1 00:00:07,156 --> 00:00:08,358 >> WELCOME EVERYONE. 2 00:00:08,358 --> 00:00:10,226 IT'S SO LOVELY TO SEE TO MANY OF 3 00:00:10,226 --> 00:00:12,629 YOU IN THE ROOM AND BE IN PERSON 4 00:00:12,629 --> 00:00:14,631 WITH YOU AFTER OUR MANY MONTHS 5 00:00:14,631 --> 00:00:16,366 OF WORKING TOGETHER. 6 00:00:16,366 --> 00:00:20,303 I HAVE A COUPLE HOUSEKEEPING 7 00:00:20,303 --> 00:00:23,039 ANNOUNCEMENTS BEFORE I PASS IT 8 00:00:23,039 --> 00:00:24,907 TO THE CO-CHAIR. 9 00:00:24,907 --> 00:00:27,343 SINCE WE'RE RUNNING A HYBRID 10 00:00:27,343 --> 00:00:30,546 MEETING I WANT TO MAKE SURE 11 00:00:30,546 --> 00:00:32,148 FOLKS AND IF YOU'RE IN THE ROOM 12 00:00:32,148 --> 00:00:33,850 AND SPEAKING, PLEASE IDENTIFY 13 00:00:33,850 --> 00:00:38,388 YOURSELF BEFORE YOU BEGIN SPEAK 14 00:00:38,388 --> 00:00:40,957 AND TURN THE MICROPHONE ON AND 15 00:00:40,957 --> 00:00:42,792 WE'LL ALL NEED TO BE SPEAKING 16 00:00:42,792 --> 00:00:43,393 INTO A MICROPHONE. 17 00:00:43,393 --> 00:00:46,529 FOR THOSE OF YOU ON THE ZOOM, 18 00:00:46,529 --> 00:00:49,465 WHEN IT COMES TO QUESTIONS AND 19 00:00:49,465 --> 00:00:51,034 ANSWER, WE'LL BE MONITORING THE 20 00:00:51,034 --> 00:00:52,935 CHAT SO YOU CAN PUT QUESTIONS IN 21 00:00:52,935 --> 00:00:55,271 THE CHAT AND/OR USE THE RAISE 22 00:00:55,271 --> 00:00:56,172 HAND FUNCTION AND WE'LL CALL ON 23 00:00:56,172 --> 00:00:57,874 YOU TO MAKE SURE YOU CAN 24 00:00:57,874 --> 00:00:59,642 PARTICIPATION AND EVERYONE IN 25 00:00:59,642 --> 00:01:00,977 THE ROOM CAN SEE YOU. 26 00:01:00,977 --> 00:01:03,980 I ALSO WANT TO MENTION WE HAD A 27 00:01:03,980 --> 00:01:06,115 COUPLE FOLKS DISCLOSE POTENTIAL 28 00:01:06,115 --> 00:01:09,519 CONFLICTS OF INTEREST BUT GIVEN 29 00:01:09,519 --> 00:01:15,625 THE TOPICS WE'RE DISCUSSING 30 00:01:15,625 --> 00:01:16,893 TODAY I MADE SURE WE DON'T NEED 31 00:01:16,893 --> 00:01:18,628 TO WORRY ABOUT THAT. 32 00:01:18,628 --> 00:01:21,898 IF YOU NEED HELP WITH WI-FI OR 33 00:01:21,898 --> 00:01:22,932 ANYTHING LIKE THAT LET US KNOW 34 00:01:22,932 --> 00:01:28,571 AND THERE'S COFFEE AND WATER ON 35 00:01:28,571 --> 00:01:31,441 THE TABLE AND THEY'RE BY 36 00:01:31,441 --> 00:01:32,942 NON-APPROPRIATED FUNDS AND REST 37 00:01:32,942 --> 00:01:35,411 ROOMS IN THE HALL. 38 00:01:35,411 --> 00:01:36,913 I WANT TO MAKE SURE EVERYONE IS 39 00:01:36,913 --> 00:01:39,682 WELL TAKEN CARE OF AND WITH THAT 40 00:01:39,682 --> 00:01:43,086 I'LL HAND IT TO THE CO-CHAIR TO 41 00:01:43,086 --> 00:01:43,519 DIVE IN. 42 00:01:43,519 --> 00:01:47,657 >> THANK YOU, EMMA. 43 00:01:47,657 --> 00:01:51,494 I'LL REITERATE WHAT EMMA SAID, 44 00:01:51,494 --> 00:01:53,496 FIRST THANK YOU FOR TAKING TIME 45 00:01:53,496 --> 00:01:56,899 FROM YOUR BUSY SCHEDULES AN TO 46 00:01:56,899 --> 00:01:58,301 TAKE OUT TO BE HERE WITH US 47 00:01:58,301 --> 00:01:58,668 TODAY. 48 00:01:58,668 --> 00:02:01,604 IT'S REALLY IMPORTANT FOR THE 49 00:02:01,604 --> 00:02:04,841 SPACE AND CRITICALLY IMPORTANT 50 00:02:04,841 --> 00:02:06,275 FOR WOMEN PREGNANT AND LACTATING 51 00:02:06,275 --> 00:02:11,647 TO FIND A PATH FORWARD TO MEET 52 00:02:11,647 --> 00:02:12,115 THEIR NEEDS. 53 00:02:12,115 --> 00:02:13,516 WE'RE THRILLED TO HAVE YOU HERE 54 00:02:13,516 --> 00:02:14,650 TODAY. 55 00:02:14,650 --> 00:02:17,487 I'M REALLY THANKFUL TO THE NICHD 56 00:02:17,487 --> 00:02:20,623 STAFFERS FOR PROVIDING SOME 57 00:02:20,623 --> 00:02:22,492 WATER AND COFFEE AND SNACKS TO 58 00:02:22,492 --> 00:02:23,459 US. 59 00:02:23,459 --> 00:02:26,863 THIS IS A TRUE PERSONAL 60 00:02:26,863 --> 00:02:28,197 APPROPRIATION THEY HAVE 61 00:02:28,197 --> 00:02:29,565 CONTRIBUTED TO SO PLEASE TAKE 62 00:02:29,565 --> 00:02:31,300 ADVANTAGE SINCE THEY WENT OUT OF 63 00:02:31,300 --> 00:02:31,868 THEIR WAY. 64 00:02:31,868 --> 00:02:33,269 FOR TODAY WE HAVE AN AGENDA THAT 65 00:02:33,269 --> 00:02:37,106 IS SCHEDULED THROUGH THE DAY. 66 00:02:37,106 --> 00:02:39,242 THE MORNING IS GOING TO BE A 67 00:02:39,242 --> 00:02:41,511 REPRODUCTION OF THE WORK WE'VE 68 00:02:41,511 --> 00:02:42,445 BEEN DOING OVER THE COURSE OF 69 00:02:42,445 --> 00:02:44,080 THE LAST FEW MONTHS AND THE 70 00:02:44,080 --> 00:02:44,981 AFTERNOON IS AN OPPORTUNITY TO 71 00:02:44,981 --> 00:02:46,215 COME TOGETHER TO DISCUSS THE 72 00:02:46,215 --> 00:02:48,084 OUTSTANDING ELEMENTS OF OUR WORK 73 00:02:48,084 --> 00:02:51,087 TOGETHER BUT ALSO TO ENSURE THAT 74 00:02:51,087 --> 00:02:53,656 WE'RE REALLY CLEAR ON WHAT YOU 75 00:02:53,656 --> 00:02:55,792 IDENTIFIED AS KEY THEMES WE NEED 76 00:02:55,792 --> 00:02:58,761 TO ENSURE TO BUILD INTO THE 77 00:02:58,761 --> 00:03:01,998 REPORT WE'LL ULTIMATELY BE 78 00:03:01,998 --> 00:03:02,865 SUBMITTING TO CONGRESS. 79 00:03:02,865 --> 00:03:04,834 WE WANT TO HEAR FROM ALL OF YOU 80 00:03:04,834 --> 00:03:07,537 ABOUT WHAT YOU SEE IS THE KEY 81 00:03:07,537 --> 00:03:08,905 ELEMENTS THAT SHOULD GO INTO THE 82 00:03:08,905 --> 00:03:09,338 REPORT. 83 00:03:09,338 --> 00:03:11,641 WITH THAT I THINK WE CAN MOVE TO 84 00:03:11,641 --> 00:03:21,918 THE NEXT SLIDE. 85 00:03:23,719 --> 00:03:27,657 TO PROVIDER AN OVERVIEW OF THE 86 00:03:27,657 --> 00:03:30,726 PRGLAC PLAN WE'VE MAPPED 87 00:03:30,726 --> 00:03:34,797 PROGRESS TO DATE ON 88 00:03:34,797 --> 00:03:36,899 IMPLEMENTATION AND TODAY WE'LL 89 00:03:36,899 --> 00:03:39,535 BE THE REMAINING RECOMMENDATIONS 90 00:03:39,535 --> 00:03:43,239 WHICH ARE THREE, FIVE AND SIX. 91 00:03:43,239 --> 00:03:45,808 IF YOU LOOK TO LACTATION YOU CAN 92 00:03:45,808 --> 00:03:49,378 SEE THE STATUS, YOU SEE A 93 00:03:49,378 --> 00:03:50,513 RELATIVELY SIMILAR LOOK GRAPHIC. 94 00:03:50,513 --> 00:03:53,516 THERE'S A COUPLE RECOMMENDATIONS 95 00:03:53,516 --> 00:03:56,786 FOR LACTATION THAT ARE NOT 96 00:03:56,786 --> 00:03:58,754 APPLICABLE TO LACTATION AND YOU 97 00:03:58,754 --> 00:04:00,490 SEE AN N.A. FOR RECOMMENDATION 98 00:04:00,490 --> 00:04:03,292 FOUR BUT WE'VE ALSO BEEN ABLE TO 99 00:04:03,292 --> 00:04:04,727 NICELY CHARACTERIZE THE STATUS 100 00:04:04,727 --> 00:04:14,971 FOR LACTATION. 101 00:04:16,305 --> 00:04:17,874 AND HERE IN THE WORK GROUP OUR 102 00:04:17,874 --> 00:04:21,644 JOB IS TO VAEFLT THE STATUS OF 103 00:04:21,644 --> 00:04:22,678 THE IMPLEMENTATION PLAN AND 104 00:04:22,678 --> 00:04:25,047 CREATED THROUGH THE CONSOLIDATED 105 00:04:25,047 --> 00:04:26,482 ACT OF 2003. 106 00:04:26,482 --> 00:04:30,520 WE DO HAVE A SPECIFIC TASK TO 107 00:04:30,520 --> 00:04:31,621 ASSESS HOW FAR WE'VE BEEN ABLE 108 00:04:31,621 --> 00:04:33,589 TO PROGRESS, WHERE THERE IS 109 00:04:33,589 --> 00:04:35,658 STILL NEED FOR FURTHER PLANNING 110 00:04:35,658 --> 00:04:38,995 AND IMPLEMENTATION POTENTIALLY 111 00:04:38,995 --> 00:04:43,399 RESOURCE AND ACTION IN ORDER TO 112 00:04:43,399 --> 00:04:44,901 SEE THE INTENTION OF THE PLAN 113 00:04:44,901 --> 00:04:48,804 COME TO FRUITION. 114 00:04:48,804 --> 00:04:51,674 >> WE CAN'T SEE ANY OF THE 115 00:04:51,674 --> 00:04:52,808 SLIDES ON THE ZOOM. 116 00:04:52,808 --> 00:04:54,377 IS IT POSSIBLE TO HAVE THE 117 00:04:54,377 --> 00:05:04,854 CAMERA PIVOT TO THE SLIDES? 118 00:05:05,488 --> 00:05:06,889 >> IT'S BEING WORKED ON NOW SO 119 00:05:06,889 --> 00:05:08,591 OUR APOLOGIES IN ADVANCE. 120 00:05:08,591 --> 00:05:18,834 >> THANK YOU. 121 00:05:25,875 --> 00:05:30,479 >> CAN YOU GIVE US AN 122 00:05:30,479 --> 00:05:31,480 AFFIRMATIVE YOU'RE ABLE TO SEE 123 00:05:31,480 --> 00:05:31,681 THEM. 124 00:05:31,681 --> 00:05:33,015 >> WE CAN SEE THEM. 125 00:05:33,015 --> 00:05:39,288 >> PERFECT. 126 00:05:39,288 --> 00:05:41,591 JUST TO REMIND EVERYONE WHERE WE 127 00:05:41,591 --> 00:05:41,757 ARE. 128 00:05:41,757 --> 00:05:44,060 OUR WORK GROUP WAS PUT INTO 129 00:05:44,060 --> 00:05:45,461 PLACE BY RECOMMENDATION 15 LAID 130 00:05:45,461 --> 00:05:48,898 OUT SO WE'RE GLAD TO HAVE SEEN 131 00:05:48,898 --> 00:05:49,865 THE FORESIGHT OF THE 132 00:05:49,865 --> 00:05:52,001 IMPLEMENTATION WORKING GROUP TO 133 00:05:52,001 --> 00:05:57,073 ESTABLISH THIS REVIEW WORK GROUP 134 00:05:57,073 --> 00:05:58,808 OF COUNCIL. 135 00:05:58,808 --> 00:06:00,910 OUR JOB IS TO REVIEW WHAT'S 136 00:06:00,910 --> 00:06:04,213 AVAILABLE PUBLICLY TO DATE AND 137 00:06:04,213 --> 00:06:06,148 IT'S IMPOSSIBLE TO REVIEW 138 00:06:06,148 --> 00:06:07,750 EVERYTHING IN THE SPACE AND YOUR 139 00:06:07,750 --> 00:06:08,884 COMMENTS WILL BE HIGHLY VALUED. 140 00:06:08,884 --> 00:06:11,654 WE HAVE SPEAKERS TODAY THAT ARE 141 00:06:11,654 --> 00:06:15,291 GOING TO BE REPRESENTING FEDERAL 142 00:06:15,291 --> 00:06:17,760 ENTITIES TO REVIEW THE 143 00:06:17,760 --> 00:06:20,463 INTENTIONS FOR TODAY'S 144 00:06:20,463 --> 00:06:23,633 DISCUSSION AND ALL OF OUR WORK 145 00:06:23,633 --> 00:06:24,967 WILL CULMINATE IN A REPORT 146 00:06:24,967 --> 00:06:29,338 THAT'S GOING TO BE MADE TO 147 00:06:29,338 --> 00:06:30,873 COUNCIL AND ULTIMATELY SUBMITTED 148 00:06:30,873 --> 00:06:31,774 TO CONGRESS. 149 00:06:31,774 --> 00:06:33,509 AND OUR PURPOSE IN THAT REPORT 150 00:06:33,509 --> 00:06:35,645 IS TO GO BOTH SPEAK TO THE 151 00:06:35,645 --> 00:06:37,913 STATUS OF THE IMPLEMENTATION 152 00:06:37,913 --> 00:06:39,749 PLAN AND ALSO TO PROVIDE 153 00:06:39,749 --> 00:06:40,883 RECOMMENDATIONS WHERE WE THINK 154 00:06:40,883 --> 00:06:43,019 RECOMMENDATIONS MAY BE NEEDED TO 155 00:06:43,019 --> 00:06:45,287 BETTER FACILITATE SOME OF THE 156 00:06:45,287 --> 00:06:46,422 RECOMMENDATIONS THAT HAVE ARE 157 00:06:46,422 --> 00:06:48,891 NOT OF YET BEEN ABLE TO BE 158 00:06:48,891 --> 00:06:49,191 ACTIONED. 159 00:06:49,191 --> 00:06:50,726 IF THERE IS RECONSIDERATION OF 160 00:06:50,726 --> 00:06:52,895 THE RECOMMENDATIONS WE FEEL 161 00:06:52,895 --> 00:07:02,938 COULD BE NEEDED. 162 00:07:02,938 --> 00:07:05,508 THROUGH THE WORK TO DATE WE'VE 163 00:07:05,508 --> 00:07:07,543 WORKED THROUGH CLUSTER C ON 164 00:07:07,543 --> 00:07:11,681 LIABILITY AND D, REGISTRIES AND 165 00:07:11,681 --> 00:07:16,052 E ON NOVEL DRUG DISCOVERIY AND 166 00:07:16,052 --> 00:07:17,887 DEVELOPMENT AND WE'LL FOCUS ON 167 00:07:17,887 --> 00:07:20,923 CLUSTER B, EDUCATION OUTREACH, 168 00:07:20,923 --> 00:07:23,559 TRAINING AND CAREER DEVELOPMENT. 169 00:07:23,559 --> 00:07:27,029 TO FACILITATE THAT IN THE FIRST 170 00:07:27,029 --> 00:07:29,665 SESSION WE'LL HAVE SPEAKERS FROM 171 00:07:29,665 --> 00:07:32,134 NICHD, THE AMERICAN COLLEGE OF 172 00:07:32,134 --> 00:07:35,671 OBSTETRICS AND GYNECOLOGY AND 173 00:07:35,671 --> 00:07:40,376 THE SOCIETY FOR MATERNAL FETAL 174 00:07:40,376 --> 00:07:42,445 MEDICINE PROVIDING ACTIONS TO 175 00:07:42,445 --> 00:07:43,179 DATE. 176 00:07:43,179 --> 00:07:45,314 AND WHILE SESSION 1 WILL 177 00:07:45,314 --> 00:07:46,048 PRIMARILY FOCUS ON 178 00:07:46,048 --> 00:07:47,450 RECOMMENDATION 3, WE'LL ALSO 179 00:07:47,450 --> 00:07:49,552 BRING IN ELEMENTS THAT SPEAK TO 180 00:07:49,552 --> 00:07:50,486 RECOMMENDATIONS 5 AND 6 AND 181 00:07:50,486 --> 00:07:52,888 WE'RE FULLY AWARE OF THAT SO 182 00:07:52,888 --> 00:07:55,558 DON'T FEEL YOU CAN'T SPEAK TO 183 00:07:55,558 --> 00:07:56,959 THAT ON THE DISCUSSION 184 00:07:56,959 --> 00:07:57,226 COMPONENT. 185 00:07:57,226 --> 00:08:00,229 IN SESSION 2, WE'LL HAVE 186 00:08:00,229 --> 00:08:01,363 SPEAKERS WHO ARE GOING TO BE 187 00:08:01,363 --> 00:08:04,767 COMING TO US FROM THE CDC AND 188 00:08:04,767 --> 00:08:08,337 FROM ACTIVITIES PUT IN PLACE 189 00:08:08,337 --> 00:08:10,039 EXTERNAL TO SOCIETY. 190 00:08:10,039 --> 00:08:13,442 WE WANT TO HEAR FROM YOU HOW THE 191 00:08:13,442 --> 00:08:14,610 ACTIONS FIT INTO THE 192 00:08:14,610 --> 00:08:15,077 RECOMMENDATION PLANS. 193 00:08:15,077 --> 00:08:17,313 THIS IS NOW MAPPING WHAT OUR 194 00:08:17,313 --> 00:08:19,281 MORNING IS GOING TO LOOK LIKE 195 00:08:19,281 --> 00:08:19,915 AND THE DISCUSSION THAT WILL 196 00:08:19,915 --> 00:08:20,916 ENSUE. 197 00:08:20,916 --> 00:08:25,421 I THINK THAT TAKES US TO SESSION 198 00:08:25,421 --> 00:08:26,122 1. 199 00:08:26,122 --> 00:08:28,891 SO FROM HERE I'LL TURN THINGS 200 00:08:28,891 --> 00:08:29,658 OVER. 201 00:08:29,658 --> 00:08:32,361 >> THANKS, CHRISTINA. 202 00:08:32,361 --> 00:08:35,931 I WANT TO CALL OUT NATASHA, 203 00:08:35,931 --> 00:08:39,335 LAURA AND EMMA DOING AN AMAZING 204 00:08:39,335 --> 00:08:40,503 JOB COORDINATING THE WORK GROUP 205 00:08:40,503 --> 00:08:43,038 AND DONE THE HEAVY LIFTING AND 206 00:08:43,038 --> 00:08:45,641 MADE OUR JOB EASIER AND MADE 207 00:08:45,641 --> 00:08:47,777 SURE THE BUDGET WAS PASSED AND 208 00:08:47,777 --> 00:08:55,284 THEY WENT ABOVE AND BEYOND. 209 00:08:55,284 --> 00:08:57,953 IN SESSION 1 WE'LL DISCUSSION 210 00:08:57,953 --> 00:08:59,388 RECOMMENDATION 3. 211 00:08:59,388 --> 00:09:00,890 THERE'S SEVERAL THINGS WE WANT 212 00:09:00,890 --> 00:09:04,894 TO LISTEN FOR, WITH RESPECT TO 213 00:09:04,894 --> 00:09:07,096 3A WE'RE TRYING TO UNDERSTAND 214 00:09:07,096 --> 00:09:07,730 TRADITIONAL OPPORTUNITIES AND 215 00:09:07,730 --> 00:09:12,902 Ts, Ks, Rs, DIVERSITY 216 00:09:12,902 --> 00:09:19,308 SUPPLEMENTS AND NON-EDUCATIONAL 217 00:09:19,308 --> 00:09:20,009 OPPORTUNITIES, CERTIFICATION AND 218 00:09:20,009 --> 00:09:23,145 INTEGRATION WITH PROGRAMS AND 219 00:09:23,145 --> 00:09:24,847 ADDRESS SALARY ISSUES AND 220 00:09:24,847 --> 00:09:25,581 EFFORTS MADE TOWARDS INCREASING 221 00:09:25,581 --> 00:09:28,117 THE AWARENESS OF THESE 222 00:09:28,117 --> 00:09:28,450 OPPORTUNITIES. 223 00:09:28,450 --> 00:09:32,121 RECOMMENDATION 3B, DISCUSSES 224 00:09:32,121 --> 00:09:33,722 SUPPORTING, CONNECTING MENTORS 225 00:09:33,722 --> 00:09:35,324 AND TRAINEES AND SUPPORTING 226 00:09:35,324 --> 00:09:37,092 MENTORS THEMSELVES AND WITH 227 00:09:37,092 --> 00:09:42,765 RESPECT TO 3C WE'RE LOOKING AT 228 00:09:42,765 --> 00:09:43,632 EXPANDING TOXICOLOGY TRAINING 229 00:09:43,632 --> 00:09:45,467 OPPORTUNITIES, EDUCATIONAL 230 00:09:45,467 --> 00:09:46,802 REQUIREMENTS INCLUDING 231 00:09:46,802 --> 00:09:49,605 ELECTRONIC HEALTH RECORD MODULES 232 00:09:49,605 --> 00:09:50,439 THAT FOSTER CLINICAL TRIALS 233 00:09:50,439 --> 00:09:50,773 PARTICIPATION. 234 00:09:50,773 --> 00:09:53,042 THESE ARE THINGS WE WANT TO 235 00:09:53,042 --> 00:09:56,278 LISTEN FOR AS WE LOOK TO HOW 236 00:09:56,278 --> 00:09:58,814 EFFECTIVELY RECOMMENDATION 3 HAS 237 00:09:58,814 --> 00:09:59,982 BEEN IMPLEMENTS. 238 00:09:59,982 --> 00:10:00,850 WITHOUT FURTHER ADO I'LL 239 00:10:00,850 --> 00:10:04,820 INTRODUCE YOU TO OUR SPEAKERS. 240 00:10:04,820 --> 00:10:08,490 WE'VE GOT DR. BATE WITHIN THE 241 00:10:08,490 --> 00:10:11,660 OFFICE OF OBSTETRIC AND 242 00:10:11,660 --> 00:10:14,930 PEDIATRIC PHARMACOLOGY NICHD AND 243 00:10:14,930 --> 00:10:20,469 RACHEL TEFLA FOR ACON AND 244 00:10:20,469 --> 00:10:22,304 REBECCA ABBOT FOR THE SOCIETY OF 245 00:10:22,304 --> 00:10:23,572 MATERNAL AND FETAL MEDICINE. 246 00:10:23,572 --> 00:10:25,474 I'LL TURN IT OVER TO LESLIE AND 247 00:10:25,474 --> 00:10:35,918 ASK HER TO GET US STARTED. 248 00:10:56,505 --> 00:10:58,474 >> ARE YOU ABLE TO SEE MY FIRST 249 00:10:58,474 --> 00:11:08,884 SLIDE IT'S A TITLE PAGE. 250 00:11:09,718 --> 00:11:10,653 >> THANK YOU FOR HAVING ME AND 251 00:11:10,653 --> 00:11:11,654 THANK YOU FOR THE OPPORTUNITY TO 252 00:11:11,654 --> 00:11:13,122 TALK ABOUT TRAINING AND 253 00:11:13,122 --> 00:11:15,824 MENTORSHIP AND PARTICULARLY OUR 254 00:11:15,824 --> 00:11:17,793 TRAINING NETWORK. 255 00:11:17,793 --> 00:11:22,031 SO, MY NAME IS LESLIE BATES FOR 256 00:11:22,031 --> 00:11:23,899 THE PHARMACOLOGY TRAINING 257 00:11:23,899 --> 00:11:24,133 NETWORK. 258 00:11:24,133 --> 00:11:26,168 OVER THE NEXT COUPLE SLIDES I 259 00:11:26,168 --> 00:11:28,570 PLAN TO INTRODUCE OUR NETWORK, 260 00:11:28,570 --> 00:11:32,942 HIGHLIGHT HOW OUR NETWORK HAS 261 00:11:32,942 --> 00:11:34,977 EVOLVED AND PERHAPS SHOWCASE 262 00:11:34,977 --> 00:11:35,544 SOME SUCCESSES. 263 00:11:35,544 --> 00:11:40,883 THE TRAINING NETWORK WAS FORMED 264 00:11:40,883 --> 00:11:43,552 IN RESPONSE TO THE 265 00:11:43,552 --> 00:11:47,089 PHARMACEUTICALS ACT REQUIRING 266 00:11:47,089 --> 00:11:48,958 PHARMACOLOGISTS TO BE INCLUDING 267 00:11:48,958 --> 00:11:50,759 IN EXISTING CAREER DEVELOPMENT 268 00:11:50,759 --> 00:11:51,026 PROGRAMS. 269 00:11:51,026 --> 00:11:54,530 THIS WAS INITIALLY FORMED IN 270 00:11:54,530 --> 00:11:58,067 2011 BIT THE OBSTETRIC AND 271 00:11:58,067 --> 00:11:59,802 PEDIATRIC BRANCH WHICH PROPOSED 272 00:11:59,802 --> 00:12:02,338 TO PREPARE INDIVIDUALS TO 273 00:12:02,338 --> 00:12:04,907 CONDUCT IMPACTFUL RESEARCH AND 274 00:12:04,907 --> 00:12:05,975 CAREER DEVELOPMENT OF YOUNG 275 00:12:05,975 --> 00:12:06,408 INVESTIGATORS. 