIS AND 5377 03:37:25,800 --> 03:37:28,360 REPORTS AND I INVITE YOU TO TAKE 5378 03:37:28,360 --> 03:37:31,720 A LOOK. 5379 03:37:31,720 --> 03:37:42,200 I'M HAPPY TO TAKE QUESTIONS. 5380 03:37:44,520 --> 03:37:46,840 >>ALL COUNCIL MEMBERS WILL 5381 03:37:46,840 --> 03:37:50,120 RECEIVE AN E-MAIL TOMORROW 5382 03:37:50,120 --> 03:37:52,160 INVITING THEM TO COMPLETE CSR'S 5383 03:37:52,160 --> 03:37:55,280 BIAS AWARENESS TRAINING FOR 5384 03:37:55,280 --> 03:37:56,840 REVIEWERS, DR. BYRNES MENTIONED. 5385 03:37:56,840 --> 03:37:57,960 IT'S NOT REQUIRED BUT I KNOW 5386 03:37:57,960 --> 03:37:59,720 MANY WILL BE INTERESTED IN THAT. 5387 03:37:59,720 --> 03:38:01,880 I WANT TO THANK CSR FOR MAKING 5388 03:38:01,880 --> 03:38:02,520 THAT AVAILABLE. 5389 03:38:02,520 --> 03:38:04,880 THANKS AGAIN, DR. BYRNES. 5390 03:38:04,880 --> 03:38:08,840 I ASKED DR. LEE TO LEAD US IN 5391 03:38:08,840 --> 03:38:09,640 DISCUSS. 5392 03:38:09,640 --> 03:38:15,920 >>THANK YOU, DR. BYRNES FOR A 5393 03:38:15,920 --> 03:38:16,920 WONDERFUL OVERVIEW AND IT'S 5394 03:38:16,920 --> 03:38:17,600 QUITE A BIT OF INFORMATION. 5395 03:38:17,600 --> 03:38:19,880 I WON'T BE ABLE TO ASK ABOUT ALL 5396 03:38:19,880 --> 03:38:30,400 OF THE MOST IMPORTANT POINTS. 5397 03:38:30,720 --> 03:38:32,360 AND WE CAN APPRECIATE THE 5398 03:38:32,360 --> 03:38:34,120 TRAINING INITIATIVES ON ONE END 5399 03:38:34,120 --> 03:38:38,520 AND ON THE OTHER END THE FORMAL 5400 03:38:38,520 --> 03:38:40,360 DIRECT BIASSED REPORTING 5401 03:38:40,360 --> 03:38:41,520 MECHANISM WHEN THERE'S A KNOWN 5402 03:38:41,520 --> 03:38:41,800 INCIDENT. 5403 03:38:41,800 --> 03:38:45,040 IN ADDITION TO THE CRITICAL 5404 03:38:45,040 --> 03:38:46,720 ELEMENTS HAS THERE BEEN 5405 03:38:46,720 --> 03:38:49,400 CONSIDERATION TO RANDOM AUDITING 5406 03:38:49,400 --> 03:38:54,000 OR FEEDBACK THAT CAN BE GIVEN 5407 03:38:54,000 --> 03:38:57,320 DIRECTLY TO THE SROs OR 5408 03:38:57,320 --> 03:39:01,080 REVIEWERS ON HOW THEY USE THE 5409 03:39:01,080 --> 03:39:01,760 SKILLS GAINED IN THE TRAINING. 5410 03:39:01,760 --> 03:39:02,560 >>GREAT QUESTION. 5411 03:39:02,560 --> 03:39:09,320 I THINK WHAT YOU MEAN BY 5412 03:39:09,320 --> 03:39:19,720 AUDITING IS OVERSIGHT. 5413 03:39:21,240 --> 03:39:24,960 >>WE HAVE SROs AND DIVISION 5414 03:39:24,960 --> 03:39:25,200 DIRECTORS. 5415 03:39:25,200 --> 03:39:27,120 WE HAVE A PRETTY RIGOROUS 5416 03:39:27,120 --> 03:39:33,680 EVALUATION FOR SROs AND OUR 5417 03:39:33,680 --> 03:39:38,800 SENIOR STAFF ATTEND MEETINGS AND 5418 03:39:38,800 --> 03:39:41,280 ATTEND FEEDBACK. 5419 03:39:41,280 --> 03:39:44,600 THE LARGEST NUMBER OF BIAS 5420 03:39:44,600 --> 03:39:46,080 INSTANCES WE GET DON'T COME FROM 5421 03:39:46,080 --> 03:39:50,840 THE EXTERNAL COMMUNITY. 5422 03:39:50,840 --> 03:39:52,520 THEY COME FROM US. 5423 03:39:52,520 --> 03:39:55,160 WOE HAVE HEIGHTENED AWARENESS 5424 03:39:55,160 --> 03:39:57,240 AND OUR NUMBERS SHOW MOST OF IT 5425 03:39:57,240 --> 03:39:59,560 COMES FROM THE SRO. 5426 03:39:59,560 --> 03:40:02,360 SOMETIMES THEY'LL COME BACK AND 5427 03:40:02,360 --> 03:40:03,760 SAY THIS DOESN'T GO WELL AND 5428 03:40:03,760 --> 03:40:05,000 THERE'S A DISCUSSION WITH 5429 03:40:05,000 --> 03:40:05,720 LEADERSHIP OR THEIR MANAGEMENT 5430 03:40:05,720 --> 03:40:14,560 AND THE RE-REVIEW IS DONE. 5431 03:40:14,560 --> 03:40:17,080 AND THE MORE FORMALIZED THINGS 5432 03:40:17,080 --> 03:40:19,320 YOU SEE THROUGH ENQUIRE. 5433 03:40:19,320 --> 03:40:21,320 >>AND HAS CSR CONSIDERED ANY 5434 03:40:21,320 --> 03:40:23,320 TECHNOLOGIES THAT CAN BE USED TO 5435 03:40:23,320 --> 03:40:24,560 DETECT OR FURTHER AUTOMATE THE 5436 03:40:24,560 --> 03:40:33,600 DETECTION OF BIAS? 5437 03:40:33,600 --> 03:40:36,360 AND DEFECTED ON THE FLY GIVEN 5438 03:40:36,360 --> 03:40:40,360 THE MULTIPLE CONSTRAINS ON 5439 03:40:40,360 --> 03:40:50,600 ENERGIES AND TIME. 5440 03:40:50,600 --> 03:40:55,320 >>WE HAVE A DIVISION OF DATA 5441 03:40:55,320 --> 03:40:57,480 AND TECHNOLOGY THAT IS VERY MUCH 5442 03:40:57,480 --> 03:40:59,040 LOOKING AT EVALUATING CRITIQUES 5443 03:40:59,040 --> 03:41:02,600 IN A MORE AUTOMATED MACHINE 5444 03:41:02,600 --> 03:41:07,080 LEARNING AUTOMATED WAY TO FLAG 5445 03:41:07,080 --> 03:41:07,320 ISSUES. 5446 03:41:07,320 --> 03:41:09,000 IN THE END WE STILL NEED THE 5447 03:41:09,000 --> 03:41:14,880 HUMAN TO LOOK AT IT TO SEE IF 5448 03:41:14,880 --> 03:41:16,000 IT'S VALID. 5449 03:41:16,000 --> 03:41:17,840 THE PROCESSES THEY'RE DEVELOPING 5450 03:41:17,840 --> 03:41:19,160 ARE UNDER TEST AND WE'RE TRYING 5451 03:41:19,160 --> 03:41:20,680 TO SEE IF THEY'RE VALID AND WHAT 5452 03:41:20,680 --> 03:41:22,600 THEY FLAG FOR US IS ACTUALLY 5453 03:41:22,600 --> 03:41:22,800 VALID. 5454 03:41:22,800 --> 03:41:23,440 IT'S VERY MUCH SOMETHING WE'RE 5455 03:41:23,440 --> 03:41:30,920 LOOKING AT. 5456 03:41:30,920 --> 03:41:32,360 >>IN REVIEW FOR ME AND OTHERS 5457 03:41:32,360 --> 03:41:35,120 IT WAS HELPFUL TO BE REMINDED OF 5458 03:41:35,120 --> 03:41:37,560 THE REGULATORY GUARDRAILS 5459 03:41:37,560 --> 03:41:39,480 INCLUDING THE REGULATIONS THAT 5460 03:41:39,480 --> 03:41:40,800 OUTLINE THE FIVE KEY ELEMENT 5461 03:41:40,800 --> 03:41:42,520 HAVE TO BE PART OF THE REVIEW 5462 03:41:42,520 --> 03:41:45,000 CRITERIA BUT I'M THINKING FOR 5463 03:41:45,000 --> 03:41:49,640 THE RESEARCH PROGRAM GRANTS AND 5464 03:41:49,640 --> 03:41:51,120 THE FACTOR THREE OF THE 5465 03:41:51,120 --> 03:41:54,480 EXPERTISE AND RESOURCES THAT 5466 03:41:54,480 --> 03:41:56,120 WILL INCLUDE THE FOREIGN 5467 03:41:56,120 --> 03:41:56,800 INVESTIGATOR AND ENVIRONMENT 5468 03:41:56,800 --> 03:41:57,400 CONSIDERATIONS THAT WILL NO 5469 03:41:57,400 --> 03:42:07,720 LONGER BE SCORED. 5470 03:42:12,960 --> 03:42:15,680 AND SPEAK ABOUT WHO ARE AGAINST 5471 03:42:15,680 --> 03:42:16,680 FACTOR 3 AS SOMETHING THAT 5472 03:42:16,680 --> 03:42:17,600 SHOULD STILL BE SCORED. 5473 03:42:17,600 --> 03:42:22,560 >>GREAT QUESTION. 5474 03:42:22,560 --> 03:42:25,960 I WOULD SAY AND THE BULK IN THE 5475 03:42:25,960 --> 03:42:28,360 MIDDLE ALL AGREED IT'S A GOOD 5476 03:42:28,360 --> 03:42:28,560 IDEA. 5477 03:42:28,560 --> 03:42:30,000 THERE WERE PEOPLE WHO THINK IT 5478 03:42:30,000 --> 03:42:32,240 DOESN'T GO FAR ENOUGH WE NEED TO 5479 03:42:32,240 --> 03:42:32,640 BLIND. 5480 03:42:32,640 --> 03:42:34,520 UNLESS YOU CAN BLIND REVIEWS 5481 03:42:34,520 --> 03:42:35,360 YOU'RE NOT DOING ANYTHING. 5482 03:42:35,360 --> 03:42:36,880 THERE'S MULTIPLE ISSUES WITH 5483 03:42:36,880 --> 03:42:42,160 BLINDING WE CAN HAVE A LONGER 5484 03:42:42,160 --> 03:42:45,840 DISCUSSION ON. 5485 03:42:45,840 --> 03:42:49,840 WE'RE DOING A PARTIAL BLINDING 5486 03:42:49,840 --> 03:42:51,200 EXPERIMENT AS PART OF THE COMMON 5487 03:42:51,200 --> 03:42:55,960 FUND PROGRAM BUT THERE'S A 5488 03:42:55,960 --> 03:42:59,120 MULTI-STAGE VIEW AND VERY LABOR 5489 03:42:59,120 --> 03:43:00,880 INTENSIVE AND SCALING IT UP IS 5490 03:43:00,880 --> 03:43:01,880 NOT THAT PRACTICAL. 5491 03:43:01,880 --> 03:43:06,600 THE OTHER PART WAS WELL, IF 5492 03:43:06,600 --> 03:43:09,120 YOU'RE NOT SCORING THE 5493 03:43:09,120 --> 03:43:10,320 INVESTIGATOR MATTERS AND YOU 5494 03:43:10,320 --> 03:43:11,120 SHOULD BE SCORING ENVIRONMENT 5495 03:43:11,120 --> 03:43:18,360 BECAUSE THOSE THINGS MATTER. 5496 03:43:18,360 --> 03:43:21,720 THEY'RE PART OF THE MAIN FACTORS 5497 03:43:21,720 --> 03:43:22,840 OF SCORING. 5498 03:43:22,840 --> 03:43:24,920 AND WE WANT TO HEAR IF THERE'S 5499 03:43:24,920 --> 03:43:26,920 GAPS AND THAT SHOULD AFFECT THE 5500 03:43:26,920 --> 03:43:29,080 OVER ALL IMPACT OR MOVE IT DOWN. 5501 03:43:29,080 --> 03:43:34,200 I THINK A LOT OF WILL HAPPEN IN 5502 03:43:34,200 --> 03:43:36,040 THE TRAINING TO ADDRESS THOSE 5503 03:43:36,040 --> 03:43:36,280 CONCERNS. 5504 03:43:36,280 --> 03:43:38,000 I DON'T THINK WE NEED A 5505 03:43:38,000 --> 03:43:39,480 NINE-POINT SCORING SCALE TO MAKE 5506 03:43:39,480 --> 03:43:40,320 INVESTIGATOR COUNT. 5507 03:43:40,320 --> 03:43:41,120 >>GREAT. 5508 03:43:41,120 --> 03:43:43,360 MY FINAL QUESTION BEFORE I OPEN 5509 03:43:43,360 --> 03:43:44,800 IT TO MY OTHER COLLEAGUES IS 5510 03:43:44,800 --> 03:43:47,560 RELATED TO THE ENQUIRE. 5511 03:43:47,560 --> 03:43:51,960 YOU SPOKE OF RENEW AND REVISED 5512 03:43:51,960 --> 03:43:53,120 STUDY SECTIONS LIKE THE SOCIAL 5513 03:43:53,120 --> 03:43:54,800 DETERMINATES OF HEALTH AND WHERE 5514 03:43:54,800 --> 03:43:57,360 ARE THEY IN THE 12th TO 18th 5515 03:43:57,360 --> 03:43:59,680 MONTH TIME LINE FROM INITIATION 5516 03:43:59,680 --> 03:44:01,600 TO IMPLEMENTATION TO GET A SENSE 5517 03:44:01,600 --> 03:44:02,840 OF WHEN IT WILL BE READY FOR 5518 03:44:02,840 --> 03:44:03,800 PRIME TIME? 5519 03:44:03,800 --> 03:44:06,680 >>I THINK MOST OF THOSE ARE 5520 03:44:06,680 --> 03:44:07,320 ALREADY IMPLEMENTED OR HAVE 5521 03:44:07,320 --> 03:44:09,400 RECENTLY BEEN IMPLEMENTED. 5522 03:44:09,400 --> 03:44:11,680 I THINK ONE OF THE FIRST ONES WE 5523 03:44:11,680 --> 03:44:14,760 DID IN 2020 AFFECTED NINR MOST 5524 03:44:14,760 --> 03:44:16,400 WHICH IS -- I DON'T KNOW THE 5525 03:44:16,400 --> 03:44:19,240 NAMES OF THE STUDY SECTIONS, 5526 03:44:19,240 --> 03:44:20,800 SHANNON PROBABLY DOES MORE, THE 5527 03:44:20,800 --> 03:44:25,960 CLINICAL CARE AND DIFFERENT 5528 03:44:25,960 --> 03:44:30,080 SETTINGS AND SOME WERE IN 5529 03:44:30,080 --> 03:44:32,360 RESPONSE TO THE STAFF ON THE 5530 03:44:32,360 --> 03:44:33,640 SECOND LEVEL OF INQUIRY REVIEW. 5531 03:44:33,640 --> 03:44:36,240 THOSE ARE FUNCTIONING WELL AND 5532 03:44:36,240 --> 03:44:41,520 SLIGHTLY OVER SUBSCRIBED TO ME 5533 03:44:41,520 --> 03:44:43,800 IT'S A HEALTHY THING THE 5534 03:44:43,800 --> 03:44:45,920 CLINICAL ONE I THINK IS CHAIRED 5535 03:44:45,920 --> 03:44:49,800 BY A NURSE IF I'M NOT MISTAKEN. 5536 03:44:49,800 --> 03:44:55,880 THOSE THOSE RELEVANT TO THE I.C. 5537 03:44:55,880 --> 03:44:56,480 ARE DONE. 5538 03:44:56,480 --> 03:44:58,560 >>THANK YOU, DR. BYRNES AND I'M 5539 03:44:58,560 --> 03:44:59,280 HAPPY TO OPEN IT UP TO OTHER 5540 03:44:59,280 --> 03:45:05,360 MEMBERS OF COUNCIL. 5541 03:45:05,360 --> 03:45:07,800 >>THANK YOU FOR AN INTERESTING 5542 03:45:07,800 --> 03:45:08,120 PRESENTATION. 5543 03:45:08,120 --> 03:45:11,040 I'VE KNOWN ABOUT THE CHANGES 5544 03:45:11,040 --> 03:45:11,640 BECAUSE IT'S OUT IN THE 5545 03:45:11,640 --> 03:45:12,360 SCIENTIFIC COMMUNITY AND 5546 03:45:12,360 --> 03:45:22,840 PRESENTED HERE BUT I DO THINK WE 5547 03:45:22,840 --> 03:45:25,760 AND THE EDUCATION THAT GOES OUT 5548 03:45:25,760 --> 03:45:27,080 AROUND THAT MAKING SURE PEOPLE 5549 03:45:27,080 --> 03:45:34,520 ARE EMPHASIZING, EVEN THE 5550 03:45:34,520 --> 03:45:36,040 STRUCTURE OF SIGNIFICANCE BEING 5551 03:45:36,040 --> 03:45:38,280 IMPORTANT AND THE STRUCTURE WILL 5552 03:45:38,280 --> 03:45:43,400 HAVE TO CHANGE. 5553 03:45:43,400 --> 03:45:44,840 WHAT'S THE EDUCATION FOR THE 5554 03:45:44,840 --> 03:45:46,720 SCIENTIFIC COMMUNITY TO MAKE 5555 03:45:46,720 --> 03:45:48,960 SURE THEY'RE RESTRUCTURING THE 5556 03:45:48,960 --> 03:45:50,880 GRANTS APPROPRIATELY IN THE NEXT 5557 03:45:50,880 --> 03:45:51,080 YEAR? 5558 03:45:51,080 --> 03:45:52,360 >>FIRST, I COMPLETELY AGREE 5559 03:45:52,360 --> 03:45:55,440 WITH YOU. 5560 03:45:55,440 --> 03:45:57,720 CHANGING THE APPLICATION 5561 03:45:57,720 --> 03:46:01,400 STRUCTURE IS A LONGER TERM 5562 03:46:01,400 --> 03:46:04,360 PROJECT BECAUSE IT GOES TO OMB, 5563 03:46:04,360 --> 03:46:05,800 WHATEVER THAT IS, SOME HIGHER 5564 03:46:05,800 --> 03:46:07,800 LEVEL APPROVALS, IT'S PART OF A 5565 03:46:07,800 --> 03:46:08,240 BIG PACKAGE. 