276 00:12:06,408 --> 00:12:08,911 THIS ALLOWS FOR 277 00:12:08,911 --> 00:12:09,878 INTERDISCIPLINARY COLLABORATION 278 00:12:09,878 --> 00:12:12,147 AMONG CLINICAL, TRANSLATIONAL 279 00:12:12,147 --> 00:12:16,919 AND BASIC INVESTIGATORS WHO 280 00:12:16,919 --> 00:12:27,429 STUDY PEDIATRIC THERAPEUTICS. 281 00:12:51,153 --> 00:12:53,222 SO AT THE INCEPTION THE NETWORK 282 00:12:53,222 --> 00:12:56,892 WAS ORIGINALLY CALLED THE 283 00:12:56,892 --> 00:13:00,596 PEDIATRIC PHARMACOLOGY TRAINING 284 00:13:00,596 --> 00:13:08,904 NETWORK AND IN 2003 IT WAS 285 00:13:08,904 --> 00:13:12,107 RENAMED TO HAVE TRAINING AND 286 00:13:12,107 --> 00:13:14,943 PHARMACOLOGY ALONG OUR PEDIATRIC 287 00:13:14,943 --> 00:13:15,144 FOCUS. 288 00:13:15,144 --> 00:13:16,245 OUR CURRENT PROGRAM IS BEING 289 00:13:16,245 --> 00:13:19,515 CO-FUNDED TO FULLY FUNDED BY 290 00:13:19,515 --> 00:13:22,384 NICHD AND IT SUPPORTS TRAINEE 291 00:13:22,384 --> 00:13:24,486 FUNDED THROUGH F, P AND K 292 00:13:24,486 --> 00:13:26,455 MECHANISMS. 293 00:13:26,455 --> 00:13:28,390 THE PURPOSE OF OUR TRAINING 294 00:13:28,390 --> 00:13:29,925 PROGRAM THE PURPOSE OF OUR 295 00:13:29,925 --> 00:13:34,863 ENHANCEMENT AND EVOLUTION IS TO 296 00:13:34,863 --> 00:13:35,864 ENSURE AND HIGHLY DIVERSE 297 00:13:35,864 --> 00:13:40,903 WORKFORCE IS AVAILABLE IN 298 00:13:40,903 --> 00:13:42,538 PHARMACOLOGY AND THERAPEUTICS. 299 00:13:42,538 --> 00:13:44,807 A LITTLE ABOUT OUR CURRENT 300 00:13:44,807 --> 00:13:45,307 NETWORK. 301 00:13:45,307 --> 00:13:48,811 IT'S DESIGN TO STRENGTHEN AND 302 00:13:48,811 --> 00:13:49,978 DIVERSIFY THE CLINICAL AND 303 00:13:49,978 --> 00:13:51,080 BIOMEDICAL WORKFORCE. 304 00:13:51,080 --> 00:13:55,217 AS YOU CAN SEE IT'S COMPRISED OF 305 00:13:55,217 --> 00:13:56,218 MANY COMPONENTS. 306 00:13:56,218 --> 00:13:58,053 THESE ARE INTENDED TO PROVIDE 307 00:13:58,053 --> 00:14:00,756 WHAT WE CONSIDER A ROBUST 308 00:14:00,756 --> 00:14:03,859 TRAINING MENTORSHIP IN PEDIATRIC 309 00:14:03,859 --> 00:14:04,893 PHARMACOLOGY. 310 00:14:04,893 --> 00:14:06,462 I THINK MOST OUTWARD FACING 311 00:14:06,462 --> 00:14:08,997 COMPONENT IS OUR LECTURE SERIES. 312 00:14:08,997 --> 00:14:12,701 THE LECTURE SERIES BEEN DESIGN 313 00:14:12,701 --> 00:14:14,436 TO MEET THE NEEDS OF 314 00:14:14,436 --> 00:14:17,106 PHARMACOLOGY STUDENTS WHO LACK A 315 00:14:17,106 --> 00:14:19,975 FORMAL EDUCATION CURRICULUM. 316 00:14:19,975 --> 00:14:24,513 IN ADDITION, WE HAVE INCLUDED 317 00:14:24,513 --> 00:14:25,681 WORKSHOPS AND THESE HELP TO 318 00:14:25,681 --> 00:14:28,917 PROMOTE ACTIVE ENGAGEMENT WITH 319 00:14:28,917 --> 00:14:31,920 FELLOW PEERS AND FOUND IT HELPS 320 00:14:31,920 --> 00:14:34,022 CULTIVATE COLLABORATION AND 321 00:14:34,022 --> 00:14:35,390 THEY'VE BEEN ABLE TO LEVERAGE 322 00:14:35,390 --> 00:14:37,326 COOPERATION FROM OTHER SITES 323 00:14:37,326 --> 00:14:41,663 WITHIN THE NETWORK AND 324 00:14:41,663 --> 00:14:42,698 INTERDISCIPLINARY COLLABORATION 325 00:14:42,698 --> 00:14:43,732 AND SEVERAL TRAINEES HAVE 326 00:14:43,732 --> 00:14:47,269 PUBLISHED MANUSCRIPTS MOST 327 00:14:47,269 --> 00:14:48,904 RECENTLY A WHITE PAPER. 328 00:14:48,904 --> 00:14:51,607 THE NETWORK FOSTERS INTERACTIONS 329 00:14:51,607 --> 00:14:54,143 WITH OTHER NICHD NETWORKS TO 330 00:14:54,143 --> 00:14:55,811 CREATE OPPORTUNITIES FOR 331 00:14:55,811 --> 00:14:57,212 PROFESSIONAL DEVELOPMENT. 332 00:14:57,212 --> 00:14:58,780 SOME EXAMPLES INCLUDING 333 00:14:58,780 --> 00:15:00,916 OPPORTUNITIES WITH OUR PEDIATRIC 334 00:15:00,916 --> 00:15:02,618 PROUD NETWORK. 335 00:15:02,618 --> 00:15:08,357 THE NETWORK I THINK IS IN A 336 00:15:08,357 --> 00:15:10,459 UNIQUE POSITION NOT TO ONLY FOR 337 00:15:10,459 --> 00:15:13,695 THE P.I. FELLOW MENTORSHIP BUT A 338 00:15:13,695 --> 00:15:14,429 PEER-TO-PEER MENTORSHIP AS WELL. 339 00:15:14,429 --> 00:15:18,700 WE HAVE A PRETTY EXPENSIVE AND 340 00:15:18,700 --> 00:15:20,903 INTERACTIVE ALUMNI NETWORK WHICH 341 00:15:20,903 --> 00:15:21,670 CAN BE PARTICULARLY VALUABLE 342 00:15:21,670 --> 00:15:24,273 WHEN WE'RE LOOKING AT THE 343 00:15:24,273 --> 00:15:25,874 PEER-TO-PEER MENTORSHIP. 344 00:15:25,874 --> 00:15:28,677 WE'RE BIG ON SEEING SCIENCE AND 345 00:15:28,677 --> 00:15:29,678 FOSTERING COLLABORATION. 346 00:15:29,678 --> 00:15:33,782 WE ENCOURAGE UNIQUE AND 347 00:15:33,782 --> 00:15:34,683 INNOVATIVE RESEARCH EXPERIENCES. 348 00:15:34,683 --> 00:15:39,154 AND I THINK WHAT MAKES OUR 349 00:15:39,154 --> 00:15:40,756 NETWORK UNIQUE IS THAT WE HAVE 350 00:15:40,756 --> 00:15:45,294 AN ABILITY TO CONNECT OVER 351 00:15:45,294 --> 00:15:50,499 SEVERAL SITES FELLOW MENTORS 352 00:15:50,499 --> 00:15:53,101 ACROSS MULTIPLE SITES ACROSS THE 353 00:15:53,101 --> 00:15:54,670 UNITED STATES AND PROVIDE A 354 00:15:54,670 --> 00:15:57,806 COMPREHENSIVE TRAINING 355 00:15:57,806 --> 00:15:58,140 EXPERIENCE. 356 00:15:58,140 --> 00:16:00,776 I MENTIONED WE HAVE SITES ALL 357 00:16:00,776 --> 00:16:01,343 OVER THE U.S. 358 00:16:01,343 --> 00:16:04,913 THE NETWORK WAS PART OF A LARGER 359 00:16:04,913 --> 00:16:07,883 NETWORK CO-FUNDED WITH NICHD AND 360 00:16:07,883 --> 00:16:11,453 WE'RE NOW TRANSITIONING TO FULLY 361 00:16:11,453 --> 00:16:12,854 FUNDED NICHD NETWORK. 362 00:16:12,854 --> 00:16:14,189 I DO WANT TO MENTION WE HAVE 363 00:16:14,189 --> 00:16:16,458 TRAINEE ARE NOT FUNDED BY NICHD 364 00:16:16,458 --> 00:16:18,860 THAT STILL PARTICIPATE IN THE 365 00:16:18,860 --> 00:16:20,729 NETWORK DESPITE THE LACK OF 366 00:16:20,729 --> 00:16:22,264 AFFILIATION AND I THINK IT 367 00:16:22,264 --> 00:16:24,666 SPEAKS TO THE VALUE OF THE 368 00:16:24,666 --> 00:16:24,900 NETWORK. 369 00:16:24,900 --> 00:16:29,671 LISTED HERE I DO HAVE OUR 370 00:16:29,671 --> 00:16:31,273 CURRENT SITE AND NOT TO SAY 371 00:16:31,273 --> 00:16:37,045 FUTURE COLLABORATIONS WITH OTHER 372 00:16:37,045 --> 00:16:39,448 INSTITUTES ARE NOT POSSIBLE BUT 373 00:16:39,448 --> 00:16:41,316 RIGHT NOW WE ONLY HAVE OUR NICHD 374 00:16:41,316 --> 00:16:42,718 FUNDED SITES. 375 00:16:42,718 --> 00:16:46,288 I WANT TO HIGHLIGHT A COUPLE 376 00:16:46,288 --> 00:16:47,656 SITES. 377 00:16:47,656 --> 00:16:49,825 THERE'S A COUPLE P32 PROGRAMS 378 00:16:49,825 --> 00:16:52,894 AND ONE THAT IS NOT CLINICAL 379 00:16:52,894 --> 00:16:53,862 PHARMACOLOGY BUT HAVE BEEN 380 00:16:53,862 --> 00:16:56,565 ACTIVE IN THE NETWORK AND WE'VE 381 00:16:56,565 --> 00:16:58,033 NOW CONSIDERED THEM AN 382 00:16:58,033 --> 00:16:59,668 AFFILIATED PROGRAM. 383 00:16:59,668 --> 00:17:06,341 WE RECENTLY HAVE GIVEN 384 00:17:06,341 --> 00:17:10,045 PREDOCTORAL AND POST-DOCTORAL F 385 00:17:10,045 --> 00:17:11,446 MECHANISMS TO JOIN THE NETWORK 386 00:17:11,446 --> 00:17:21,990 AND AGREED TO BE ACTIVE IN OUR 387 00:17:26,328 --> 00:17:26,595 OPPORTUNITIES. 388 00:17:26,595 --> 00:17:29,665 IT HELPS BRING MORE DIVERSITY IN 389 00:17:29,665 --> 00:17:32,367 THE NETWORK IN TERMS OF 390 00:17:32,367 --> 00:17:34,503 BACKGROUND AND CAREER PATH. 391 00:17:34,503 --> 00:17:40,008 WE RECENTLY INCLUDED K12 392 00:17:40,008 --> 00:17:42,778 SCHOLARS. 393 00:17:42,778 --> 00:17:53,121 WE HAVE TWO PROGRAMS. 394 00:17:53,121 --> 00:17:54,690 THE LAST COUPLE YEARS WE HAD 395 00:17:54,690 --> 00:17:56,892 ENHANCEMENT PLANS FOR THE 396 00:17:56,892 --> 00:18:00,896 NETWORK AND PLEASED TO SAY WE'VE 397 00:18:00,896 --> 00:18:02,230 CHECKED SEVERAL AND ONE IS THE 398 00:18:02,230 --> 00:18:03,699 K12 EXTENSION. 399 00:18:03,699 --> 00:18:10,906 OUR GOAL IS DEVELOPMENT AND 400 00:18:10,906 --> 00:18:13,308 PRODUCTIVITY TO A MORE ADVANCED 401 00:18:13,308 --> 00:18:13,909 SUPPORT MECHANISM. 402 00:18:13,909 --> 00:18:16,311 WE MOVED FORWARD WITH THE 403 00:18:16,311 --> 00:18:18,146 INCLUSION OF K12 SCHOLARS WHICH 404 00:18:18,146 --> 00:18:21,149 ARE OUR CAREER DEVELOPMENT 405 00:18:21,149 --> 00:18:24,886 SCHOLARS. 406 00:18:24,886 --> 00:18:26,555 OUR NETWORK IS TRYING TO 407 00:18:26,555 --> 00:18:30,392 LEVERAGE WHAT WE'VE DONE WITH 408 00:18:30,392 --> 00:18:37,032 THE T MECHANISM OR POSTDOC 409 00:18:37,032 --> 00:18:40,369 FELLOWS TO ENHANCE DEVELOPMENT 410 00:18:40,369 --> 00:18:42,637 OF OUR K SCHOLARS AS WELL. 411 00:18:42,637 --> 00:18:44,606 FOR THOSE WHO AREN'T FAMILIAR 412 00:18:44,606 --> 00:18:46,475 WITH THE MECHANISM IT PROVIDES 413 00:18:46,475 --> 00:18:48,210 AN OPPORTUNITY FOR SCHOLARS TO 414 00:18:48,210 --> 00:18:49,311 CONDUCT RESEARCH AT 415 00:18:49,311 --> 00:18:49,778 INSTITUTIONS. 416 00:18:49,778 --> 00:18:56,284 HAVE THE PROTECTIVE TIME AND 417 00:18:56,284 --> 00:19:02,591 WHAT MAKES OUR K PROGRAM UNIQUE 418 00:19:02,591 --> 00:19:05,394 IS THAT WE HAVE A NATIONAL 419 00:19:05,394 --> 00:19:14,336 NETWORK. 420 00:19:14,336 --> 00:19:15,871 APOL 421 00:19:15,871 --> 00:19:16,138 APOLOGIES. 422 00:19:16,138 --> 00:19:20,342 WHAT MAKES IT UNIQUE IS IT'S A 423 00:19:20,342 --> 00:19:21,443 NATIONAL PROGRAM. 424 00:19:21,443 --> 00:19:22,444 WE HAVE TWO PROGRAMS SIX FLIGHTS 425 00:19:22,444 --> 00:19:24,880 BUT THE K SCHOLARS ARE NOT 426 00:19:24,880 --> 00:19:28,550 REQUIRED TO COME FROM THE 427 00:19:28,550 --> 00:19:28,984 PROGRAMS. 428 00:19:28,984 --> 00:19:32,854 THOSE DO HAVE SOME SCHOLARS THAT 429 00:19:32,854 --> 00:19:36,658 ARE AT SITES THAT DON'T 430 00:19:36,658 --> 00:19:37,993 TRADITIONALLY HAVE A CLINICAL 431 00:19:37,993 --> 00:19:38,560 PHARMACOLOGY PROGRAM. 432 00:19:38,560 --> 00:19:41,930 I CAN TALK MORE ABOUT IN OUR Q&A 433 00:19:41,930 --> 00:19:45,767 HOW THAT WORKS BUT A KEY 434 00:19:45,767 --> 00:19:47,969 REQUIREMENT OF THE K12 WAS TO 435 00:19:47,969 --> 00:19:49,971 FOCUS ON INSTITUTIONS THAT 436 00:19:49,971 --> 00:19:51,740 HISTORICALLY HAVE NOT HAD STRONG 437 00:19:51,740 --> 00:19:53,041 PROGRAMS IN THIS PHASE AND THIS 438 00:19:53,041 --> 00:20:03,452 HELPED CAST A WIDER NET. 439 00:20:05,587 --> 00:20:08,089 I WANT TO TOUCH ON HIGHLIGHTS OF 440 00:20:08,089 --> 00:20:08,657 THE NETWORK. 441 00:20:08,657 --> 00:20:11,359 WE HOLD ANNUAL MEETINGS WHERE 442 00:20:11,359 --> 00:20:12,661 SECOND AND THIRD YEAR TRAINEES 443 00:20:12,661 --> 00:20:14,196 HAVE OPPORTUNITIES TO SHOWCASE 444 00:20:14,196 --> 00:20:14,796 THEIR WORK. 445 00:20:14,796 --> 00:20:16,898 FIRST YEAR TRAINEES ARE ABLE TO 446 00:20:16,898 --> 00:20:27,375 COME AND CONNECT WITH OTHER 447 00:20:27,776 --> 00:20:29,678 TRAINEES AND WE RECENTLY 448 00:20:29,678 --> 00:20:30,479 IMPLEMENTED A TRAINING PROGRAM 449 00:20:30,479 --> 00:20:32,614 WHERE TRAINEES AND SCHOLARS ARE 450 00:20:32,614 --> 00:20:34,149 PROVIDED WITH A FOUNDATION OF 451 00:20:34,149 --> 00:20:36,918 WHO IS WHO IN THE INSTITUTE. 452 00:20:36,918 --> 00:20:39,521 WE HAVE ENHANCED OUR CURRENT 453 00:20:39,521 --> 00:20:41,656 LECTURE SERIES TO INCLUDE 454 00:20:41,656 --> 00:20:43,225 FELLOWS ONLY WORKSHOP TO MEET 455 00:20:43,225 --> 00:20:46,528 SPECIFIC NEEDS OF THE TRAINEES. 456 00:20:46,528 --> 00:20:48,096 FOR EXAMPLE, GRANT WRITING OR 457 00:20:48,096 --> 00:20:50,232 HOW TO BALANCE CLINICAL AND 458 00:20:50,232 --> 00:20:51,333 RESEARCH DUTIES. 459 00:20:51,333 --> 00:20:55,737 WE DO HAVE THE NEW K12 460 00:20:55,737 --> 00:20:56,004 EXTENSION. 461 00:20:56,004 --> 00:20:57,873 WE HAVE SCHOLARS RECENTLY 462 00:20:57,873 --> 00:20:58,640 APPOINTED ARE SET TO JOIN IN THE 463 00:20:58,640 --> 00:21:01,576 SPRING. 464 00:21:01,576 --> 00:21:04,579 WE DO HAVE INFORMAL MEMBERS OF 465 00:21:04,579 --> 00:21:06,248 THE NETWORK. 466 00:21:06,248 --> 00:21:07,816 WE MENTIONED THE F MECHANISM AND 467 00:21:07,816 --> 00:21:17,659 WE HAVE POTENTIALLY A K99 468 00:21:17,659 --> 00:21:18,360 AWARDEE. 469 00:21:18,360 --> 00:21:24,165 WE HAVE SEVERAL POTENTIAL F31s, 470 00:21:24,165 --> 00:21:24,599 F32s. 471 00:21:24,599 --> 00:21:27,469 I ALSO WANTED TO HIGHLIGHT OUR 472 00:21:27,469 --> 00:21:28,904 ALUMNI NETWORK WHO REMAINS 473 00:21:28,904 --> 00:21:30,872 EXTREMELY ACTIVE SERVING AS 474 00:21:30,872 --> 00:21:32,574 SPEAKERS FOR THE LECTURE SERIES, 475 00:21:32,574 --> 00:21:37,479 MENTORS FOR THE CURRENT TRAI 476 00:21:37,479 --> 00:21:40,549 TRAINEES, THEY HELP IMPROVE 477 00:21:40,549 --> 00:21:41,449 TRAINEE EXPERIENCES. 478 00:21:41,449 --> 00:21:50,191 WE CONDUCTED A FELLOW SURVEY FOR 479 00:21:50,191 --> 00:21:55,497 CURRENT FELLOWS AND RECENTLY 480 00:21:55,497 --> 00:21:56,765 GRADUATED AND IT'S WAYS WE SEEK 481 00:21:56,765 --> 00:21:59,668 TO IMPROVE OUR OVER ALL TRAIN 482 00:21:59,668 --> 00:22:00,302 JAE EXPERIENCES. 483 00:22:00,302 --> 00:22:03,572 -- TRAINEE EXPERIENCES. 484 00:22:03,572 --> 00:22:06,174 I'M GOING TO TRY TO MOTOR 485 00:22:06,174 --> 00:22:07,542 THROUGH A LITTLE BIT. 486 00:22:07,542 --> 00:22:10,879 WE IS OUR LECTURE SERIES WE'VE 487 00:22:10,879 --> 00:22:12,113 ENHANCED A LITTLE BIT. 488 00:22:12,113 --> 00:22:13,682 THIS ILLUSTRATION REPRESENTS THE 489 00:22:13,682 --> 00:22:16,952 DATA FROM LAST YEAR'S SERIES. 490 00:22:16,952 --> 00:22:19,921 ORANGE IS THE NUMBER OF 491 00:22:19,921 --> 00:22:20,989 ATTENDEES, TRAINEES, INDIVIDUALS 492 00:22:20,989 --> 00:22:23,658 FROM ACADEMIA, INDUSTRY, 493 00:22:23,658 --> 00:22:28,930 GOVERNMENT, I DO HAVE 494 00:22:28,930 --> 00:22:34,002 HIGHLIGHTED IN YELLOW THE FELLOW 495 00:22:34,002 --> 00:22:35,670 CENTRIC WORKSHOPS AND GRANT 496 00:22:35,670 --> 00:22:38,607 WRITING AND WE HAD A SPEAKER 497 00:22:38,607 --> 00:22:44,112 TALK ABOUT ELEVATING YOUR 498 00:22:44,112 --> 00:22:45,680 ELEVATOR PITCHES AND NEGOTIATING 499 00:22:45,680 --> 00:22:46,848 TIPS AND HAD A SPEAKER TALK 500 00:22:46,848 --> 00:22:50,652 ABOUT NAVIGATING THE GRANT 501 00:22:50,652 --> 00:22:53,054 SUBMISSION AND REVIEW. 502 00:22:53,054 --> 00:22:54,489 INSIGHT TO THE NIH STUDY 503 00:22:54,489 --> 00:22:54,723 SECTION. 504 00:22:54,723 --> 00:22:55,924 ON THE RIGHT WE HAVE THE 505 00:22:55,924 --> 00:23:02,731 LECTURES WITH THE HIGHEST 506 00:23:02,731 --> 00:23:02,964 TURNOUT. 507 00:23:02,964 --> 00:23:04,699 4:THEY REPRESENT NOT 508 00:23:04,699 --> 00:23:06,568 THEY REPRESENT NOT ONLY THE 509 00:23:06,568 --> 00:23:08,903 FOUNDATIONS OF PEDIATRIC 510 00:23:08,903 --> 00:23:11,439 PHARMACOLOGY BUT TRY TO ADDRESS 511 00:23:11,439 --> 00:23:12,907 TOPICS OF INTEREST TO OUR 512 00:23:12,907 --> 00:23:19,648 SCIENTIFIC COMMUNITY. 513 00:23:19,648 --> 00:23:25,053 WHAT MIGHT OF INTEREST TO THIS 514 00:23:25,053 --> 00:23:32,627 GROUP IS WE'RE PLANNING EXPAND 515 00:23:32,627 --> 00:23:34,062 TO STRENGTHEN TRAINING AND 516 00:23:34,062 --> 00:23:37,198 RESEARCH EFFORTS IN SUPPORT OF 517 00:23:37,198 --> 00:23:43,538 OUR BRANCH'S MORE UNIFIED VISION 518 00:23:43,538 --> 00:23:48,910 AND SIMULTANEOUSLY EMBRACING 519 00:23:48,910 --> 00:23:51,646 PEDIATRIC AND PHARMACOLOGY 520 00:23:51,646 --> 00:23:52,914 INITIATIVE AND PREGNANT AND 521 00:23:52,914 --> 00:23:55,383 LACTATING WOMEN ARE A FOCUS OF 522 00:23:55,383 --> 00:24:00,889 THE THEME 5 AND ADVANCEMENT OF 523 00:24:00,889 --> 00:24:03,958 THERAPEUT 524 00:24:03,958 --> 00:24:04,893 THERAPEU 525 00:24:04,893 --> 00:24:07,295 THERAPEUTICS RESTORING THE 526 00:24:07,295 --> 00:24:08,897 FOUNDATION OF HEALTHY 527 00:24:08,897 --> 00:24:10,465 PREGNANCIES AND PLAN TO PROMOTE 528 00:24:10,465 --> 00:24:19,240 MATERNAL RESEARCH AS WELL. 529 00:24:19,240 --> 00:24:23,244 AGAIN I WANT TO HIGHLIGHT OUR 530 00:24:23,244 --> 00:24:25,080 NETWORK OFFERINGS AND 531 00:24:25,080 --> 00:24:25,413 EXPECTATIONS. 532 00:24:25,413 --> 00:24:28,917 GET OUR PROGRAMS AND P.I.s AND 533 00:24:28,917 --> 00:24:31,052 FELLOWS ENGAGED. 534 00:24:31,052 --> 00:24:33,088 ONE EXPECTATION ON BOARD IS 535 00:24:33,088 --> 00:24:35,690 THEY'LL PARTICIPATE AS THE 536 00:24:35,690 --> 00:24:37,158 PROGRAM GROWS AND IN THE CURRENT 537 00:24:37,158 --> 00:24:38,159 STATE. 538 00:24:38,159 --> 00:24:44,699 SO FAR WE'VE HAD GOOD 539 00:24:44,699 --> 00:24:45,366 PARTICIPATION WE HAVE THE NOTICE 540 00:24:45,366 --> 00:24:48,570 OF AWARD AND I SPEAK TO THE 541 00:24:48,570 --> 00:24:51,873 PROGRAMS WE REITERATE THEIR 542 00:24:51,873 --> 00:24:53,942 PARTICIPATION IS VALUABLE TO THE 543 00:24:53,942 --> 00:24:56,778 NETWORK AND WILL BE A VALUE TO 544 00:24:56,778 --> 00:24:57,779 THEM AS WELL WITH THE 545 00:24:57,779 --> 00:24:58,513 EXPECTATION WE'D LIKE IT SHARE 546 00:24:58,513 --> 00:25:01,182 WHAT THE NETWORK IS ABLE TO 547 00:25:01,182 --> 00:25:01,382 OFFER. 548 00:25:01,382 --> 00:25:03,485 WE HAVE RESEARCH INNOVATIVE 549 00:25:03,485 --> 00:25:08,890 RESEARCH EXPERIENCES, CLINICAL 550 00:25:08,890 --> 00:25:13,561 EXPERIENCES IN OUR MONTHLY 551 00:25:13,561 --> 00:25:14,195 NEWSLE 552 00:25:14,195 --> 00:25:14,496 NEWSLETTER. 553 00:25:14,496 --> 00:25:16,731 WE INTEREST TO PROVIDE JOB 554 00:25:16,731 --> 00:25:19,267 POSTINGS AND SOME OPPORTUNITIES 555 00:25:19,267 --> 00:25:20,902 PROVIDED DIRECTLY FROM THE 556 00:25:20,902 --> 00:25:23,705 NETWORK AND LIKE TO SHARE 557 00:25:23,705 --> 00:25:27,375 OPPORTUNITIES PROVIDED BY NIH 558 00:25:27,375 --> 00:25:29,677 INCLUDING THE PRINCIPLE TO 559 00:25:29,677 --> 00:25:30,145 PHARMACOLOGY COURSE. 560 00:25:30,145 --> 00:25:34,182 WE ALSO LIKE TO KEEP UP WHERE 561 00:25:34,182 --> 00:25:34,616 FELLOWS GO. 562 00:25:34,616 --> 00:25:36,885 WE USE SEVERAL METRICS TO 563 00:25:36,885 --> 00:25:38,353 EVALUATE THE PROGRAM INCLUDING 564 00:25:38,353 --> 00:25:40,922 PUBLICATIONS, NUMBER OF 565 00:25:40,922 --> 00:25:46,828 INDEPENDENT GRANTS, CAREER POST 566 00:25:46,828 --> 00:25:48,696 FELLOWSHIP AND ACADEMIA AND THE 567 00:25:48,696 --> 00:25:51,399 HOSPITAL SETTING BUT WE'RE 568 00:25:51,399 --> 00:25:53,701 HOPING TO START EVALUATING MORE 569 00:25:53,701 --> 00:25:57,405 OF THE FELLOW'S ROLE RATHER THAN 570 00:25:57,405 --> 00:25:57,939 JUST THE SETTING. 571 00:25:57,939 --> 00:25:59,974 A FELLOW THAT CREATES THEIR OWN 572 00:25:59,974 --> 00:26:03,111 START-UP FOR A NEW PEDIATRIC 573 00:26:03,111 --> 00:26:05,046 DRUG DELIVERY SYSTEM SHOULD BE 574 00:26:05,046 --> 00:26:06,281 HIGHLIGHTED AND CONSIDERED A 575 00:26:06,281 --> 00:26:07,182 PROGRAM SUCCESS. 576 00:26:07,182 --> 00:26:11,619 JUST BECAUSE THEY HAVEN'T 577 00:26:11,619 --> 00:26:12,187 ENTERED ACADEMIA. 578 00:26:12,187 --> 00:26:15,323 OUR GOALS IS TO HAVE FELLOWS IN 579 00:26:15,323 --> 00:26:16,891 THEIR CLINICAL RESEARCH SPACE 580 00:26:16,891 --> 00:26:19,127 STAY CONNECTED TO THE COMMUNITY 581 00:26:19,127 --> 00:26:20,395 AND REALLY CONTINUE THEIR 582 00:26:20,395 --> 00:26:21,629 RESEARCH EFFORTS IN PEDIATRIC 583 00:26:21,629 --> 00:26:27,702 CLINICAL PHARMACOLOGY. 584 00:26:27,702 --> 00:26:30,305 AND I WANTED TO END THE 585 00:26:30,305 --> 00:26:31,673 PRESENTATION WITH SOME OF OUR 586 00:26:31,673 --> 00:26:33,107 NETWORK FEEDBACK. 587 00:26:33,107 --> 00:26:34,342 WE DO SEND OUT SURVEYS. 588 00:26:34,342 --> 00:26:38,613 THESE ARE JUST SOME OF THE 589 00:26:38,613 --> 00:26:40,915 QUOTES SHOWING WHAT WE'RE DOING 590 00:26:40,915 --> 00:26:45,653 IN THE NETWORK IS DOING AND OVER 591 00:26:45,653 --> 00:26:47,622 ALL WE'VE HAD GOOD FEEDBACK 592 00:26:47,622 --> 00:26:52,427 ABOUT THE NET YORK AND THE 593 00:26:52,427 --> 00:26:54,696 FELLOWSHIP PROVIDING A GOOD 594 00:26:54,696 --> 00:26:55,830 FOUNDATION AND MOVE THEM INTO 595 00:26:55,830 --> 00:27:05,340 THE NEXT PHASE OF THEIR CAREER. 596 00:27:05,340 --> 00:27:07,809 HIGHLY BE HAPPY TO TAKE 597 00:27:07,809 --> 00:27:09,644 QUESTIONS NOW OR DURING THE Q&A 598 00:27:09,644 --> 00:27:14,315 SESSION. 599 00:27:14,315 --> 00:27:15,183 600 00:27:15,183 --> 00:27:17,018 >> THANK YOU, LESLY. 601 00:27:17,018 --> 00:27:21,589 WE HAVE A FEW MINUTES FOR CARE 602 00:27:21,589 --> 00:27:23,291 CLARIFYING QUESTIONS AND SHE'LL 603 00:27:23,291 --> 00:27:24,425 BE HERE FOR THE Q&A AS WE EXPAND 604 00:27:24,425 --> 00:27:25,126 THE DISCUSSION. 605 00:27:25,126 --> 00:27:28,830 >> THIS IS EXCITING TO SEE THE 606 00:27:28,830 --> 00:27:29,864 EXPANSION AND LEVERAGING OF THE 607 00:27:29,864 --> 00:27:32,100 NET YORK. 608 00:27:32,100 --> 00:27:34,402 I'M KATIE SCHUBERT FOR THE 609 00:27:34,402 --> 00:27:35,103 SOCIETY FOR WOMEN'S HEALTH 610 00:27:35,103 --> 00:27:38,373 RESEARCH AND WANTED TO ASK YOU 611 00:27:38,373 --> 00:27:40,909 ABOUT THE EXPANSION AND WHETHER 612 00:27:40,909 --> 00:27:44,345 THE NETWORK HAS THE NECESSARY 613 00:27:44,345 --> 00:27:49,651 RESOURCES AS YOU'RE THINKING 614 00:27:49,651 --> 00:27:53,688 ABOUT THE POTENTIAL DEMAND OR 615 00:27:53,688 --> 00:27:59,694 INTEREST IN MOVING TO THE 616 00:27:59,694 --> 00:28:01,262 MATERNAL AND PEDIATRIC SIDE. 617 00:28:01,262 --> 00:28:06,167 >> GREAT QUESTION. 618 00:28:06,167 --> 00:28:15,610 SOMETHING WE THOUGHT ABOUT. 619 00:28:15,610 --> 00:28:16,644 CAN THE INFRASTRUCTURE LEVERAGE 620 00:28:16,644 --> 00:28:20,882 WHAT WE HAVE AND BUILD ON THE 621 00:28:20,882 --> 00:28:23,151 MATERNAL PHARMACOLOGY COMPONENT. 622 00:28:23,151 --> 00:28:27,422 WE HAVE PLANS IN PLACE TO BRING 623 00:28:27,422 --> 00:28:29,123 OTHER INSTITUTIONS, OTHER SITES, 624 00:28:29,123 --> 00:28:30,124 OTHER EXPERTISE IN TO HELP 625 00:28:30,124 --> 00:28:33,661 SUPPORT THAT. 626 00:28:33,661 --> 00:28:39,500 AT THIS POINT I THINK WHAT WE 627 00:28:39,500 --> 00:28:41,703 HAVE IN MIND IS MORE OF AN IDEA 628 00:28:41,703 --> 00:28:43,071 AND LESS OF A BLUEPRINT AND OPEN 629 00:28:43,071 --> 00:28:46,474 TO SUGGESTIONS IN TERMS OF HOW 630 00:28:46,474 --> 00:28:48,476 TO BUILD THE MATERNAL 631 00:28:48,476 --> 00:28:50,311 PHARMACOLOGY LANE BUT RIGHT NOW 632 00:28:50,311 --> 00:28:51,746 WE'RE IN THE EARLY STAGES OF 633 00:28:51,746 --> 00:28:56,150 INCLUDING THIS COMPONENT. 634 00:28:56,150 --> 00:29:02,123 >> THANK YOU, LESLY. 635 00:29:02,123 --> 00:29:02,557 >> HELLO. 636 00:29:02,557 --> 00:29:04,392 I'M WITH THE CDC. 637 00:29:04,392 --> 00:29:06,828 IT'S NOT SO MUCH A QUESTION AS A 638 00:29:06,828 --> 00:29:07,795 PLUG. 639 00:29:07,795 --> 00:29:09,664 ONE AVENUE THAT MAY BE 640 00:29:09,664 --> 00:29:10,298 INTERESTING IS THE NATIONAL 641 00:29:10,298 --> 00:29:11,699 SOCIETY OF EPIDEMIOLOGY. 642 00:29:11,699 --> 00:29:13,634 THEY HAVE ANNUAL MEETINGS. 643 00:29:13,634 --> 00:29:19,207 IT SOUNDS LIKE YOUR FELLOWS 644 00:29:19,207 --> 00:29:22,477 COULD REALLY LEARN A LOT THERE 645 00:29:22,477 --> 00:29:26,714 AND IT'D IN GREAT TO SEE YOUR 646 00:29:26,714 --> 00:29:28,149 WORK PRESENTED. 647 00:29:28,149 --> 00:29:28,483 >> THANK YOU. 648 00:29:28,483 --> 00:29:31,686 I'LL MAKE NOTE OF THAT AND SHARE 649 00:29:31,686 --> 00:29:32,020 WITH FELLOWS. 650 00:29:32,020 --> 00:29:37,425 >> THANK YOU. 651 00:29:37,425 --> 00:29:40,895 ALISON. 652 00:29:40,895 --> 00:29:43,998 >> ALISON HAROLD, THESE ARE MY 653 00:29:43,998 --> 00:29:45,633 VIEWS AND NOT THAT OF MY AGENCY 654 00:29:45,633 --> 00:29:46,768 AND IT'S INTERESTING TO HEAR THE 655 00:29:46,768 --> 00:29:48,336 PROGRAM AND REFLECT THE ENERGY 656 00:29:48,336 --> 00:29:55,877 AND EXCITE, YOU BRING TO THE 657 00:29:55,877 --> 00:29:58,212 PROGRAM SO THANK YOU FOR AN 658 00:29:58,212 --> 00:29:59,180 EXCELLENT PRESENTATION. 659 00:29:59,180 --> 00:30:00,982 AS FAR AS YOUR OUTCOMES DATA YOU 660 00:30:00,982 --> 00:30:04,886 PRESENTED INFORMATION TO WHERE 661 00:30:04,886 --> 00:30:07,688 THE FELLOWS ARE GOING 662 00:30:07,688 --> 00:30:08,356 POSTRESEARCH EXPERIENCE BUT HAVE 663 00:30:08,356 --> 00:30:10,992 YOU ALSO LOOKED AT THE 664 00:30:10,992 --> 00:30:12,794 COLLABORATIVE NETWORKS AND 665 00:30:12,794 --> 00:30:15,930 WHETHER THEY'RE MAINTAINED AFTER 666 00:30:15,930 --> 00:30:17,498 FELLOWS GRADUATE FROM THE 667 00:30:17,498 --> 00:30:17,732 PROGRAM? 668 00:30:17,732 --> 00:30:28,209 >> THAT'S A GREAT QUESTION. 669 00:30:28,810 --> 00:30:30,745 WE DO SEE MANY COLLABORATIONS 670 00:30:30,745 --> 00:30:33,548 ARE MAINTAINED BUT I DON'T HAVE 671 00:30:33,548 --> 00:30:35,817 THE PHYSICAL DATA TO SHOW THAT. 672 00:30:35,817 --> 00:30:37,718 I THINK THAT WOULD BE OF 673 00:30:37,718 --> 00:30:43,925 INTEREST -- I'M NOT SURE HOW WE 674 00:30:43,925 --> 00:30:45,660 COULD COLLECT THAT DATA BUT I'LL 675 00:30:45,660 --> 00:30:49,497 MAKE A NOTE OF IT AND SPEAK WITH 676 00:30:49,497 --> 00:30:53,701 OUR LOGISTICAL TEAM AND WORK ON 677 00:30:53,701 --> 00:30:56,304 A WAY OF PULLING THAT DATA IN. 678 00:30:56,304 --> 00:30:57,939 WE HAVE SEVERAL FELLOWS THAT 679 00:30:57,939 --> 00:31:01,442 RECENTLY GRADUATED. 680 00:31:01,442 --> 00:31:04,278 ONE WAS CONNECTED DURING A 681 00:31:04,278 --> 00:31:08,483 POSTDOC AND NOW AN INVESTIGATOR. 682 00:31:08,483 --> 00:31:14,655 TA -- THAT WOULD BE INTERESTING 683 00:31:14,655 --> 00:31:16,090 TO SEE WHICH FELLOWS ARE 684 00:31:16,090 --> 00:31:16,891 CONTINUING COLLABORATION IN ONE 685 00:31:16,891 --> 00:31:20,895 WAY OR ANOTHER. 686 00:31:20,895 --> 00:31:25,766 I'LL MAKE NOTE OF THAT AND TRY 687 00:31:25,766 --> 00:31:31,205 TO FIND A WAY TO COLLECT THAT 688 00:31:31,205 --> 00:31:34,008 DATA AND SHARE. 689 00:31:34,008 --> 00:31:35,943 >> HI, JANET HARDY. 690 00:31:35,943 --> 00:31:40,882 I WANT TO FOLLOW-UP WITH KATIE 691 00:31:40,882 --> 00:31:44,886 SCHUBERT'S QUESTION YOU MENTION 692 00:31:44,886 --> 00:31:48,823 THE MATERNAL PHARMACOLOGY 693 00:31:48,823 --> 00:31:49,824 PROGRAM IS PLANNED AND DO YOU 694 00:31:49,824 --> 00:31:52,894 HAVE A TIME FRAME ON MOVING THAT 695 00:31:52,894 --> 00:31:57,198 FORWARD? 696 00:31:57,198 --> 00:32:01,602 >> HONESTLY I DON'T. 697 00:32:01,602 --> 00:32:03,437 I SAY I DON'T BECAUSE THE 698 00:32:03,437 --> 00:32:12,446 BUILDING OF THE NETWORK IS ONLY 699 00:32:12,446 --> 00:32:14,815 AS STRONG AS THE -- I'M FINDING 700 00:32:14,815 --> 00:32:17,285 THE APPROPRIATE LANGUAGE THE 701 00:32:17,285 --> 00:32:20,888 INVESTIGATOR WHO JOIN THE 702 00:32:20,888 --> 00:32:22,290 NETWORK AND PUSHING TO 703 00:32:22,290 --> 00:32:25,326 INVESTIGATORS TO APPLY WITH A 704 00:32:25,326 --> 00:32:26,260 MATERNAL COMPONENT. 705 00:32:26,260 --> 00:32:30,598 WE NEED PROGRAMS APPLYING WITH 706 00:32:30,598 --> 00:32:33,501 THE MATERNAL COMPONENT AS A PART 707 00:32:33,501 --> 00:32:34,001 OF THEIR PROGRAM. 708 00:32:34,001 --> 00:32:36,304 I'M ENCOURAGING INVESTIGATORS 709 00:32:36,304 --> 00:32:41,676 THAT HAVE AN INTEREST IN 710 00:32:41,676 --> 00:32:52,220 MATERNAL PHARMACOLOGY TO APPLY. 711 00:33:09,203 --> 00:33:11,272 IT'S A WORK IN PROGRESS. 712 00:33:11,272 --> 00:33:15,443 >> I'M A PHYSICIAN SCIENTIST AT 713 00:33:15,443 --> 00:33:16,911 NORTHWESTERN UNIVERSITY AND WITH 714 00:33:16,911 --> 00:33:20,248 REGARDS TO THE EXPANSION IN THE 715 00:33:20,248 --> 00:33:22,950 MATERNAL PHARMACOLOGY PROGRAM I 716 00:33:22,950 --> 00:33:24,118 THINK THE INVESTIGATORS PART OF 717 00:33:24,118 --> 00:33:26,520 THE PHARMACOLOGY RESEARCH UNITS 718 00:33:26,520 --> 00:33:29,490 WOULD BE HIGHLY MOTIVATED TO 719 00:33:29,490 --> 00:33:29,824 APPLY. 720 00:33:29,824 --> 00:33:33,928 I'M AN FMFU P.I. AND I WOULD SAY 721 00:33:33,928 --> 00:33:36,297 KNOWING MANY OF THOSE 722 00:33:36,297 --> 00:33:38,199 INVESTIGATORS IS A GREAT PLACE 723 00:33:38,199 --> 00:33:40,701 TO START WITH PLANNING 724 00:33:40,701 --> 00:33:42,637 LEADERSHIP THOUGH THE UNIT -- 725 00:33:42,637 --> 00:33:44,839 >> I MAY TAKE THE CHAIR'S 726 00:33:44,839 --> 00:33:46,974 PREROGATIVE TO ASK THE LAST 727 00:33:46,974 --> 00:33:47,408 QUESTION. 728 00:33:47,408 --> 00:33:51,245 YOU MENTIONED THE INTELLECTUAL 729 00:33:51,245 --> 00:33:52,847 SUPPORT FOR MENTORS. 730 00:33:52,847 --> 00:33:54,382 THE IMPLEMENTATION PLAN CALLED 731 00:33:54,382 --> 00:33:55,383 OUT MENTOR SUPPORT. 732 00:33:55,383 --> 00:33:57,652 CAN YOU TALK ABOUT OTHER 733 00:33:57,652 --> 00:33:58,519 ELEMENTS LIKE PHYSICAL SUPPORT 734 00:33:58,519 --> 00:34:02,056 OF MENTORSHIP WHICH IS 735 00:34:02,056 --> 00:34:03,190 HISTORICALLY RELATIVELY LOW AS 736 00:34:03,190 --> 00:34:05,693 PART OF THE T32s PROGRAMS. 737 00:34:05,693 --> 00:34:07,328 WHAT'S THE VISION OF NIH WITH 738 00:34:07,328 --> 00:34:09,730 RESPECT TO SUPPORTING MENTORS? 739 00:34:09,730 --> 00:34:16,537 >> THAT'S A GREAT QUESTION. 740 00:34:16,537 --> 00:34:19,240 HISTORICALLY AND CURRENTLY IS 741 00:34:19,240 --> 00:34:20,908 LOW AND SOMETHING LEADERSHIP 742 00:34:20,908 --> 00:34:21,409 RECOGNIZE. 743 00:34:21,409 --> 00:34:23,678 AS THE NETWORK GROWS WE 744 00:34:23,678 --> 00:34:27,281 RECOGNIZE THE NEED FOR MORE 745 00:34:27,281 --> 00:34:29,950 SUPPORT TO MAINTAIN THE PROGRAMS 746 00:34:29,950 --> 00:34:31,952 AND ADMINISTRATIVE SUPPORT, MORE 747 00:34:31,952 --> 00:34:35,356 SUPPORT FOR THE P.I. AND NOTICE 748 00:34:35,356 --> 00:34:40,695 IN DISCUSSION BUT NOT SURE AT 749 00:34:40,695 --> 00:34:47,134 WHAT PLACE IT'S AT AT 750 00:34:47,134 --> 00:34:48,569 POTENTIALLY INCREASING SUPPORT. 751 00:34:48,569 --> 00:34:51,272 IT'S A CHALLENGE TO SAY WHAT THE 752 00:34:51,272 --> 00:34:56,677 NEXT STEP IS BECAUSE I THINK 753 00:34:56,677 --> 00:35:03,050 WE'RE STILL IN THE PROCESS OF 754 00:35:03,050 --> 00:35:04,352 TALKING THROUGH AND HAVING A 755 00:35:04,352 --> 00:35:06,921 TRAINING WORK GROUP WHERE WE 756 00:35:06,921 --> 00:35:11,692 NOTED ALL THESE REQUEST FOR 757 00:35:11,692 --> 00:35:15,029 P.I.s ABOUT MORE SUPPORT. 758 00:35:15,029 --> 00:35:17,031 CHANGES TO THE FUNDING AND HOW 759 00:35:17,031 --> 00:35:19,567 FUNDING CAN BE USED. 760 00:35:19,567 --> 00:35:20,935 WE DO RECOGNIZE IT'S SOMETHING 761 00:35:20,935 --> 00:35:23,537 THAT NEEDS TO BE ADDRESSED AND 762 00:35:23,537 --> 00:35:29,110 STILL WORKING THROUGH THAT. 763 00:35:29,110 --> 00:35:32,513 I WANTED TO PUT IN A PLUG NIH 764 00:35:32,513 --> 00:35:35,483 HAS AN RFI, REQUEST FOR 765 00:35:35,483 --> 00:35:37,084 INFORMATION, REGARDING TRAINING. 766 00:35:37,084 --> 00:35:42,456 IF THERE'S ANY SUGGESTIONS YOU 767 00:35:42,456 --> 00:35:44,525 DISCUSS PLEASE SUBMIT TO THE 768 00:35:44,525 --> 00:35:44,692 RFI. 769 00:35:44,692 --> 00:35:46,293 IT ONLY HELPS STRENGTHEN THE 770 00:35:46,293 --> 00:35:47,728 REQUESTS AS IT COMES FROM THE 771 00:35:47,728 --> 00:35:55,536 P.I.s AND COMMUNITY. 772 00:35:55,536 --> 00:35:59,573 >> WE WILL MOVE ON TO OUR NEXT 773 00:35:59,573 --> 00:36:03,210 SPEAKER, RACHEL TEPLA. 774 00:36:03,210 --> 00:36:04,211 >> GOOD MORNING. 775 00:36:04,211 --> 00:36:08,749 I HAVE A COUPLE NOTES HERE. 776 00:36:08,749 --> 00:36:10,451 IT'S GREAT TO BE ABLE TO SPEAK 777 00:36:10,451 --> 00:36:12,887 WEDGE YOU THIS MORNING. 778 00:36:12,887 --> 00:36:17,491 MY NAME IS RACHEL TETLO AT THE 779 00:36:17,491 --> 00:36:27,968 AMERICAN COLLEGE OF OBSTETRICS 780 00:36:27,968 --> 00:36:31,372 AND GYNECOLOGISTS. 781 00:36:31,372 --> 00:36:32,940 YOU'LL SEE MY CREATIVE 782 00:36:32,940 --> 00:36:43,284 PRESENTATION TITLE. 783 00:36:52,793 --> 00:36:56,130 >> CAN WE CONFIRM OUR MEMBERS 784 00:36:56,130 --> 00:36:59,700 ONLINE CAN SEE THE SLIDES? 785 00:36:59,700 --> 00:37:09,944 >> WE CANNOT. 786 00:37:16,517 --> 00:37:21,856 >> IT HAS NICE FORMATTING IF 787 00:37:21,856 --> 00:37:23,891 YOU'D LIKE TO LOOK AT MY LAPTOP 788 00:37:23,891 --> 00:37:24,091 LATER. 789 00:37:24,091 --> 00:37:26,260 I HAVE NO CONFLICTS. 790 00:37:26,260 --> 00:37:30,030 SO I WANTED TO SPEND A LITTLE 791 00:37:30,030 --> 00:37:35,302 BIT OF TIME SHARING ABOUT ACOG 792 00:37:35,302 --> 00:37:37,538 AND HOW WE OPERATE AND GO INTO 793 00:37:37,538 --> 00:37:39,907 SOME OF OUR WORK AROUND THE 794 00:37:39,907 --> 00:37:41,775 RECOMMENDATIONS AND THEN I THINK 795 00:37:41,775 --> 00:37:45,746 WILL FLOW NICELY INTO BECKY'S 796 00:37:45,746 --> 00:37:48,749 PRESENTATION. 797 00:37:48,749 --> 00:37:52,419 ACOG, ALL WE DO COMES BACK TO 798 00:37:52,419 --> 00:37:55,155 OUR MISSION, VISION AND CORE 799 00:37:55,155 --> 00:37:56,891 VALUES AND THIS FITS INTO ALL 800 00:37:56,891 --> 00:38:03,397 THESE THINGS. 801 00:38:03,397 --> 00:38:05,399 AND I'LL SAY MANY KNOW THIS 802 00:38:05,399 --> 00:38:07,535 ALREADY BUT WE HAVE MORE THAN 803 00:38:07,535 --> 00:38:11,505 60,000 MEMBERS AND OUR MEMBERS 804 00:38:11,505 --> 00:38:14,508 ARE OBSTETRICIANS AND 805 00:38:14,508 --> 00:38:17,011 GYNECOLOGISTS WHO ARE ACROSS THE 806 00:38:17,011 --> 00:38:25,019 SPECTRUM IN TERMS OF PRIVATE 807 00:38:25,019 --> 00:38:26,854 PRACTICE, EMPLOYEE PHYSICIANS, 808 00:38:26,854 --> 00:38:29,690 RESEARCHERS AND WE DO NOT DO 809 00:38:29,690 --> 00:38:34,395 RESEARCH OURSELF BUT DO CLINICAL 810 00:38:34,395 --> 00:38:34,962 RECOMMENDATIONS. 811 00:38:34,962 --> 00:38:37,798 OUR GUIDANCE DOES SERVE AS THE 812 00:38:37,798 --> 00:38:38,699 BASELINE FOR OUR ADVOCACY WORK 813 00:38:38,699 --> 00:38:41,702 AND OUR COMMITTEE OPINION ON 814 00:38:41,702 --> 00:38:44,338 CONSIDERATIONS FOR INCLUDING 815 00:38:44,338 --> 00:38:46,640 WOMEN AS RESEARCH PARTICIPANTS 816 00:38:46,640 --> 00:38:49,476 GOES THROUGH A REGULAR REVIEW 817 00:38:49,476 --> 00:38:49,777 PROCESS. 