5566 03:46:08,240 --> 03:46:09,840 WE DIDN'T WANT TO HOLD UP THESE 5567 03:46:09,840 --> 03:46:11,480 REVIEW CHANGES BUT I THINK ONE 5568 03:46:11,480 --> 03:46:13,680 THING WE GOT BACK FROM THE RFI 5569 03:46:13,680 --> 03:46:14,920 RESPONSE IS THE REAL CRITICAL 5570 03:46:14,920 --> 03:46:17,080 NEED TO SOCIALIZE THE CHANGES IN 5571 03:46:17,080 --> 03:46:18,320 THE BROADER COMMUNITY. 5572 03:46:18,320 --> 03:46:20,480 SO WE HAVE WEBINARS FOR 5573 03:46:20,480 --> 03:46:23,920 APPLICANTS, WE HAVE WEBINARS FOR 5574 03:46:23,920 --> 03:46:25,480 REVIEWERS AND STAFF AND WE'RE 5575 03:46:25,480 --> 03:46:27,120 SPENDING THE NEXT YEAR AND A 5576 03:46:27,120 --> 03:46:28,840 HALF FOCUSSED ON THAT. 5577 03:46:28,840 --> 03:46:29,520 HOPEFULLY IT WILL MITIGATE SOME 5578 03:46:29,520 --> 03:46:33,640 OF IT. 5579 03:46:33,640 --> 03:46:35,280 IT WILL MATCH UP WITH THE 5580 03:46:35,280 --> 03:46:41,560 APPLICATION. 5581 03:46:41,560 --> 03:46:45,440 THANK YOU, THAT WAS AN AMAZING 5582 03:46:45,440 --> 03:46:45,800 PRESENTATION. 5583 03:46:45,800 --> 03:46:46,960 I ENJOYED HEARING ABOUT THE 5584 03:46:46,960 --> 03:46:47,960 UPDATES. 5585 03:46:47,960 --> 03:46:54,160 I HAD A FOLLOW-UP QUESTION 5586 03:46:54,160 --> 03:46:56,880 REGARDING FACTOR 3. 5587 03:46:56,880 --> 03:46:57,880 ENVIRONMENT WAS IMPORTANT FOR 5588 03:46:57,880 --> 03:46:59,080 THE COMMUNITY-BASED WORK 5589 03:46:59,080 --> 03:47:09,280 HAPPENING. 5590 03:47:10,960 --> 03:47:12,560 IN THE STUDY SECTION THAT WAS 5591 03:47:12,560 --> 03:47:14,840 PART OF THE ENVIRONMENT AND DO 5592 03:47:14,840 --> 03:47:16,360 THAT HAVE LETTERS OF SUPPORT 5593 03:47:16,360 --> 03:47:18,120 FROM PEOPLE THEY'LL DO WORK 5594 03:47:18,120 --> 03:47:18,400 WITH. 5595 03:47:18,400 --> 03:47:20,360 >>WAS THIS AN RO1? 5596 03:47:20,360 --> 03:47:29,680 >>YES. 5597 03:47:29,680 --> 03:47:31,800 >>I DON'T MEAN TO PICK ON 5598 03:47:31,800 --> 03:47:32,440 HARVARD. 5599 03:47:32,440 --> 03:47:34,120 HARVARD IS GREAT BUT RIGHT KNOW 5600 03:47:34,120 --> 03:47:36,000 THE COMMENTS WE SEE IS HARVARD 5601 03:47:36,000 --> 03:47:37,760 IS A GREAT SCHOOL AND WHAT WE 5602 03:47:37,760 --> 03:47:39,920 WANT THEM TO SO WHAT YOU'RE 5603 03:47:39,920 --> 03:47:40,320 TALKING ABOUT. 5604 03:47:40,320 --> 03:47:42,080 WHAT IS IT IN THE CONTEXT OF THE 5605 03:47:42,080 --> 03:47:43,960 PROJECT THEY'RE TRYING TO 5606 03:47:43,960 --> 03:47:44,200 ACHIEVE. 5607 03:47:44,200 --> 03:47:46,920 IT IS APPROPRIATE OR NOT? 5608 03:47:46,920 --> 03:47:48,560 THAT WOULD BE DROP DOWN GAP 5609 03:47:48,560 --> 03:47:51,080 IDENTIFIED AND HEAR SOME THINGS 5610 03:47:51,080 --> 03:47:51,920 MISSING AND THAT SHOULD AFFECT 5611 03:47:51,920 --> 03:48:02,280 THE OVER ALL SCORE. 5612 03:48:14,920 --> 03:48:24,960 OKAY. 5613 03:48:45,760 --> 03:48:47,400 >>WE'RE AT THE LAST GDP ITEM OF 5614 03:48:47,400 --> 03:48:48,720 OPEN SESSION. 5615 03:48:48,720 --> 03:48:52,600 COULDN'T BE HAPPIER TO BE 5616 03:48:52,600 --> 03:48:56,000 WELCOMING DR. DIANNA BIANCHI. 5617 03:48:56,000 --> 03:49:02,640 SHE'S GOING TO SHARE UPDATES ON 5618 03:49:02,640 --> 03:49:04,680 NIH'S PREGNANCY CAUGHT COMES FOR 5619 03:49:04,680 --> 03:49:08,360 EVERYONE FOR THE IMPROVE 5620 03:49:08,360 --> 03:49:08,680 INITIATIVE. 5621 03:49:08,680 --> 03:49:09,800 IN HER ROLE AS NICHD DIRECTOR, 5622 03:49:09,800 --> 03:49:10,320 DR. BIANCHI OVERSEES THE 5623 03:49:10,320 --> 03:49:10,840 INSTITUTE'S RESEARCH ON 5624 03:49:10,840 --> 03:49:11,320 PEDIATRIC HEALTH 5625 03:49:11,320 --> 03:49:16,320 AND DEVELOPMENT, MATERNAL 5626 03:49:16,320 --> 03:49:18,320 HEALTH, REPRODUCTIVE HEALTH, 5627 03:49:18,320 --> 03:49:21,760 INTELLECTUAL AND DEVELOPMENTAL 5628 03:49:21,760 --> 03:49:24,560 DISABILITIES, AND REHABILITATION 5629 03:49:24,560 --> 03:49:25,400 MEDICINE, AMONG OTHER AREAS. 5630 03:49:25,400 --> 03:49:27,560 THESE EFFORTS INCLUDE MANAGING A 5631 03:49:27,560 --> 03:49:28,240 STAFF OF APPROXIMATELY 1,400 AND 5632 03:49:28,240 --> 03:49:32,280 AN ANNUAL BUDGET OF 5633 03:49:32,280 --> 03:49:34,160 APPROXIMATELY $1.5 BILLION. 5634 03:49:34,160 --> 03:49:39,120 DR. BIANCHI HAS HAD A BUSY 5635 03:49:39,120 --> 03:49:42,440 TENURE SINCE JOINING NICHD IN 5636 03:49:42,440 --> 03:49:43,480 2016. SHE SPEARHEADED EFFORTS ON 5637 03:49:43,480 --> 03:49:45,920 THE 5638 03:49:45,920 --> 03:49:47,160 2019 NICHD STRATEGIC PLAN, WHICH 5639 03:49:47,160 --> 03:49:47,800 OUTLINES GOALS AND ASPIRATIONS 5640 03:49:47,800 --> 03:49:48,320 TO GUIDE THE INSTITUTE'S 5641 03:49:48,320 --> 03:49:51,840 RESEARCH. SHE ALSO OVERSAW THE 5642 03:49:51,840 --> 03:49:52,400 CRAFTING AND VETTING OF THE 5643 03:49:52,400 --> 03:49:52,920 INSTITUTE'S NEW VISION 5644 03:49:52,920 --> 03:49:55,600 STATEMENT—"HEALTHY 5645 03:49:55,600 --> 03:49:56,800 PREGNANCIES. HEALTHY CHILDREN. 5646 03:49:56,800 --> 03:49:59,040 HEALTHY AND OPTIMAL LIVES”—AS 5647 03:49:59,040 --> 03:50:00,040 WELL AS ITS 5648 03:50:00,040 --> 03:50:02,320 NEW MISSION STATEMENT, WHICH 5649 03:50:02,320 --> 03:50:04,080 UNDERSCORES NICHD'S DIRECTIVE 5650 03:50:04,080 --> 03:50:05,600 SINCE ITS FOUNDING: “TO LEAD 5651 03:50:05,600 --> 03:50:07,440 RESEARCH AND TRAINING TO 5652 03:50:07,440 --> 03:50:08,320 UNDERSTAND HUMAN 5653 03:50:08,320 --> 03:50:12,720 DEVELOPMENT”—AND INCORPORATES 5654 03:50:12,720 --> 03:50:15,400 GOALS FOR ALL 5655 03:50:15,400 --> 03:50:17,120 FACETS OF NICHD—TO IMPROVE 5656 03:50:17,120 --> 03:50:18,640 REPRODUCTIVE HEALTH, ENHANCE THE 5657 03:50:18,640 --> 03:50:19,480 LIVES OF CHILDREN AND 5658 03:50:19,480 --> 03:50:20,720 ADOLESCENTS, AND OPTIMIZE 5659 03:50:20,720 --> 03:50:22,160 ABILITIES FOR ALL. 5660 03:50:22,160 --> 03:50:24,880 THANK YOU FOR JOINING US TODAY. 5661 03:50:24,880 --> 03:50:27,080 IT'S MY PLEASURE TO WELCOME 5662 03:50:27,080 --> 03:50:32,360 DR. BIANCHI AND I'LL TURN THE 5663 03:50:32,360 --> 03:50:32,760 FLOOR OVER TO YOU. 5664 03:50:32,760 --> 03:50:42,920 THANK YOU. 5665 03:50:49,480 --> 03:50:54,560 >>THANK YOU AND I WANT TO THANK 5666 03:50:54,560 --> 03:50:57,200 THE WEATHER GODS BECAUSE I GOT 5667 03:50:57,200 --> 03:50:59,800 OUT OF BOSTON IN TIME AND I WANT 5668 03:50:59,800 --> 03:51:02,960 TO TALK ABOUT COLLABORATIVE 5669 03:51:02,960 --> 03:51:05,080 EFFORTS WITH NINR AND ONE OF OUR 5670 03:51:05,080 --> 03:51:07,840 BIGGEST COLLABORATIVE EFFORTS 5671 03:51:07,840 --> 03:51:09,280 HAS BEEN IN THE 5672 03:51:09,280 --> 03:51:09,800 CROSS-FERTILIZATION OF 5673 03:51:09,800 --> 03:51:10,040 PERSONNEL. 5674 03:51:10,040 --> 03:51:11,720 THERE'S A NUMBER OF PEOPLE IN 5675 03:51:11,720 --> 03:51:17,800 THE ROOM WHO ARE EX-NICHDERS AND 5676 03:51:17,800 --> 03:51:19,840 THAT'S GREAT BECAUSE WE CAN 5677 03:51:19,840 --> 03:51:24,400 SHARE KNOWLEDGE ABOUT OUR 5678 03:51:24,400 --> 03:51:26,880 VARIOUS INSTITUTE CULTURES AND 5679 03:51:26,880 --> 03:51:28,280 CONTINUE TO WORK TOGETHER. 5680 03:51:28,280 --> 03:51:32,320 I'M CONTROL OF THE SLIDES, IS 5681 03:51:32,320 --> 03:51:34,160 THAT CORRECT? 5682 03:51:34,160 --> 03:51:36,320 I'LL TALK ABOUT AND THAT WAS AN 5683 03:51:36,320 --> 03:51:37,840 OVERVIEW OF THE NICHD AND THEN 5684 03:51:37,840 --> 03:51:43,800 I'LL SPEND THE BULK OF MY TALK 5685 03:51:43,800 --> 03:51:46,400 ON THE IMPROVE INITIATIVE AND 5686 03:51:46,400 --> 03:51:51,760 THEN A FEW THINGS THAT ARE 5687 03:51:51,760 --> 03:51:56,400 IMPORTANT AT NICHD THAT ALSO 5688 03:51:56,400 --> 03:51:57,680 REPRESENT COLLABORATIVE EFFORTS 5689 03:51:57,680 --> 03:52:00,360 AND AREAS IN WHICH WE'RE FUNDING 5690 03:52:00,360 --> 03:52:03,080 NURSING RELATED RESEARCH. 5691 03:52:03,080 --> 03:52:06,320 SHANNON MENTIONED OUR MISSION 5692 03:52:06,320 --> 03:52:06,720 STATEMENT. 5693 03:52:06,720 --> 03:52:13,040 IT WAS PREVIOUSLY LONG AND DARK. 5694 03:52:13,040 --> 03:52:16,800 WHEN WE REFRESHED THE MISSION WE 5695 03:52:16,800 --> 03:52:19,800 WANTED TO EMPHASIZE THE 5696 03:52:19,800 --> 03:52:20,200 POSITIVE. 5697 03:52:20,200 --> 03:52:22,000 THE MISSION EXTENSIVELY WORKED 5698 03:52:22,000 --> 03:52:24,440 ON BY PEOPLE ON OUR COUNCIL 5699 03:52:24,440 --> 03:52:29,800 MARKETING AS WELL AS SCIENTIFIC 5700 03:52:29,800 --> 03:52:32,400 MEMBERS OF THE COUNCIL HAD TO 5701 03:52:32,400 --> 03:52:35,120 INCORPORATE EUNICE KENNEDY 5702 03:52:35,120 --> 03:52:36,080 SCHRIEVER'S VISION AND IMPORTANT 5703 03:52:36,080 --> 03:52:40,800 TO GO BACK TO THE 1962 STATEMENT 5704 03:52:40,800 --> 03:52:42,200 THAT INITIATE THE INSTITUTE AND 5705 03:52:42,200 --> 03:52:44,520 HUMAN DEVELOPMENT SAY BIG PART 5706 03:52:44,520 --> 03:52:45,600 OF THAT. 5707 03:52:45,600 --> 03:52:47,840 IS A BIG PART OF THAT. 5708 03:52:47,840 --> 03:52:50,800 PEOPLE ASKED US WHY DIDN'T WE 5709 03:52:50,800 --> 03:52:55,840 PUT PREGNANCY IN OUR MISSION 5710 03:52:55,840 --> 03:52:56,240 STATEMENT. 5711 03:52:56,240 --> 03:52:59,080 WE DIDN'T BECAUSE WE'RE MORE 5712 03:52:59,080 --> 03:53:03,920 THAN PREGNANCY RELATED AND COVER 5713 03:53:03,920 --> 03:53:07,520 EVERYTHING FROM CONCEPTION TO 5714 03:53:07,520 --> 03:53:08,320 CONTRACEPTION FROM ABORTION 5715 03:53:08,320 --> 03:53:12,720 FAMILY DYNAMICS AND PREGNANCY 5716 03:53:12,720 --> 03:53:14,960 AND POST-PART TUM HEALTH. 5717 03:53:14,960 --> 03:53:18,200 WE'RE INTERESTED IN PARTUM 5718 03:53:18,200 --> 03:53:21,880 HEALTH AND WE'RE NOT THE ONLY 5719 03:53:21,880 --> 03:53:22,640 INSTITUTE THAT FUNDS CHILDREN'S 5720 03:53:22,640 --> 03:53:23,560 HEALTH AND ALMOST ALL INSTITUTES 5721 03:53:23,560 --> 03:53:29,080 AND CENTERS HAVE SOME INTEREST 5722 03:53:29,080 --> 03:53:33,600 IN CHILDREN'S HEALTH WE FORMED A 5723 03:53:33,600 --> 03:53:36,360 COORDINATING COMMITTEE WHICH 5724 03:53:36,360 --> 03:53:39,000 BRINGS TOGETHER SENIOR 5725 03:53:39,000 --> 03:53:40,360 REPRESENTATIVES EVERY OTHER 5726 03:53:40,360 --> 03:53:44,960 MONTH REPRESENTING THEIR 5727 03:53:44,960 --> 03:53:48,800 PORTFOLIO IN CHILD HEALTH THE 5728 03:53:48,800 --> 03:53:51,800 HOME FOR THE NATIONAL CENTER FOR 5729 03:53:51,800 --> 03:53:52,360 NATIONAL REHABILITATION 5730 03:53:52,360 --> 03:53:52,760 RESEARCH. 5731 03:53:52,760 --> 03:53:55,720 BELIEVE IT OR NOT WE HAD NO 5732 03:53:55,720 --> 03:53:56,080 STRATEGIC PLAN. 5733 03:53:56,080 --> 03:53:58,640 CAN YOU IMAGINE RUNNING IT'S NOW 5734 03:53:58,640 --> 03:54:01,200 A $1.7 MILLION INSTITUTE. 5735 03:54:01,200 --> 03:54:02,480 CAN YOU IMAGINE RUNNING A 5736 03:54:02,480 --> 03:54:04,520 COMPANY OF THAT SIZE WITH NO 5737 03:54:04,520 --> 03:54:09,360 STRATEGIC PLAN. 5738 03:54:09,360 --> 03:54:11,080 THERE WAS NO STRATEGY PLAN FOR 5739 03:54:11,080 --> 03:54:16,520 AT LEAST 20 YEARS. 5740 03:54:16,520 --> 03:54:23,000 IN 2019 WE STARTED OUT WITH 270 5741 03:54:23,000 --> 03:54:25,800 DIFFERENT SCIENTIFIC TEAMS AND 5742 03:54:25,800 --> 03:54:29,120 EVENTUALLY WHITTLED IT DOWN TO 5743 03:54:29,120 --> 03:54:32,360 THESE FIVE UNDERSTANDING THE 5744 03:54:32,360 --> 03:54:38,440 CELLULAR STRUCTURAL DEVELOPMENT 5745 03:54:38,440 --> 03:54:42,080 OF REPRODUCTIVE HEALTH AND 5746 03:54:42,080 --> 03:54:44,280 THERE'S INTEREST IN FEMALE 5747 03:54:44,280 --> 03:54:47,880 REPRODUCTIVE HEALTH AND HAVE $30 5748 03:54:47,880 --> 03:54:50,640 MILLION IN MALE REPRODUCTIVE 5749 03:54:50,640 --> 03:54:54,120 HEALTH AND MALE CONTRACEPTION 5750 03:54:54,120 --> 03:54:55,160 AND ALL THINGS IN THAT PORTFOLIO 5751 03:54:55,160 --> 03:54:56,760 WHICH ARE VERY IMPORTANT AS 5752 03:54:56,760 --> 03:54:57,760 WELL. 5753 03:54:57,760 --> 03:55:01,240 I'LL TALK A LITTLE BIT ABOUT 5754 03:55:01,240 --> 03:55:01,960 PREGNANCY IS STRESS TESTIFIED 5755 03:55:01,960 --> 03:55:05,000 FOR LIFE LONG WELLNESS. 5756 03:55:05,000 --> 03:55:07,640 WE WANT PEOPLE WHO ARE BECOMING 5757 03:55:07,640 --> 03:55:10,480 PREGNANT TO ENTER PREGNANCY 5758 03:55:10,480 --> 03:55:11,640 HEALTHY AND KEEP THEM HEALTHY 5759 03:55:11,640 --> 03:55:15,880 THROUGHOUT THEIR LIFE SPAN. 5760 03:55:15,880 --> 03:55:19,920 WHEN WE DID A STRATEGIC PLAN WE 5761 03:55:19,920 --> 03:55:22,120 REALIZED THERE HADN'T BEEN A BIG 5762 03:55:22,120 --> 03:55:24,160 EMPHASIS ON ADOLESCENCE AND THE 5763 03:55:24,160 --> 03:55:27,640 TRANSITION FROM ADOLESCENCE TO 5764 03:55:27,640 --> 03:55:28,720 YOUNG ADULTHOOD. 5765 03:55:28,720 --> 03:55:29,560 THAT WAS A MAJOR ADDITION TO OUR 5766 03:55:29,560 --> 03:55:34,520 PORTFOLIO. 5767 03:55:34,520 --> 03:55:35,960 LASTLY WITH THE FOCUS ON OUR 5768 03:55:35,960 --> 03:55:37,000 TARGET POPULATIONS WE REALIZED 5769 03:55:37,000 --> 03:55:43,440 THERE WAS A GAP IN TERMS OF 5770 03:55:43,440 --> 03:55:44,360 REALLY SHOWING VARIOUS 5771 03:55:44,360 --> 03:55:45,160 THERAPEUTICS AND DEVICES WERE 5772 03:55:45,160 --> 03:55:47,240 SAFE TO USE IN PREGNANT PEOPLE 5773 03:55:47,240 --> 03:55:49,360 AND CHILDREN AND PEOPLE WITH 5774 03:55:49,360 --> 03:55:49,680 DISABILITIES. 5775 03:55:49,680 --> 03:55:52,480 I'LL TALK ABOUT THAT A LITTLE 5776 03:55:52,480 --> 03:55:55,320 BIT AT THE END. 5777 03:55:55,320 --> 03:55:57,200 THE BULK OF THE TALK IS ABOUT 5778 03:55:57,200 --> 03:55:59,680 THE IMPROVE INITIATIVE 5779 03:55:59,680 --> 03:56:01,480 IMPLEMENTING A MATERNAL HEALTH 5780 03:56:01,480 --> 03:56:04,600 AND PREGNANCY OUTCOMES VISION 5781 03:56:04,600 --> 03:56:11,400 FOR EVERYONE. 5782 03:56:11,400 --> 03:56:12,840 IT SAYS 32 INSTITUTES AND 5783 03:56:12,840 --> 03:56:14,640 CENTERS AND OFFICES ARE 5784 03:56:14,640 --> 03:56:14,880 INVOLVED. 5785 03:56:14,880 --> 03:56:16,800 IT'S TRULY NIH WIDE BUT THE BULK 5786 03:56:16,800 --> 03:56:19,840 OF THE WORK IS DONE BY OUR 5787 03:56:19,840 --> 03:56:22,880 WONDERFUL STAFF AT NICHD AND 5788 03:56:22,880 --> 03:56:25,240 NINR AND THE OFFICE OF RESEARCH 5789 03:56:25,240 --> 03:56:25,960 ON WOMEN'S HEALTH. 5790 03:56:25,960 --> 03:56:30,520 AND IT'S A LITTLE CONFUSING 5791 03:56:30,520 --> 03:56:32,320 BECAUSE THERE'S MOVING PARTS BUT 5792 03:56:32,320 --> 03:56:34,800 IF YOU KEEP THE DONUT PUZZLE 5793 03:56:34,800 --> 03:56:35,960 GRAPHIC IN MIND I'LL GO THROUGH 5794 03:56:35,960 --> 03:56:37,480 EACH OF THESE PIECES. 5795 03:56:37,480 --> 03:56:40,360 I DON'T THINK I NEED TO TELL 5796 03:56:40,360 --> 03:56:43,960 ANYBODY IN THE AUDIENCE WE ARE 5797 03:56:43,960 --> 03:56:45,600 FACING A PUBLIC HEALTH CRISIS IN 5798 03:56:45,600 --> 03:56:47,000 MATERNAL MORBIDITY AND MORTALITY 5799 03:56:47,000 --> 03:56:49,320 WHERE MOST THE DEVELOPED WORLD 5800 03:56:49,320 --> 03:56:52,360 IS DECREASING RATES OF MATERNAL 5801 03:56:52,360 --> 03:56:53,880 MORBIDITY AND MORTALITY, THE 5802 03:56:53,880 --> 03:56:55,960 U.S. IS INCREASING. 5803 03:56:55,960 --> 03:56:57,720 AND IT'S PARTICULARLY TRAGIC 5804 03:56:57,720 --> 03:57:00,480 GIVEN OUR RESOURCES AND THE FACT 5805 03:57:00,480 --> 03:57:03,600 THAT 84% OF PREGNANCY-RELATED 5806 03:57:03,600 --> 03:57:07,200 DEATHS ARE PREVENTIBLE AND IT'S 5807 03:57:07,200 --> 03:57:08,360 EVEN HIGHER IN PEOPLE OF 5808 03:57:08,360 --> 03:57:10,080 AMERICAN INDIAN AND ALASKAN 5809 03:57:10,080 --> 03:57:10,760 NATIVE BACKGROUNDS. 5810 03:57:10,760 --> 03:57:18,320 SO WE NEED TO DO SOMETHING AND 5811 03:57:18,320 --> 03:57:19,560 WE'RE PASSIONATE ABOUT THIS. 5812 03:57:19,560 --> 03:57:22,640 THE CAUSES OF PREGNANCY RELATES 5813 03:57:22,640 --> 03:57:26,320 DEATHS VARY ACCORDING TO THE 5814 03:57:26,320 --> 03:57:27,000 BACKGROUND. 5815 03:57:27,000 --> 03:57:29,720 POSTPARTUM HEMORRHAGE IS THE 5816 03:57:29,720 --> 03:57:31,080 LEADING CAUSE OF DEATH OF PEOPLE 5817 03:57:31,080 --> 03:57:34,280 OF ASIAN BACKGROUNDS AND PEOPLE 5818 03:57:34,280 --> 03:57:36,240 WHO ARE BLACK OR AFRICAN 5819 03:57:36,240 --> 03:57:37,520 AMERICAN, CARDIOVASCULAR 5820 03:57:37,520 --> 03:57:40,320 COMPLICATIONS EITHER RELATED TO 5821 03:57:40,320 --> 03:57:42,960 HYPERTENSION, PRE-ECLAMPSIA 5822 03:57:42,960 --> 03:57:47,240 DURING PREGNANCY OR POSTPARTUM 5823 03:57:47,240 --> 03:57:48,360 CARDIO MYOPATHY HAVE THE HIGHEST 5824 03:57:48,360 --> 03:57:51,000 CAUSES OF DEATH AND OTHER 5825 03:57:51,000 --> 03:57:51,600 BACKGROUNDS MENTAL HEALTH AND 5826 03:57:51,600 --> 03:58:01,240 INFECTION. 5827 03:58:01,240 --> 03:58:03,480 THE LAST YEAR STATISTICS WERE 5828 03:58:03,480 --> 03:58:06,520 AVAILABLE IS OVER 1200 MATERNAL 5829 03:58:06,520 --> 03:58:06,760 DEATHS. 5830 03:58:06,760 --> 03:58:07,600 WHAT MANY MAY NOT REALIZE IF 5831 03:58:07,600 --> 03:58:11,240 YOU'RE NOT WORKING IN THIS AREA 5832 03:58:11,240 --> 03:58:14,360 IS THE MAJORITY OF THE DEATHS 5833 03:58:14,360 --> 03:58:22,280 ARE OCCURRING POSTPARTUM. 5834 03:58:22,280 --> 03:58:26,800 I'M A NEONATOLOGIST AND I'VE 5835 03:58:26,800 --> 03:58:28,680 BEEN IN THE ROOM WHERE THERE'S 5836 03:58:28,680 --> 03:58:30,000 MEDICAL ISSUES ONGOING BUT IF 5837 03:58:30,000 --> 03:58:32,360 YOU LOOK AT THE STATISTICS, 65% 5838 03:58:32,360 --> 03:58:34,880 OF MATERNAL DEATH ARE NOW 5839 03:58:34,880 --> 03:58:37,080 OCCURRING BETWEEN ONE DAY AND A 5840 03:58:37,080 --> 03:58:39,360 YEAR POSTPARTUM. 5841 03:58:39,360 --> 03:58:41,200 THIS PROVIDES AN OPPORTUNITY TO 5842 03:58:41,200 --> 03:58:51,920 REALLY TARGET THAT TIME PERIOD. 5843 03:58:51,920 --> 03:58:55,520 I'LL USE WOMEN AND PEOPLE 5844 03:58:55,520 --> 03:58:56,200 INTERCHANGEABLY RECOGNIZING NOTE 5845 03:58:56,200 --> 03:58:56,800 ALL PEOPLE GIVING BIRTH ARE 5846 03:58:56,800 --> 03:59:05,240 PEOPLE WHO IDENTIFY AS WOMEN. 5847 03:59:05,240 --> 03:59:08,200 PEOPLE WHO HAVE GIVEN BIRTH ARE 5848 03:59:08,200 --> 03:59:09,120 TYPICALLY UNDER STATE MEDICAID 5849 03:59:09,120 --> 03:59:10,880 PROGRAMS WERE GIVEN UP TO SIX 5850 03:59:10,880 --> 03:59:12,520 WEEKS OF POSTPARTUM CARE. 5851 03:59:12,520 --> 03:59:13,920 FORTUNATELY, THAT'S CHANGING 5852 03:59:13,920 --> 03:59:14,080 NOW. 5853 03:59:14,080 --> 03:59:18,840 I THINK UP TO 38 STATES HAVE NOW 5854 03:59:18,840 --> 03:59:21,280 EXTENDED THE COVERAGE OF 5855 03:59:21,280 --> 03:59:26,360 MEDICAID TO 12 MONTHS 5856 03:59:26,360 --> 03:59:26,840 POSTPARTUM. 5857 03:59:26,840 --> 03:59:37,360 THAT'S VERY IMPORTANT IF YOU 5858 03:59:39,320 --> 03:59:41,960 LOOK AT THE COUNTIES COLORED IN 5859 03:59:41,960 --> 03:59:45,000 RED THESE ARE AREAS WHERE THERE 5860 03:59:45,000 --> 03:59:52,200 IS NO OBSTETRICAL CARE. 5861 03:59:52,200 --> 03:59:53,920 THERE'S MORE THAN 12 MONTH WOMEN 5862 03:59:53,920 --> 03:59:56,360 THAT HAVE NO OBSTETRICAL CARE 5863 03:59:56,360 --> 04:00:00,360 AND THIS IS INCREASING. 5864 04:00:00,360 --> 04:00:01,560 IT'S ABOUT 7 MILLION WOMEN THAT 5865 04:00:01,560 --> 04:00:03,320 LIVE IN. 5866 04:00:03,320 --> 04:00:07,200 COUNTIES WITH LOW OBSTETRICAL 5867 04:00:07,200 --> 04:00:09,240 CARE ACCESS AND WHERE IT'S 5868 04:00:09,240 --> 04:00:11,560 LARGED IS LARGELY MIDDLE OF THE 5869 04:00:11,560 --> 04:00:12,320 COUNTRY AND SOUTH AND UPPER 5870 04:00:12,320 --> 04:00:16,040 WEST. 5871 04:00:16,040 --> 04:00:22,640 THERE WAS A RECENT ARTICLE IN 5872 04:00:22,640 --> 04:00:26,000 THE NEW YORK TIMES ABOUT THE 5873 04:00:26,000 --> 04:00:28,040 CRISIS AND STATE OF IDAHO WHERE 5874 04:00:28,040 --> 04:00:29,640 POLITICAL ISSUES HAVE AFFECTED 5875 04:00:29,640 --> 04:00:34,000 THE ABILITY OF OBSTETRICIANS TO 5876 04:00:34,000 --> 04:00:36,080 PRACTICE THEIR CARE AND THIS 5877 04:00:36,080 --> 04:00:39,680 PARTICULAR ARTICLE STATED FIVE 5878 04:00:39,680 --> 04:00:44,440 OF THE NINE MATERNAL FETAL 5879 04:00:44,440 --> 04:00:46,680 SPECIALIST HAVE LEFT THE STATE 5880 04:00:46,680 --> 04:00:49,560 AND MORE ARE CONTEMPLATING 5881 04:00:49,560 --> 04:00:52,320 LEAVING AS WELL. 5882 04:00:52,320 --> 04:00:55,520 IT'S GOING TO MAKE THE CRISIS 5883 04:00:55,520 --> 04:00:57,200 WORSE AND I'M CONFIDENT THERE 5884 04:00:57,200 --> 04:00:58,920 WILL BE AN INCREASE AND WE'LL 5885 04:00:58,920 --> 04:01:00,640 SEE THIS MAP NEXT YEAR AND IT 5886 04:01:00,640 --> 04:01:04,360 WILL CONTINUE TO GET MORE AND 5887 04:01:04,360 --> 04:01:09,640 MORE RED. 5888 04:01:09,640 --> 04:01:12,000 WE HAVE INITIATED WITH THE 5889 04:01:12,000 --> 04:01:13,720 SUPPORT OF CONGRESS AN NIH WIDE 5890 04:01:13,720 --> 04:01:16,560 EFFORT TO REDUCE PREVENTIBLE 5891 04:01:16,560 --> 04:01:20,000 CAUSES OF MATERNAL MORBIDITY AND 5892 04:01:20,000 --> 04:01:21,800 MORTALITY AND ADDRESS 5893 04:01:21,800 --> 04:01:25,240 DISPARITIES IN MATERNAL HEALTH 5894 04:01:25,240 --> 04:01:25,600 OUTCOMES. 5895 04:01:25,600 --> 04:01:27,280 THE PROBLEM IS THERE'S 5896 04:01:27,280 --> 04:01:29,640 DIFFERENCES IN THE PREVENTIBLE 5897 04:01:29,640 --> 04:01:32,000 DEATHS BUT CERTAIN POPULATIONS 5898 04:01:32,000 --> 04:01:33,080 LIKE BLACK AND AFRICAN AMERICAN 5899 04:01:33,080 --> 04:01:37,920 WOMEN HAVE THREE TO FOUR TIMES 5900 04:01:37,920 --> 04:01:39,720 HIGHER RATES OF DEATH. 5901 04:01:39,720 --> 04:01:41,000 AMERICAN INDIAN AND ALASKAN 5902 04:01:41,000 --> 04:01:43,240 NATIVE WOMEN THREE TO THREE 5903 04:01:43,240 --> 04:01:44,160 TIMES INCREASE IN MATERNAL 5904 04:01:44,160 --> 04:01:45,000 DEATHS. 5905 04:01:45,000 --> 04:01:50,000 WE NEED TO DO SOMETHING. 5906 04:01:50,000 --> 04:01:53,280 SO OUR APPROACH HAS EMPHASIZED 5907 04:01:53,280 --> 04:01:56,400 IMPLEMENTATION RESEARCH AND 5908 04:01:56,400 --> 04:02:00,320 COMMUNITY-BASED RESEARCH. 5909 04:02:00,320 --> 04:02:07,520 WE WANT TO EXPAND MATERNAL 5910 04:02:07,520 --> 04:02:09,680 HEALTH CARE PRACTICES BEFORE AND 5911 04:02:09,680 --> 04:02:12,960 DURING THE PRACTICE AND WE'RE 5912 04:02:12,960 --> 04:02:13,560 BUILDING RESEARCH CAPACITY IN 5913 04:02:13,560 --> 04:02:21,400 COMMUNITY-BASED ORGANIZATIONS. 5914 04:02:21,400 --> 04:02:24,680 THE COMMUNITIES KNOW THEIR LOCAL 5915 04:02:24,680 --> 04:02:27,640 CULTURE AND WHAT THEY NEED AND 5916 04:02:27,640 --> 04:02:29,280 IT WILL BE DIFFERENT IN 5917 04:02:29,280 --> 04:02:30,640 DIFFERENT PARTS OF THE COMMUNITY 5918 04:02:30,640 --> 04:02:32,320 AND EMPOWERS THE COMMUNITY TO 5919 04:02:32,320 --> 04:02:34,800 ASSIST IN AREAS WHERE THERE ARE 5920 04:02:34,800 --> 04:02:38,680 NO OBSTETRICIANS AVAILABLE. 5921 04:02:38,680 --> 04:02:40,880 WE'RE ALSO ADDRESSING THE 5922 04:02:40,880 --> 04:02:43,560 MATERNAL CARE DESERT ISSUE BY 5923 04:02:43,560 --> 04:02:48,360 PROMOTING ACCESS TO MATERNAL 5924 04:02:48,360 --> 04:02:49,880 HEALTH CARE TECHNOLOGY. 5925 04:02:49,880 --> 04:02:51,800 WE'RE ALSO USING ELECTRONIC 5926 04:02:51,800 --> 04:02:53,240 HEALTH RECORDS TO DO REAL-WORLD 5927 04:02:53,240 --> 04:02:54,560 RESEARCH AND IF YOU WANT TO 5928 04:02:54,560 --> 04:02:58,120 LEARN MORE, YOU CAN GO TO THIS 5929 04:02:58,120 --> 04:03:00,360 LINK OR JUST TYPE IN NIH IMPROVE 5930 04:03:00,360 --> 04:03:08,000 AND GOOGLE. 5931 04:03:08,000 --> 04:03:11,600 I'M NOT SURE DR. ZENK SHARED THE 5932 04:03:11,600 --> 04:03:14,720 TERM TIN CUPPING BUT IT'S COMMON 5933 04:03:14,720 --> 04:03:17,160 WHEN WE ASK FOR SUPPORT FOR 5934 04:03:17,160 --> 04:03:19,560 PROGRAMS THAT HAVE NOT REALLY 5935 04:03:19,560 --> 04:03:21,680 GOTTEN A SPECIAL APPROPRIATION 5936 04:03:21,680 --> 04:03:22,360 FROM CONGRESS. 