818 00:38:49,777 --> 00:38:51,178 THAT'S AS MUCH AS I CAN SAY AT 819 00:38:51,178 --> 00:38:53,080 THIS POINT BUT A COUPLE THINGS 820 00:38:53,080 --> 00:38:55,182 TO PULL FROM THERE BECAUSE IT 821 00:38:55,182 --> 00:38:56,884 SERVES AS A BASELINE FOR ALL THE 822 00:38:56,884 --> 00:39:02,056 OTHER WORK WE DO IN THE SPACE WE 823 00:39:02,056 --> 00:39:04,825 BELIEVE THE POTENTIAL FOR 824 00:39:04,825 --> 00:39:06,527 PREGNANCY SHOULD NOT MEAN 825 00:39:06,527 --> 00:39:08,228 AUTOMATIC EXCLUSION AND PREGNANT 826 00:39:08,228 --> 00:39:09,129 INDIVIDUALS SHOULD NOT BE 827 00:39:09,129 --> 00:39:10,965 CONSIDERED VULNERABLE AND LOOK 828 00:39:10,965 --> 00:39:13,200 AT THE DATA WHEN IT WAS 829 00:39:13,200 --> 00:39:14,001 PUBLISHED IT WAS BEFORE THE 830 00:39:14,001 --> 00:39:16,070 COMMON RULE WAS UPDATED AND AN 831 00:39:16,070 --> 00:39:20,908 APPRECIATED THE UPDATE WE JUST 832 00:39:20,908 --> 00:39:28,449 GOT YESTERDAY ON THAT AS WELL. 833 00:39:28,449 --> 00:39:29,850 WE SHOULD NOT REQUIRE CONSENT 834 00:39:29,850 --> 00:39:33,320 FROM AN INTIMATE PARTNER AND 835 00:39:33,320 --> 00:39:35,122 IT'S IMPORTANT TO WEIGH THE RISK 836 00:39:35,122 --> 00:39:36,023 AND IMPORTANCE OF INFORMATION TO 837 00:39:36,023 --> 00:39:43,664 BE GAINED. 838 00:39:43,664 --> 00:39:45,699 IT SERVES AS A BASELINE FOR THE 839 00:39:45,699 --> 00:39:46,634 CLINICAL RECOMMENDATIONS WE 840 00:39:46,634 --> 00:39:47,968 SHARE WITH MEMBERS AND THIS IS 841 00:39:47,968 --> 00:39:50,638 ALSO AVAILABLE TO THE PUBLIC AND 842 00:39:50,638 --> 00:39:54,041 ALSO SERVES AS OUR BASELINE FOR 843 00:39:54,041 --> 00:39:56,210 OUR ADVOCACY PRIORITIES AS WELL. 844 00:39:56,210 --> 00:39:59,213 AND SO EVERY YEAR ACOG'S 845 00:39:59,213 --> 00:40:02,216 GOVERNMENT AFFAIRS COMMITTEE 846 00:40:02,216 --> 00:40:03,917 RECOMMENDS AND DIRECTORS APPROVE 847 00:40:03,917 --> 00:40:05,686 OUR ADVOCACY PRIORITIES FOR THE 848 00:40:05,686 --> 00:40:09,823 YEAR UNDER THE FIRST ONE, DIRECT 849 00:40:09,823 --> 00:40:12,426 POLICIES TO PROMOTE SERVICES AND 850 00:40:12,426 --> 00:40:17,531 IMPROVED OUTCOMES IS A SUB 851 00:40:17,531 --> 00:40:19,933 BULLET FOR PREGNANT AND 852 00:40:19,933 --> 00:40:21,635 LACTATING PEOPLE IN RESEARCH AND 853 00:40:21,635 --> 00:40:24,905 THIS SERVES AS THE MEDICAL 854 00:40:24,905 --> 00:40:27,641 BASELINE AND THERE'S NO DAYLIGHT 855 00:40:27,641 --> 00:40:31,879 BETWEEN OUR CLINICAL 856 00:40:31,879 --> 00:40:32,579 RECOMMENDATIONS AND PRIORITIES 857 00:40:32,579 --> 00:40:32,846 AS WELL. 858 00:40:32,846 --> 00:40:35,582 WHAT'S THAT MEAN IN TERMS OF OUR 859 00:40:35,582 --> 00:40:38,252 ROLE HERE IN LOOKING AT NOT ONLY 860 00:40:38,252 --> 00:40:40,554 CLUSTER B BUT ALL THE CLUSTERS 861 00:40:40,554 --> 00:40:42,256 IS ADVOCATE, ADVOCATE, ADVOCATE. 862 00:40:42,256 --> 00:40:44,525 WE DO THAT IN A NUMBER OF 863 00:40:44,525 --> 00:40:44,958 DIFFERENT WAYS. 864 00:40:44,958 --> 00:40:48,362 WE ARE FOUNDING MEMBERS ON THE 865 00:40:48,362 --> 00:40:50,230 STEERING COMMITTEE TO ADVANCE 866 00:40:50,230 --> 00:40:51,765 MATERNAL THERAPEUTICS. 867 00:40:51,765 --> 00:40:53,967 BECKY WILL TALK MORE ABOUT THE 868 00:40:53,967 --> 00:40:56,203 ACTIVITIES OF THE COALITION 869 00:40:56,203 --> 00:40:58,338 CURRENTLY AS IT RELATES TO THESE 870 00:40:58,338 --> 00:40:58,906 RECOMMENDATIONS. 871 00:40:58,906 --> 00:41:00,908 WE'RE MEMBERS OF THE WOMEN'S 872 00:41:00,908 --> 00:41:06,714 FIRST RESEARCH COALITION. 873 00:41:06,714 --> 00:41:10,584 IT ADVOCATES FOR THE BRCH 874 00:41:10,584 --> 00:41:12,720 SCHOLARS PROGRAM AND WE ARE 875 00:41:12,720 --> 00:41:13,887 CHAIR OF THE FRIENDS OF NICHD 876 00:41:13,887 --> 00:41:16,890 AND STANDING MEMBER OF THE 877 00:41:16,890 --> 00:41:20,527 EXECUTIVE COMMITTEE AND TOGETHER 878 00:41:20,527 --> 00:41:22,496 WITH OUR PARTNERS FOR MATERNAL 879 00:41:22,496 --> 00:41:24,498 THERAPEUTICS, ACOG WAS KEY IN 880 00:41:24,498 --> 00:41:26,200 DRAFTING THE ORIGINAL SAFE 881 00:41:26,200 --> 00:41:29,336 MEDICATIONS FOR MOMS AND BABIES 882 00:41:29,336 --> 00:41:32,873 ACT THAT FORMED PRGLAC AND 883 00:41:32,873 --> 00:41:35,743 CONTINUED TO ACTIVELY ADVOCATE 884 00:41:35,743 --> 00:41:39,446 FOR THE NEXT ITERATION INCLUDING 885 00:41:39,446 --> 00:41:42,216 A NUMBER OF PRGLAC 886 00:41:42,216 --> 00:41:42,750 RECOMMENDATIONS AS WELL. 887 00:41:42,750 --> 00:41:50,357 WE HAD LAST YEAR IN 2023, WE HAD 888 00:41:50,357 --> 00:41:54,361 NEARLY 700 MEMBERS ON CAPITOL 889 00:41:54,361 --> 00:41:55,362 HILL ADVOCATING AND CONTINUING 890 00:41:55,362 --> 00:41:58,198 AWARENESS ON THAT. 891 00:41:58,198 --> 00:42:01,502 WHEN WE THINK OF THE SPECIFICS 892 00:42:01,502 --> 00:42:04,905 AND THERE WERE NUMBERS, 3, 5 AND 893 00:42:04,905 --> 00:42:08,742 6 HERE, FOR THIS PARTICULAR 894 00:42:08,742 --> 00:42:11,078 CLUSTER AND OUR ROLE I WAS 895 00:42:11,078 --> 00:42:12,713 REFLECTING ON WHERE WE HAVE BEEN 896 00:42:12,713 --> 00:42:14,248 OVER THE PAST FEW YEARS. 897 00:42:14,248 --> 00:42:15,983 I KNOW I KIND OF TALKED WITH 898 00:42:15,983 --> 00:42:17,684 THIS BEFORE AND MANY OF US HAVE 899 00:42:17,684 --> 00:42:22,790 ABOUT HOW THE TIMING OF THE 900 00:42:22,790 --> 00:42:25,492 INITIAL RECOMMENDATIONS AND THE 901 00:42:25,492 --> 00:42:26,126 IMPLEMENTATION PLAN WERE THE 902 00:42:26,126 --> 00:42:28,629 INITIAL RECOMMENDATIONS CAME OUT 903 00:42:28,629 --> 00:42:29,696 IN 2018. 904 00:42:29,696 --> 00:42:35,636 AND IMPLEMENTATION IN 2020 AND 905 00:42:35,636 --> 00:42:37,471 WE HAD AT THAT TIME PUTTING 906 00:42:37,471 --> 00:42:40,140 THESE TO THE TEST OR AT LEAST 907 00:42:40,140 --> 00:42:42,509 THE OPPORTUNITY TO SEE IN REAL 908 00:42:42,509 --> 00:42:44,478 TIME WHY THIS IS SO IMPORTANT 909 00:42:44,478 --> 00:42:48,816 AND TO REITERATE WHY THE WORK OF 910 00:42:48,816 --> 00:42:51,084 PRGLAC IS SO IMPORTANT. 911 00:42:51,084 --> 00:42:52,486 IN TALKING ABOUT THE EXCLUSION 912 00:42:52,486 --> 00:42:55,823 OF PREGNANT INDIVIDUALS FROM THE 913 00:42:55,823 --> 00:42:57,491 INITIAL COVID VACCINE TRIALS 914 00:42:57,491 --> 00:42:58,392 DESPITE ADVOCACY FROM MANY IN 915 00:42:58,392 --> 00:43:02,629 THIS ROOM AND BEYOND THAT DID 916 00:43:02,629 --> 00:43:05,699 DEMONSTRATE IN REAL TIME HOW THE 917 00:43:05,699 --> 00:43:07,734 BARRIERS TO THIS RESEARCH AND IT 918 00:43:07,734 --> 00:43:09,636 CAUSED HARM AND CONTRIBUTED TO 919 00:43:09,636 --> 00:43:12,706 AVOIDABLE LOSS OF LIFE. 920 00:43:12,706 --> 00:43:14,441 AND THAT CONTINUES TO DRIVE, I 921 00:43:14,441 --> 00:43:16,944 THINK, SO MUCH OF THE WORK WE DO 922 00:43:16,944 --> 00:43:20,380 IN THE ADVOCACY SPACE AT ACOG AS 923 00:43:20,380 --> 00:43:22,249 WELL AS THE CLINICAL SIDE AS 924 00:43:22,249 --> 00:43:22,449 WELL. 925 00:43:22,449 --> 00:43:25,385 AND IT'S REALLY CHALLENGING FOR 926 00:43:25,385 --> 00:43:26,653 US TO SEPARATE OUT THESE 927 00:43:26,653 --> 00:43:30,791 RECOMMENDATIONS AND THE CLUSTER 928 00:43:30,791 --> 00:43:32,226 FROM THE REST OF THE 929 00:43:32,226 --> 00:43:34,261 RECOMMENDATIONS WITHOUT FURTHER 930 00:43:34,261 --> 00:43:36,496 INCLUSION AND INTEGRATION INTO 931 00:43:36,496 --> 00:43:39,299 DIFFERENT RESEARCH AGENDA 932 00:43:39,299 --> 00:43:40,167 RECOMMENDATION 1 WITHOUT AN 933 00:43:40,167 --> 00:43:41,435 INCREASE IN THE TIMELINESS 934 00:43:41,435 --> 00:43:43,036 WITHOUT THE REMOVAL OF 935 00:43:43,036 --> 00:43:45,572 REGULATORY BARRIERS AND 936 00:43:45,572 --> 00:43:46,273 MITIGATING LIABILITY CONCERNS WE 937 00:43:46,273 --> 00:43:49,343 WON'T BE SUCCESSFUL IN THE OTHER 938 00:43:49,343 --> 00:43:51,411 PIECE TOO. 939 00:43:51,411 --> 00:43:56,016 OUR WORK AND FOCUS WILL BE 940 00:43:56,016 --> 00:43:56,884 CONTINUING TO ADVOCATE AS MUCH 941 00:43:56,884 --> 00:43:59,086 AS POSSIBLE THROUGH ALL THE 942 00:43:59,086 --> 00:44:01,054 DIFFERENT ASPECTS OF IT. 943 00:44:01,054 --> 00:44:04,324 AND I DID WANT TO RAISE AS WELL 944 00:44:04,324 --> 00:44:06,326 WE WERE EXCITED ABOUT THE 945 00:44:06,326 --> 00:44:07,060 EXECUTIVE ORDER SIGNED EARLIER 946 00:44:07,060 --> 00:44:08,328 THIS WEEK. 947 00:44:08,328 --> 00:44:09,496 THERE WERE A LOT OF ASPECTS TO 948 00:44:09,496 --> 00:44:12,866 IT AND WE'RE EXCITED TO SEE WHAT 949 00:44:12,866 --> 00:44:14,134 HAPPENS NEXT. 950 00:44:14,134 --> 00:44:19,139 ONE PIECE IN PARTICULAR I THINK 951 00:44:19,139 --> 00:44:19,873 GOES TO RECOMMENDATION THREE 952 00:44:19,873 --> 00:44:24,678 INCLUDED A COMMITMENT TO EXPAND 953 00:44:24,678 --> 00:44:25,712 TRAINING WOMEN'S HEALTH WITH 954 00:44:25,712 --> 00:44:28,215 COLLABORATION WITH THE CDC 955 00:44:28,215 --> 00:44:29,783 FOUNDATION AND AMERICAN BOARD OF 956 00:44:29,783 --> 00:44:31,485 OBSTETRICS AND GYNECOLOGY AND 957 00:44:31,485 --> 00:44:33,487 WARE EXCITE ABOUT THAT AND LOOK 958 00:44:33,487 --> 00:44:35,789 FORWARD TO KEEPING A CLOSE EYE 959 00:44:35,789 --> 00:44:36,623 AND FOLLOWING THAT 960 00:44:36,623 --> 00:44:38,492 IMPLEMENTATION WITH INTEREST AND 961 00:44:38,492 --> 00:44:38,792 ENTHUSIASM. 962 00:44:38,792 --> 00:44:42,062 I'M HAPPY TO ANY QUESTIONS BUT 963 00:44:42,062 --> 00:44:45,565 WANTED TO SHARE THAT BASELINE OF 964 00:44:45,565 --> 00:44:47,267 OUR FOCUS AND WHAT WE FEEL IS 965 00:44:47,267 --> 00:44:48,302 OUR CURRENT ROLE IN THE SPACE 966 00:44:48,302 --> 00:44:52,906 AND I LOOK FORWARD TO QUESTIONS. 967 00:44:52,906 --> 00:44:54,541 THANK YOU VERY MUCH. 968 00:44:54,541 --> 00:44:56,543 >> THANK YOU VERY MUCH, RACHEL. 969 00:44:56,543 --> 00:44:58,545 WE HAVE ABOUT 11 MINUTES FOR 970 00:44:58,545 --> 00:44:59,746 CLARIFYING QUESTIONS IF WE HAVE 971 00:44:59,746 --> 00:45:04,885 ANY AND PERHAPS IF WE CAN SEE 972 00:45:04,885 --> 00:45:14,161 OUR PARTNERS ONLINE. 973 00:45:14,161 --> 00:45:16,997 CHRISTINA, PLEASE. 974 00:45:16,997 --> 00:45:19,900 >> CHRISTINA BUCCI-RECHTWEG 975 00:45:19,900 --> 00:45:21,868 THANK YOU FOR PROVIDING THE VIEW 976 00:45:21,868 --> 00:45:23,136 FROM THE ADVOCACY SPACE. 977 00:45:23,136 --> 00:45:27,240 ARE YOU ABLE TO TALK ABOUT THE 978 00:45:27,240 --> 00:45:27,908 EDUCATION AND TRAINING COMPONENT 979 00:45:27,908 --> 00:45:30,677 FOR THE FELLOWS OF THE FUTURE OR 980 00:45:30,677 --> 00:45:34,014 WORKFORCE IN TRAINING AND HOW 981 00:45:34,014 --> 00:45:35,282 RESEARCH AND RESEARCH CORE 982 00:45:35,282 --> 00:45:37,617 CURRICULUM IS BEING BUILT INTO 983 00:45:37,617 --> 00:45:42,789 THE CORE TRAINING? 984 00:45:42,789 --> 00:45:43,323 THANK YOU. 985 00:45:43,323 --> 00:45:44,458 >> THANKS. 986 00:45:44,458 --> 00:45:47,327 I DON'T KNOW IF I HAVE ANYTHING 987 00:45:47,327 --> 00:45:50,464 SPECIFIC TO SHARE AND WE WORK 988 00:45:50,464 --> 00:45:56,837 WITH ACGME AND WITH CREOG AS 989 00:45:56,837 --> 00:45:57,404 WELL. 990 00:45:57,404 --> 00:46:03,076 I'M NOT SURE IF I CAN SPEAK 991 00:46:03,076 --> 00:46:04,444 SPECIFICALLY TO WORK TO BUILD 992 00:46:04,444 --> 00:46:05,212 THAT RESEARCH COMPONENT. 993 00:46:05,212 --> 00:46:07,214 ONE THING I WILL SAY WHICH IS 994 00:46:07,214 --> 00:46:12,386 MAYBE MORE HIGH LEVEL AND PULLED 995 00:46:12,386 --> 00:46:16,023 BACK BUT I THINK IT'S 996 00:46:16,023 --> 00:46:16,890 CHALLENGING TO LOOK AT THE 997 00:46:16,890 --> 00:46:18,025 FUTURE OF THE PROFESSION WITHOUT 998 00:46:18,025 --> 00:46:19,593 THINKING OF THE CHALLENGES OF 999 00:46:19,593 --> 00:46:21,294 THE CURRENT LANDSCAPE FOLKS ARE 1000 00:46:21,294 --> 00:46:22,062 DEALING WITH AS THEY'RE 1001 00:46:22,062 --> 00:46:24,297 CONSIDERING WHETHER OR NOT TO GO 1002 00:46:24,297 --> 00:46:28,902 INTO OB-GYN AT ALL AND WHERE 1003 00:46:28,902 --> 00:46:32,773 THEY WANT TO PRACTICE. 1004 00:46:32,773 --> 00:46:39,846 I THINK WE HAVE A LOT OF 1005 00:46:39,846 --> 00:46:41,615 CONSIDERATION TO THINK THROUGH 1006 00:46:41,615 --> 00:46:43,750 THE FUTURE OF THE PROFESSION AND 1007 00:46:43,750 --> 00:46:45,485 IMPACTS OF STATE LAWS 1008 00:46:45,485 --> 00:46:47,387 RESTRICTING THE COMPREHENSIVE 1009 00:46:47,387 --> 00:46:49,890 PRACTICE OF OB-GYN THAT I THINK 1010 00:46:49,890 --> 00:46:52,893 IS GOING TO HAVE POTENTIALLY AN 1011 00:46:52,893 --> 00:46:54,861 ALARMING IMPACT ON THE FUTURE OF 1012 00:46:54,861 --> 00:46:56,897 THE PROFESSION INCLUDING THE 1013 00:46:56,897 --> 00:47:00,367 RESEARCH SPACE. 1014 00:47:00,367 --> 00:47:04,504 NOT TO GO TOO FAR DOWN THAT PATH 1015 00:47:04,504 --> 00:47:08,909 BUT THE RECENT SUPREME COURT 1016 00:47:08,909 --> 00:47:12,913 DECISION OUT OF ALABAMA THAT 1017 00:47:12,913 --> 00:47:15,282 CONFERRED PERSONHOOD ON AN EM 1018 00:47:15,282 --> 00:47:23,023 EMBRYO HAS SCARY IMPLICATIONS 1019 00:47:23,023 --> 00:47:27,427 FOR RESEARCH AND THERAPEUTIC 1020 00:47:27,427 --> 00:47:29,496 HUSE DURING PREGNANCY AND HEARD 1021 00:47:29,496 --> 00:47:32,933 CONCERNS FROM OUR MEMBERS WHAT 1022 00:47:32,933 --> 00:47:34,534 THIS COULD MEAN IN TERMS OF 1023 00:47:34,534 --> 00:47:40,240 POTENTIAL HARM TO A PREGNANCY 1024 00:47:40,240 --> 00:47:42,209 THAT MAY OR MAY NOT HAVE BEEN 1025 00:47:42,209 --> 00:47:44,211 CONTRIBUTED BY THE USE OF 1026 00:47:44,211 --> 00:47:47,180 THERAPEUTICS DURING PREGNANCY 1027 00:47:47,180 --> 00:47:50,750 WHETHER MEDICATIONS FOR OPIOID 1028 00:47:50,750 --> 00:47:54,154 USE DISORDER, FOR MENTAL HEALTH 1029 00:47:54,154 --> 00:47:55,589 CONDITIONS, OTHER CONDITIONS. 1030 00:47:55,589 --> 00:48:00,894 I KNOW IT'S NOT EXACTLY YOUR 1031 00:48:00,894 --> 00:48:04,397 QUESTION BUT THERE ARE A LOT OF 1032 00:48:04,397 --> 00:48:05,031 CHALLENGING CONSIDERATIONS FOLKS 1033 00:48:05,031 --> 00:48:08,902 ARE GRAPPLING WITH IN TERMS OF 1034 00:48:08,902 --> 00:48:11,371 THE FUTURE AND RESEARCH. 1035 00:48:11,371 --> 00:48:15,342 >> CAN YOU EXPAND OR CLARIFY 1036 00:48:15,342 --> 00:48:17,911 MORE ON YOUR COMMUNICATION 1037 00:48:17,911 --> 00:48:21,047 INITIATIVES OUTSIDE THE ADVOCACY 1038 00:48:21,047 --> 00:48:22,916 TOWARDS LEGISLATORS IS MOST 1039 00:48:22,916 --> 00:48:23,617 COMMUNICATION INTERNALLY 1040 00:48:23,617 --> 00:48:25,652 DIRECTED TO MEMBERS OF THE 1041 00:48:25,652 --> 00:48:26,620 COLLEGE OR COMMUNICATION 1042 00:48:26,620 --> 00:48:29,122 CONSTRUCTED FOR THE GENERAL 1043 00:48:29,122 --> 00:48:33,560 PUBLIC? 1044 00:48:33,560 --> 00:48:39,199 >> OUR PRIMARY COMMUNICATION IS 1045 00:48:39,199 --> 00:48:44,804 TO OUR MEMBERS IN TERMS OF 1046 00:48:44,804 --> 00:48:47,073 GETTING THE WORD OUT ABOUT 1047 00:48:47,073 --> 00:48:48,208 RECOMMENDATIONS AND THE 1048 00:48:48,208 --> 00:48:50,110 REGULATORY SPACE PRIMARILY OUR 1049 00:48:50,110 --> 00:48:51,945 COMMITMENT AND OBLIGATION IS TO 1050 00:48:51,945 --> 00:48:57,217 OUR MEMBERS TO COMMUNICATE THAT 1051 00:48:57,217 --> 00:48:57,417 OUT. 1052 00:48:57,417 --> 00:49:02,189 WE CERTAINLY DO USE PUBLIC 1053 00:49:02,189 --> 00:49:03,323 CHANNELS WHEN POSSIBLE BUT OUR 1054 00:49:03,323 --> 00:49:04,891 PRIMARY TARGET IS TO MEMBERS. 1055 00:49:04,891 --> 00:49:05,725 >> WE HAVE A QUESTION FROM 1056 00:49:05,725 --> 00:49:08,895 SHARON ONLINE. 1057 00:49:08,895 --> 00:49:11,665 >> THANK YOU FOR THAT 1058 00:49:11,665 --> 00:49:12,199 INTERESTING PRESENTATION. 1059 00:49:12,199 --> 00:49:13,733 EVERY PEDIATRIC PROGRAM OUT 1060 00:49:13,733 --> 00:49:16,403 THERE HAS ADVOCACY AS PART OF 1061 00:49:16,403 --> 00:49:19,506 THE ELECTIVE. 1062 00:49:19,506 --> 00:49:20,106 IS THERE TWINNING ACROSS 1063 00:49:20,106 --> 00:49:23,343 PEDIATRIC AND OB TO USE SOME OF 1064 00:49:23,343 --> 00:49:24,611 THAT ADVOCACY SPACE TRAINING ON 1065 00:49:24,611 --> 00:49:26,179 THE PEDIATRIC SIDE TO LEND 1066 00:49:26,179 --> 00:49:29,216 ITSELF TO I WANT TO SAY WORKING 1067 00:49:29,216 --> 00:49:36,890 THROUGH SOME OB ISSUES AS WELL? 1068 00:49:36,890 --> 00:49:40,026 >> OBSTETRICS AND GYNECOLOGY 1069 00:49:40,026 --> 00:49:42,662 ALSO HAS AN ADVOCACY COMPONENT 1070 00:49:42,662 --> 00:49:44,231 BAKED INTO THE RESIDENCY 1071 00:49:44,231 --> 00:49:44,598 TRAINING. 1072 00:49:44,598 --> 00:49:49,402 WHAT THAT LOOKS LIKE IS 1073 00:49:49,402 --> 00:49:51,471 DIFFERENT AT EACH PROGRAM. 1074 00:49:51,471 --> 00:49:54,040 I THINK THERE PROBABLY IS QUITE 1075 00:49:54,040 --> 00:49:55,208 A BIT OF OPPORTUNITY THERE AND 1076 00:49:55,208 --> 00:49:58,178 I'M NOT SURE THAT'S BEEN TAKEN 1077 00:49:58,178 --> 00:49:58,912 ADVANTAGE OF YET BUT THANK YOU 1078 00:49:58,912 --> 00:50:00,880 FOR POINTING THAT OUT. 1079 00:50:00,880 --> 00:50:06,319 I'M HAPPY TO BRING THAT BACK TO 1080 00:50:06,319 --> 00:50:08,888 FOLKS AS WELL. 1081 00:50:08,888 --> 00:50:11,558 >> THIS QUESTION IS FROM MY HAT 1082 00:50:11,558 --> 00:50:19,933 AS AN ENDOCRINOLOGIST AND WHAT 1083 00:50:19,933 --> 00:50:22,502 IS ADVOCACY ENCOMPASS FOR THE 1084 00:50:22,502 --> 00:50:22,769 TRAINING? 