5937 04:03:22,360 --> 04:03:24,560 SO BACK IN DECEMBER, 2019, 5938 04:03:24,560 --> 04:03:28,120 BEFORE DR. ZENK GOT HERE, A 5939 04:03:28,120 --> 04:03:30,760 NUMBER OF US WENT TO MEET WITH 5940 04:03:30,760 --> 04:03:32,840 THE BLACK MATERNAL HEALTH CAUCUS 5941 04:03:32,840 --> 04:03:34,880 AND THEY BASICALLY SHAMED US AND 5942 04:03:34,880 --> 04:03:36,320 SAID, WHAT ARE YOU DOING? 5943 04:03:36,320 --> 04:03:39,080 YOU'RE NOT PAYING ENOUGH 5944 04:03:39,080 --> 04:03:41,520 ATTENTION TO THIS PROBLEM. 5945 04:03:41,520 --> 04:03:43,280 YOU NEED TO ADDRESS THE RISING 5946 04:03:43,280 --> 04:03:45,040 RATES OF MATERNAL MORTALITY. 5947 04:03:45,040 --> 04:03:46,880 AT THE TIME DR. COLLINS TURNED 5948 04:03:46,880 --> 04:03:51,960 TO US AND SAID, WHAT ARE WE 5949 04:03:51,960 --> 04:03:53,240 GOING TO DO ABOUT THIS? 5950 04:03:53,240 --> 04:03:56,280 THIS WAS JUST BEFORE THE 5951 04:03:56,280 --> 04:03:58,760 PANDEMIC SO WE BEGAN TO ORGANIZE 5952 04:03:58,760 --> 04:04:01,200 OUR EFFORTS AROUND WHAT WE KNEW 5953 04:04:01,200 --> 04:04:06,000 THEN AS THE PRIMARY CAUSES OF 5954 04:04:06,000 --> 04:04:10,000 MATERNAL MORBID AND MORTALITY 5955 04:04:10,000 --> 04:04:11,080 INCLUDING CARDIOVASCULAR ISSUE, 5956 04:04:11,080 --> 04:04:13,480 RACISM AND POSTPARTUM 5957 04:04:13,480 --> 04:04:14,720 DEPRESSION, FOR EXAMPLE AND WITH 5958 04:04:14,720 --> 04:04:16,800 TIN CUPPING AND THE SUPPORT FROM 5959 04:04:16,800 --> 04:04:20,200 THE OFFICE OF THE DIRECTOR WE 5960 04:04:20,200 --> 04:04:22,200 PULLED TOGETHER $7 MILLION TO 5961 04:04:22,200 --> 04:04:24,360 SUPPORT 36 PROJECTS MAINLY 5962 04:04:24,360 --> 04:04:25,440 SUPPLEMENTS AT THE TIME. 5963 04:04:25,440 --> 04:04:27,680 IN THE NEXT FISCAL YEAR WE WERE 5964 04:04:27,680 --> 04:04:29,000 ALREADY BEGINNING TO SEE THE 5965 04:04:29,000 --> 04:04:37,640 DEVASTATING AFFECT OF PREGNANCY. 5966 04:04:37,640 --> 04:04:40,480 ON WOMEN WITH COVID-19 INFECTION 5967 04:04:40,480 --> 04:04:43,200 AND PEOPLE INFECTED HAD HIGHER 5968 04:04:43,200 --> 04:04:44,600 RATES OF COMPLICATION AS WELL AS 5969 04:04:44,600 --> 04:04:44,800 DEATH. 5970 04:04:44,800 --> 04:04:47,240 WE THEN DECIDED WE NEEDED TO 5971 04:04:47,240 --> 04:04:49,520 FOCUS ON THE EFFECTS OF COVID-19 5972 04:04:49,520 --> 04:04:51,400 AND CONTINUE TO EVALUATE THE 5973 04:04:51,400 --> 04:04:53,240 IMPACT OF STRUCTURAL RACISM AND 5974 04:04:53,240 --> 04:04:56,440 IN THAT YEAR WE WERE ABLE TO 5975 04:04:56,440 --> 04:04:57,960 AWARD $13 MILLION. 5976 04:04:57,960 --> 04:05:00,360 WHEN I SAY WE, IT'S ACROSS 5977 04:05:00,360 --> 04:05:02,920 MULTIPLE INSTITUTES AND CENTERS 5978 04:05:02,920 --> 04:05:04,040 FOR 22 PROJECTS. 5979 04:05:04,040 --> 04:05:07,240 CONGRESS TOOK NOTICE AND WE'RE 5980 04:05:07,240 --> 04:05:11,040 VERY GRATEFUL FOR THEIR SUPPORT. 5981 04:05:11,040 --> 04:05:13,040 STARTING IN FISCAL YEAR '22 AND 5982 04:05:13,040 --> 04:05:14,280 THE CURRENT FISCAL YEAR THEY 5983 04:05:14,280 --> 04:05:15,560 GAVE US TARGETED APPROPRIATION 5984 04:05:15,560 --> 04:05:22,760 OF $30 MILLION FOR THE IMPROVE 5985 04:05:22,760 --> 04:05:23,080 INITIATIVE. 5986 04:05:23,080 --> 04:05:28,160 SO OVER THAT TIME WE'VE LOOKED 5987 04:05:28,160 --> 04:05:30,560 AT AN INTEGRATED PROGRAM WITH 5988 04:05:30,560 --> 04:05:32,120 SIX COMPONENT PARTS INCLUDING 5989 04:05:32,120 --> 04:05:36,000 THE CONNECTATHON. 5990 04:05:36,000 --> 04:05:40,360 THE REAL WORLD ELECTRONIC HEALTH 5991 04:05:40,360 --> 04:05:42,680 RECORD RESEARCH WHERE WE KCAN 5992 04:05:42,680 --> 04:05:46,520 WHERE WE CAN LOOK AT THE WAY 5993 04:05:46,520 --> 04:05:51,840 MEDICATIONS WERE GIVEN AND BEGIN 5994 04:05:51,840 --> 04:05:55,120 TO DETERMINE STANDARDS FOR 5995 04:05:55,120 --> 04:05:57,560 TREATMENT AND DISSEMINATION AND 5996 04:05:57,560 --> 04:05:59,240 IMPLEMENTATION NOTICES OF 5997 04:05:59,240 --> 04:06:01,480 SPECIAL INTEREST AND WE'RE 5998 04:06:01,480 --> 04:06:03,960 FUNDING THE CREATIVE FUNDING 5999 04:06:03,960 --> 04:06:09,080 OPPORTUNITIES FOR IMPLEMENTATION 6000 04:06:09,080 --> 04:06:13,360 SCIENCE SO WE CAN TAKE PRACTICES 6001 04:06:13,360 --> 04:06:15,840 THAT IMPROVE CARE AND LOOK AT 6002 04:06:15,840 --> 04:06:18,160 THEM IN LARGER POPULATIONS, FOR 6003 04:06:18,160 --> 04:06:19,080 EXAMPLE. 6004 04:06:19,080 --> 04:06:21,160 THE RADDEX TECH FOR MATERNAL 6005 04:06:21,160 --> 04:06:28,080 HEALTH USING THE SHARK TANK 6006 04:06:28,080 --> 04:06:29,320 APPROACH AND LOOKING AT 6007 04:06:29,320 --> 04:06:31,360 TECHNOLOGY FOR COVID AND HAVING 6008 04:06:31,360 --> 04:06:37,440 A GROUP OF JUDGE EVALUATE THE 6009 04:06:37,440 --> 04:06:38,200 TECHNOLOGY FOR THEIR 6010 04:06:38,200 --> 04:06:40,200 IMPLEMENTATION PARTICULARLY IN 6011 04:06:40,200 --> 04:06:41,400 MATERNAL CARE DESERTS. 6012 04:06:41,400 --> 04:06:43,800 WE HAD A CHALLENGE CALLED 6013 04:06:43,800 --> 04:06:44,760 CONNECTING THE COMMUNITY FOR 6014 04:06:44,760 --> 04:06:45,960 MATERNAL HEALTH. 6015 04:06:45,960 --> 04:06:51,280 THIS IS A PROGRAM TO BUILD 6016 04:06:51,280 --> 04:06:52,960 CAPACITY COMMUNITIES AND 6017 04:06:52,960 --> 04:06:55,440 INFRASTRUCTURE AND ANOTHER 6018 04:06:55,440 --> 04:06:57,360 CALLED THE COMMUNITY 6019 04:06:57,360 --> 04:06:59,040 IMPLEMENTATION PROGRAM WHICH 6020 04:06:59,040 --> 04:07:01,160 ENABLES ADOPTION AND INTEGRATION 6021 04:07:01,160 --> 04:07:03,040 OF INTERVENTIONS EFFECTIVE IN 6022 04:07:03,040 --> 04:07:04,320 COMMUNITY SETTINGS. 6023 04:07:04,320 --> 04:07:06,200 THIS IS BASED ON THE PRIOR 6024 04:07:06,200 --> 04:07:06,720 RELATIONSHIPS IN THOSE 6025 04:07:06,720 --> 04:07:11,720 COMMUNITIES. 6026 04:07:11,720 --> 04:07:13,840 AND WE'VE ANNOUNCED THE CENTERS 6027 04:07:13,840 --> 04:07:15,000 OF EXCELLENCE. 6028 04:07:15,000 --> 04:07:16,400 THIS IS A NATIONAL NETWORK I'LL 6029 04:07:16,400 --> 04:07:21,560 DESCRIBE IN MORE DETAIL. 6030 04:07:21,560 --> 04:07:27,160 SO VERY BRIEFLY GOING THROUGH 6031 04:07:27,160 --> 04:07:32,320 AND HOW DO WE REACH THE WOMAN 6032 04:07:32,320 --> 04:07:35,360 OUT THERE IN SOUTH DAKOTA WHO 6033 04:07:35,360 --> 04:07:37,120 HAS A PROBLEM WITH NOWHERE TO GO 6034 04:07:37,120 --> 04:07:39,840 AND HAS A THREE-HOUR DRIVE TO 6035 04:07:39,840 --> 04:07:41,600 REACH A CENTER CAPABLE OF TAKING 6036 04:07:41,600 --> 04:07:42,120 CARE OF HER? 6037 04:07:42,120 --> 04:07:50,600 THE CHALLENGE IS BRINGING IN 6038 04:07:50,600 --> 04:07:52,000 COMPANIES THAT MAY NOT HAVE BEEN 6039 04:07:52,000 --> 04:07:54,600 ACTIVE IN THIS SPACE AND ASKING 6040 04:07:54,600 --> 04:07:55,600 THEM TO WEAR POINT OF CARE 6041 04:07:55,600 --> 04:07:57,640 TECHNOLOGIES TO FOCUS ON A 6042 04:07:57,640 --> 04:07:57,880 PROBLEM. 6043 04:07:57,880 --> 04:07:59,240 HERE WE FOCUS ON THE POSTPARTUM 6044 04:07:59,240 --> 04:08:00,840 PERIOD FOR TWO PERIODS. 6045 04:08:00,840 --> 04:08:02,640 ONE IS BECAUSE THAT'S WHERE THE 6046 04:08:02,640 --> 04:08:04,520 MAJORITY OF DEATHS ARE OCCURRING 6047 04:08:04,520 --> 04:08:07,200 BUT IT'S ALSO MUCH EASIER TO 6048 04:08:07,200 --> 04:08:08,240 COMMERCIALIZE TECHNOLOGIES THAT 6049 04:08:08,240 --> 04:08:12,200 ARE GIVEN TO POSTPARTUM PEOPLE 6050 04:08:12,200 --> 04:08:13,360 RATHER THAN TO PREGNANT PEOPLE 6051 04:08:13,360 --> 04:08:15,600 WHERE THE TECHNOLOGIES WOULD 6052 04:08:15,600 --> 04:08:19,120 UNDER GO MORE SCRUTINY. 6053 04:08:19,120 --> 04:08:22,440 WE'VE AWARDED UP TO $8 MILLION 6054 04:08:22,440 --> 04:08:22,840 IN PRIZES. 6055 04:08:22,840 --> 04:08:24,200 THERE'S DIFFERENT PHASES. 6056 04:08:24,200 --> 04:08:26,520 WE'RE NOW DOWN TO THE TOP 10. 6057 04:08:26,520 --> 04:08:36,320 AND JUST TO GIVE YOU AN EXAMPLE 6058 04:08:36,320 --> 04:08:46,840 AND THERE'LL AND MONITOR AND 6059 04:08:58,720 --> 04:09:00,920 THERE ARE MENTAL HEALTH CHECKS, 6060 04:09:00,920 --> 04:09:02,960 FOR EXAMPLE, WHERE PARTICIPANTS 6061 04:09:02,960 --> 04:09:06,320 ARE NOW ANSWERING QUESTIONNAIRES 6062 04:09:06,320 --> 04:09:07,640 ON THEIR SMARTPHONE AND THERE'S 6063 04:09:07,640 --> 04:09:09,880 ARTIFICIAL INTELLIGENCE THAT IS 6064 04:09:09,880 --> 04:09:11,280 GOING TO DETERMINE WHETHER 6065 04:09:11,280 --> 04:09:14,920 THEY'RE AT RISK OR NOT FOR 6066 04:09:14,920 --> 04:09:16,160 SUICIDE AND POSTPARTUM 6067 04:09:16,160 --> 04:09:18,280 DEPRESSION, ETCETERA. 6068 04:09:18,280 --> 04:09:22,360 WITH THE COMMUNITY FOR MATERNAL 6069 04:09:22,360 --> 04:09:24,840 HEALTH CHALLENGE, SO WE THOUGHT 6070 04:09:24,840 --> 04:09:26,960 ABOUT THIS BECAUSE PRIOR TO THE 6071 04:09:26,960 --> 04:09:28,520 IMPROVE INITIATIVE WE MET WITH A 6072 04:09:28,520 --> 04:09:32,360 NUMBER OF THE LOCAL MATERNAL 6073 04:09:32,360 --> 04:09:35,320 HEALTH ORGANIZATIONS SHOWN IN 6074 04:09:35,320 --> 04:09:36,360 THE PHOTOGRAPH THERE. 6075 04:09:36,360 --> 04:09:38,920 THE IDEA WAS HOW DO WE SUPPORT 6076 04:09:38,920 --> 04:09:40,200 THE COMMUNITY-BASED 6077 04:09:40,200 --> 04:09:44,320 ORGANIZATIONS THAT HAVE NEVER 6078 04:09:44,320 --> 04:09:48,160 GET -- WRITTEN A GRANT 6079 04:09:48,160 --> 04:09:50,040 APPLICATION AND PART OF THE 6080 04:09:50,040 --> 04:09:52,320 SUPPORT WAS NOT ONLY GIVING 6081 04:09:52,320 --> 04:09:54,640 MONEY TO THESE ORGANIZATIONS AND 6082 04:09:54,640 --> 04:09:55,280 PROVIDING MENTORING AND 6083 04:09:55,280 --> 04:09:56,360 ASSISTANCE WITH WRITING 6084 04:09:56,360 --> 04:10:02,480 PROPOSALS. 6085 04:10:02,480 --> 04:10:04,000 WE'RE NOW IN THE FINAL RESEARCH 6086 04:10:04,000 --> 04:10:05,240 PHASE AND THEY'RE CONDUCTING 6087 04:10:05,240 --> 04:10:07,360 THEIR PROPOSED RESEARCH AND WILL 6088 04:10:07,360 --> 04:10:09,000 REPORT BACK THEIR RESULTS AND 6089 04:10:09,000 --> 04:10:11,800 HAVE A YEAR TO DO THAT SO WE 6090 04:10:11,800 --> 04:10:12,520 WILL REPORT BACK THE WINNERS 6091 04:10:12,520 --> 04:10:22,480 NEXT SEPTEMBER. 6092 04:10:22,480 --> 04:10:24,920 HERE TAY ARE FOCUSSING ON 6093 04:10:24,920 --> 04:10:29,920 NUTRITION AND FOCUSSING ON 6094 04:10:29,920 --> 04:10:35,600 SEVERAL OF THE GRANTS LOOKING AT 6095 04:10:35,600 --> 04:10:38,320 DOULA AND NON-PHYSICIAN CARE IN 6096 04:10:38,320 --> 04:10:38,840 THE COMMUNITY. 6097 04:10:38,840 --> 04:10:41,760 LOOKING AT POSTPARTUM, 6098 04:10:41,760 --> 04:10:43,760 DEPRESSION, ETCETERA. 6099 04:10:43,760 --> 04:10:46,800 THEN THERE'S THE IMPROVE SIP 6100 04:10:46,800 --> 04:10:48,680 LOOKING AT COMMUNITY-INFORMED 6101 04:10:48,680 --> 04:10:50,720 AND COMMUNITY-ENGAGED 6102 04:10:50,720 --> 04:10:52,320 IMPLEMENTATION STRATEGIES. 6103 04:10:52,320 --> 04:10:56,920 THOSE AWARDEES INCLUDE THESE 6104 04:10:56,920 --> 04:10:59,120 THREE INSTITUTIONS ALSO LOOKING 6105 04:10:59,120 --> 04:11:08,360 AT DOULAs WITH UNDER REPRESENTED 6106 04:11:08,360 --> 04:11:12,280 COMMUNITIES. 6107 04:11:12,280 --> 04:11:19,480 THERE'S A WINNEBAGO TRIBE IN 6108 04:11:19,480 --> 04:11:23,680 NEBRASKA LOOKING AT AND IT'S 6109 04:11:23,680 --> 04:11:24,360 FOCUSSED MORE ON CARDIOVASCULAR 6110 04:11:24,360 --> 04:11:28,480 COMPLICATIONS. 6111 04:11:28,480 --> 04:11:32,320 THE CENTERS OF EXCELLENCE WE 6112 04:11:32,320 --> 04:11:40,360 JUST ANNOUNCED LAST MONTH AND 6113 04:11:40,360 --> 04:11:44,040 THESE ARE ESSENTIALLY HUBS THAT 6114 04:11:44,040 --> 04:11:47,280 ARE BEING TESTED IN PARTS OF THE 6115 04:11:47,280 --> 04:11:47,520 IMPROVE. 6116 04:11:47,520 --> 04:11:52,560 WE HAVE 10 INSTITUTIONS YOU CAN 6117 04:11:52,560 --> 04:11:56,840 SEE HERE. 6118 04:11:56,840 --> 04:11:58,760 THERE ARE TWO NERVE CENTERS ONE 6119 04:11:58,760 --> 04:12:00,600 IS AT JOHNS HOPKINS A DATA 6120 04:12:00,600 --> 04:12:01,880 INNOVATION AND COORDINATING HUB 6121 04:12:01,880 --> 04:12:04,240 AND ONE IS THE UNIVERSITY OF 6122 04:12:04,240 --> 04:12:06,560 PENNSYLVANIA THAT IS IN 6123 04:12:06,560 --> 04:12:07,840 IMPLEMENTATION SCIENCE HUB. 6124 04:12:07,840 --> 04:12:09,800 THE VISION IS ANY OF THE PARTS 6125 04:12:09,800 --> 04:12:12,320 OF IMPROVE CAN WORK WITH THE 6126 04:12:12,320 --> 04:12:15,640 HUBS USE THE RESOURCES OF THE 6127 04:12:15,640 --> 04:12:20,360 HUBS TO MAKE THE SUM GREATER 6128 04:12:20,360 --> 04:12:26,480 THAN ITS INDIVIDUAL PARTS. 