1085 00:50:22,769 --> 00:50:24,638 >> I'VE BEEN WITH ACOG ALMOST 12 1086 00:50:24,638 --> 00:50:33,179 YEARS AND I BELIEVE IT WAS ADDED 1087 00:50:33,179 --> 00:50:36,549 ABOUT A DECADE AGO AND I THINK 1088 00:50:36,549 --> 00:50:37,350 IT'S BEEN ABOUT IN THE LAST 1089 00:50:37,350 --> 00:50:42,155 DECADE OR SO. 1090 00:50:42,155 --> 00:50:44,824 IT IS FAIRLY NEW. 1091 00:50:44,824 --> 00:50:47,093 I THINK THE CURRICULUM LOOKS A 1092 00:50:47,093 --> 00:50:50,630 BIT DIFFERENT AT EACH 1093 00:50:50,630 --> 00:50:50,930 INSTITUTION. 1094 00:50:50,930 --> 00:50:53,733 THERE'S BEEN SOME OF ACOG'S 1095 00:50:53,733 --> 00:50:56,836 JUNIOR FELLOWS THE YOUNGER 1096 00:50:56,836 --> 00:50:58,204 PHYSICIANS INCREDIBLY 1097 00:50:58,204 --> 00:50:59,472 ENTHUSIASTIC AND CREATED 1098 00:50:59,472 --> 00:51:00,907 CURRICULUMS THAT EXPANDED TO 1099 00:51:00,907 --> 00:51:02,742 OTHER PROGRAMS BUT EACH PROGRAM 1100 00:51:02,742 --> 00:51:04,611 LOOKS A LITTLE BIT DIFFERENT IN 1101 00:51:04,611 --> 00:51:05,078 TERMS OF THE SPECIFIC 1102 00:51:05,078 --> 00:51:08,148 CURRICULUM. 1103 00:51:08,148 --> 00:51:11,751 >> ANY FINAL QUESTIONS FOR 1104 00:51:11,751 --> 00:51:13,853 RACHEL? 1105 00:51:13,853 --> 00:51:14,254 THANK YOU. 1106 00:51:14,254 --> 00:51:17,757 WE'LL GO ON THEN TO REBECCA THE 1107 00:51:17,757 --> 00:51:19,059 SENIOR DIRECTOR OF ADVOCACY FOR 1108 00:51:19,059 --> 00:51:26,633 SMFM. 1109 00:51:26,633 --> 00:51:28,768 >> GOOD MORNING. 1110 00:51:28,768 --> 00:51:30,904 I'M EXCITED ABOUT TODAY'S 1111 00:51:30,904 --> 00:51:31,504 PRESENTATION AND THERE'S 1112 00:51:31,504 --> 00:51:34,307 RACHEL'S PRETTY PRESENTATION. 1113 00:51:34,307 --> 00:51:41,748 SO BEAUTIFUL, GUYS, LOOK AT IT. 1114 00:51:41,748 --> 00:51:42,949 UGH. 1115 00:51:42,949 --> 00:51:50,023 IT'S BEAUTIFUL I'M BECKY ABBOT, 1116 00:51:50,023 --> 00:51:51,524 I'M AN ADVOCATE FOR THE SOCIETY 1117 00:51:51,524 --> 00:51:54,994 OF MATERNAL-FETAL MEDICINE AND 1118 00:51:54,994 --> 00:51:57,530 SERVE AS THE CHAIR OF THE 1119 00:51:57,530 --> 00:52:00,900 COLLISION TO ADVANCE MATERNAL 1120 00:52:00,900 --> 00:52:01,534 THERAPEUTICS RACHEL TALKED A 1121 00:52:01,534 --> 00:52:02,168 LITTLE BIT ABOUT. 1122 00:52:02,168 --> 00:52:04,537 IT'S BEEN AROUND TWO YEARS AND 1123 00:52:04,537 --> 00:52:08,508 FOCUSSED ON CHANGING THE CULTURE 1124 00:52:08,508 --> 00:52:10,577 WITHIN RESEARCH TO INCLUDE 1125 00:52:10,577 --> 00:52:15,315 PREGNANT FOLKS IN RESEARCH AND 1126 00:52:15,315 --> 00:52:17,417 WE WOULD LIKE TO NOT BEING DOING 1127 00:52:17,417 --> 00:52:20,820 IT IN 10 MORE YEARS BUT WE'RE 1128 00:52:20,820 --> 00:52:23,256 DEDICATED TO THE CAUSE. 1129 00:52:23,256 --> 00:52:27,394 WE'LL BE TALKING A BIT FROM MY 1130 00:52:27,394 --> 00:52:31,331 ROLE AS SMFM AND THE COALITION'S 1131 00:52:31,331 --> 00:52:31,664 WORK AS WELL. 1132 00:52:31,664 --> 00:52:33,032 A LITTLE BIT ABOUT THE SOCIETY. 1133 00:52:33,032 --> 00:52:34,734 WE'RE A MEMBERSHIP ORGANIZATION. 1134 00:52:34,734 --> 00:52:37,904 WE HAVE OVER 7,000 MEMBERS. 1135 00:52:37,904 --> 00:52:38,838 WE'RE A SUBSPECIALTY. 1136 00:52:38,838 --> 00:52:41,141 MANY OF OUR MEMBERS ARE ALSO 1137 00:52:41,141 --> 00:52:43,176 MEMBERS OF ACOG BUT WE HAVE 1138 00:52:43,176 --> 00:52:44,878 SPECIAL INTERESTS WE DEAL WITH 1139 00:52:44,878 --> 00:52:46,880 AT OUR SOCIETY AS WELL. 1140 00:52:46,880 --> 00:52:50,250 THIS ISSUE IS A PARTICULAR 1141 00:52:50,250 --> 00:52:52,886 CONCERN DUE TO THE PATIENT 1142 00:52:52,886 --> 00:53:02,362 POPULATION THEY CARE FOR AND THE 1143 00:53:02,362 --> 00:53:05,331 SMFMs GET AN ADDITIONAL TIME OF 1144 00:53:05,331 --> 00:53:11,738 TRAINING CARING FOR FOLKS WITH 1145 00:53:11,738 --> 00:53:14,307 PREGNA 1146 00:53:14,307 --> 00:53:14,607 PREGNANCIES. 1147 00:53:14,607 --> 00:53:18,845 WHILE THE EXISTENCE OF A 1148 00:53:18,845 --> 00:53:20,680 PREEXISTING CONDITION PUTS 1149 00:53:20,680 --> 00:53:23,082 PATIENTS AT GREATER RISK AND 1150 00:53:23,082 --> 00:53:24,717 OFTEN BENEFIT FROM THE CARE 1151 00:53:24,717 --> 00:53:26,419 THROUGH DIRECT CARE OR WITH 1152 00:53:26,419 --> 00:53:28,354 THEIR MATERNAL CARE PROVIDER. 1153 00:53:28,354 --> 00:53:30,023 PREGNANT WOMEN ALSO GET SICK. 1154 00:53:30,023 --> 00:53:34,194 YOU ALL KNOW THIS WELL. 1155 00:53:34,194 --> 00:53:37,096 THEY MIGHT DEVELOP A PREGNANCY 1156 00:53:37,096 --> 00:53:39,065 THAT THREATENS THE HEALTH OF 1157 00:53:39,065 --> 00:53:48,708 THEIR BABY OR THEMSELVES. 1158 00:53:48,708 --> 00:53:50,577 THE COMMON THREAD IS THESE WOMEN 1159 00:53:50,577 --> 00:53:53,780 WILL NEEDS THERAPEUTICS DURING 1160 00:53:53,780 --> 00:53:55,949 THE COURSE OF THEIR PREGNANCY 1161 00:53:55,949 --> 00:53:59,219 AND OUR MEMBERS ARE RESPONSIBLE 1162 00:53:59,219 --> 00:54:01,354 FOR COUNSELLING PATIENTS ON THE 1163 00:54:01,354 --> 00:54:04,891 SAFETY AN EFFICACY ON THE 1164 00:54:04,891 --> 00:54:07,160 MEDICINE WITH LITTLE OR NO DATA 1165 00:54:07,160 --> 00:54:11,331 AND WE'VE BEEN XITCOMMITTED TO S 1166 00:54:11,331 --> 00:54:12,932 BECAUSE IT'S IMPORTANT TO THE 1167 00:54:12,932 --> 00:54:14,601 PATIENTS WE SERVE. 1168 00:54:14,601 --> 00:54:16,469 THAT'S WHO WE ARE AND WHY WE DO 1169 00:54:16,469 --> 00:54:17,337 THE WORK. 1170 00:54:17,337 --> 00:54:20,073 AND I'VE BEEN ASKED TO TALK 1171 00:54:20,073 --> 00:54:21,407 ABOUT SOME RECOMMENDATIONS 3 AND 1172 00:54:21,407 --> 00:54:25,278 I'LL MOVE NA 5 AND 6 AS WELL. 1173 00:54:25,278 --> 00:54:27,547 BEFORE WE DO THAT, I WORK WITH 1174 00:54:27,547 --> 00:54:28,915 POLITICIANS EVERY DAY SO I KNOW 1175 00:54:28,915 --> 00:54:31,518 WHAT I WANT TO TALK ABOUT FIRST 1176 00:54:31,518 --> 00:54:32,919 BUT I PROMISE I'LL GET TO WHAT I 1177 00:54:32,919 --> 00:54:34,220 WAS ASKED TO TALK ABOUT. 1178 00:54:34,220 --> 00:54:36,923 I WANT TO TELL YOU ABOUT THE 1179 00:54:36,923 --> 00:54:38,625 COALITION TO ADVANCE MATERNAL 1180 00:54:38,625 --> 00:54:39,259 THERAPEUTICS AND WHAT WE'VE BEEN 1181 00:54:39,259 --> 00:54:42,762 UP TO. 1182 00:54:42,762 --> 00:54:45,999 WE HAVE ABOUT FIVE PRIORITIES 1183 00:54:45,999 --> 00:54:47,567 AND PURSUE THESE VIGOROUSLY 1184 00:54:47,567 --> 00:54:50,003 THROUGH EVERY AVENUE WE HAVE 1185 00:54:50,003 --> 00:54:51,838 AVAILABLE TO US. 1186 00:54:51,838 --> 00:54:53,740 THAT'S THROUGH DIRECT LOBBYING 1187 00:54:53,740 --> 00:54:55,141 OF AGENCIES AND AUTHORIZATION 1188 00:54:55,141 --> 00:54:56,876 LEGISLATION AND HAVE BEEN 1189 00:54:56,876 --> 00:54:57,544 SUCCESSFUL IN THE APPROPRIATIONS 1190 00:54:57,544 --> 00:54:58,378 PROCESS. 1191 00:54:58,378 --> 00:55:00,947 I WANT TO GIVE A HUGE THANKS TO 1192 00:55:00,947 --> 00:55:04,817 ACOG, SWHR AND MARCH OF DIMES 1193 00:55:04,817 --> 00:55:06,219 WHO ARE ALSO ON THE STEERING 1194 00:55:06,219 --> 00:55:10,223 COMMITTEE AND PARTNERS IN THE 1195 00:55:10,223 --> 00:55:10,423 WORK. 1196 00:55:10,423 --> 00:55:11,658 THE FIRST RECOMMENDATION WE 1197 00:55:11,658 --> 00:55:13,760 HEARD AT THE LAST MEETING WE 1198 00:55:13,760 --> 00:55:16,329 WANT THE FOOD AND DRUG 1199 00:55:16,329 --> 00:55:18,464 ADMINISTRATION TO DATE THEIR 1200 00:55:18,464 --> 00:55:19,899 REGULATION TO REMOVE PREGNANT 1201 00:55:19,899 --> 00:55:22,001 PEOPLE AS A VULNERABLE RESEARCH 1202 00:55:22,001 --> 00:55:23,269 POPULATION. 1203 00:55:23,269 --> 00:55:24,704 WE RECOGNIZE ALIGNING FDA 1204 00:55:24,704 --> 00:55:25,538 REGULATIONS WITH THE COMMON RULE 1205 00:55:25,538 --> 00:55:29,709 SAY LARGE UNDERTAKING BUT WE ARE 1206 00:55:29,709 --> 00:55:32,679 COMMITTED AND ANNOYING ABOUT 1207 00:55:32,679 --> 00:55:34,681 THIS AND WE'LL CONTINUE TO BE 1208 00:55:34,681 --> 00:55:36,983 UNTIL THE CHANGE IS MAIN SO 1209 00:55:36,983 --> 00:55:38,985 APOLOGIES AT FDA BUT WE WOULD 1210 00:55:38,985 --> 00:55:41,220 LOVE TO DO THIS AS SOON AS 1211 00:55:41,220 --> 00:55:41,487 POSSIBLE. 1212 00:55:41,487 --> 00:55:47,060 THE TWO NEXT ARE CONNECTED BUT 1213 00:55:47,060 --> 00:55:47,327 SEPARATE. 1214 00:55:47,327 --> 00:55:48,895 WE WOULD LOVE TO ESTABLISH HOW 1215 00:55:48,895 --> 00:55:50,463 THE INFORMATION ON CLINICAL 1216 00:55:50,463 --> 00:55:51,731 TRIALS AND REGISTRIES AND 1217 00:55:51,731 --> 00:55:54,767 PREGNANT AND LACTATING PEOPLE WE 1218 00:55:54,767 --> 00:56:00,707 KNOW THERE ARE NUMEROUS SITES, 1219 00:56:00,707 --> 00:56:03,109 CLINICAL TRIALS.gov AND FDA HAS 1220 00:56:03,109 --> 00:56:07,380 ITS ONLINE PORTAL AND ONE MAIN 1221 00:56:07,380 --> 00:56:08,881 BARRIER OUR MEMBERS TALK ABOUT 1222 00:56:08,881 --> 00:56:09,816 WHEN THEY TALK ABOUT WHETHER 1223 00:56:09,816 --> 00:56:12,352 THEY'LL OFFER UP TO THEIR 1224 00:56:12,352 --> 00:56:13,653 PATIENTS ENROLLMENT IN CLINICAL 1225 00:56:13,653 --> 00:56:15,655 TRIAL OR REGISTRIES IS THEY 1226 00:56:15,655 --> 00:56:16,789 DON'T KNOW THEY EXIST AN IT'S 1227 00:56:16,789 --> 00:56:17,724 HARD IT DO. 1228 00:56:17,724 --> 00:56:24,864 WHILE OUR PARTNERS MAINTAIN THIS 1229 00:56:24,864 --> 00:56:27,133 INFORMATION WE'D LIKE IT TO BE A 1230 00:56:27,133 --> 00:56:29,569 ONE STOP SHOT AND WE GET 1231 00:56:29,569 --> 00:56:32,171 PUSHBACK FROM TIME TO TIME BUT 1232 00:56:32,171 --> 00:56:35,742 WE'RE TENACIOUS AND IT ALIGNS 1233 00:56:35,742 --> 00:56:37,677 WITH RECOMMENDATIONS 6 AND 13. 1234 00:56:37,677 --> 00:56:39,812 WE'RE ALSO ADVOCATING TO CREATE 1235 00:56:39,812 --> 00:56:42,348 AN EDUCATION CAMPAIGN TARGETED 1236 00:56:42,348 --> 00:56:44,083 TO CONSUMERS AND CLINICIANS ON 1237 00:56:44,083 --> 00:56:46,919 ENROLLING PREGNANT AND LACTATING 1238 00:56:46,919 --> 00:56:48,488 PEOPLE IN CLINICAL TRIALS WE 1239 00:56:48,488 --> 00:56:50,056 WROTE THIS IN OUR LEGISLATION 1240 00:56:50,056 --> 00:56:51,357 AND FOCUSSED ON PROVIDING 1241 00:56:51,357 --> 00:56:52,625 CLINICIANS WITH TOOLS TO HAVE 1242 00:56:52,625 --> 00:56:57,430 THE HARD CONVERSATIONS AND THEN 1243 00:56:57,430 --> 00:56:58,831 ALSO HELPING FOLKS UNDERSTAND 1244 00:56:58,831 --> 00:56:59,732 PREGNANT PEOPLE AND THEIR 1245 00:56:59,732 --> 00:57:04,003 FAMILIES UNDERSTAND THE RISKS OF 1246 00:57:04,003 --> 00:57:05,138 ENROLLMENT AND BENEFITS AND 1247 00:57:05,138 --> 00:57:07,106 UNDERSTANDING IT BETTER IN THE 1248 00:57:07,106 --> 00:57:07,340 PROCESS. 1249 00:57:07,340 --> 00:57:10,076 SOME TOOLS OUR CLINICIANS CAN BE 1250 00:57:10,076 --> 00:57:11,744 SENT OUT IN THE WORLD TO USE IN 1251 00:57:11,744 --> 00:57:19,752 THEIR PRACTICES. 1252 00:57:19,752 --> 00:57:21,454 THAT'S TREMENDOUSLY IMPORTANT. 1253 00:57:21,454 --> 00:57:23,589 WE WANT TO INITIATE NEW CLINICAL 1254 00:57:23,589 --> 00:57:25,458 RESEARCH AT THE NATIONAL 1255 00:57:25,458 --> 00:57:27,360 INSTITUTE OF HEALTH ON INSISTING 1256 00:57:27,360 --> 00:57:27,927 NEW MEDICATION. 1257 00:57:27,927 --> 00:57:32,932 SIMILAR TO PPCA BUT FOR PREGNANT 1258 00:57:32,932 --> 00:57:36,669 AND LACTATING WOMEN. 1259 00:57:36,669 --> 00:57:38,705 AND WE CONTINUE TO ADVOCATE FOR 1260 00:57:38,705 --> 00:57:41,741 MONEY FOR THIS GROUP TO MONITOR 1261 00:57:41,741 --> 00:57:43,676 PROGRESS ON THE 15 1262 00:57:43,676 --> 00:57:44,911 RECOMMENDATIONS AND THE 1263 00:57:44,911 --> 00:57:46,045 SUBSEQUENT IMPLEMENTATION PLAN. 1264 00:57:46,045 --> 00:57:49,048 WE WERE EXCITED TO HAVE $200,000 1265 00:57:49,048 --> 00:57:51,050 IN FISCAL YEAR 2023. 1266 00:57:51,050 --> 00:57:52,051 PERHAPS WE'LL HAVE ANOTHER 1267 00:57:52,051 --> 00:57:56,889 $200,000 TO DO THIS WORK THIS 1268 00:57:56,889 --> 00:57:59,158 YEAR I NO WE'RE LIVING ON 1269 00:57:59,158 --> 00:57:59,792 BORROWED MONEY UNTIL CONGRESS 1270 00:57:59,792 --> 00:58:01,127 TAKES ACTION TODAY OR NOT. 1271 00:58:01,127 --> 00:58:02,295 WE'LL SEE. 1272 00:58:02,295 --> 00:58:04,697 AND WE'RE ADVOCATING FOR THAT IN 1273 00:58:04,697 --> 00:58:06,265 FISCAL '25 AND WILL CONTINUE TO 1274 00:58:06,265 --> 00:58:08,534 ADVOCATE FOR IT. 1275 00:58:08,534 --> 00:58:10,269 AS YOU LOOK AT THE LANGUAGE THE 1276 00:58:10,269 --> 00:58:12,905 CHAIRS PUT UP AT THE BEGINNING 1277 00:58:12,905 --> 00:58:14,373 OF THE MEETING EVERY TIME IF YOU 1278 00:58:14,373 --> 00:58:15,775 WANT THAT LANGUAGE TO BE 1279 00:58:15,775 --> 00:58:16,909 DIFFERENT WE'D LOVE TO HEAR FROM 1280 00:58:16,909 --> 00:58:18,811 YOU. 1281 00:58:18,811 --> 00:58:21,814 I WILL QUICKLY TALK ABOUT 1282 00:58:21,814 --> 00:58:22,915 ANOTHER THING NOT ON THE LIST 1283 00:58:22,915 --> 00:58:24,650 TODAY AND ONE THING WE'RE 1284 00:58:24,650 --> 00:58:27,053 EXCITED TO DO AT THE SOCIETY IS 1285 00:58:27,053 --> 00:58:29,155 OUR MEMBERS ARE OFTEN DUE TO 1286 00:58:29,155 --> 00:58:30,423 THEIR TRAINING AND WHERE THEY 1287 00:58:30,423 --> 00:58:34,427 WORK AFTER TRAINING, ARE OFTEN 1288 00:58:34,427 --> 00:58:36,562 TIMES CLINICIAN RESEARCHERS. 1289 00:58:36,562 --> 00:58:40,533 I WANT TO USE THAT PULPIT AND 1290 00:58:40,533 --> 00:58:43,803 PLACE OF INFLUENCE TO START 1291 00:58:43,803 --> 00:58:44,804 THINKING ABOUT EDUCATING 1292 00:58:44,804 --> 00:58:47,774 INSTITUTIONS AND INSTITUTIONAL 1293 00:58:47,774 --> 00:58:49,776 IRBs ABOUT INCLUSION TO PREGNANT 1294 00:58:49,776 --> 00:58:51,677 AND LACTATING WOMEN IN RESEARCH. 1295 00:58:51,677 --> 00:58:53,946 WE'RE DEVELOP TOOLKIT. 1296 00:58:53,946 --> 00:58:55,448 WE HAVEN'T STARTED YET, IT'S 1297 00:58:55,448 --> 00:58:57,183 JUST AN IDEA, BUT WE'LL GET IT 1298 00:58:57,183 --> 00:58:59,018 DONE FOR OUR FOLKS TO GO OUT AND 1299 00:58:59,018 --> 00:59:02,155 TALK TO THEIR IRBs AND 1300 00:59:02,155 --> 00:59:04,323 INSTITUTIONS ABOUT HOW THEY 1301 00:59:04,323 --> 00:59:05,224 SHOULD INCLUDE PREGNANT AND 1302 00:59:05,224 --> 00:59:05,992 LACTATING WOMEN IN STUDY 1303 00:59:05,992 --> 00:59:07,827 DESIGNS, WHAT IT LOOKS HIKE AND 1304 00:59:07,827 --> 00:59:08,895 WHAT PROTECTIONS ARE AND WHY 1305 00:59:08,895 --> 00:59:09,395 IT'S IMPORTANT. 1306 00:59:09,395 --> 00:59:16,936 WE'LL ENCOURAGE THEM TO INCLUDE 1307 00:59:16,936 --> 00:59:24,877 MFMs AND WE THINK IT'S SOMETHING 1308 00:59:24,877 --> 00:59:27,446 IS WE CAN HELP OUT IN THE RECORD 1309 00:59:27,446 --> 00:59:27,680 REPORT. 1310 00:59:27,680 --> 00:59:32,919 I'LL DIVE INTO THINGS WE'RE 1311 00:59:32,919 --> 00:59:34,720 TALKING ABOUT TODAY EXCITED TO I 1312 00:59:34,720 --> 00:59:36,489 HAVE THIS CONVERSATION ABOUT 3 1313 00:59:36,489 --> 00:59:39,692 AND APPRECIATE THE UPDATE WE 1314 00:59:39,692 --> 00:59:42,528 JUST HAD FROM DR. BATES ABOUT 1315 00:59:42,528 --> 00:59:43,429 THE WORK NICHD IS DOING. 1316 00:59:43,429 --> 00:59:49,836 TO RACHEL'S POINT IT'S HELPFUL 1317 00:59:49,836 --> 00:59:52,638 EXAMPLE OUT AND RECOGNIZE THE 1318 00:59:52,638 --> 00:59:53,673 CHALLENGES AND OPPORTUNITIES IN 1319 00:59:53,673 --> 00:59:55,174 RECOMMENDATION 3 ARE NOT 1320 00:59:55,174 --> 00:59:58,744 SPECIFIC TO OBSTETRIC AND 1321 00:59:58,744 --> 01:00:00,079 LACTATION PHARMACOLOGY BUT TRUE 1322 01:00:00,079 --> 01:00:04,884 FOR OB-GYN CLINICIAN SCIENTISTS 1323 01:00:04,884 --> 01:00:06,152 GENERALLY. 1324 01:00:06,152 --> 01:00:10,289 WE NEED AND NEED TO THINK OF 1325 01:00:10,289 --> 01:00:11,424 TRAINEES AND EARLY CAREER 1326 01:00:11,424 --> 01:00:12,291 INVESTIGATORS AND INVEST IN OUR 1327 01:00:12,291 --> 01:00:20,900 NETWORKS AND CREATE NEW ONES. 1328 01:00:20,900 --> 01:00:22,101 SFMF PARTICIPATES IN THE AD 1329 01:00:22,101 --> 01:00:23,202 HUMAN BEING FOR MEDICAL RESEARCH 1330 01:00:23,202 --> 01:00:25,738 FOCUSSED ON GETTING MORE MONEY 1331 01:00:25,738 --> 01:00:27,907 FOR NIH AND THE WORK THROUGH 1332 01:00:27,907 --> 01:00:28,908 WOMEN FIRST RESEARCH COALITION 1333 01:00:28,908 --> 01:00:30,343 TO TRY TO GET AS MUCH AS THE NEW 1334 01:00:30,343 --> 01:00:35,781 MONEY DEDICATED TO OB-GYN 1335 01:00:35,781 --> 01:00:36,883 RESEARCH. 1336 01:00:36,883 --> 01:00:38,885 SO, WE APPRECIATE THE WORK NICHD 1337 01:00:38,885 --> 01:00:40,887 HAS DONE WITH US AND LOOK 1338 01:00:40,887 --> 01:00:41,420 FORWARD TO CONTINUING THE 1339 01:00:41,420 --> 01:00:45,958 CONVERSATIONS. 1340 01:00:45,958 --> 01:00:49,095 IT WOULD BE HARD TO ADDRESS SOME 1341 01:00:49,095 --> 01:00:51,664 OF THE ISSUES WITHOUT LOOKING AT 1342 01:00:51,664 --> 01:00:53,966 THE OB-GYN CLINICIAN SCIENTIST 1343 01:00:53,966 --> 01:00:55,067 LANDSCAPE WRIT LARGE. 1344 01:00:55,067 --> 01:00:56,936 I WANT TO SAY WE WERE 1345 01:00:56,936 --> 01:00:59,772 SPECIFICALLY CALLED OUT I DID A 1346 01:00:59,772 --> 01:01:03,743 CONTROL FIND BEFORE I CAME TODAY 1347 01:01:03,743 --> 01:01:05,444 AND INCREASING AWARENESS OF 1348 01:01:05,444 --> 01:01:07,847 CAREER OPPORTUNITIES THROUGH 1349 01:01:07,847 --> 01:01:08,948 RECRUITMENT AND AWARENESS AT 1350 01:01:08,948 --> 01:01:11,884 PROFESSIONAL SOCIETY MEETINGS. 