6129 04:12:26,480 --> 04:12:28,680 AND THE INTENT HAS BEEN TO 6130 04:12:28,680 --> 04:12:30,480 STRETCH OUT TO AS MANY 6131 04:12:30,480 --> 04:12:31,120 POPULATIONS AND MANY PARTS OF 6132 04:12:31,120 --> 04:12:41,320 THE COUNTRY. 6133 04:12:43,600 --> 04:12:47,600 AND DIFFERENT TIME POINTS AND 6134 04:12:47,600 --> 04:12:48,520 LOOK AT POPULATIONS. 6135 04:12:48,520 --> 04:12:51,200 WE'RE LOOKING AT COMMUNITY 6136 04:12:51,200 --> 04:12:55,680 HEALTH WORKERS HOME VISITING 6137 04:12:55,680 --> 04:12:56,840 PROGRAMS INTEGRATED CARE MODELS, 6138 04:12:56,840 --> 04:12:59,400 ETCETERA AND ON THE LOWER RIGHT 6139 04:12:59,400 --> 04:13:00,320 WE'RE LOOKING AT SOCIAL 6140 04:13:00,320 --> 04:13:02,640 DETERMINATES OF HEALTH. 6141 04:13:02,640 --> 04:13:05,680 WHAT IS THE AFFECT OF HOUSING 6142 04:13:05,680 --> 04:13:07,440 STABILITY ON PREGNANCY OUTCOMES 6143 04:13:07,440 --> 04:13:13,080 AND INTIMATE PARTNER VIOLENCE, 6144 04:13:13,080 --> 04:13:19,760 ACCESS TO CARE AND WE HEARD WITH 6145 04:13:19,760 --> 04:13:25,640 THE NAVAJO POPULATION IN ARIZONA 6146 04:13:25,640 --> 04:13:28,280 WE'RE TALKING WITH THEM ABOUT 6147 04:13:28,280 --> 04:13:29,440 WHAT ARE YOUR BIGGEST CONCERNS. 6148 04:13:29,440 --> 04:13:33,800 I'VE NEVER BEEN ON A NAVAJO 6149 04:13:33,800 --> 04:13:34,080 RESERVATION. 6150 04:13:34,080 --> 04:13:35,320 I WOULD HAVE OUT THE IT'S BEEN 6151 04:13:35,320 --> 04:13:40,320 ACCESS TO CARE BUT IT'S BEEN 6152 04:13:40,320 --> 04:13:41,880 ACCESS TO FRESH FOOD. 6153 04:13:41,880 --> 04:13:43,320 THEY HAVE TO TRAVEL MULTIPLE 6154 04:13:43,320 --> 04:13:46,400 HOURS TO GET TO A GROCERY STORE 6155 04:13:46,400 --> 04:13:48,080 THAT HAS FRESH FRUITS AND 6156 04:13:48,080 --> 04:13:48,360 VEGETABLES. 6157 04:13:48,360 --> 04:13:52,360 SO NUTRITION IS EXTREMELY 6158 04:13:52,360 --> 04:13:54,440 IMPORTANT. 6159 04:13:54,440 --> 04:13:57,960 HERE WE SHOW YOU THIS WAS DONE 6160 04:13:57,960 --> 04:13:59,640 AN INTENTIONAL AND INTEGRATED 6161 04:13:59,640 --> 04:14:00,200 WAY PUTTING THE PROGRAMS 6162 04:14:00,200 --> 04:14:06,240 TOGETHER. 6163 04:14:06,240 --> 04:14:08,120 IT'S SPREAD OUT TO THE EXTEND 6164 04:14:08,120 --> 04:14:09,000 POSSIBLE SOME OF THE BIGGEST 6165 04:14:09,000 --> 04:14:10,840 AREAS OF NEED ARE IN THE 6166 04:14:10,840 --> 04:14:12,040 SOUTHEAST BUT UNFORTUNATELY WE 6167 04:14:12,040 --> 04:14:13,160 DID NOT GET A LOT OF 6168 04:14:13,160 --> 04:14:17,960 APPLICATIONS FROM THAT AREA. 6169 04:14:17,960 --> 04:14:24,360 WE COULD NOT ADDRESS AS MANY 6170 04:14:24,360 --> 04:14:27,840 ISSUES AS WE WOULD ARE LIKED TO 6171 04:14:27,840 --> 04:14:30,200 BUT GO ACROSS GEOGRAPHY AND 6172 04:14:30,200 --> 04:14:30,600 APPLICATIONS. 6173 04:14:30,600 --> 04:14:33,040 IN MY REMAINING TIME WILL GO 6174 04:14:33,040 --> 04:14:36,040 OVER SOME RESEARCH PROGRAM 6175 04:14:36,040 --> 04:14:36,360 HIGHLIGHTS. 6176 04:14:36,360 --> 04:14:40,320 NOW WE'LL SWITCH OVER TO NICHD. 6177 04:14:40,320 --> 04:14:47,280 WE HAVE OUR NAMESAKE, EUNICE 6178 04:14:47,280 --> 04:14:51,840 KENNEDY SCHRIVER AND THIS IS A 6179 04:14:51,840 --> 04:14:53,320 WONDERFUL BOOK. 6180 04:14:53,320 --> 04:14:57,920 WE DID A BOOK SESSION WITH THE 6181 04:14:57,920 --> 04:14:58,440 AUTHOR. 6182 04:14:58,440 --> 04:15:00,800 SHE TELLS INCREDIBLE STORIES AND 6183 04:15:00,800 --> 04:15:02,520 THE SUB TITLE OF THE BOOK IS THE 6184 04:15:02,520 --> 04:15:05,600 KENNEDY WHO CHANGED THE WORLD 6185 04:15:05,600 --> 04:15:06,840 BECAUSE SHE NOT ONLY ESSENTIALLY 6186 04:15:06,840 --> 04:15:08,360 FOUNDED NICHD BUT FOUNDED THE 6187 04:15:08,360 --> 04:15:12,320 SPECIAL OLYMPICS. 6188 04:15:12,320 --> 04:15:14,320 IN LOOKING AT OUR PORTFOLIO AS 6189 04:15:14,320 --> 04:15:18,000 WE IMPLIED, 55% IS PEDIATRICS 6190 04:15:18,000 --> 04:15:21,440 AND 35% IS REPRODUCTIVE HEALTH 6191 04:15:21,440 --> 04:15:25,320 AND THE REST IS INTELLECTUAL AND 6192 04:15:25,320 --> 04:15:27,360 DEVELOPMENTAL DISABILITIES. 6193 04:15:27,360 --> 04:15:30,120 I THOUGHT YOU'D BE INTERESTED IN 6194 04:15:30,120 --> 04:15:32,360 THE OUTCOME OF THE HEAL 6195 04:15:32,360 --> 04:15:35,800 INITIATIVE THAT WE PARTICIPATED 6196 04:15:35,800 --> 04:15:36,360 IN. 6197 04:15:36,360 --> 04:15:39,200 SO THE HEAL INITIATIVE IS 6198 04:15:39,200 --> 04:15:43,480 HELPING TO END ADDICTION LONG 6199 04:15:43,480 --> 04:15:44,360 TERM A LONG INITIATIVE 6200 04:15:44,360 --> 04:15:44,960 CONSIDERABLE MORE FUNDS THAN 6201 04:15:44,960 --> 04:15:55,080 IMPROVE. 6202 04:16:04,800 --> 04:16:09,840 BABIES BORN TO MOTHERS USING S 6203 04:16:09,840 --> 04:16:11,000 REQUIRED EXTENSIVE INPUT TO 6204 04:16:11,000 --> 04:16:15,240 SCORE THEM. 6205 04:16:15,240 --> 04:16:19,240 THERE'S SOMETHING CALLED THE 6206 04:16:19,240 --> 04:16:21,040 SCORING SYSTEM IN WHICH EVERY 6207 04:16:21,040 --> 04:16:22,960 THREE TO FOUR HOURS A NURSE AT 6208 04:16:22,960 --> 04:16:24,480 THE BEDSIDE WOULD BE EVALUATING 6209 04:16:24,480 --> 04:16:27,360 A BABY FOR OVER 20 DIFFERENT 6210 04:16:27,360 --> 04:16:27,640 SYMPTOMS. 6211 04:16:27,640 --> 04:16:29,320 IT TAKES AN ENORMOUS AMOUNT OF 6212 04:16:29,320 --> 04:16:31,160 TIME AND BASED ON THE SCORE THE 6213 04:16:31,160 --> 04:16:33,640 BABY GETS, THE DECISION IS MADE 6214 04:16:33,640 --> 04:16:37,120 WHETHER OR NOT TO GIVE THAT BABY 6215 04:16:37,120 --> 04:16:38,440 SOME MEDICATION TO ADDRESS HIS 6216 04:16:38,440 --> 04:16:48,920 OR HER WITHDRAWAL SYMPTOMS. 6217 04:17:04,640 --> 04:17:06,520 AND THERE'S EAT, SLEEP AND 6218 04:17:06,520 --> 04:17:06,720 CONSOLE. 6219 04:17:06,720 --> 04:17:08,840 IT'S FAMILY ORIENTED. 6220 04:17:08,840 --> 04:17:13,520 IT GETS THE OPIOID USING BIRTH 6221 04:17:13,520 --> 04:17:17,320 PARENT INVOLVED AND AS PART OF 6222 04:17:17,320 --> 04:17:19,800 THE HEAL INITIATIVE WE COMBINE 6223 04:17:19,800 --> 04:17:23,120 THE NEONATAL RESEARCH NETWORK 6224 04:17:23,120 --> 04:17:27,640 WHICH IS BASED IN NICHD AND ECHO 6225 04:17:27,640 --> 04:17:28,320 WHICH IS BASED IN THE OFFICE OF 6226 04:17:28,320 --> 04:17:29,440 THE DIRECTOR. 6227 04:17:29,440 --> 04:17:32,000 THIS WAS DONE DURING THE 6228 04:17:32,000 --> 04:17:32,480 PANDEMIC. 6229 04:17:32,480 --> 04:17:34,160 IT WAS A WHOLE OF PRACTICE 6230 04:17:34,160 --> 04:17:36,960 CHANGE AND AMAZINGLY, DURING THE 6231 04:17:36,960 --> 04:17:40,320 PANDEMIC THEY WERE ABLE TO TRAIN 6232 04:17:40,320 --> 04:17:43,000 OVER 5,000 CARE PROVIDERS. 6233 04:17:43,000 --> 04:17:46,840 MANY OF WHOM WERE NURSES AND 6234 04:17:46,840 --> 04:17:48,440 PHYSICIANS AND OTHER SUPPORT 6235 04:17:48,440 --> 04:17:50,200 STAFF IN NEWBORN NURSERIES. 6236 04:17:50,200 --> 04:17:52,040 BASICALLY FOR EACH NURSERY THERE 6237 04:17:52,040 --> 04:17:55,240 WERE I THINK 26 DIFFERENT 6238 04:17:55,240 --> 04:17:56,320 NURSERIES INVOLVED. 6239 04:17:56,320 --> 04:17:59,760 EACH NURSERY HAD ITS OWN WAY OF 6240 04:17:59,760 --> 04:18:01,000 TREATING THESE BABIES WHICH 6241 04:18:01,000 --> 04:18:02,880 TURNS OUT IS DIFFERENT IN ALL 6242 04:18:02,880 --> 04:18:04,000 THESE 26 DIFFERENT NURSERIES. 6243 04:18:04,000 --> 04:18:06,680 THEY WOULD GO FROM THEIR USUAL 6244 04:18:06,680 --> 04:18:08,880 CARE THEN GET TRAINED AND THEN 6245 04:18:08,880 --> 04:18:11,720 THEY WENT TO EAT, SLEEP AND 6246 04:18:11,720 --> 04:18:11,920 CONSOLE. 6247 04:18:11,920 --> 04:18:14,440 THE RESULTS WERE VERY 6248 04:18:14,440 --> 04:18:14,760 CONCLUSIVE. 6249 04:18:14,760 --> 04:18:15,960 THE HOSPITALIZATION STAY FOR THE 6250 04:18:15,960 --> 04:18:19,360 BABIES WAS REDUCED BY A WEEK. 6251 04:18:19,360 --> 04:18:22,400 AND SIGNIFICANT REDUCTION IN THE 6252 04:18:22,400 --> 04:18:23,320 BABY'S NEEDING ANY MEDICATION AT 6253 04:18:23,320 --> 04:18:26,640 ALL. 6254 04:18:26,640 --> 04:18:29,280 THE BABIES WERE FOLLOWED UP TO 6255 04:18:29,280 --> 04:18:30,640 THREE MONTHS POST BIRTH. 6256 04:18:30,640 --> 04:18:32,320 THERE WAS NO DIFFERENCE IN TERMS 6257 04:18:32,320 --> 04:18:35,160 OF ADVERSE OUTCOMES SO IT'S 6258 04:18:35,160 --> 04:18:35,920 CONSIDERED TO BE SAFE. 6259 04:18:35,920 --> 04:18:37,280 THE BABIES ARE BEING FOLLOWED UP 6260 04:18:37,280 --> 04:18:39,080 TO TWO YEARS TO LOOK AT THE 6261 04:18:39,080 --> 04:18:42,640 DEVELOPMENT AFFECTS BUT A VERY 6262 04:18:42,640 --> 04:18:44,000 SUCCESSFUL STUDY, MASSIVE EFFORT 6263 04:18:44,000 --> 04:18:46,800 DURING THE PANDEMIC AND JUST 6264 04:18:46,800 --> 04:18:47,440 PUBLISHED IN THE NEW ENGLAND 6265 04:18:47,440 --> 04:18:52,160 JOURNAL OF MEDICINE THIS MAY. 6266 04:18:52,160 --> 04:18:54,240 WE ALSO SUPPORT THE MATERNAL 6267 04:18:54,240 --> 04:18:55,560 FETAL SERVICES NETWORK FOUNDED 6268 04:18:55,560 --> 04:18:57,560 IN 1986. 6269 04:18:57,560 --> 04:19:00,720 IT CURRENTLY HAS 14 SITES. 6270 04:19:00,720 --> 04:19:04,080 THESE ARE COLLABORATIVE 6271 04:19:04,080 --> 04:19:05,080 MULTI-SITE CLINICAL TRIALS AND 6272 04:19:05,080 --> 04:19:05,560 OBSERVATIONAL STUDIES. 6273 04:19:05,560 --> 04:19:07,560 IT'S A CORE NETWORK AT NICHD. 6274 04:19:07,560 --> 04:19:08,840 IT'S LOOKING AT ALL KINDS OF 6275 04:19:08,840 --> 04:19:11,480 THINGS RELATED TO PREGNANCY, 6276 04:19:11,480 --> 04:19:16,320 LABOR, RECOVERY, REDUCING 6277 04:19:16,320 --> 04:19:19,120 PREMATURE DELIVERIES. 6278 04:19:19,120 --> 04:19:19,400 ETCETERA. 6279 04:19:19,400 --> 04:19:28,320 THE INTERESTING THING IS THE 6280 04:19:28,320 --> 04:19:31,920 MFMU ARE INTERESTED IN THE 6281 04:19:31,920 --> 04:19:33,800 APPROACHES COMING OUT OF IMPROVE 6282 04:19:33,800 --> 04:19:40,320 AND THERE'S THE POSSIBILITY OF 6283 04:19:40,320 --> 04:19:44,320 CROSS-FERTILIZING MORE AND 6284 04:19:44,320 --> 04:19:46,120 LASTLY THE ENFORCE ON RESEARCH 6285 04:19:46,120 --> 04:19:48,760 SPECIFIC TO PREGNANT WOMEN AND 6286 04:19:48,760 --> 04:19:49,840 LACTATING WOMEN THIS WAS SIGNED 6287 04:19:49,840 --> 04:19:50,720 BY PRESIDENT OBAMA. 6288 04:19:50,720 --> 04:19:52,360 THE THE TIME IT WAS ALREADY 6289 04:19:52,360 --> 04:19:55,880 RECOGNIZED THAT THERE WAS A 6290 04:19:55,880 --> 04:19:57,720 TREMENDOUS GAP IN HOW 6291 04:19:57,720 --> 04:19:59,320 MEDICATIONS ARE USED IN BOTH 6292 04:19:59,320 --> 04:20:01,360 PREGNANT PEOPLE AND CHILDREN AS 6293 04:20:01,360 --> 04:20:03,760 WELL BUT FOR THIS THE FOCUS WAS 6294 04:20:03,760 --> 04:20:08,720 ON PREGNANT AND LACTATING WOMEN. 6295 04:20:08,720 --> 04:20:11,280 I CHAIRED THE TASK FORCE WHICH 6296 04:20:11,280 --> 04:20:13,480 INCLUDED PARTICIPANTS FROM ALL 6297 04:20:13,480 --> 04:20:16,240 SECTORS INCLUDING OTHER NIH 6298 04:20:16,240 --> 04:20:19,240 INSTITUTES, OTHER FEDERAL 6299 04:20:19,240 --> 04:20:20,880 AGENCIES, PROFESSIONAL 6300 04:20:20,880 --> 04:20:27,120 SOCIETIES, INDUSTRY, WE HAD 6301 04:20:27,120 --> 04:20:28,880 PHARMACEUTICAL REPRESENTATIVE 6302 04:20:28,880 --> 04:20:32,640 ARE HELPFUL AND WE DELIVERED 6303 04:20:32,640 --> 04:20:33,440 RECOMMENDATIONS AND SECRETARY OF 6304 04:20:33,440 --> 04:20:35,280 HEALTH AND HUMAN SERVICES AT THE 6305 04:20:35,280 --> 04:20:36,960 TIME AZAR LIKED IT SO MUCH HE 6306 04:20:36,960 --> 04:20:40,360 SAID, HE WANTED TO EXTEND IT AND 6307 04:20:40,360 --> 04:20:41,280 NEEDED TO COME BACK WITH 6308 04:20:41,280 --> 04:20:44,320 IMPLEMENTATION PLAN. 6309 04:20:44,320 --> 04:20:47,280 THE KEY RECOMMENDATIONS INCLUDED 6310 04:20:47,280 --> 04:20:50,560 CHANGING THE EXISTING CULTURE 6311 04:20:50,560 --> 04:20:56,320 FROM PROTECTING PEOPLE THROUGH 6312 04:20:56,320 --> 04:20:59,680 RESEARCH SORRY, TYPICALLY, 6313 04:20:59,680 --> 04:21:02,240 PREGNANT PEOPLE ARE PROTECTED 6314 04:21:02,240 --> 04:21:02,920 FROM RESEARCH. 