1351 01:01:11,884 --> 01:01:17,556 WE'RE HAPPY TO DO THIS AND WE 1352 01:01:17,556 --> 01:01:19,091 THINK DR. BATES I THINK YOU HAVE 1353 01:01:19,091 --> 01:01:22,662 MORE INFORMATION AND WE HAVE THE 1354 01:01:22,662 --> 01:01:25,364 OPPORTUNITY THROUGH OUR ANNUAL 1355 01:01:25,364 --> 01:01:26,399 MEETING AND OUR INTERACTIONS 1356 01:01:26,399 --> 01:01:30,903 WITH FELLOWS AND THROUGH OUR 1357 01:01:30,903 --> 01:01:32,338 TRAINEE DIRECTORS TO THINK HOW 1358 01:01:32,338 --> 01:01:33,739 WE MIGHT ABLE TO SHARE THOSE 1359 01:01:33,739 --> 01:01:34,640 OPPORTUNITIES AND LOOK FORWARD 1360 01:01:34,640 --> 01:01:38,878 TO PARTNERING WITH YOU ON THAT. 1361 01:01:38,878 --> 01:01:41,781 THE OTHER THING I WANTED TO TALK 1362 01:01:41,781 --> 01:01:45,117 ABOUT IS RECOMMENDATION 6. 1363 01:01:45,117 --> 01:01:48,587 IT FOCUSES ON HELPING PROVIDERS 1364 01:01:48,587 --> 01:01:49,989 COMMUNICATE ON ENROLLMENT UP 1365 01:01:49,989 --> 01:01:51,257 TRIALS AND REGISTRIES. 1366 01:01:51,257 --> 01:01:51,991 THIS IS IMPORTANT. 1367 01:01:51,991 --> 01:01:55,561 I THINK WE HEAR FROM OUR 1368 01:01:55,561 --> 01:01:57,229 CLINICIANS OFTEN HOW THESE ARE 1369 01:01:57,229 --> 01:02:02,335 DIFFICULT CONVERSATIONS TO HAVE. 1370 01:02:02,335 --> 01:02:04,904 THESE ARE DIFFICULT THINGS TO DO 1371 01:02:04,904 --> 01:02:06,605 WITHOUT THE RESOURCES. 1372 01:02:06,605 --> 01:02:07,473 NEXT PRESENTATION WILL DIVE INTO 1373 01:02:07,473 --> 01:02:09,442 THIS MORE BUT WANT TO LIFT UP 1374 01:02:09,442 --> 01:02:11,877 THE WORK WE'RE DOING THROUGH THE 1375 01:02:11,877 --> 01:02:12,878 COLLISION TO ADVANCE MATERNAL 1376 01:02:12,878 --> 01:02:14,146 THERAPEUTICS TO CREATE THE 1377 01:02:14,146 --> 01:02:17,216 ONLINE HUB AND EDUCATION 1378 01:02:17,216 --> 01:02:19,685 CAMPAIGN. 1379 01:02:19,685 --> 01:02:21,253 BRIEFLY WE'LL RUN THROUGH WHERE 1380 01:02:21,253 --> 01:02:22,822 THE TWO PIECES OF THE ADVOCACY 1381 01:02:22,822 --> 01:02:24,890 WORK COULD BE HELPFUL THINKING 1382 01:02:24,890 --> 01:02:28,661 ABOUT 6A AND THE TWO-WAY 1383 01:02:28,661 --> 01:02:31,063 COMMUNICATION, INCREASING HEALTH 1384 01:02:31,063 --> 01:02:32,932 PROVIDER'S AWARENESS WILL BE 1385 01:02:32,932 --> 01:02:35,201 HELPFUL FOR THAT AND ALL OF 6B 1386 01:02:35,201 --> 01:02:39,739 WOULD BENEFIT FROM THIS ONLINE 1387 01:02:39,739 --> 01:02:42,208 HUB WITH THE EDUCATION CAMPAIGN 1388 01:02:42,208 --> 01:02:44,010 INCORPORATED AND THEN WHENEVER 1389 01:02:44,010 --> 01:02:48,848 WE THINK ABOUT 6C, 6CA THAT'S 1390 01:02:48,848 --> 01:02:51,684 WHAT WE WANT THIS READILY 1391 01:02:51,684 --> 01:02:53,185 ACCESSIBLE WEBSITE TO INCREASE 1392 01:02:53,185 --> 01:02:54,987 AWARENESS OF CLINICAL RESEARCH 1393 01:02:54,987 --> 01:02:55,521 OPPORTUNITIES. 1394 01:02:55,521 --> 01:02:56,822 WE LOOK FORWARD TO CONTINUING 1395 01:02:56,822 --> 01:02:58,657 THE ADVOCACY AND WORKING WITH 1396 01:02:58,657 --> 01:03:00,826 THE GROUP IN WHAT MIGHT BE ON 1397 01:03:00,826 --> 01:03:02,495 THE WEBSITE. 1398 01:03:02,495 --> 01:03:04,363 I THINK THERE ARE OPPORTUNITIES 1399 01:03:04,363 --> 01:03:06,599 FOR SFMF ONCE WE GET FURTHER 1400 01:03:06,599 --> 01:03:08,234 DOWN THE ROAD TO INCORPORATE 1401 01:03:08,234 --> 01:03:11,771 SOME OF THESE PIECES AND 1402 01:03:11,771 --> 01:03:12,605 CONTINUING MEDICAL EDUCATION 1403 01:03:12,605 --> 01:03:14,073 WHETHER ONLINE OR IN OUR 1404 01:03:14,073 --> 01:03:14,340 MEETINGS. 1405 01:03:14,340 --> 01:03:17,576 I LOOK FORWARD TO THAT AS WELL. 1406 01:03:17,576 --> 01:03:19,011 I DO WANT TO CHALLENGE THIS 1407 01:03:19,011 --> 01:03:28,421 GROUP AS WE MOVE FORWARD TO 1408 01:03:28,421 --> 01:03:29,755 THINK THROUGH IN RECOMMENDATIONS 1409 01:03:29,755 --> 01:03:31,490 HOW WE PUT FORWARD ACTIONABLE 1410 01:03:31,490 --> 01:03:32,958 THINGS AND IF THERE'S 1411 01:03:32,958 --> 01:03:34,060 RECOMMENDATIONS YOU HAVE FOR 1412 01:03:34,060 --> 01:03:35,528 SOCIETY TO PULL THOSE OUT AND I 1413 01:03:35,528 --> 01:03:37,463 CAN TAKE THEM BACK HERE AND IN 1414 01:03:37,463 --> 01:03:38,030 THE REPORT. 1415 01:03:38,030 --> 01:03:40,199 I APPRECIATE THE TIME AND I 1416 01:03:40,199 --> 01:03:41,300 WANTED TO SAY THANK YOU FOR 1417 01:03:41,300 --> 01:03:42,468 OFFERING YOUR TIME AND EXPERTISE 1418 01:03:42,468 --> 01:03:44,303 TO THE WORK. 1419 01:03:44,303 --> 01:03:46,439 IT'S SO IMPORTANT AND WE'RE SO 1420 01:03:46,439 --> 01:03:47,006 THANKFUL TO YOU. 1421 01:03:47,006 --> 01:03:48,574 HAPPY TO ANSWER ANY QUESTIONS. 1422 01:03:48,574 --> 01:03:50,309 >> THANK YOU, VERY MUCH, BECKY. 1423 01:03:50,309 --> 01:03:51,911 WE'VE GOT ABOUT 10 MINUTES FOR 1424 01:03:51,911 --> 01:04:02,455 CLARIFYING QUESTIONS FOR BECKY. 1425 01:04:05,291 --> 01:04:07,626 I'LL GET STARTED. 1426 01:04:07,626 --> 01:04:09,562 YOU TALKED ABOUT THE GOAL OF 1427 01:04:09,562 --> 01:04:13,032 THE COALITION TO ESTABLISH THE 1428 01:04:13,032 --> 01:04:14,467 WEBSITE, DO YOU HAVE A BUSINESS 1429 01:04:14,467 --> 01:04:15,167 PLAN FOR THAT ALREADY? 1430 01:04:15,167 --> 01:04:18,003 >> WE DO HAVE A BUSINESS PLAN. 1431 01:04:18,003 --> 01:04:20,906 I CAN FOLLOW-UP WITH THE EXACT 1432 01:04:20,906 --> 01:04:23,409 LANGUAGE BUT WE TALKED ABOUT 1433 01:04:23,409 --> 01:04:26,245 PROVIDER AND PATIENT-FACING 1434 01:04:26,245 --> 01:04:31,951 EDUCATION AND COUNSELING TOOLS 1435 01:04:31,951 --> 01:04:32,918 NEED 1436 01:04:32,918 --> 01:04:34,787 NEEDED AND INCORPORATING MANY 1437 01:04:34,787 --> 01:04:36,755 FOLKS AROUND THE ROOM OR 1438 01:04:36,755 --> 01:04:38,657 ORGANIZATIONS AND EXPERTISE. 1439 01:04:38,657 --> 01:04:41,360 WE'RE CURRENTLY IN THE CURRENT 1440 01:04:41,360 --> 01:04:42,328 APPROPRIATIONS PROCESS. 1441 01:04:42,328 --> 01:04:44,330 I WILL NOTE IT WILL BE UNDER 1442 01:04:44,330 --> 01:04:47,299 FUNDED IF THEY PASS THIS. 1443 01:04:47,299 --> 01:04:49,602 I THINK WE HAVE A MILLION 1444 01:04:49,602 --> 01:04:50,569 DOLLARS WE'RE ASKING FORTHIS 1445 01:04:50,569 --> 01:04:53,439 YEAR AND WE KNOW IT'S NOT ENOUGH 1446 01:04:53,439 --> 01:04:55,307 BUT ALSO KNOW IT'S A TIGHT 1447 01:04:55,307 --> 01:04:58,744 FISCAL YEAR SO WE LOOK FORWARD 1448 01:04:58,744 --> 01:05:03,382 TO -- WE'RE HOPEFUL THAT IS 1449 01:05:03,382 --> 01:05:07,353 INCLUDED IN FISCAL '25 PACKAGE 1450 01:05:07,353 --> 01:05:08,687 AND MAYBE WE CAN START WITH THE 1451 01:05:08,687 --> 01:05:09,655 DOWN PAYMENT. 1452 01:05:09,655 --> 01:05:12,224 >> AND THE REALIST GOAL FOR A 1453 01:05:12,224 --> 01:05:14,326 LAUNCH DATE WOULD BE? 1454 01:05:14,326 --> 01:05:20,900 >> WE'D HAVE TO PASS IT FIRST. 1455 01:05:20,900 --> 01:05:22,735 >> I THINK THERE'S THINGS WE CAN 1456 01:05:22,735 --> 01:05:24,703 DO AT THE AGENCY IN THE INTERIM 1457 01:05:24,703 --> 01:05:26,572 BUT I KNOW THEY HAVE OTHER 1458 01:05:26,572 --> 01:05:26,872 PRIORITIES. 1459 01:05:26,872 --> 01:05:31,810 I THINK WE'RE TRYING DO WHAT WE 1460 01:05:31,810 --> 01:05:33,512 CAN ON THE APPROPRIATIONS. 1461 01:05:33,512 --> 01:05:44,023 >> OTHER QUESTIONS FOR BECKY? 1462 01:05:44,690 --> 01:05:46,625 >> THANK YOU BOTH AND TO 1463 01:05:46,625 --> 01:05:48,594 DR. BATES FOR THE PRESENTATION. 1464 01:05:48,594 --> 01:05:50,296 MY QUESTION IS BOTH FOR RACHEL 1465 01:05:50,296 --> 01:05:52,865 AND FOR REBECCA WHICH IS I THINK 1466 01:05:52,865 --> 01:05:56,302 BOTH OF YOU COMMENTED PERHAPS ON 1467 01:05:56,302 --> 01:05:58,204 THE OB-GYN PHYSICIAN SCIENTIST 1468 01:05:58,204 --> 01:06:00,839 WORKFORCE AND SOME OF THE LARGER 1469 01:06:00,839 --> 01:06:05,778 LANDSCAPE CHALLENGES. 1470 01:06:05,778 --> 01:06:11,217 I SUPPOSE I'M CURIOUS ABOUT 1471 01:06:11,217 --> 01:06:13,118 STRATEGIES TO ADDRESS THAT IN 1472 01:06:13,118 --> 01:06:15,287 BOTH SOCIETIES AND SECONDARILY 1473 01:06:15,287 --> 01:06:17,756 I'M CURIOUS IN TERMS OF OUR 1474 01:06:17,756 --> 01:06:19,024 TOPIC TODAY AND TRAINING 1475 01:06:19,024 --> 01:06:20,326 PROGRAMS ABOUT RETENTION 1476 01:06:20,326 --> 01:06:22,728 STRATEGIES AROUND ANY MUCH THE K 1477 01:06:22,728 --> 01:06:25,731 OR T PROGRAMS ESPECIALLY IN 1478 01:06:25,731 --> 01:06:31,403 REGARDS TO SCHOLARS OR 1479 01:06:31,403 --> 01:06:34,106 NON-INSTITUTIONAL SCHOLARS IF 1480 01:06:34,106 --> 01:06:35,774 ANY GROUPS HAVE LOOKED AT THAT. 1481 01:06:35,774 --> 01:06:40,879 THANK YOU. 1482 01:06:40,879 --> 01:06:43,682 >> I THINK WHAT WE'VE TRIED DO 1483 01:06:43,682 --> 01:06:45,517 IS WE'RE ALL PART OF THE WOMEN 1484 01:06:45,517 --> 01:06:47,786 FIRST RESEARCH COALITION WHICH 1485 01:06:47,786 --> 01:06:48,887 INVOLVES ALL THE SUB SPECIALTY 1486 01:06:48,887 --> 01:06:54,760 SOCIETIES. 1487 01:06:54,760 --> 01:06:58,030 AND THEY DIVE IN DEEM TO THE 1488 01:06:58,030 --> 01:06:59,765 NITTY-GRITTY OF THE TYPES OF 1489 01:06:59,765 --> 01:07:04,403 AWARDS AND FUNDING MECHANISMS 1490 01:07:04,403 --> 01:07:05,971 FOR TRAINEES. 1491 01:07:05,971 --> 01:07:07,673 SO THAT IS BOTH OUR TIME AND 1492 01:07:07,673 --> 01:07:08,674 FINANCIAL COMMITMENT TO THAT AND 1493 01:07:08,674 --> 01:07:13,512 WE CONTINUE TO DO THAT WORK. 1494 01:07:13,512 --> 01:07:15,814 I THINK THAT WILL BE MY FIRST 1495 01:07:15,814 --> 01:07:16,782 PART OF THE ANSWER. 1496 01:07:16,782 --> 01:07:20,052 DO YOU HAVE ANYTHING TO ADD? 1497 01:07:20,052 --> 01:07:20,886 >> SURE. 1498 01:07:20,886 --> 01:07:26,158 THAT'S PROBABLY THE BIGGEST 1499 01:07:26,158 --> 01:07:30,929 THING AND I AND THERE'S BEEN 1500 01:07:30,929 --> 01:07:32,731 WORK DONE TO LOOK AT WHEN AND 1501 01:07:32,731 --> 01:07:40,239 WHY FOLKS TRANSITION AWAY. 1502 01:07:40,239 --> 01:07:43,709 AND THERE'S BEEN A CHALLENGE IN 1503 01:07:43,709 --> 01:07:47,046 PROTECTED TIME FOR THE 1504 01:07:47,046 --> 01:07:50,349 CONTINUING IN THE PRACTICE AND 1505 01:07:50,349 --> 01:07:51,050 ESPECIALLY THOSE EMPLOYED AND 1506 01:07:51,050 --> 01:07:54,219 HAVE TO MEET A QUOTA IN THEIR 1507 01:07:54,219 --> 01:07:55,587 CLINICAL RESPONSIBILITIES IT 1508 01:07:55,587 --> 01:07:59,191 ENDS UP TAKING TIME FROM THE 1509 01:07:59,191 --> 01:08:00,326 ABILITY TO DO RESEARCH. 1510 01:08:00,326 --> 01:08:02,461 IT HAS A DOWN STREAM IMPACT OF 1511 01:08:02,461 --> 01:08:05,731 MAKING IT CHALLENGING TO SERVE 1512 01:08:05,731 --> 01:08:08,033 ON THE DIFFERENT GROUPS 1513 01:08:08,033 --> 01:08:11,103 THROUGHOUT THE REVIEW PROCESS 1514 01:08:11,103 --> 01:08:12,538 FOR GRANTS AS WELL. 1515 01:08:12,538 --> 01:08:14,073 AGAIN, THAT'S ANECDOTAL AND I 1516 01:08:14,073 --> 01:08:15,374 DON'T THINK THERE'S BEEN A 1517 01:08:15,374 --> 01:08:17,109 RECENT REVIEW BUT I HEARD THAT 1518 01:08:17,109 --> 01:08:22,181 HISTORICALLY. 1519 01:08:22,181 --> 01:08:23,515 IN TERMS OF KEEPING THE BROADER 1520 01:08:23,515 --> 01:08:25,951 QUESTION I KNOW THAT WE HAVE 1521 01:08:25,951 --> 01:08:28,320 DONE WORK ON TRYING TO COMBAT 1522 01:08:28,320 --> 01:08:29,955 BURNOUT WHICH AGAIN MAYBE IS A 1523 01:08:29,955 --> 01:08:32,157 LITTLE BIT TOO PULLED BACK BUT I 1524 01:08:32,157 --> 01:08:34,159 THINK IS RELATED. 1525 01:08:34,159 --> 01:08:36,829 AND THAT WORK IS ONGOING AND I 1526 01:08:36,829 --> 01:08:39,665 DON'T KNOW IT'S BEEN MEASURED AT 1527 01:08:39,665 --> 01:08:40,833 THIS POINT. 1528 01:08:40,833 --> 01:08:43,702 I ACTUALLY REALIZE I ANSWERED 1529 01:08:43,702 --> 01:08:45,838 YOUR QUESTION I THINK WRONG 1530 01:08:45,838 --> 01:08:47,506 EARLIER ABOUT OUR PRIMARY 1531 01:08:47,506 --> 01:08:48,073 TARGET. 1532 01:08:48,073 --> 01:08:51,777 WE HAVE A PATIENT-FACING WEBSITE 1533 01:08:51,777 --> 01:08:55,514 RELATIVELY NEWER AND STILL BE 1534 01:08:55,514 --> 01:08:58,050 BEEFED UP BUT THAT WAS AN 1535 01:08:58,050 --> 01:08:59,752 INCORRECT RESPONSE, MY APOL 1536 01:08:59,752 --> 01:09:00,085 APOLOGIES. 1537 01:09:00,085 --> 01:09:03,722 AND WE HAVE INCLUDED INFORMATION 1538 01:09:03,722 --> 01:09:08,427 PARTICULARLY AROUND COVID 1539 01:09:08,427 --> 01:09:10,696 VACCINATION DURING PREGNANCY AND 1540 01:09:10,696 --> 01:09:12,898 LIFTING UP THE QUALITY OF THE 1541 01:09:12,898 --> 01:09:23,442 RESEARCH AND SCIENCE BEHIND IT. 1542 01:09:27,679 --> 01:09:31,216 >> A LOT OF THE ENTITIES THAT 1543 01:09:31,216 --> 01:09:35,754 RACHEL AND BECKY YOU ALL WERE 1544 01:09:35,754 --> 01:09:38,991 REFERENCING THE COALITIONS AND 1545 01:09:38,991 --> 01:09:40,559 THE REPRESENTATION FROM THE 1546 01:09:40,559 --> 01:09:44,196 SUBSPECIALTIES, I THINK GUESS 1547 01:09:44,196 --> 01:09:46,965 THE QUESTION IS ARE YOU ACTIVELY 1548 01:09:46,965 --> 01:09:49,868 ENGAGING PATIENT GROUPS THAT 1549 01:09:49,868 --> 01:09:55,073 THEMSELVES ARE DRIVING 1550 01:09:55,073 --> 01:09:56,475 REGISTRIES AND ADVANCING 1551 01:09:56,475 --> 01:09:57,709 RESEARCH IN THEIR AREAS? 1552 01:09:57,709 --> 01:10:00,179 BECAUSE I THE HISTORICALLY IF 1553 01:10:00,179 --> 01:10:01,480 PEOPLE THINK ABOUT INCLUDING 1554 01:10:01,480 --> 01:10:03,148 PATIENTS THEY'RE THINKING OF THE 1555 01:10:03,148 --> 01:10:03,882 PERSPECTIVE OF UNDERSTANDING 1556 01:10:03,882 --> 01:10:07,886 THEIR STORIES AND LIVED 1557 01:10:07,886 --> 01:10:09,555 EXPERIENCES BUT IN REALITY MANY 1558 01:10:09,555 --> 01:10:12,691 ARE RUNNING ORGANIZATIONS DEEPLY 1559 01:10:12,691 --> 01:10:15,160 INVOLVED IN RESEARCH AND BRING 1560 01:10:15,160 --> 01:10:16,929 REGISTRIES AND A DEEPER 1561 01:10:16,929 --> 01:10:20,098 KNOWLEDGE OF THE TOPIC AND COULD 1562 01:10:20,098 --> 01:10:21,667 CONTRIBUTE TO CONVERSATIONS 1563 01:10:21,667 --> 01:10:22,367 ABOUT HOW DO WE ADVANCE RESEARCH 1564 01:10:22,367 --> 01:10:27,840 IN THAT AREA AND HOW DO WE 1565 01:10:27,840 --> 01:10:29,641 BREAKTHROUGH SOME BARRIERS THAT 1566 01:10:29,641 --> 01:10:30,042 WE'RE ADDRESSING. 1567 01:10:30,042 --> 01:10:31,176 THE QUESTION IS ARE YOU DOING IT 1568 01:10:31,176 --> 01:10:34,446 AND IF YOU'RE NOT, I GUESS IT'S 1569 01:10:34,446 --> 01:10:36,582 A RECOMMENDATION THAT WE 1570 01:10:36,582 --> 01:10:38,183 CONSIDER INCLUDING SOME OF THE 1571 01:10:38,183 --> 01:10:40,919 MORE RESEARCH SOPHISTICATED 1572 01:10:40,919 --> 01:10:51,296 PATIENT ORGANIZATIONS. 1573 01:10:52,164 --> 01:10:55,234 >> I THINK THE SHORT ANSWER IS 1574 01:10:55,234 --> 01:10:55,400 YES. 1575 01:10:55,400 --> 01:10:57,369 WE HAVE RECOMMENDATION ON SOME 1576 01:10:57,369 --> 01:10:58,270 OF THE GROUPS MENTIONED. 1577 01:10:58,270 --> 01:11:04,409 AT LEAST FOR THE FRIENDS OF 1578 01:11:04,409 --> 01:11:14,920 NICHD WE CERTAINLY HAVE WORK 1579 01:11:31,270 --> 01:11:37,643 WITH THE AMERICAN GYNECOLOGICAL 1580 01:11:37,643 --> 01:11:43,148 SOCIETY AND THIS IS -- THAT'S 1581 01:11:43,148 --> 01:11:44,683 THE ONE EXCEPTION BUT THE REST 1582 01:11:44,683 --> 01:11:55,093 MAKE A CONCERTED EFFORT. 1583 01:11:56,962 --> 01:11:57,029 1584 01:11:57,029 --> 01:11:59,231 >> TINA CHAMBERS, UC SAN DIEGO 1585 01:11:59,231 --> 01:12:02,100 FOR RACHEL AND BECKY, YOU 1586 01:12:02,100 --> 01:12:03,635 MENTIONED YOU LOOKED AT 1587 01:12:03,635 --> 01:12:04,636 CLINICIANS ALREADY PRACTICING 1588 01:12:04,636 --> 01:12:08,206 AND LOOK AT BURNOUT OR REASONS 1589 01:12:08,206 --> 01:12:09,741 NORT PROTECTED TIME. 1590 01:12:09,741 --> 01:12:11,777 DO YOU HAVE A SENSE PEOPLE 1591 01:12:11,777 --> 01:12:14,179 COMING OUT OF RESIDENCY OR 1592 01:12:14,179 --> 01:12:15,714 FELLOWSHIP COULD THEY CHOOSE NOT 1593 01:12:15,714 --> 01:12:17,549 TO GO A CLINICAL RESEARCH 1594 01:12:17,549 --> 01:12:19,151 PATHWAY AND WHY THEY DON'T AND 1595 01:12:19,151 --> 01:12:20,619 HAS THIS CHANGED WITH THE LEGAL 1596 01:12:20,619 --> 01:12:29,661 LANDSCAPE CHANGING? 1597 01:12:29,661 --> 01:12:32,931 IN OTHER WORDS, WHO AVOIDS IT 1598 01:12:32,931 --> 01:12:33,632 FROM THE GET GO. 1599 01:12:33,632 --> 01:12:38,036 >> CAN I PHONE A FRIEND? 1600 01:12:38,036 --> 01:12:39,504 >> I THINK WHILE THERE MAY NOT 1601 01:12:39,504 --> 01:12:41,773 BE A LARGE BODY OF RESEARCH WE 1602 01:12:41,773 --> 01:12:44,042 HAVE A GOOD UNDERSTANDING WHY 1603 01:12:44,042 --> 01:12:45,310 PEOPLE DON'T GO INTO RESEARCH A 1604 01:12:45,310 --> 01:12:46,011 NUMBER OF REASONS. 1605 01:12:46,011 --> 01:12:47,913 LIMITED FUNDING FOR PEOPLE WHO 1606 01:12:47,913 --> 01:12:49,314 ARE ESTABLISHED RESEARCHERS TO 1607 01:12:49,314 --> 01:12:53,251 HAVE PROTECTED TIME OUTSIDE THE 1608 01:12:53,251 --> 01:12:54,119 PROGRAMS. 1609 01:12:54,119 --> 01:12:56,588 CHALLENGES WITH INADEQUATE FUND 1610 01:12:56,588 --> 01:13:00,225 FROM THE NICHD TO GET K23s AND 1611 01:13:00,225 --> 01:13:03,362 K08s AND K01s AND MAKE IT HARD 1612 01:13:03,362 --> 01:13:06,098 TO GET THAT RIGHT OFF THE BAT 1613 01:13:06,098 --> 01:13:09,601 AND NEED A BRIDGE AS A FACULTY 1614 01:13:09,601 --> 01:13:11,770 MEMBER AND Ks ARE ESPECIALLY 1615 01:13:11,770 --> 01:13:16,908 HARD TO GET AND I THINK THERE'S 1616 01:13:16,908 --> 01:13:17,743 A LOT OF DISINCENTIVES BECAUSE 1617 01:13:17,743 --> 01:13:18,977 OF COMPENSATION STRUCTURES IN 1618 01:13:18,977 --> 01:13:19,578 OUR FIELD. 