6315 04:21:02,920 --> 04:21:04,360 WE NEEDED TO COMMUNITY TO 6316 04:21:04,360 --> 04:21:08,360 PROTECT THEM THROUGH RESEARCH. 6317 04:21:08,360 --> 04:21:15,400 ANDYY AND REALLY CHANGE THE 6318 04:21:15,400 --> 04:21:16,040 EXISTING CULTURE THAT EXCEPT 6319 04:21:16,040 --> 04:21:17,280 PEOPLE WHO WANTED TO PARTS SPATE 6320 04:21:17,280 --> 04:21:20,320 IN THESE STUDIES. 6321 04:21:20,320 --> 04:21:22,360 WE WERE ABLE TO REMOVE PREGNANT 6322 04:21:22,360 --> 04:21:23,880 WOMEN AS A VULNERABLE POPULATION 6323 04:21:23,880 --> 04:21:26,160 THROUGH THE COMMON RULE. 6324 04:21:26,160 --> 04:21:27,480 ANOTHER PART OF THE 6325 04:21:27,480 --> 04:21:29,720 RECOMMENDATIONS WHICH WE ALREADY 6326 04:21:29,720 --> 04:21:31,440 IMPLEMENTED WAS TO EXPAND 6327 04:21:31,440 --> 04:21:34,200 WORKFORCE OF CLINICIANS AND 6328 04:21:34,200 --> 04:21:35,320 RESEARCHERS WITH LACTATION 6329 04:21:35,320 --> 04:21:37,040 PHARMACOLOGY AND WE'RE WORKING 6330 04:21:37,040 --> 04:21:38,680 ON REMOVING OTHER REGULATORY 6331 04:21:38,680 --> 04:21:39,080 BARRIERS. 6332 04:21:39,080 --> 04:21:40,040 IF YOU'RE INTERESTED IN FINDING 6333 04:21:40,040 --> 04:21:46,280 OUT MORE, YOU CAN GO TO NIH 6334 04:21:46,280 --> 04:21:48,040 PRGLAC AND FINALLY ONE OF OUR 6335 04:21:48,040 --> 04:21:50,000 MAJOR INVESTMENTS HAS BEEN IN 6336 04:21:50,000 --> 04:21:52,040 MATERNAL AND PEDIATRIC PRECISION 6337 04:21:52,040 --> 04:21:53,520 IN THERAPEUTICS HUB. 6338 04:21:53,520 --> 04:21:56,320 SO THIS IS ANOTHER NATIONAL 6339 04:21:56,320 --> 04:22:00,320 RESOURCE TO REALLY EXPAND THE 6340 04:22:00,320 --> 04:22:03,680 KNOWLEDGE AS WELL AS PROVIDE 6341 04:22:03,680 --> 04:22:06,800 WAYS OF STUDYING PHARMACO K 6342 04:22:06,800 --> 04:22:09,120 KINETICS IN PREGNANT AND 6343 04:22:09,120 --> 04:22:11,320 LACTATING PEOPLE TAKING 6344 04:22:11,320 --> 04:22:13,360 MEDICATIONS THEY NEED TO TAKE 6345 04:22:13,360 --> 04:22:16,360 FOR THEIR OWN HEALTH 6346 04:22:16,360 --> 04:22:24,400 IT'S A DISSERVICE TO NOT USE 6347 04:22:24,400 --> 04:22:27,360 THEIR INHALERS OR OTHER 6348 04:22:27,360 --> 04:22:27,640 MEDICATIONS. 6349 04:22:27,640 --> 04:22:33,400 SO THIS IS AN AREA THAT IS 6350 04:22:33,400 --> 04:22:34,000 GROWING FOR US. 6351 04:22:34,000 --> 04:22:34,920 SO I'M A LITTLE BIT OVER TIME 6352 04:22:34,920 --> 04:22:39,320 BUT I'M HAPPY TO ANSWER ANY 6353 04:22:39,320 --> 04:22:40,320 QUESTIONS AND WE'RE VERY 6354 04:22:40,320 --> 04:22:42,440 GRATEFUL FOR OUR COLLABORATION 6355 04:22:42,440 --> 04:22:44,360 WITH THE NATIONAL INSTITUTE OF 6356 04:22:44,360 --> 04:22:44,760 NURSING RESEARCH. 6357 04:22:44,760 --> 04:22:53,800 THANK YOU. 6358 04:22:53,800 --> 04:22:58,240 >>THANK YOU, DR. BIANCHI. 6359 04:22:58,240 --> 04:22:58,640 DR. FITZPATRICK. 6360 04:22:58,640 --> 04:22:59,840 >>I'M FROM THE STATE OF GEORGIA 6361 04:22:59,840 --> 04:23:03,680 AND WE HAVE THE HONOR OF HAVING 6362 04:23:03,680 --> 04:23:06,480 ONE OF THE WORSE MATERNAL 6363 04:23:06,480 --> 04:23:07,480 MORBIDITY OUTCOMES IN THE NATION 6364 04:23:07,480 --> 04:23:09,280 AND THE SAD THING IS I HAVEN'T 6365 04:23:09,280 --> 04:23:10,080 HEARD ABOUT IT UNTIL RECENT 6366 04:23:10,080 --> 04:23:10,320 YEARS. 6367 04:23:10,320 --> 04:23:12,120 I THINK THE WORK TO YOU'RE DOING 6368 04:23:12,120 --> 04:23:13,720 IS NOT ONLY IMPORTANT BUT 6369 04:23:13,720 --> 04:23:14,880 PERHAPS STARTING TO GET OUT 6370 04:23:14,880 --> 04:23:15,480 THERE. 6371 04:23:15,480 --> 04:23:19,360 I HEARD DISCUSSIONS ABOUT IT 6372 04:23:19,360 --> 04:23:20,360 FROM THE NCATS PERSPECTIVE AND 6373 04:23:20,360 --> 04:23:21,280 OTHER GROUPS. 6374 04:23:21,280 --> 04:23:23,280 IT'S TIMELY AND IMPORTANT AND I 6375 04:23:23,280 --> 04:23:24,040 THINK THE FACT YOU'RE GOING IN 6376 04:23:24,040 --> 04:23:27,360 THE COMMUNITIES IS REALLY VERY 6377 04:23:27,360 --> 04:23:28,000 APPROPRIATE BECAUSE MY 6378 04:23:28,000 --> 04:23:29,120 UNDERSTANDING OF THE DATA IS YOU 6379 04:23:29,120 --> 04:23:32,000 CAN HAVE TWO POPULATIONS THAT 6380 04:23:32,000 --> 04:23:34,360 OTHERWISE LOOK SIMILAR AND ON 6381 04:23:34,360 --> 04:23:36,080 THE SURFACE THEY LOOK SIMILAR 6382 04:23:36,080 --> 04:23:37,800 BUT THE DIVIDING LINE IS WHERE 6383 04:23:37,800 --> 04:23:39,000 THEY LIVE AND IT STARTS TO GET 6384 04:23:39,000 --> 04:23:42,320 INTO THINGS LIKE RED LINING 6385 04:23:42,320 --> 04:23:42,840 PRACTICES HISTORICALLY. 6386 04:23:42,840 --> 04:23:44,280 SO I LOVE THERE'S A COMMUNITY 6387 04:23:44,280 --> 04:23:47,320 FOCUS TO THIS. 6388 04:23:47,320 --> 04:23:47,920 I THINK THAT'S VERY IMPORTANT. 6389 04:23:47,920 --> 04:23:51,160 MY QUESTION IS RELATED TO THE 6390 04:23:51,160 --> 04:23:52,160 PORTFOLIO AS A WHOLE. 6391 04:23:52,160 --> 04:23:53,920 HAS THERE BEEN ANY THOUGHT ABOUT 6392 04:23:53,920 --> 04:23:56,240 COMMON DATA ELEMENTS YOU'RE 6393 04:23:56,240 --> 04:23:58,000 TRYING TO GATHER BECAUSE I THINK 6394 04:23:58,000 --> 04:24:02,600 THERE'S GOING TO BE THE 6395 04:24:02,600 --> 04:24:03,560 DELIVERABLES FROM THE SCIENCE 6396 04:24:03,560 --> 04:24:05,640 AND PERHAPS DELIVERABLES THAT 6397 04:24:05,640 --> 04:24:08,040 COME LATER AS THE DATA BECOME 6398 04:24:08,040 --> 04:24:08,640 PUBLICLY AVAILABLE. 6399 04:24:08,640 --> 04:24:10,080 HAS THERE BEEN THOUGHT TO THAT? 6400 04:24:10,080 --> 04:24:10,880 >>YES. 6401 04:24:10,880 --> 04:24:21,400 SO IT STARTED WITH THE PANDEMIC. 6402 04:24:41,080 --> 04:24:44,280 THE DATA HUB AS PART OF INCLUDE 6403 04:24:44,280 --> 04:24:45,840 WILL BE TO INCLUDE COMMON DATA 6404 04:24:45,840 --> 04:24:46,480 ELEMENTS. 6405 04:24:46,480 --> 04:24:48,320 BECAUSE WE REALLY EMPHASIZED IN 6406 04:24:48,320 --> 04:24:50,800 OUR KICKOFF SESSION JUST A 6407 04:24:50,800 --> 04:24:51,960 COUPLE WEEKS AGO HOW IMPORTANT 6408 04:24:51,960 --> 04:24:55,320 IT WILL BE FOR THESE UNITS TO 6409 04:24:55,320 --> 04:24:56,360 ALL COLLABORATE WITH EACH OTHER 6410 04:24:56,360 --> 04:24:58,200 AND TO DO THAT THEY HAVE TO BE 6411 04:24:58,200 --> 04:24:59,360 SPEAKING THE SAME LANGUAGE 6412 04:24:59,360 --> 04:25:01,280 THROUGH COMMON DATA ELEMENTS. 6413 04:25:01,280 --> 04:25:02,880 THEY SEEM TO ALL RECOGNIZE THAT 6414 04:25:02,880 --> 04:25:04,240 AND I THINK IT'S VERY IMPORTANT 6415 04:25:04,240 --> 04:25:05,280 TO SET IT UP FROM THE VERY 6416 04:25:05,280 --> 04:25:10,080 BEGINNING. 6417 04:25:10,080 --> 04:25:12,320 AND IN THE VARIOUS STATEMENTS 6418 04:25:12,320 --> 04:25:14,360 AND PRESENTATIONS THAT THE 10 6419 04:25:14,360 --> 04:25:16,080 GROUPS MADE, THEY SEEM TO 6420 04:25:16,080 --> 04:25:18,960 REAFFIRM THE FACT THAT THEY WERE 6421 04:25:18,960 --> 04:25:20,400 VERY INTERESTED IN COLLABORATION 6422 04:25:20,400 --> 04:25:22,240 AND WE WILL BE REQUIRING THEM TO 6423 04:25:22,240 --> 04:25:24,960 SHARE THEIR DATA. 6424 04:25:24,960 --> 04:25:29,320 SO I TOTALLY AGREE WITH YOU. 6425 04:25:29,320 --> 04:25:32,360 I BELIEVE ONE OF THE HUBS IS IF 6426 04:25:32,360 --> 04:25:33,360 IT'S NOT LISTED IN THE CIRCLE IT 6427 04:25:33,360 --> 04:25:35,480 HAS A PARTNERSHIP IN GEORGIA. 6428 04:25:35,480 --> 04:25:37,480 GEORGIA'S ONE OF OUR 6429 04:25:37,480 --> 04:25:40,320 COLLABORATING -- ACTUALLY AT 6430 04:25:40,320 --> 04:25:41,960 MOREHOUSE WITH EMORY. 6431 04:25:41,960 --> 04:25:44,320 I GOT UP AT 4:30 IN THE MORNING 6432 04:25:44,320 --> 04:25:47,280 SO I'M NOT FIRING AS QUICKLY AS 6433 04:25:47,280 --> 04:25:50,080 I NORMALLY DID. 6434 04:25:50,080 --> 04:25:52,000 >>THE MATERNAL MORBIDITY CRISIS 6435 04:25:52,000 --> 04:25:53,840 AT LEAST FROM MY PERSPECTIVE WAS 6436 04:25:53,840 --> 04:25:55,520 NOT ON THE RADAR UNTIL RECENTLY 6437 04:25:55,520 --> 04:25:57,720 AND IT MAKES ME THINK WHAT ELSE 6438 04:25:57,720 --> 04:25:59,320 WE'RE MISSING. 6439 04:25:59,320 --> 04:26:01,800 WHAT ABOUT THE OFFSPRING OF 6440 04:26:01,800 --> 04:26:03,760 THESE MOTHERS AND WHAT HAPPENS 6441 04:26:03,760 --> 04:26:05,760 WHEN THE MORBIDITY RATE 6442 04:26:05,760 --> 04:26:06,560 INCREASES LIKE THIS. 6443 04:26:06,560 --> 04:26:08,160 IS THERE ATTEMPTS THROUGH THE 6444 04:26:08,160 --> 04:26:08,720 PROGRAMS TO ALSO FOLLOW THE 6445 04:26:08,720 --> 04:26:13,640 CHILDREN? 6446 04:26:13,640 --> 04:26:17,280 WE DON'T NECESSARILY HAVE IT 6447 04:26:17,280 --> 04:26:18,240 WITH IMPROVE. 6448 04:26:18,240 --> 04:26:19,920 IT'S FUNDED TO BE SCHEDULED FOR 6449 04:26:19,920 --> 04:26:22,280 SEVEN YEARS AND WE HAVE OTHER 6450 04:26:22,280 --> 04:26:24,280 PROGRAMS IN NICHD WHERE WE'RE 6451 04:26:24,280 --> 04:26:26,680 LOOKING AT TRANS GENERATIONAL 6452 04:26:26,680 --> 04:26:28,920 HEALTH AND LOOKING AT EPIGENETIC 6453 04:26:28,920 --> 04:26:32,320 FACTORS, FOR EXAMPLE. 6454 04:26:32,320 --> 04:26:34,040 WE'RE LOOKING AT WHERE YOU LIVE 6455 04:26:34,040 --> 04:26:38,040 AND HOW THAT TRANSLATES INTO THE 6456 04:26:38,040 --> 04:26:43,080 NEXT GENERATION'S HEALTH, FOR 6457 04:26:43,080 --> 04:26:43,640 EXAMPLE. 6458 04:26:43,640 --> 04:26:46,160 SO YES, MY WHOLE LIFE HAS BEEN 6459 04:26:46,160 --> 04:26:49,600 DEVOTED TO ING THE FACT THAT 6460 04:26:49,600 --> 04:26:52,160 CHILDREN ARE THE FUTURE OF 6461 04:26:52,160 --> 04:26:53,440 AMERICA AND YOU CAN EITHER BE 6462 04:26:53,440 --> 04:26:56,800 PROACTIVE OR YOU CAN PAY FOR IT 6463 04:26:56,800 --> 04:26:59,280 AT THE END WHEN THERE'S SO MANY 6464 04:26:59,280 --> 04:27:00,320 COMPLICATIONS THAT COULD HAVE 6465 04:27:00,320 --> 04:27:08,320 BEEN ADDRESSED EARLIER ON. 6466 04:27:08,320 --> 04:27:13,080 SO YES, WE ARE LOOKING AT THAT. 6467 04:27:13,080 --> 04:27:16,200 >>OTHER QUESTIONS OR COMMENTS 6468 04:27:16,200 --> 04:27:17,760 FOR DR. BIANCHI. 6469 04:27:17,760 --> 04:27:20,480 >>I KNOW I'M AT THE END OF A 6470 04:27:20,480 --> 04:27:21,040 VERY RICH PROGRAM. 6471 04:27:21,040 --> 04:27:24,040 DO ANY OF YOU HAVE CENTERS YOU 6472 04:27:24,040 --> 04:27:28,320 KNOW OF IN YOUR STATE? 6473 04:27:28,320 --> 04:27:36,560 I GUESS NOT. 6474 04:27:36,560 --> 04:27:38,960 PART OF THAT IS THERE'S MORE 6475 04:27:38,960 --> 04:27:43,000 WOMEN IN CONGRESS AND I THINK 6476 04:27:43,000 --> 04:27:46,400 SOME OF THE TRAGIC COMPLICATIONS 6477 04:27:46,400 --> 04:27:48,360 WITH FEEL ATHLETES WHO HAD 6478 04:27:48,360 --> 04:27:52,320 PREVENTIBLE DEATHS RECEIVED A 6479 04:27:52,320 --> 04:27:59,240 LOT OF ATTENTION. 6480 04:27:59,240 --> 04:28:00,760 IT'S RISING IN THE CONSCIOUSNESS 6481 04:28:00,760 --> 04:28:04,320 BUT WE HAVE TO DO MORE SO THANK 6482 04:28:04,320 --> 04:28:14,400 YOU. 6483 04:28:18,520 --> 04:28:20,160 >>THANK YOU, DR. BIANCHI. 6484 04:28:20,160 --> 04:28:22,800 IT'S A NICE OVERVIEW OF THE 6485 04:28:22,800 --> 04:28:25,920 INITIATIVES AT NICHD AND IMPROVE 6486 04:28:25,920 --> 04:28:27,200 AND WE'RE COMMITTED TO 6487 04:28:27,200 --> 04:28:28,160 CONTINUING THE COLLABORATION 6488 04:28:28,160 --> 04:28:30,240 WITH YOU SO THANKS FOR COMING. 6489 04:28:30,240 --> 04:28:32,320 I FORGOT OR LOST TRACK OF A VERY 6490 04:28:32,320 --> 04:28:34,640 IMPORTANT PART OF OUR AGENDA 6491 04:28:34,640 --> 04:28:36,240 WHICH WE'LL MOVE TO NOW WHICH IS 6492 04:28:36,240 --> 04:28:38,840 ON CONCEPTS. 6493 04:28:38,840 --> 04:28:42,360 SO AS YOU KNOW IN OUR ADVISORY 6494 04:28:42,360 --> 04:28:43,680 ROLE TO THE NINR DIRECTOR YOU'RE 6495 04:28:43,680 --> 04:28:51,080 THE SOURCE OF NON-GOVERNMENT 6496 04:28:51,080 --> 04:28:53,040 ADVICE ON DIRECTION AND NINR 6497 04:28:53,040 --> 04:28:54,760 SEEKS COUNCIL'S ADVICE FOR 6498 04:28:54,760 --> 04:28:56,280 LONG-TERM PLANNING BY PRESENTING 6499 04:28:56,280 --> 04:28:58,520 CONCEPTS FOR CLEARANCE. 6500 04:28:58,520 --> 04:29:00,880 A CONCEPT IS THE EARLIEST 6501 04:29:00,880 --> 04:29:01,960 PLANNING STAGE OF INITIATIVE 6502 04:29:01,960 --> 04:29:05,320 BEFORE RELEASING AN RFA OR 6503 04:29:05,320 --> 04:29:07,080 PROGRAM ANNOUNCEMENT WITH SET 6504 04:29:07,080 --> 04:29:08,960 ASIDE FUNDS OR CONTRACT. 6505 04:29:08,960 --> 04:29:11,320 A CONCEPT DESCRIBES THE 6506 04:29:11,320 --> 04:29:12,680 BACKGROUND OBJECTIVES AND 6507 04:29:12,680 --> 04:29:15,720 POTENTIAL MECHANISMS FOR THE 6508 04:29:15,720 --> 04:29:16,320 INITIATIVE. 6509 04:29:16,320 --> 04:29:18,120 ANY APPROVED CONCEPTS MAY OR MAY 6510 04:29:18,120 --> 04:29:20,520 NOT TURN INTO A FUNDING 6511 04:29:20,520 --> 04:29:23,360 INITIATIVE BASED ON A NUMBER OF 6512 04:29:23,360 --> 04:29:27,120 FACTORS INCLUDING FUND'S 6513 04:29:27,120 --> 04:29:27,480 AVAILABILITY. 6514 04:29:27,480 --> 04:29:30,280 TODAY NINR DIRECTOR WILL PRESENT 6515 04:29:30,280 --> 04:29:32,320 A CONCEPT ON INTERSECTIONALITY 6516 04:29:32,320 --> 04:29:35,320 AND NURSING RESEARCH, A SUMMARY 6517 04:29:35,320 --> 04:29:36,320 OF THE CONCEPT WAS MADE 6518 04:29:36,320 --> 04:29:37,880 AVAILABLE IN THE ELECTRONIC 6519 04:29:37,880 --> 04:29:39,800 COUNCIL BOOK FOR YOUR REVIEW IN 6520 04:29:39,800 --> 04:29:41,280 ADVANCE OF THIS MEETING. 6521 04:29:41,280 --> 04:29:44,400 SO FOLLOWING DR. BYNUM'S 6522 04:29:44,400 --> 04:29:45,560 PRESENTATION, COUNCIL MEMBER 6523 04:29:45,560 --> 04:29:47,720 DR. ROBERT ATKINS WILL OFFER 6524 04:29:47,720 --> 04:29:50,240 COMMENTS TO OPEN THE DISCUSSION. 6525 04:29:50,240 --> 04:29:52,840 DR. DINE BYNUM 6526 04:29:57,320 --> 04:29:59,320 DR. BYNUM TAKE IT AWAY. 6527 04:29:59,320 --> 04:30:01,360 >>MY PRESENTATION WAS FORGOTTEN 6528 04:30:01,360 --> 04:30:02,960 AND I'M ACTUALLY THE LAST 6529 04:30:02,960 --> 04:30:04,720 PRESENTATION OF THE DAY SO 6530 04:30:04,720 --> 04:30:05,200 HOPEFULLY I'LL KEEP IT 6531 04:30:05,200 --> 04:30:15,440 INTERESTING. 6532 04:30:16,600 --> 04:30:20,320 MY ANDRY EXCITED TO HAVE THE 6533 04:30:20,320 --> 04:30:21,240 OPPORTUNITY TO PRESENTATION THE 6534 04:30:21,240 --> 04:30:23,000 AXES INITIATIVE THIS AAFTERNOON 6535 04:30:23,000 --> 04:30:26,440 AND TELL YOU WHY 6536 04:30:26,440 --> 04:30:27,240 INTERSECTIONALITY IS ESPECIALLY 6537 04:30:27,240 --> 04:30:28,320 IMPORTANT TO THE FIELD OF 6538 04:30:28,320 --> 04:30:31,360 NURSING SCIENCE. 6539 04:30:31,360 --> 04:30:35,320 THE CONCEPT OF INTERSECTIONALITY 6540 04:30:35,320 --> 04:30:39,400 HAS ORIGINS IN BLACK MEM NIFT 6541 04:30:39,400 --> 04:30:41,320 SCHOLARSHIP AND REFERS TO THE 6542 04:30:41,320 --> 04:30:43,680 NOTION YOU CAN'T 6543 04:30:43,680 --> 04:30:44,320 COMPARTMENTALIZE PEOPLE AND WE 6544 04:30:44,320 --> 04:30:47,640 ARE WHO WE ARE IN OUR FULLNESS 6545 04:30:47,640 --> 04:30:49,080 AND THAT REQUIRE SUSTAINED 6546 04:30:49,080 --> 04:30:50,440 RECOGNITION. 6547 04:30:50,440 --> 04:30:54,680 AT THE INTERSECTIONS AT SELF AND 6548 04:30:54,680 --> 04:30:56,320 GENDER IDENTITY AND SEXUAL 6549 04:30:56,320 --> 04:31:01,240 ORIENTATION, THE EXPERIENCES OF 6550 04:31:01,240 --> 04:31:05,320 PEOPLE INTERSECT PROVIDING 6551 04:31:05,320 --> 04:31:06,800 AFFECTS OTHERWISE OB SECURED IF 6552 04:31:06,800 --> 04:31:09,360 VIEWED INDEPENDENTLY. 6553 04:31:09,360 --> 04:31:11,120 A BLACK LATINA WOMEN DOES NOT 6554 04:31:11,120 --> 04:31:13,000 ONLY WALK IN HER BLACKNESS ONE 6555 04:31:13,000 --> 04:31:16,320 DAY AND WOMAN HEAD THE NEXT DAY 6556 04:31:16,320 --> 04:31:18,040 AND HISPANIC HERITAGE THE 6557 04:31:18,040 --> 04:31:18,840 SUBSEQUENT DAY. 6558 04:31:18,840 --> 04:31:21,040 THE IS ALL THOSE THINGS 6559 04:31:21,040 --> 04:31:23,320 SIMULTANEOUSLY AND BEARS THE 6560 04:31:23,320 --> 04:31:24,360 CONDITION, CIRCUMSTANCES AND 6561 04:31:24,360 --> 04:31:24,880 SOCIAL DISADVANTAGES THAT 6562 04:31:24,880 --> 04:31:28,240 ACCOMPANY THEM. 6563 04:31:28,240 --> 04:31:29,480 SO INTERSECTIONALITY PERSISTS AT 6564 04:31:29,480 --> 04:31:33,400 SOME INTERSECTIONS OF SOCIAL 6565 04:31:33,400 --> 04:31:34,520 STATUSES, SOCIO ADVANTAGE AND 6566 04:31:34,520 --> 04:31:37,400 PRIVILEGE IS CREATED AND 6567 04:31:37,400 --> 04:31:40,600 EMBEDDED WHILE AT OTHER 6568 04:31:40,600 --> 04:31:41,280 INTERSECTIONS SOCIO DISADVANTAGE 6569 04:31:41,280 --> 04:31:44,360 AND OPPRESSION IS EMBEDDED AND 6570 04:31:44,360 --> 04:31:46,920 CREATED. 6571 04:31:46,920 --> 04:31:49,400 ANOTHER CONCEPT THAT WE THINK IS 6572 04:31:49,400 --> 04:31:51,000 REALLY IMPORTANT TO 6573 04:31:51,000 --> 04:31:53,200 OPERATIONALIZE AS WE MOVE 6574 04:31:53,200 --> 04:31:56,280 THROUGH THE PRESENTATION IS 6575 04:31:56,280 --> 04:31:56,480 SDOH. 6576 04:31:56,480 --> 04:32:00,080 WE'RE LEVERAGING THE NIH 6577 04:32:00,080 --> 04:32:00,920 CONCEPTUALIZATION DR. ZENK 6578 04:32:00,920 --> 04:32:02,360 MENTIONED AND MORE DETAIL 6579 04:32:02,360 --> 04:32:03,480 EARLIER TODAY. 6580 04:32:03,480 --> 04:32:05,040 SO I'LL JUST MENTION THAT HERE 6581 04:32:05,040 --> 04:32:08,320 FOR THIS CONCEPT WE ARE 6582 04:32:08,320 --> 04:32:10,400 CONSIDERING THE CONDITIONS OF 6583 04:32:10,400 --> 04:32:13,360 DAILY LIVING AS WELL AS THE 6584 04:32:13,360 --> 04:32:16,360 WIDER SET OF STRUCTURES THAT 6585 04:32:16,360 --> 04:32:19,360 SHAPE THEM. 6586 04:32:19,360 --> 04:32:21,520 SO THE STATE OF THE PROBLEM IS 6587 04:32:21,520 --> 04:32:23,360 SDOH PLAYS A KEY ROLE IN 6588 04:32:23,360 --> 04:32:25,800 DETERMINING HEALTH TRAJECTORIES 6589 04:32:25,800 --> 04:32:28,320 IN A POSITIVE FORMS OR 6590 04:32:28,320 --> 04:32:30,000 TRAJECTORIES OF ILLNESS AND ITS 6591 04:32:30,000 --> 04:32:31,280 NEGATIVE FORMS. 6592 04:32:31,280 --> 04:32:33,520 BELONGING TO DOMINANT OR 6593 04:32:33,520 --> 04:32:35,320 MAJORITY GROUPS BASED ON 6594 04:32:35,320 --> 04:32:36,840 INTERSECTIONS OF SOCIAL 6595 04:32:36,840 --> 04:32:39,440 STATUSES, ACCESS TO SYSTEMS OF 6596 04:32:39,440 --> 04:32:40,920 PRIVILEGE WHILE BELONGING TO 6597 04:32:40,920 --> 04:32:44,360 GROUPS THAT SOCIETY HAS 6598 04:32:44,360 --> 04:32:44,960 MARGINALIZED CONTENDING WITH 6599 04:32:44,960 --> 04:32:48,360 SYSTEMS OF OPPRESSION SUCH AS 6600 04:32:48,360 --> 04:32:52,320 RACISM, SEXISM, HOMOPHOBIA, 6601 04:32:52,320 --> 04:32:57,600 CLASSISM, ABLISM AND XENOPHOBIA 6602 04:32:57,600 --> 04:32:58,520 AN UNFORTUNATELY THE LIST 6603 04:32:58,520 --> 04:32:58,840 CONTINUES. 6604 04:32:58,840 --> 04:33:00,640 WE KNOW SDOH IS IMPORTANT IN THE 6605 04:33:00,640 --> 04:33:03,520 CONTEXT OF HEALTH AND HOPEFULLY 6606 04:33:03,520 --> 04:33:05,960 I'VE COMMUNICATED EFFECTIVELY 6607 04:33:05,960 --> 04:33:07,640 THE IMPORTANCE OF 6608 04:33:07,640 --> 04:33:12,320 INTERSECTIONALITY AND YOU HEARD 6609 04:33:12,320 --> 04:33:13,360 SECTIONALITY BROUGHT IN BY 6610 04:33:13,360 --> 04:33:13,720 DR. ZENK. 6611 04:33:13,720 --> 04:33:16,160 WHAT DO WE NEED TO KNOW TO MOVE 6612 04:33:16,160 --> 04:33:18,000 THE FIELD FORWARD? 6613 04:33:18,000 --> 04:33:19,520 MOST INTERSECTIONAL RESEARCH 6614 04:33:19,520 --> 04:33:20,600 DOCUMENT THE HEALTH DISPARITIES 6615 04:33:20,600 --> 04:33:24,200 EXIST AT INTERSECTIONS OF SOCIAL 6616 04:33:24,200 --> 04:33:24,480 STATUSES. 6617 04:33:24,480 --> 04:33:26,840 WE KNOW FAR LESS ABOUT THE 6618 04:33:26,840 --> 04:33:28,240 MECHANISMS AND PATHWAYS THROUGH 6619 04:33:28,240 --> 04:33:33,840 WHICH THIS OCCURS ESPECIALLY AT 6620 04:33:33,840 --> 04:33:35,600 THE STRUCTURAL LEVEL. 6621 04:33:35,600 --> 04:33:37,720 IN THE DOCUMENTATION OF HEALTH 6622 04:33:37,720 --> 04:33:38,560 DISPARITIES AND SOCIAL STATUSES 6623 04:33:38,560 --> 04:33:41,320 THE LITERATURE HAS FOCUSSED ON A 6624 04:33:41,320 --> 04:33:44,640 MORE BROADLY ON A NARROW SET OF 6625 04:33:44,640 --> 04:33:45,280 STATUSES. 6626 04:33:45,280 --> 04:33:47,240 THE LARGEST PROPORTION BEING 6627 04:33:47,240 --> 04:33:48,720 RACE, ETHNICITY AND GENDER. 6628 04:33:48,720 --> 04:33:51,960 THIS PRESENTS AN OPPORTUNITY TO 6629 04:33:51,960 --> 04:33:53,360 EXPAND INTERSECTIONALITY 6630 04:33:53,360 --> 04:33:55,400 RESEARCH TO BE MORE INCLUSIVE OF 6631 04:33:55,400 --> 04:33:57,640 OTHER MARGINALIZED POPULATIONS 6632 04:33:57,640 --> 04:33:59,520 EITHER PRESENT DAY OR 6633 04:33:59,520 --> 04:34:04,760 HISTORICALLY. 6634 04:34:04,760 --> 04:34:06,640 COOPERATION OF INTERSECTIONALITY 6635 04:34:06,640 --> 04:34:09,560 IS LIMITED TO DATE WHICH REDUCE 6636 04:34:09,560 --> 04:34:10,680 THE OPPORTUNITY TO CONSIDER 6637 04:34:10,680 --> 04:34:12,840 PEOPLE IN THE CONTEXT OF THE 6638 04:34:12,840 --> 04:34:16,080 WHOLE PERSON OR THEIR LIVES AND 6639 04:34:16,080 --> 04:34:17,520 LIVING CONDITIONS. 6640 04:34:17,520 --> 04:34:19,760 LASTLY, PROGRESS AND 6641 04:34:19,760 --> 04:34:20,440 INTERSECTIONALITY RESEARCH WILL 6642 04:34:20,440 --> 04:34:24,400 REQUIRE METHODS SUITED TO 6643 04:34:24,400 --> 04:34:26,040 IDENTIFYING COMPLEX PATHWAYS 6644 04:34:26,040 --> 04:34:27,920 THROUGH WHICH SDOH DETERMINES 6645 04:34:27,920 --> 04:34:29,080 INDIVIDUAL AND POPULATION HEALTH 6646 04:34:29,080 --> 04:34:32,360 AND THAT TIES BACK INTO THE 6647 04:34:32,360 --> 04:34:37,640 FIRST POINT I DISCUSSED. 6648 04:34:37,640 --> 04:34:39,680 CUMULATIVELY THE UNDERSTANDING 6649 04:34:39,680 --> 04:34:40,400 OF INTERSECTIONALITY MUST BE 6650 04:34:40,400 --> 04:34:44,360 CLOSED TO ADVANCE THE FEEL OF 6651 04:34:44,360 --> 04:34:45,280 INTERSECTIONALITY AND ADVANCE 6652 04:34:45,280 --> 04:34:50,160 HEALTH EQUITY. 6653 04:34:50,160 --> 04:34:53,520 SO WE ARE PROPOSING HERE THE 6654 04:34:53,520 --> 04:34:56,040 AXES INITIATIVE WHICH FOCUSES ON 6655 04:34:56,040 --> 04:34:57,560 ADVANCING RESEARCH TO UNDERSTAND 6656 04:34:57,560 --> 04:35:02,240 AND ADDRESS THE IMPACT OF SDOH 6657 04:35:02,240 --> 04:35:04,360 AT INTERSECTIONS OF SOCIO STATUS 6658 04:35:04,360 --> 04:35:12,360 SUCH AS RACE, ETHNICITY, GENDER 6659 04:35:12,360 --> 04:35:16,360 IDENTITY, MIGRATION AND OTHER 6660 04:35:16,360 --> 04:35:19,960 STATUSES MARGINALIZED. 6661 04:35:19,960 --> 04:35:23,920 THERE ARE THREE POTENTIAL 6662 04:35:23,920 --> 04:35:24,840 INITIATIVES THAT MAY FALL UNDER 6663 04:35:24,840 --> 04:35:26,360 THE CONCEPT. 6664 04:35:26,360 --> 04:35:29,360 ONE BEING OBSERVATIONAL RESEARCH 6665 04:35:29,360 --> 04:35:33,040 TO ELUCIDATE THE HEALTH IMPACT 6666 04:35:33,040 --> 04:35:40,360 ACROSS CRIMINAL LEGAL AND SOW 6667 04:35:40,360 --> 04:35:45,520 SOCIO COMMUNITY AND OTHERS 6668 04:35:45,520 --> 04:35:48,360 HEALTH INEQUITIES AND TRAINING 6669 04:35:48,360 --> 04:35:55,160 PROGRAMS TO BUILD SCIENTIFIC 6670 04:35:55,160 --> 04:35:56,640 CAPACITY TO BUILD RIGOROUS 6671 04:35:56,640 --> 04:35:59,920 RESEARCH. 6672 04:35:59,920 --> 04:36:01,840 SO WHAT DOES INTERSECTIONALITY 6673 04:36:01,840 --> 04:36:04,640 HAVE TO DO WITH NURSING SCIENCE? 6674 04:36:04,640 --> 04:36:05,960 WELL, WE BELIEVE THE AXES 6675 04:36:05,960 --> 04:36:10,240 INITIATIVE ALIGNS WELL WITH THE 6676 04:36:10,240 --> 04:36:12,800 NINR STRATEGIC PLAN AND NURSING 6677 04:36:12,800 --> 04:36:13,400 SCIENCE PERSPECTIVE OF 6678 04:36:13,400 --> 04:36:14,000 CONSIDERING PEOPLE IN THE 6679 04:36:14,000 --> 04:36:16,720 CONTEXT OF THE WHOLE PERSON. 6680 04:36:16,720 --> 04:36:22,880 SO EVOKING A HOLISTIC APPROACH 6681 04:36:22,880 --> 04:36:24,960 TO OPTIMIZING HEALTH AND 6682 04:36:24,960 --> 04:36:26,320 FOSTERING COMPLEX EXPERIENCES OB 6683 04:36:26,320 --> 04:36:28,360 SECURED WHEN ASSESSED 6684 04:36:28,360 --> 04:36:28,840 INDEPENDENTLY. 