1619 01:13:19,578 --> 01:13:22,581 WHEN YOU PUT ALL THOSE TOGETHER 1620 01:13:22,581 --> 01:13:23,915 THOUGH MAYBE IT'S NOT STUDIED IN 1621 01:13:23,915 --> 01:13:26,551 THE ACADEMIC SENSE IT'S WELL 1622 01:13:26,551 --> 01:13:28,887 KNOWN OB-GYN'S FINISHING 1623 01:13:28,887 --> 01:13:30,288 FELLOWSHIP INCLUDING GENERALISTS 1624 01:13:30,288 --> 01:13:35,761 OR SPECIALISTS FINISHING 1625 01:13:35,761 --> 01:13:38,630 RESIDENCY ARE HEAVILY 1626 01:13:38,630 --> 01:13:39,398 DISINCENTIVIZED UNLESS THEY'RE 1627 01:13:39,398 --> 01:13:41,767 STRONGLY MOTIVATED BECAUSE OF 1628 01:13:41,767 --> 01:13:47,039 TIME FOR GETTING FUNDING AND WE 1629 01:13:47,039 --> 01:13:50,142 NEED TO GET THESE IN WRITING AND 1630 01:13:50,142 --> 01:13:52,911 PRESENT THEM TO NICHD FOR THE 1631 01:13:52,911 --> 01:13:53,178 PROGRAMS. 1632 01:13:53,178 --> 01:13:53,512 >> THANK YOU. 1633 01:13:53,512 --> 01:13:55,013 THAT'S EXACTLY WHAT I THOUGHT 1634 01:13:55,013 --> 01:13:57,516 YOU WOULD SAY. 1635 01:13:57,516 --> 01:13:59,384 AND THEN YOUR SENSE THAT THIS 1636 01:13:59,384 --> 01:14:00,886 HAS GOTTEN WORSE OR CHANGED? 1637 01:14:00,886 --> 01:14:01,720 >> ABSOLUTELY. 1638 01:14:01,720 --> 01:14:04,089 THE HARDER IT IS TO GET FUNDING, 1639 01:14:04,089 --> 01:14:06,058 THE HARDER IT IS FOR PEOPLE TO 1640 01:14:06,058 --> 01:14:07,225 TRANSITION TO PROGRAMS. 1641 01:14:07,225 --> 01:14:11,396 THE SHRINKING K12 PROGRAMS, THE 1642 01:14:11,396 --> 01:14:16,168 MASSIVE CHANGES IN PAY OPPOSED 1643 01:14:16,168 --> 01:14:17,235 TO PAY COMPENSATION PLANS HAVE 1644 01:14:17,235 --> 01:14:20,906 CHANGED OUR FIELD AND WORRY 1645 01:14:20,906 --> 01:14:22,307 ABOUT THE NEXT GENERATION OF 1646 01:14:22,307 --> 01:14:25,711 PHYSICIAN SCIENTISTS AND SEE FEW 1647 01:14:25,711 --> 01:14:31,249 WHO WANT TO TAKE ON THE 1648 01:14:31,249 --> 01:14:32,084 ENVIRONMENT. 1649 01:14:32,084 --> 01:14:33,251 >> I'LL MOVE US ON. 1650 01:14:33,251 --> 01:14:43,762 DO WE HAVE A QUESTION ONLINE? 1651 01:14:47,499 --> 01:14:51,002 >> MY QUESTION IS AGAIN A LITTLE 1652 01:14:51,002 --> 01:14:55,407 BIT FOR BOTH OF YOU BUT 1653 01:14:55,407 --> 01:14:58,443 PREDOMINANTLY FOR SFMF AND WHAT 1654 01:14:58,443 --> 01:15:06,952 ARE WE DOING AS ORGANIZATION TO 1655 01:15:06,952 --> 01:15:07,552 CONTINUE PROGRAMS INCLUDING 1656 01:15:07,552 --> 01:15:10,122 LACTATION OPPOSED TO THE 1657 01:15:10,122 --> 01:15:12,491 OBSTETRICIAN DELIVERED THE BABY 1658 01:15:12,491 --> 01:15:14,760 AND ARE OUT OF THIS AND LEAVES 1659 01:15:14,760 --> 01:15:19,598 LACTATION IN A PRECARIOUS 1660 01:15:19,598 --> 01:15:19,865 SITUATION. 1661 01:15:19,865 --> 01:15:21,633 WHERE THE RESEARCH DOESN'T 1662 01:15:21,633 --> 01:15:23,135 CONTINUE THROUGH THAT COMPONENT 1663 01:15:23,135 --> 01:15:33,411 OF CHILDBEARING. 1664 01:15:36,882 --> 01:15:37,816 THANK YOU. 1665 01:15:37,816 --> 01:15:40,218 I CAN TAKE THAT BACK AND THINK 1666 01:15:40,218 --> 01:15:42,821 THROUGH WHAT WE CAN DO AS A 1667 01:15:42,821 --> 01:15:48,193 SOCIETY ORGANIZATIONAL OR ADDING 1668 01:15:48,193 --> 01:15:50,328 TO OUR ADVOCACY AND THINKING HOW 1669 01:15:50,328 --> 01:15:52,898 TO SUPPORT THE LATE POSTPARTUM 1670 01:15:52,898 --> 01:15:56,034 PERIOD INCLUDING RESEARCH ON 1671 01:15:56,034 --> 01:15:56,635 LACTATION AND BREAST FEEDING. 1672 01:15:56,635 --> 01:16:06,812 THANK YOU. 1673 01:16:14,986 --> 01:16:15,854 >> THINGS LIKE REGISTRIES AND 1674 01:16:15,854 --> 01:16:20,058 YOU MENTIONED THE WEB PAGE AND 1675 01:16:20,058 --> 01:16:20,926 REGISTRY LISTING AND HAVE DONE 1676 01:16:20,926 --> 01:16:22,460 PAID ADVERTISING BUT TO YOUR 1677 01:16:22,460 --> 01:16:24,296 POINT THERE NEEDS TO BE A 1678 01:16:24,296 --> 01:16:28,567 CENTRAL ENTITY THAT PULLS THAT 1679 01:16:28,567 --> 01:16:29,568 TOGETHER AND HAVE YOU THOUGHT OF 1680 01:16:29,568 --> 01:16:32,270 GETTING INTO THE COMMUNITIES 1681 01:16:32,270 --> 01:16:33,705 WHERE WE SEE PATIENTS ON CHRONIC 1682 01:16:33,705 --> 01:16:35,774 CONDITIONS WHO WILL BE ON 1683 01:16:35,774 --> 01:16:37,809 MEDICATIONS ANYWAY AND THERE MAY 1684 01:16:37,809 --> 01:16:38,677 BE OPPORTUNITIES FOR 1685 01:16:38,677 --> 01:16:41,112 DISEASE-BASED OR DRUG-BASED 1686 01:16:41,112 --> 01:16:51,323 REGISTRIES? 1687 01:16:56,661 --> 01:17:02,334 NOT HAVING A CLEAR WAY TO GET 1688 01:17:02,334 --> 01:17:08,106 INFORMATION BACK AND THERE'S 1689 01:17:08,106 --> 01:17:09,441 BEEN MOVEMENT IN THAT SPACE BUT 1690 01:17:09,441 --> 01:17:11,776 IT'S HISTORICALLY BEEN 1691 01:17:11,776 --> 01:17:21,987 CHALLENGING. 1692 01:17:35,066 --> 01:17:36,001 WE LOOK TO DIRECT PATIENT 1693 01:17:36,001 --> 01:17:36,334 INTERACTION. 1694 01:17:36,334 --> 01:17:46,711 >> THERE'S WORK WE DO. 1695 01:17:47,012 --> 01:17:49,247 WE DO THAT AND TALK ABOUT THE 1696 01:17:49,247 --> 01:17:50,415 REGISTRIES OPEN AND MER 1697 01:17:50,415 --> 01:17:52,884 RESOURCES BUT THERE'S MORE WE 1698 01:17:52,884 --> 01:17:54,152 CAN DO TO WRAP THAT AROUND SO 1699 01:17:54,152 --> 01:17:58,890 THANK YOU FOR RAISING IT. 1700 01:17:58,890 --> 01:18:00,458 >> WE'RE MOVING INTO OUR 1701 01:18:00,458 --> 01:18:02,294 MODERATED SESSION AND HAVE HALF 1702 01:18:02,294 --> 01:18:04,062 AN HOUR TO DISCUSS 10 1703 01:18:04,062 --> 01:18:05,030 RECOMMENDATIONS AND SUB 1704 01:18:05,030 --> 01:18:06,865 RECOMMENDATIONS BEFORE WE DO 1705 01:18:06,865 --> 01:18:07,866 THAT I KNOW WE NEED BLOOD 1706 01:18:07,866 --> 01:18:12,237 FLOWING TO OUR BRAIN AND ASK TO 1707 01:18:12,237 --> 01:18:13,972 GIVE OUR SPEAKERS A STANDING 1708 01:18:13,972 --> 01:18:17,042 OVATION TO STAND UP AND SHAKE 1709 01:18:17,042 --> 01:18:27,285 YOUR LEGS OUT. 1710 01:18:34,526 --> 01:18:36,861 LIKED TO START WITH 1711 01:18:36,861 --> 01:18:40,131 RECOMMENDATION TO 3A AND MOVE TO 1712 01:18:40,131 --> 01:18:41,533 3B AND 3C AS WELL. 1713 01:18:41,533 --> 01:18:42,801 PERHAPS I CAN START WITH TAKING 1714 01:18:42,801 --> 01:18:44,903 THE TEMPERATURE OF OUR FOLKS 1715 01:18:44,903 --> 01:18:52,644 ONLIN AND FOLKS IN THE ROOM. 1716 01:18:52,644 --> 01:18:54,412 AND HOW WE FEEL WITH DEVELOPING 1717 01:18:54,412 --> 01:18:56,181 AND SUPPORTING TRAINING AND 1718 01:18:56,181 --> 01:18:56,881 CAREER DEVELOPMENT 1719 01:18:56,881 --> 01:18:57,615 OPPORTUNITIES. 1720 01:18:57,615 --> 01:19:03,088 WE HEARD A LOT ABOUT THIS FROM 1721 01:19:03,088 --> 01:19:03,888 LESLEY AS WELL AS OUR COLLEAGUES 1722 01:19:03,888 --> 01:19:06,858 AT SFMF AND ACOG. 1723 01:19:06,858 --> 01:19:08,893 DOES ANYBODY WANT TO OPEN WITH 1724 01:19:08,893 --> 01:19:13,765 THEIR OBSERVATIONS? 1725 01:19:13,765 --> 01:19:17,769 >> WHAT STANDS OUT SO ME IS 1726 01:19:17,769 --> 01:19:19,504 THOUGH THE OPPORTUNITIES ARE 1727 01:19:19,504 --> 01:19:23,675 MAYBE THERE THEY NEED TO BE 1728 01:19:23,675 --> 01:19:27,645 EXPANDED AND IN SOME RESPECTS 1729 01:19:27,645 --> 01:19:34,052 IT'S PERVASIVE ACROSS T32s AND 1730 01:19:34,052 --> 01:19:35,887 IN THIS SPACE. 1731 01:19:35,887 --> 01:19:38,289 >> A CHALLENGE TO THE PROGRAMS 1732 01:19:38,289 --> 01:19:39,290 AS THEY CURRENTLY STAND AND 1733 01:19:39,290 --> 01:19:41,159 PERHAPS AN ISSUE OF RESOURCING 1734 01:19:41,159 --> 01:19:49,100 AS WELL? 1735 01:19:49,100 --> 01:19:50,235 ANY OTHER THOUGHTS? 1736 01:19:50,235 --> 01:19:51,269 >> DOES ANYBODY HAVE AN OPINION 1737 01:19:51,269 --> 01:20:00,178 COUNTER TO THAT? 1738 01:20:00,178 --> 01:20:01,112 WITH RESPECT TO THE RESOURCING 1739 01:20:01,112 --> 01:20:11,423 FOR THE PROGRAMS. 1740 01:20:26,571 --> 01:20:28,373 THEY'RE EXCELLENT IN THEIR 1741 01:20:28,373 --> 01:20:29,474 INVESTIGATORS BUT INSUFFICIENT 1742 01:20:29,474 --> 01:20:30,041 TO SUPPORT ENOUGH OF THOSE 1743 01:20:30,041 --> 01:20:33,845 INDIVIDUALS. 1744 01:20:33,845 --> 01:20:35,046 WHILE THEY HAVE A HIGH SUCCESS 1745 01:20:35,046 --> 01:20:37,882 RATE OF TURNING PEOPLE FROM K TO 1746 01:20:37,882 --> 01:20:43,421 Rs OR F TO Ks TO Rs, THERE'S TOO 1747 01:20:43,421 --> 01:20:44,589 FEW TO SUPPORT THE FUTURE 1748 01:20:44,589 --> 01:20:46,991 GENERATION OF INVESTIGATORS IN 1749 01:20:46,991 --> 01:20:51,129 THESE TOPICS. 1750 01:20:51,129 --> 01:20:53,665 TOO FEW SPOTS AND TOO FEW 1751 01:20:53,665 --> 01:20:53,898 CENTERS. 1752 01:20:53,898 --> 01:20:55,867 >> SO RESOURCING AS WELL. 1753 01:20:55,867 --> 01:20:58,369 WHAT HAVE WE HEARD AS IT RELATES 1754 01:20:58,369 --> 01:21:00,205 TO THE NON-TRADITIONAL 1755 01:21:00,205 --> 01:21:00,905 OPPORTUNITIES AND CERTIFICATION 1756 01:21:00,905 --> 01:21:02,474 PROGRAMS AND INTEGRATION. 1757 01:21:02,474 --> 01:21:04,609 WE HEARD A LITTLE BIT WITH THE 1758 01:21:04,609 --> 01:21:07,879 INTEGRATION OF TRAINEES WITH 1759 01:21:07,879 --> 01:21:08,746 PHARMACOLOGY PROGRAMS. 1760 01:21:08,746 --> 01:21:11,316 THOUGHTS ON SOME OF THE 1761 01:21:11,316 --> 01:21:12,450 NON-TRADITIONAL TRAINING AND 1762 01:21:12,450 --> 01:21:12,817 OPPORTUNITIES. 1763 01:21:12,817 --> 01:21:15,587 HAVE WE HEARD ENOUGH HERE TO 1764 01:21:15,587 --> 01:21:17,722 FEEL THAT HAS SIGNIFICANTLY 1765 01:21:17,722 --> 01:21:18,022 PROGRESSED. 1766 01:21:18,022 --> 01:21:23,795 I'M TALKING SPECIFICALLY ABOUT 1767 01:21:23,795 --> 01:21:34,072 3A SUBBULLET B. 1768 01:21:35,140 --> 01:21:36,908 >> THERE'S SOME PROGRESSION BUT 1769 01:21:36,908 --> 01:21:43,748 SLOW AND MAYBE NOT TO THE EXTENT 1770 01:21:43,748 --> 01:21:50,955 NEEDED AND ONE CONCERN IS WITH 1771 01:21:50,955 --> 01:21:53,691 LOSS OF MENTORS AND THE ABILITY 1772 01:21:53,691 --> 01:21:55,093 TO FIND MENTORS IS CHALLENGING 1773 01:21:55,093 --> 01:21:56,094 FOR PEOPLE. 1774 01:21:56,094 --> 01:21:58,163 >> VERY LIMITED. 1775 01:21:58,163 --> 01:22:00,632 >> WE'VE SEEN ACTION BUT IT'S 1776 01:22:00,632 --> 01:22:08,339 EARLY STAGE OR LIMITED IN SCOPE. 1777 01:22:08,339 --> 01:22:11,809 LET'S MOVE ON TO 3AC AND LYNN 1778 01:22:11,809 --> 01:22:13,811 CAPTURED CHALLENGES AS IT 1779 01:22:13,811 --> 01:22:16,014 RELATES TO BRINGING FOLKS IN TO 1780 01:22:16,014 --> 01:22:16,915 THE PHARMACOLOGY AND THERAPEUTIC 1781 01:22:16,915 --> 01:22:21,419 SPACE AND OBSTETRICS. 1782 01:22:21,419 --> 01:22:23,121 THOUGHTS FROM THE GROUP AS TO 1783 01:22:23,121 --> 01:22:33,631 SALARY CAPS, PROTECTED TIME, 1784 01:22:38,970 --> 01:22:40,471 ENCOURAGING STUDIES IN THE 1785 01:22:40,471 --> 01:22:44,342 OBSTETRIC LACTATION SPACE. 1786 01:22:44,342 --> 01:22:45,043 WE DIDN'T TALK ABILITY ABOUT 1787 01:22:45,043 --> 01:22:47,812 INFRASTRUCTURE A PART FROM THE 1788 01:22:47,812 --> 01:22:50,481 PROGRAMS THAT SUPPORT THE 1789 01:22:50,481 --> 01:22:50,748 TRAINING. 1790 01:22:50,748 --> 01:22:52,884 ANY THOUGHTS ON THESE PRIMARY 1791 01:22:52,884 --> 01:23:02,227 CHALLENGES THAT WERE CALLED OUT? 1792 01:23:02,227 --> 01:23:08,900 >> THE LOSS OF THE OPRU NETWORK 1793 01:23:08,900 --> 01:23:11,603 IS SAD AND THAT ESTABLISHED THE 1794 01:23:11,603 --> 01:23:12,403 ABILITY TO HAVE INFRASTRUCTURE 1795 01:23:12,403 --> 01:23:14,606 THAT WOULD HAVE SUPPORTED SOME 1796 01:23:14,606 --> 01:23:16,908 OF THE CAREER DEVELOPMENT IN 1797 01:23:16,908 --> 01:23:26,417 THERAPEUTICS. 1798 01:23:26,417 --> 01:23:32,590 WHAT MIGHT HAVE BEEN GAINED OR 1799 01:23:32,590 --> 01:23:42,700 LOST? 1800 01:23:47,705 --> 01:23:50,174 >> I DON'T KNOW IF I CAN SPEAK 1801 01:23:50,174 --> 01:23:51,476 TO THAT MAYBE OTHERS HAVE 1802 01:23:51,476 --> 01:24:01,919 INSIGHT TO THAT QUESTION. 1803 01:24:16,267 --> 01:24:17,602 >> WE HAVE DIFFERENT WAYS AND 1804 01:24:17,602 --> 01:24:18,169 MODELS TO MOVE FORWARD WITH 1805 01:24:18,169 --> 01:24:28,313 THINGS. 1806 01:24:32,884 --> 01:24:33,818 WE LAUNCHED THE MATERNAL 1807 01:24:33,818 --> 01:24:36,254 THERAPEUTIC HUB WITH A BIG 1808 01:24:36,254 --> 01:24:40,892 PRESENCE IN MATERNAL 1809 01:24:40,892 --> 01:24:51,269 PHARMACOLOGY WE HAVE 1810 01:25:04,749 --> 01:25:07,418 REINVIGORATED THE TERM FETAL NET 1811 01:25:07,418 --> 01:25:11,823 WORK AND WE HAVE A LOT OF 1812 01:25:11,823 --> 01:25:12,890 LACTATION RESEARCH IN THE 1813 01:25:12,890 --> 01:25:16,761 THERAPEUTIC NETWORK AND THE 1814 01:25:16,761 --> 01:25:18,229 IMPRINT HUB AND KNOWLEDGE 1815 01:25:18,229 --> 01:25:20,031 AGGREGATION HAS A LARGE FOCUS IN 1816 01:25:20,031 --> 01:25:23,000 TERMS OF TRAINING AND 1817 01:25:23,000 --> 01:25:25,436 INTEGRATION WITH THE WORK THAT 1818 01:25:25,436 --> 01:25:28,106 LESLY PRESENTED IN TERMS OF THE 1819 01:25:28,106 --> 01:25:29,507 PHARMACOLOGY NETWORK AND THE 1820 01:25:29,507 --> 01:25:32,910 IMPRINT HUB HAD INTENTIONALLY 1821 01:25:32,910 --> 01:25:35,246 BUILT IN OPPORTUNITY POOL FUNDS 1822 01:25:35,246 --> 01:25:36,247 TO PROMOTE CAREERS. 1823 01:25:36,247 --> 01:25:38,249 THAT'S THE CURRENT APPROACH THAT 1824 01:25:38,249 --> 01:25:40,885 WE'RE TAKING WITH THE RESOURCES 1825 01:25:40,885 --> 01:25:43,488 WE HAVE AT HAND TO SUPPORT THAT 1826 01:25:43,488 --> 01:25:44,789 TYPE OF INFRASTRUCTURE AND WE'RE 1827 01:25:44,789 --> 01:25:46,524 CONTINUING TO LOOK AT WHAT WE 1828 01:25:46,524 --> 01:25:47,825 CAN DO WITH THE RESOURCES WE 1829 01:25:47,825 --> 01:25:54,332 HAVE. 1830 01:25:54,332 --> 01:25:58,636 >> WE HEARD FOR 3AA AND 3AB 1831 01:25:58,636 --> 01:25:59,704 LIMITED PROGRESS. 1832 01:25:59,704 --> 01:26:02,140 I'D LIKE SOMEBODY TO ENTERTAIN 1833 01:26:02,140 --> 01:26:04,575 THE IDEA FOR PROPOSING 3AC WHERE 1834 01:26:04,575 --> 01:26:06,077 THEY THINK WE ARE WITH RESPECT 1835 01:26:06,077 --> 01:26:16,287 TO PROGRESS. 1836 01:26:42,580 --> 01:26:45,817 >> I WOULD SAY AND I GUESS I 1837 01:26:45,817 --> 01:26:48,886 SHOULD ASK, FROM WHAT WE FIND, 1838 01:26:48,886 --> 01:26:50,221 PEDIATRICIANS ARE USUALLY PRETTY 1839 01:26:50,221 --> 01:26:53,291 INFORMED GENERALLY WHEN IT COMES 1840 01:26:53,291 --> 01:26:56,461 TO DRUGS AND LACTATION. 1841 01:26:56,461 --> 01:26:59,163 NOT TO TOOT OUR OWN HORNS BUT 1842 01:26:59,163 --> 01:27:00,131 WE'RE USUALLY THE MOST INFORMED 1843 01:27:00,131 --> 01:27:10,641 BECAUSE THAT'S OUR SPECIALTY. 1844 01:27:27,658 --> 01:27:29,293 WHAT ARE THE EFFORTS TOWARDS NOT 1845 01:27:29,293 --> 01:27:31,329 THOSE INVOLVED IN MATERNAL CHILD 1846 01:27:31,329 --> 01:27:32,930 HEALTH BUT THE OTHER 1847 01:27:32,930 --> 01:27:36,701 SPECIALTIES. 1848 01:27:36,701 --> 01:27:39,136 >> I THINK WE HEARD ABOUT THAT 1849 01:27:39,136 --> 01:27:40,538 AND DO YOU WANT TO TOUCH ON 1850 01:27:40,538 --> 01:27:42,106 OUTREACH TO SUB SPECIALTIES 1851 01:27:42,106 --> 01:27:43,674 OUTSIDE THE OB? 1852 01:27:43,674 --> 01:27:54,218 >> THAT'S A REALLY BIG CONCERN. 1853 01:27:54,552 --> 01:27:55,920 I THINK WE SHARE THAT CONCERN 1854 01:27:55,920 --> 01:28:01,726 AND THE FACT THAT AND I THINK WE 1855 01:28:01,726 --> 01:28:03,594 HAVE SEEN THIS IN THE SBKS USE 1856 01:28:03,594 --> 01:28:05,596 DISORDER SPACE AS AN EXAMPLE 1857 01:28:05,596 --> 01:28:08,266 WHERE A LOT OF ADDICTION 1858 01:28:08,266 --> 01:28:09,634 MEDICINE FOLKS ARE HESITANT TO 1859 01:28:09,634 --> 01:28:15,306 CARE FOR PREGNANT PATIENTS SO IT 1860 01:28:15,306 --> 01:28:25,816 LEAVES AND THERE'S CHALLENGES. 1861 01:29:21,872 --> 01:29:23,641 CONVENING SOCIETY TO HAVE THE 1862 01:29:23,641 --> 01:29:23,975 CONVERSATION. 1863 01:29:23,975 --> 01:29:26,877 IT WILL BE A FIRST STEP AT 1864 01:29:26,877 --> 01:29:28,646 THINKING ABOUT JUST AS BECKY 1865 01:29:28,646 --> 01:29:31,349 TALKED ABOUT A POTENTIAL TOOLKIT 1866 01:29:31,349 --> 01:29:33,651 FOR SHARING WITH OTHERS LIKE HOW 1867 01:29:33,651 --> 01:29:35,319 DO WE HELP AMPLIFY THOSE EFFORTS 1868 01:29:35,319 --> 01:29:38,155 AND ALSO WHAT ARE THESE OTHER 1869 01:29:38,155 --> 01:29:38,990 ORGANIZATIONS WILLING AND ABLE 1870 01:29:38,990 --> 01:29:43,728 TO DO AND WHAT DO THEY NEED TO 1871 01:29:43,728 --> 01:29:45,262 BE ABLE TO GET THE WORD OUT AND 1872 01:29:45,262 --> 01:29:46,998 TRAINING THEIR MEMBERS AS WELL. 1873 01:29:46,998 --> 01:29:49,100 >> THANKS, KATIE. 1874 01:29:49,100 --> 01:29:50,401 A LOT OF WHAT WE'RE HEARING 1875 01:29:50,401 --> 01:29:51,802 BLEEDS INTO SESSION TWO AND THE 1876 01:29:51,802 --> 01:29:52,036 CONTENT. 1877 01:29:52,036 --> 01:29:54,505 I WANT TO BRING US BACK TO 1878 01:29:54,505 --> 01:29:56,907 SESSION 1 TO MAKE SURE WE'VE 1879 01:29:56,907 --> 01:29:59,343 CAPTURED THE THOUGHTS OF THIS 1880 01:29:59,343 --> 01:29:59,644 GROUP. 1881 01:29:59,644 --> 01:30:03,781 SO WE HEARD ERIN AND LESLI TALK 1882 01:30:03,781 --> 01:30:06,450 ABOUT THE CHALLENGES LAID OUT IN 1883 01:30:06,450 --> 01:30:07,585 THE IMPLEMENTATION PLAN. 1884 01:30:07,585 --> 01:30:10,287 IT WOULD SEEM TO ME THAT WE'VE 1885 01:30:10,287 --> 01:30:12,089 GOT SOME PROGRESS THERE ALBEIT 1886 01:30:12,089 --> 01:30:15,292 LIMITED. 