6685 04:36:28,840 --> 04:36:30,600 EXPANDING CONSIDERATIONS OF 6686 04:36:30,600 --> 04:36:35,360 PEOPLE'S LIVES AND LIVING 6687 04:36:35,360 --> 04:36:36,880 CONDITIONS AS HEALTH 6688 04:36:36,880 --> 04:36:38,560 DETERMINATES AND STRUCTURAL 6689 04:36:38,560 --> 04:36:42,040 INEQUITIES THAT PLACE SOME AT AN 6690 04:36:42,040 --> 04:36:44,480 UNFAIR AND UNJUST HEALTH 6691 04:36:44,480 --> 04:36:44,800 DISADVANTAGE. 6692 04:36:44,800 --> 04:36:46,120 WE RECOGNIZE WE HAVE A WAYS TO 6693 04:36:46,120 --> 04:36:48,360 GO TO GET TO THE POINT OF 6694 04:36:48,360 --> 04:36:50,920 LIBERATION WHERE SYSTEMS FORCES 6695 04:36:50,920 --> 04:36:53,400 AND POLICIES OF OPPRESSION NO 6696 04:36:53,400 --> 04:36:54,600 LONGER EXIST. 6697 04:36:54,600 --> 04:36:59,880 WE DO BELIEVE UNDERSTANDING 6698 04:36:59,880 --> 04:37:01,960 PEOPLE AT THEIR INTERSECTIONS 6699 04:37:01,960 --> 04:37:03,880 AND HOW THEY OPERATE IN SOCIETY 6700 04:37:03,880 --> 04:37:04,520 IS AN IMPORTANT STEP IN THIS 6701 04:37:04,520 --> 04:37:08,360 PROCESS. 6702 04:37:08,360 --> 04:37:18,800 THANK YOU FOR LISTENING. 6703 04:37:19,200 --> 04:37:20,360 >>THANK YOU, DR. BYNUM. 6704 04:37:20,360 --> 04:37:22,880 DR. ATKINS? 6705 04:37:22,880 --> 04:37:26,440 >>THANK YOU, DR. DINE UM. 6706 04:37:26,440 --> 04:37:28,680 -- DR. BYNUM. 6707 04:37:28,680 --> 04:37:34,440 I'M DELIGHTED WE ARE STARTING TO 6708 04:37:34,440 --> 04:37:44,960 CONTEMPLATE AND THE IDEA OF HOW 6709 04:37:58,440 --> 04:37:59,760 DO WE START TO THINK ABOUT THE 6710 04:37:59,760 --> 04:38:03,320 PLACE ARE GETTING -- WE'VE SEEN 6711 04:38:03,320 --> 04:38:05,440 A LOT OF MAPS TODAY AND THESE 6712 04:38:05,440 --> 04:38:06,640 MAPS HAVE SOME REAL COMMON 6713 04:38:06,640 --> 04:38:08,360 THEMES IN TERMS OF PLACES THAT 6714 04:38:08,360 --> 04:38:12,240 ARE BEING SEEN, PLACES THAT 6715 04:38:12,240 --> 04:38:14,920 WE'RE BLIND TO AND I THINK 6716 04:38:14,920 --> 04:38:17,360 THERE'S SOMETHING AROUND 6717 04:38:17,360 --> 04:38:18,600 INTERSECTIONALITY AND THESE 6718 04:38:18,600 --> 04:38:20,520 COMMUNITIES OF INVESTMENT THAT 6719 04:38:20,520 --> 04:38:23,880 ARE AGAIN PLACES THAT ARE 6720 04:38:23,880 --> 04:38:25,200 APPALACHIA, TRIBAL LANDS, THE 6721 04:38:25,200 --> 04:38:29,080 RUST BELT, THESE PLACES THAT WE 6722 04:38:29,080 --> 04:38:32,360 ARE NOT PUTTING RESOURCES 6723 04:38:32,360 --> 04:38:33,240 TOWARDS AND CONTINUE THAT 6724 04:38:33,240 --> 04:38:34,320 DISINVESTMENT. 6725 04:38:34,320 --> 04:38:37,160 I WONDER IF THERE'S ANY THOUGHTS 6726 04:38:37,160 --> 04:38:40,280 AS YOU START TO CONTEMPLATE THE 6727 04:38:40,280 --> 04:38:41,400 IDEA OF STRUCTURAL DETERMINATES 6728 04:38:41,400 --> 04:38:44,960 OF HEALTH AND HOW DO WE BRING 6729 04:38:44,960 --> 04:38:47,400 THAT INTO THAT CONVERSATION 6730 04:38:47,400 --> 04:38:48,920 THINKING ABOUT THE PLACES WE'RE 6731 04:38:48,920 --> 04:38:49,240 INVESTING. 6732 04:38:49,240 --> 04:38:51,200 >>WHEN YOU THINK ABOUT PLACES 6733 04:38:51,200 --> 04:38:54,000 WE THINK ABOUT PEOPLE AND I 6734 04:38:54,000 --> 04:38:57,520 THINK IT'S REALLY IMPORTANT AS 6735 04:38:57,520 --> 04:38:59,920 MENTIONED EARLIER THAT THE 6736 04:38:59,920 --> 04:39:00,840 MAJORITY OF INTERSECTION 6737 04:39:00,840 --> 04:39:04,240 LITERATURE TO DATE DOCUMENTS THE 6738 04:39:04,240 --> 04:39:04,640 PROBLEM. 6739 04:39:04,640 --> 04:39:05,920 WE KNOW AT DIFFERENT 6740 04:39:05,920 --> 04:39:08,040 INTERSECTIONS DISPARITIES EXIST. 6741 04:39:08,040 --> 04:39:10,480 WE DON'T KNOW THE PATHWAYS AND 6742 04:39:10,480 --> 04:39:11,400 PROCESSES THROUGH WHICH THAT 6743 04:39:11,400 --> 04:39:12,360 OCCURS. 6744 04:39:12,360 --> 04:39:14,440 AND THE MAJORITY OF THE 6745 04:39:14,440 --> 04:39:17,040 LITERATURE HAS FOCUSSED ON A 6746 04:39:17,040 --> 04:39:18,160 NARROW SET OF INTERSECTION. 6747 04:39:18,160 --> 04:39:23,400 AND IF YOU DRILL THAT DOWN EVEN 6748 04:39:23,400 --> 04:39:25,520 MORE, RACE IS ONE THAT IS THE 6749 04:39:25,520 --> 04:39:27,280 MAJORITY OF FOCUS HAS BEEN ON 6750 04:39:27,280 --> 04:39:30,160 RACE BUT IF YOU DRILL IT DOWN 6751 04:39:30,160 --> 04:39:31,560 ANYMORE EVEN FURTHER I'M SURE 6752 04:39:31,560 --> 04:39:33,600 YOU'LL FIND SOME POPULATIONS 6753 04:39:33,600 --> 04:39:34,440 STILL ARE UNDER REPRESENTED. 6754 04:39:34,440 --> 04:39:37,160 SO IF YOU THINK OF PLACES YOU 6755 04:39:37,160 --> 04:39:39,360 THINK OF POPULATIONS AND HOW 6756 04:39:39,360 --> 04:39:40,320 INTERSECTIONALITY RESEARCH 6757 04:39:40,320 --> 04:39:43,480 REALLY DOES HAVE THE CAPACITY TO 6758 04:39:43,480 --> 04:39:44,360 EXPAND SCOPE AND UNDERSTANDING 6759 04:39:44,360 --> 04:39:46,600 THE PROBLEMS SO THE PROBLEMS CAN 6760 04:39:46,600 --> 04:39:50,880 BE ADDRESSED IN THESE PLACES AND 6761 04:39:50,880 --> 04:39:51,360 THAT COMPRISE PEOPLE. 6762 04:39:51,360 --> 04:39:51,600 >>YES. 6763 04:39:51,600 --> 04:39:54,040 I THINK YOU'RE RIGHT. 6764 04:39:54,040 --> 04:39:55,800 TO DRILL DOWN AND THINK ONE OF 6765 04:39:55,800 --> 04:39:58,680 THE PIECES AS YOU DRILL DOWN 6766 04:39:58,680 --> 04:40:00,000 WE'RE GOING TO GET TO SOME 6767 04:40:00,000 --> 04:40:01,600 POINTS THAT SEEM SALIENT EVERY 6768 04:40:01,600 --> 04:40:04,360 TIME I LOOK AT THE NEW YORK 6769 04:40:04,360 --> 04:40:08,200 TIMES THEY'RE TALKING ABOUT THIS 6770 04:40:08,200 --> 04:40:10,480 WAY THAT PRIVILEGE AND WAYS 6771 04:40:10,480 --> 04:40:12,240 AROUND HIGHER EDUCATION AND WHO 6772 04:40:12,240 --> 04:40:16,360 IS GETTING ACCESS TO THESE 6773 04:40:16,360 --> 04:40:18,680 PLACES WE KNOW GIVE ADVANTAGE 6774 04:40:18,680 --> 04:40:22,600 AND WHEN YOU LOOK AT THE WORK 6775 04:40:22,600 --> 04:40:23,800 AROUND SOCIAL MOBILITY AND HOW 6776 04:40:23,800 --> 04:40:25,640 ZIP CODES PROBABLY MATTER MORE 6777 04:40:25,640 --> 04:40:29,160 THAN GENETIC CODES IN TERMS OF 6778 04:40:29,160 --> 04:40:34,520 HOW THAT ALSO -- PART OF MY 6779 04:40:34,520 --> 04:40:36,040 INTEREST IN AND TALKING ABOUT 6780 04:40:36,040 --> 04:40:40,360 HOW WE START TO THINK ABOUT 6781 04:40:40,360 --> 04:40:41,800 THESE PLACES AND THE SOCIAL 6782 04:40:41,800 --> 04:40:43,080 MOBILITY THAT COMES FROM THESE 6783 04:40:43,080 --> 04:40:46,040 PLACES AND THE CONNECTIONS WITH 6784 04:40:46,040 --> 04:40:48,760 AFFLUENCE OR OTHER KINDS OF 6785 04:40:48,760 --> 04:40:50,760 OPPORTUNITY PIECES THAT WRAP 6786 04:40:50,760 --> 04:40:51,120 AROUND THAT. 6787 04:40:51,120 --> 04:40:53,400 THIS IDEA AS YOU DRILL DOWN TO 6788 04:40:53,400 --> 04:40:56,640 LOOK AT OPPORTUNITY AND THE WAY 6789 04:40:56,640 --> 04:40:58,120 OPPORTUNITY ASK CONFERRED 6790 04:40:58,120 --> 04:41:00,360 THROUGH PLACE AND -- IS 6791 04:41:00,360 --> 04:41:04,480 CONFERRED THROUGH PLACE AND SOME 6792 04:41:04,480 --> 04:41:07,000 OF THE STRENGTHS OF WEAK TIES 6793 04:41:07,000 --> 04:41:08,240 AND WHO YOU KNOW AND WHO IS IN 6794 04:41:08,240 --> 04:41:08,960 YOUR NETWORK. 6795 04:41:08,960 --> 04:41:10,760 THERE'S SOME PLACES THAT HAVE 6796 04:41:10,760 --> 04:41:16,360 THINGS WE DON'T NECESSARILY TALK 6797 04:41:16,360 --> 04:41:17,320 ABOUT. 6798 04:41:17,320 --> 04:41:20,360 THERE ARE COMMUNITIES POSTALLY 6799 04:41:20,360 --> 04:41:23,400 BLACK AND BROWN COMMUNITIES THAT 6800 04:41:23,400 --> 04:41:27,560 TEND TO BE YOUTHFUL AND CHILD 6801 04:41:27,560 --> 04:41:29,320 DENSE AND HOW DOES THAT AFFECT 6802 04:41:29,320 --> 04:41:29,920 ADVANTAGE AND OPPORTUNITY AND 6803 04:41:29,920 --> 04:41:40,120 RESOURCES. 6804 04:41:44,200 --> 04:41:47,760 42 FLIP SIDE IS ADVANTAGE AND 6805 04:41:47,760 --> 04:41:48,800 TRYING TO UNDERSTAND HOW THE 6806 04:41:48,800 --> 04:41:53,160 SYSTEMS AND FORCES AND 6807 04:41:53,160 --> 04:41:55,840 STRUCTURES ADVANTAGE SOME WHILE 6808 04:41:55,840 --> 04:41:58,160 SIMULTANEOUSLY DISADVANTAGING 6809 04:41:58,160 --> 04:41:58,680 OTHERS. 6810 04:41:58,680 --> 04:42:01,960 TRYING TO UNDERSTAND ADVANTAGE 6811 04:42:01,960 --> 04:42:03,520 AS WELL AS DISADVANTAGE IS 6812 04:42:03,520 --> 04:42:04,360 IMPORTANT IN THE CONTEXT OF 6813 04:42:04,360 --> 04:42:04,760 INTERSECTIONALITY. 6814 04:42:04,760 --> 04:42:05,560 THANK YOU FOR THAT. 6815 04:42:05,560 --> 04:42:08,320 >>THANK YOU FOR YOUR 6816 04:42:08,320 --> 04:42:17,000 PRESENTATION. 6817 04:42:17,000 --> 04:42:18,400 SORRY YOU WERE FORGOT. 6818 04:42:18,400 --> 04:42:21,200 >>WELL, NOW I KNOW I'M NOT. 6819 04:42:21,200 --> 04:42:27,680 IT SEEMS SO IMPORTANT. 6820 04:42:27,680 --> 04:42:29,880 IT'S RELATED TO DR. ATKINS' 6821 04:42:29,880 --> 04:42:32,360 COMMENT BECAUSE WE TRY TO TALK 6822 04:42:32,360 --> 04:42:37,680 ABOUT INTERSECTIONALITY FROM AN 6823 04:42:37,680 --> 04:42:48,160 ASSET AND WHEN THERE'S HIGH 6824 04:42:53,440 --> 04:42:56,120 DEGREES OF LATINOS, HIGH 6825 04:42:56,120 --> 04:42:56,720 CONCENTRATIONS THERE'S MORE 6826 04:42:56,720 --> 04:42:58,040 CAPITAL AND MORE SHARING OF 6827 04:42:58,040 --> 04:43:00,360 RESOURCES SO THINKING ABOUT THAT 6828 04:43:00,360 --> 04:43:03,640 INTERSECTION WITHIN THAT CONTEXT 6829 04:43:03,640 --> 04:43:04,360 TO IDENTIFY ASSET IN THE 6830 04:43:04,360 --> 04:43:08,360 COMMUNITY OR IN FAMILIES OR EVEN 6831 04:43:08,360 --> 04:43:09,880 WITHIN AN INDIVIDUAL THEY COPE 6832 04:43:09,880 --> 04:43:11,400 WITH WHATEVER THE SITUATION 6833 04:43:11,400 --> 04:43:17,400 MIGHT BE. 6834 04:43:17,400 --> 04:43:19,040 I LOVED READING ABOUT THIS 6835 04:43:19,040 --> 04:43:24,160 BECAUSE AS WE MOVE INTO 6836 04:43:24,160 --> 04:43:24,880 INTERVENTION RESEARCH TO 6837 04:43:24,880 --> 04:43:25,880 CAPITALIZE AND BUILD ON THE 6838 04:43:25,880 --> 04:43:26,240 ASSETS. 6839 04:43:26,240 --> 04:43:27,400 I DON'T KNOW WHERE WE'RE GOING 6840 04:43:27,400 --> 04:43:30,160 TO LAND WITH THIS. 6841 04:43:30,160 --> 04:43:37,400 >>THAT'S AN IMPORTANT POINT. 6842 04:43:37,400 --> 04:43:39,440 COMMUNITIES DO HAVE ASSETS THAT 6843 04:43:39,440 --> 04:43:42,240 CAN SERVE AS BUFFERS OR SERVE TO 6844 04:43:42,240 --> 04:43:44,000 MITIGATE THE EXPERIENCES THAT 6845 04:43:44,000 --> 04:43:45,600 PEOPLE ENCOUNTER ON A DAILY 6846 04:43:45,600 --> 04:43:46,000 BASIS. 6847 04:43:46,000 --> 04:43:48,400 I THINK THAT WILL BE AN 6848 04:43:48,400 --> 04:43:49,040 IMPORTANT CONSIDERATION IN THE 6849 04:43:49,040 --> 04:43:55,360 CONCEPT. 6850 04:43:55,360 --> 04:43:59,400 THANK YOU GUYS FOR LISTENING AND 6851 04:43:59,400 --> 04:44:09,880 THANK YOU FOR YOUR DISCUSSION. 6852 04:44:16,400 --> 04:44:16,920 >>ALL RIGHT. 6853 04:44:16,920 --> 04:44:18,480 THANK YOU. 6854 04:44:18,480 --> 04:44:21,320 SO HEY, IT'S BEEN A LONG DAY BUT 6855 04:44:21,320 --> 04:44:22,400 AN EXCITING DAY. 6856 04:44:22,400 --> 04:44:24,360 THANK YOU FOR YOUR ENGAGEMENT 6857 04:44:24,360 --> 04:44:25,640 AND YOUR PARTICIPATION SO I WANT 6858 04:44:25,640 --> 04:44:30,280 TO JUST PAUSE AND OPEN IT UP FOR 6859 04:44:30,280 --> 04:44:32,520 ANY COMMENTS OR ANY GENERAL 6860 04:44:32,520 --> 04:44:40,400 DISCUSSION AMONG COUNCIL. 6861 04:44:40,400 --> 04:44:44,240 ALL RIGHT, WE'RE GOOD? 6862 04:44:44,240 --> 04:44:44,760 ALL RIGHT. 6863 04:44:44,760 --> 04:44:46,560 SO THEN WE'LL CONSIDER OPEN 6864 04:44:46,560 --> 04:44:50,280 SESSION CLOSED SO IT'S NOW 2:38. 6865 04:44:50,280 --> 04:44:54,240 SO HOW MUCH TIME DO WE NEED? 6866 04:44:54,240 --> 04:44:57,320 IS 12 MINUTES ENOUGH BEFORE WE 6867 04:44:57,320 --> 04:44:58,960 RECONVENE FOR CLOSED SESSION? 6868 04:44:58,960 --> 04:45:00,360 DOES THAT SOUND OKAY BALANCING 6869 04:45:00,360 --> 04:45:04,800 ALL THINGS HERE? 6870 04:45:04,800 --> 04:45:05,360 OKAY. 6871 04:45:05,360 --> 04:45:10,200 SO COUNCIL WILL CONVENE AT 2:50 6872 04:45:10,200 --> 00:00:00,000 EASTERN FOR CLOSED SESSION.