1887 01:30:15,292 --> 01:30:16,894 ARE THERE DIFFERENT VIEWS FROM 1888 01:30:16,894 --> 01:30:19,830 THE GROUP ABOUT THE PROGRESS 1889 01:30:19,830 --> 01:30:20,898 MADE TO 3AC? 1890 01:30:20,898 --> 01:30:31,042 SHARON. 1891 01:30:33,411 --> 01:30:34,812 I THINK THE BIGGEST PROBLEM I 1892 01:30:34,812 --> 01:30:36,614 SEE IS WHEN PEOPLE MOVE OUT OF 1893 01:30:36,614 --> 01:30:38,082 THE ACADEMIC CENTERS INTO A 1894 01:30:38,082 --> 01:30:40,184 PRACTICE OR GROUP PRACTICE, 1895 01:30:40,184 --> 01:30:43,521 PRIVATE, WHATEVER THE MODEL IS. 1896 01:30:43,521 --> 01:30:45,990 IT'S ALMOST AN ABRUPT SHUT DOWN 1897 01:30:45,990 --> 01:30:47,324 AND WONDER IF THERE'S A METRIC 1898 01:30:47,324 --> 01:30:48,893 OR TEACHING -- I DON'T KNOW WHAT 1899 01:30:48,893 --> 01:30:57,401 TO CALL IT, PROGRAM, THAT ASKS 1900 01:30:57,401 --> 01:30:58,836 FOR THOSE TO MOVE FROM THE 1901 01:30:58,836 --> 01:31:00,905 ACADEMIC PRACTICE TO MAINTAIN 1902 01:31:00,905 --> 01:31:01,806 SOME RESEARCH INTEREST BE IT 1903 01:31:01,806 --> 01:31:04,942 SOME MENTORING, SOME 1904 01:31:04,942 --> 01:31:05,242 INVOLVEMENT. 1905 01:31:05,242 --> 01:31:06,644 ANYTHING. 1906 01:31:06,644 --> 01:31:08,379 I RECOGNIZE IT'S NOT EASY THE 1907 01:31:08,379 --> 01:31:12,917 PRACTICES OR TIME CONSTRAINTS 1908 01:31:12,917 --> 01:31:14,151 AND HAVING OTHER PEOPLE NICKEL 1909 01:31:14,151 --> 01:31:17,288 AND DIMING THEM AND CHECKING. 1910 01:31:17,288 --> 01:31:18,589 BECAUSE WE'VE LOST THE GENERAL 1911 01:31:18,589 --> 01:31:20,424 PRACTICE, WE'VE LOST THAT I WANT 1912 01:31:20,424 --> 01:31:22,693 TO SAY EVERYTHING ELSE YOU KEEP 1913 01:31:22,693 --> 01:31:23,861 TALKING ABOUT HERE WE'VE LOST 1914 01:31:23,861 --> 01:31:28,365 THE INVESTMENT IN THOSE 1915 01:31:28,365 --> 01:31:29,834 CLINICI 1916 01:31:29,834 --> 01:31:35,840 CLINICIANS AND LOST THE RESEARCH 1917 01:31:35,840 --> 01:31:37,641 THAT IS NOT STRAIGHTFORWARD IN 1918 01:31:37,641 --> 01:31:38,476 INSTITUTION PRACTICE AND I THINK 1919 01:31:38,476 --> 01:31:40,678 THAT'S THE BIGGEST DROP OFF I 1920 01:31:40,678 --> 01:31:41,846 SEE AND I DON'T KNOW HOW TO FIX 1921 01:31:41,846 --> 01:31:51,922 IT. 1922 01:32:04,468 --> 01:32:05,369 >> WE'RE MISSING THAT 1923 01:32:05,369 --> 01:32:08,072 CONNECTION, THAT NETWORK THAT 1924 01:32:08,072 --> 01:32:08,606 WOULD FACILITATE THE 1925 01:32:08,606 --> 01:32:10,174 CONTINUATION OUTSIDE THE 1926 01:32:10,174 --> 01:32:11,175 ACADEMIC CONTENT. 1927 01:32:11,175 --> 01:32:16,881 I THINK THAT'S A NICE SYNTHESIS 1928 01:32:16,881 --> 01:32:20,584 FOR ADDRESSING THE CHALLENGES 1929 01:32:20,584 --> 01:32:23,854 AND STRATEGIES FOR AWARENESS OF 1930 01:32:23,854 --> 01:32:24,688 CAREER OPPORTUNITIES. 1931 01:32:24,688 --> 01:32:25,589 NOT NECESSARY CAREER 1932 01:32:25,589 --> 01:32:27,258 OPPORTUNITIES BUT AN EXTENSION 1933 01:32:27,258 --> 01:32:29,827 OF WHAT THEY MAY HAVE BEEN DOING 1934 01:32:29,827 --> 01:32:31,829 IN AN ACADEMIC CONTEXT. 1935 01:32:31,829 --> 01:32:33,230 CAN I GET THOUGHTS FROM THE 1936 01:32:33,230 --> 01:32:36,801 GROUP AS TO WHERE WE STAND ON 1937 01:32:36,801 --> 01:32:38,369 PROGRESS, INCREASING AWARENESS 1938 01:32:38,369 --> 01:32:41,839 OF CAREER OPPORTUNITIES AND 1939 01:32:41,839 --> 01:32:44,675 PHARMACOLOGY AND THERAPEUTICS IN 1940 01:32:44,675 --> 01:32:50,014 THE OBSTETRIC AND LACTATION 1941 01:32:50,014 --> 01:32:50,414 SPACE. 1942 01:32:50,414 --> 01:32:52,316 WE HEARD FROM NICHD THEY'RE 1943 01:32:52,316 --> 01:32:53,851 EXPANDING THEIR OPPORTUNITIES AS 1944 01:32:53,851 --> 01:32:54,852 WELL. 1945 01:32:54,852 --> 01:32:59,256 SOME ARE STILL IN THEIR INFANCY 1946 01:32:59,256 --> 01:32:59,690 STAGE. 1947 01:32:59,690 --> 01:33:01,225 WE HAVE A LITTLE BIT OF PROGRESS 1948 01:33:01,225 --> 01:33:02,526 CAPTURED THERE. 1949 01:33:02,526 --> 01:33:03,661 ANY OTHER THOUGHTS HERE? 1950 01:33:03,661 --> 01:33:04,995 >> I WANT TO ADD ANOTHER TWO 1951 01:33:04,995 --> 01:33:12,036 CENTS IN. 1952 01:33:12,036 --> 01:33:14,205 WHEN I READ PROPOSALS, PEOPLE 1953 01:33:14,205 --> 01:33:16,040 ARE DOING MORE AND MORE AND MORE 1954 01:33:16,040 --> 01:33:17,341 WITH MORE BLOOD AND MORE TIME 1955 01:33:17,341 --> 01:33:27,885 CONSTRAINTS ON THE PATIENT SIDE. 1956 01:33:31,155 --> 01:33:33,691 IT WOULD BE NICE TO MOVE TO THE 1957 01:33:33,691 --> 01:33:36,894 PRACTICE TO ENROLL MORE IN 1958 01:33:36,894 --> 01:33:39,296 STUDIES AND PRIMARY CARE DOCS TO 1959 01:33:39,296 --> 01:33:41,832 BE INVOLVED AND IF YOU GET TO 1960 01:33:41,832 --> 01:33:44,768 STUDY SECTION AND DOESN'T HAVE 1961 01:33:44,768 --> 01:33:48,505 PKs FOR 25 MINUTES EVERY 24 1962 01:33:48,505 --> 01:33:50,040 HOURS PEOPLE SAY IT WON'T SHOW 1963 01:33:50,040 --> 01:33:54,745 ANYTHING BUT MOVING TO OTHER 1964 01:33:54,745 --> 01:33:56,347 METHODS, MODELLING SPOTS AND ALL 1965 01:33:56,347 --> 01:34:00,885 THE OTHER METHODOLOGY WE HAVE 1966 01:34:00,885 --> 01:34:04,889 NOW THAT ARE NOT NEED TO COME TO 1967 01:34:04,889 --> 01:34:08,826 THE MOTHER SHIP TO DO IT TO 1968 01:34:08,826 --> 01:34:11,195 ALLOW THE PATIENTS TO BE 1969 01:34:11,195 --> 01:34:11,562 ENROLLED. 1970 01:34:11,562 --> 01:34:13,797 >> THANK YOU, ANY OTHER 1971 01:34:13,797 --> 01:34:14,265 THOUGHTS? 1972 01:34:14,265 --> 01:34:19,470 >> I THINK IT'S REALLY 1973 01:34:19,470 --> 01:34:19,770 INTERESTING. 1974 01:34:19,770 --> 01:34:21,739 ONE THING THAT IMMEDIATELY COMES 1975 01:34:21,739 --> 01:34:24,909 TO MIND AS A POTENTIAL BARRIER 1976 01:34:24,909 --> 01:34:27,144 IS HOW OBSTETRIC CARE IS 1977 01:34:27,144 --> 01:34:28,913 TRADITIONALLY PAID FOR IN THE 1978 01:34:28,913 --> 01:34:31,916 BUNDLED PAYMENT. 1979 01:34:31,916 --> 01:34:35,119 THAT'S NOT THE ACROSS THE BOARD 1980 01:34:35,119 --> 01:34:36,820 BUT ENDS UP BEING ABOVE ALL 1981 01:34:36,820 --> 01:34:40,424 PAYMENT AND DOESN'T ALLOW FOR 1982 01:34:40,424 --> 01:34:46,063 ANY SORT OF -- IT MAKES RESEARCH 1983 01:34:46,063 --> 01:34:46,797 CHALLENGING TO UNDERSTAND IF 1984 01:34:46,797 --> 01:34:57,341 THEY LOOK AT CLAIMS TO DATA AND 1985 01:34:59,043 --> 01:35:01,545 IT'S HINDERED AS A CODE AND 1986 01:35:01,545 --> 01:35:02,546 THAT'S SOMETHING WE'RE ACTIVELY 1987 01:35:02,546 --> 01:35:03,280 WORKING ON. 1988 01:35:03,280 --> 01:35:07,251 IT'S GOING TO BE A YEAR'S LONG 1989 01:35:07,251 --> 01:35:07,484 PROCESS. 1990 01:35:07,484 --> 01:35:12,323 THAT I THINK RELATES SOMEWHAT 1991 01:35:12,323 --> 01:35:14,491 WITH BRINGING THE RESEARCH TO 1992 01:35:14,491 --> 01:35:18,696 THE ENCOUNTERS OUTSIDE THE 1993 01:35:18,696 --> 01:35:20,898 RESEARCH PURELY ACADEMIC OR 1994 01:35:20,898 --> 01:35:24,335 RESEARCH FACILITY. 1995 01:35:24,335 --> 01:35:27,571 >> THAT WOULD BE THE IDEAL. 1996 01:35:27,571 --> 01:35:36,880 I WONDER HOW TO OPERATIONALIZE 1997 01:35:36,880 --> 01:35:38,816 IT THE FUNDING FOR COORDINATORS 1998 01:35:38,816 --> 01:35:40,684 AND ALL THAT STUFF IT TAKES TO 1999 01:35:40,684 --> 01:35:43,520 RUN NETWORK AT AN ACADEMIC 2000 01:35:43,520 --> 01:35:48,792 CENTER ARE OFTEN UNDER 2001 01:35:48,792 --> 01:35:49,159 RESOURCED. 2002 01:35:49,159 --> 01:35:50,227 YOU'RE ASKING A PRIVATE PRACTICE 2003 01:35:50,227 --> 01:35:51,762 TO SAY I'M GOING TO TAKE AN HOUR 2004 01:35:51,762 --> 01:35:59,837 OF MY TIME TO DO THIS OR HAVE A 2005 01:35:59,837 --> 01:36:04,842 CORNER THAT'S THE OTHER SIDE THE 2006 01:36:04,842 --> 01:36:06,543 RESOURCE FUNDING IN THE 2007 01:36:06,543 --> 01:36:06,810 COMMUNITY. 2008 01:36:06,810 --> 01:36:14,651 >> WE HAD OUR MONKEY POX MINI 2009 01:36:14,651 --> 01:36:15,953 EPIDEMIC AND TRANSITIONED FROM 2010 01:36:15,953 --> 01:36:18,389 DOING THE WORK AT THE MOTHER 2011 01:36:18,389 --> 01:36:20,758 SHIP TO DISTAL BLOOD DRAWS AND 2012 01:36:20,758 --> 01:36:24,194 MAILING. 2013 01:36:24,194 --> 01:36:27,598 IT'S BEEN QUITE SUCCESSFUL REWE 2014 01:36:27,598 --> 01:36:29,733 GETTING INTENSIVE PKs, NO? 2015 01:36:29,733 --> 01:36:33,904 ARE WE ABLE TO GET THEM THROUGH 2016 01:36:33,904 --> 01:36:35,305 USING A.I. KIND OF STUFF? 2017 01:36:35,305 --> 01:36:35,472 YES. 2018 01:36:35,472 --> 01:36:37,841 I WANT TO SAY THE FACT MOST OF 2019 01:36:37,841 --> 01:36:40,878 OUR IRBs REQUIRE AN IN PERSON 2020 01:36:40,878 --> 01:36:42,379 CONSENT HAS TO STOP. 2021 01:36:42,379 --> 01:36:47,851 MOST THE FACT IN OUR IRBs 2022 01:36:47,851 --> 01:36:48,886 REQUIRE ENORMOUS INFRASTRUCTURE 2023 01:36:48,886 --> 01:36:50,754 TO ENROLL ONE PATIENT HAS TO 2024 01:36:50,754 --> 01:36:51,188 STOP. 2025 01:36:51,188 --> 01:36:52,923 ON OUR SIDE AS SENIOR 2026 01:36:52,923 --> 01:36:54,625 INVESTIGATORS WE NEED TO 2027 01:36:54,625 --> 01:36:55,759 ENCOURAGE THE JUNIORS TO BE 2028 01:36:55,759 --> 01:36:57,227 CREATIVE ON YOUR STUDY SECTION 2029 01:36:57,227 --> 01:37:01,031 AND FOR THOSE WHO SIT ON STUDY 2030 01:37:01,031 --> 01:37:02,066 SECTION, A LITTLE EDUCATION 2031 01:37:02,066 --> 01:37:03,500 SAYING YES, LET'S STOP WITH THE 2032 01:37:03,500 --> 01:37:08,572 OH, YOU NEED TO COME TO THE 2033 01:37:08,572 --> 01:37:09,973 MOTHER SHIP AND THERE'S 2034 01:37:09,973 --> 01:37:14,878 EDUCATION ON THE IRB SIDE AND 2035 01:37:14,878 --> 01:37:17,247 PATIENT SIDE AND WITH MONKEY POX 2036 01:37:17,247 --> 01:37:18,816 WE'VE ENROLLED 50 PATIENTS PLUS 2037 01:37:18,816 --> 01:37:22,086 ON THE STUDY AND SHIPPING THEIR 2038 01:37:22,086 --> 01:37:24,755 MEDS, GETTING THEM TREAT AND 2039 01:37:24,755 --> 01:37:25,622 COLLECTING DATA. 2040 01:37:25,622 --> 01:37:26,924 DOES IT TAKE SOME 2041 01:37:26,924 --> 01:37:27,624 INFRASTRUCTURE? 2042 01:37:27,624 --> 01:37:27,791 YES. 2043 01:37:27,791 --> 01:37:31,161 IS IT LIKE THE MOTHER SHIP? 2044 01:37:31,161 --> 01:37:31,528 NO. 2045 01:37:31,528 --> 01:37:37,868 >> I DON'T WANT TO TRUNCATE THIS 2046 01:37:37,868 --> 01:37:40,003 DISCUSSION BUT OUR GOAL IS NOT 2047 01:37:40,003 --> 01:37:41,839 TO SOLVE THE PROBLEM BUT ADDRESS 2048 01:37:41,839 --> 01:37:43,974 THE PROGRESS TO DATE AND WE'RE 2049 01:37:43,974 --> 01:37:44,608 IDENTIFYING KEY OPPORTUNITIES 2050 01:37:44,608 --> 01:37:49,446 THAT CAN BE DISCUSSED. 2051 01:37:49,446 --> 01:37:53,650 I THINK WE'RE ALSO HEARING 2052 01:37:53,650 --> 01:37:55,486 BARRIERS FROM AN ANGLE OF ATTACK 2053 01:37:55,486 --> 01:37:56,787 THAN WHAT'S TRADITIONALLY BEEN 2054 01:37:56,787 --> 01:38:00,324 DONE AND GROWING PROGRAMS AND 2055 01:38:00,324 --> 01:38:02,192 THERE MAY NEED TO BE ADVOCACY IN 2056 01:38:02,192 --> 01:38:05,729 PLACE AND AS IT RELATES TO I AM 2057 01:38:05,729 --> 01:38:08,999 BURSTMENT AND INCENTIVIZATION. 2058 01:38:08,999 --> 01:38:11,435 WE'RE HEARING THIS IS THERE'S 2059 01:38:11,435 --> 01:38:13,137 PERHAPS A LITTLE BIT OF PROGRESS 2060 01:38:13,137 --> 01:38:14,705 HERE BUT THERE'S FAR MORE 2061 01:38:14,705 --> 01:38:17,875 OPPORTUNITY THAT CAN BE USED TO 2062 01:38:17,875 --> 01:38:28,385 LEVERAGE THIS PARTICULAR AREA. 2063 01:38:35,926 --> 01:38:39,296 >> I WANTED TO AGREE AND UNDER 2064 01:38:39,296 --> 01:38:40,898 SCORE DR. YE'S COMMENTS ABOUT 2065 01:38:40,898 --> 01:38:44,001 THE CHALLENGING TO TRAINING AND 2066 01:38:44,001 --> 01:38:44,434 COMPREHENSIVELY PUT. 2067 01:38:44,434 --> 01:38:49,106 THE TWO PIECES I MAY ADD TO OUR 2068 01:38:49,106 --> 01:38:52,209 DISCUSSION IS CONTEXT FOR 2069 01:38:52,209 --> 01:38:55,712 ADVANCEMENT FOR TRAINEES AND THE 2070 01:38:55,712 --> 01:38:59,049 PHARMACOLOGIC OR LACTATION 2071 01:38:59,049 --> 01:38:59,850 WORKFORCE SHIFTING TO A 2072 01:38:59,850 --> 01:39:02,319 CHILDBEARING POPULATION AND THE 2073 01:39:02,319 --> 01:39:03,887 IRONY OF NOT CREATING 2074 01:39:03,887 --> 01:39:05,322 INFRASTRUCTURE FOR THOSE PEOPLE 2075 01:39:05,322 --> 01:39:07,291 TO COMPLETE THEIR CHILDBEARING 2076 01:39:07,291 --> 01:39:07,524 DESIRES. 2077 01:39:07,524 --> 01:39:08,959 WHEN YOU'RE AT A STAGE OF 2078 01:39:08,959 --> 01:39:11,161 BECOMING A PHYSICIAN SCIENTIST 2079 01:39:11,161 --> 01:39:11,862 AND YOU HAVE TO CHOOSE IF YOU 2080 01:39:11,862 --> 01:39:13,130 CAN FEEL A PARENT IN THE WAY YOU 2081 01:39:13,130 --> 01:39:14,565 WANT TO. 2082 01:39:14,565 --> 01:39:15,732 I WOULD ARGUE THAT'S TRUE 2083 01:39:15,732 --> 01:39:20,270 WHETHER OR NOT YOU'RE BEARING A 2084 01:39:20,270 --> 01:39:21,371 CHILD YOURSELF. 2085 01:39:21,371 --> 01:39:24,374 YOUR TRAINING DOESN'T EXTENT. 2086 01:39:24,374 --> 01:39:27,244 YOU'RE PROTECTED TIME DOESN'T 2087 01:39:27,244 --> 01:39:29,413 EXTEND IF YOU CHOOSE TO HAVE A 2088 01:39:29,413 --> 01:39:30,814 CHILD AND WHAT'S THAT MEAN FOR 2089 01:39:30,814 --> 01:39:34,351 YOUR LIFE LONG IMPLICATIONS AS A 2090 01:39:34,351 --> 01:39:35,852 SCIENTIST AND THAT'S NOT BEEN 2091 01:39:35,852 --> 01:39:37,187 ADDRESSED WELL AND THE ONE PIECE 2092 01:39:37,187 --> 01:39:39,056 I WOULD ADD AND THE ADDITIONAL 2093 01:39:39,056 --> 01:39:40,457 THING ABOUT AWARENESS OR LINKAGE 2094 01:39:40,457 --> 01:39:42,259 TO OTHER PROGRAMS IS I'VE NOT 2095 01:39:42,259 --> 01:39:45,295 SEEN A ROBUST DISCUSSION ABOUT 2096 01:39:45,295 --> 01:39:47,264 CONNECTION TO OUR PHARMACY 2097 01:39:47,264 --> 01:39:48,899 COLLEAGUES AND PHARMACY 2098 01:39:48,899 --> 01:39:49,600 PHYSICIAN SCIENTIST TRAINING 2099 01:39:49,600 --> 01:39:51,835 PROGRAMS AND PARTNERSHIPS ACROSS 2100 01:39:51,835 --> 01:39:56,373 SOCIETIES FROM ACOG TO THE 2101 01:39:56,373 --> 01:39:58,375 AMERICAN PHARMACY ASSOCIATION. 2102 01:39:58,375 --> 01:39:59,876 THOSE ARE THE TWO AREAS I'M 2103 01:39:59,876 --> 01:40:01,645 CURIOUS ABOUT BUT THANK YOU SO 2104 01:40:01,645 --> 01:40:06,516 MUCH FOR EVERYTHING. 2105 01:40:06,516 --> 01:40:12,155 >> GREAT. 2106 01:40:12,155 --> 01:40:12,756 OUTLINING OPPORTUNITIES AND 2107 01:40:12,756 --> 01:40:16,193 MOVING US ALONG AND THE IDEA OF 2108 01:40:16,193 --> 01:40:16,727 CHILDBEARING AGE IN THE 2109 01:40:16,727 --> 01:40:20,897 WORKFORCE IS CROSS CUTS ACROSS 2110 01:40:20,897 --> 01:40:22,466 ALL DISCIPLINES AND IRONIC IN 2111 01:40:22,466 --> 01:40:24,668 THE OB SPACE. 2112 01:40:24,668 --> 01:40:32,342 LET'S MOVE TO 3B, DEVELOP 2113 01:40:32,342 --> 01:40:35,045 MENTORS IN OBSTETRIC AND 2114 01:40:35,045 --> 01:40:35,879 LACTATION PHARMACOLOGY AND 2115 01:40:35,879 --> 01:40:38,415 THERAPEUTICS FOR BOTH CLINICAL 2116 01:40:38,415 --> 01:40:39,316 AND BASIC SCIENCE. 2117 01:40:39,316 --> 01:40:42,586 AND HELPING MENTEES FIND 2118 01:40:42,586 --> 01:40:42,886 MENTORS. 2119 01:40:42,886 --> 01:40:44,454 PERHAPS INCREASING SUPPORT FOR 2120 01:40:44,454 --> 01:40:49,126 MENTORS SEEMS TO BE PART OF THE 2121 01:40:49,126 --> 01:40:50,827 CONVERSATION BUT I DON'T KNOW WE 2122 01:40:50,827 --> 01:40:52,462 HEARD ANYTHING IS ACTUALLY BEING 2123 01:40:52,462 --> 01:40:53,897 DONE ABOUT THAT TO ENSURE 2124 01:40:53,897 --> 01:40:54,965 THERE'S APPROPRIATE MENTORS IN 2125 01:40:54,965 --> 01:40:56,967 THE FIELD AND WE HEARD FROM SARA 2126 01:40:56,967 --> 01:40:59,102 WE'RE LOSING MENTORS AS WELL AND 2127 01:40:59,102 --> 01:41:02,806 TRAINING ON FDA REQUIREMENTS AND 2128 01:41:02,806 --> 01:41:03,073 PROCESSES. 2129 01:41:03,073 --> 01:41:03,674 WE HEARD A LITTLE BIT ABOUT 2130 01:41:03,674 --> 01:41:10,347 BEING INTEGRATED IN THE BROADER 2131 01:41:10,347 --> 01:41:11,848 TRAINING INITIATIVES WITHIN AND 2132 01:41:11,848 --> 01:41:13,417 OUTSIDE OF NICHD. 2133 01:41:13,417 --> 01:41:16,286 I THINK WE HAVE A MIXED BAG TO 2134 01:41:16,286 --> 01:41:19,122 MY EAR WITH RESPECT TO WHERE WE 2135 01:41:19,122 --> 01:41:20,457 ARE FROM A PROGRESS STANDPOINT 2136 01:41:20,457 --> 01:41:21,558 ON 3B. 2137 01:41:21,558 --> 01:41:23,860 ANY SPECIFIC THOUGHTS, COMMENTS 2138 01:41:23,860 --> 01:41:28,799 FROM THE GROUP? 2139 01:41:28,799 --> 01:41:34,204 >> I WANT TO COMMENT ON 3A 2140 01:41:34,204 --> 01:41:37,507 SUPPORT FOR MENTORS WHICH IS A 2141 01:41:37,507 --> 01:41:37,874 DEFICIT. 2142 01:41:37,874 --> 01:41:40,043 I WANT TO HEAR WHY K24 MECHANISM 2143 01:41:40,043 --> 01:41:43,513 IS PART OF NICHD'S PORTFOLIO IF 2144 01:41:43,513 --> 01:41:44,481 ANYONE KNOWS. 2145 01:41:44,481 --> 01:41:47,851 AT OTHER INSTITUTES I HEAR MID 2146 01:41:47,851 --> 01:41:49,419 CAREER FACULTY HAVE K24 THAT 2147 01:41:49,419 --> 01:41:50,787 PROTECTS THEIR TIME FROM 2148 01:41:50,787 --> 01:41:53,623 MENTORING AND FINDING THIS A 2149 01:41:53,623 --> 01:41:56,893 SUCCESSFUL MECHANISM TO PROMOTE 2150 01:41:56,893 --> 01:41:57,694 MENTORSHIP PROTECTED TIME. 2151 01:41:57,694 --> 01:42:00,597 FOR PEOPLE MOSTLY FUNDED BY 2152 01:42:00,597 --> 01:42:03,400 NICHD, THIS ISN'T USUALLY AN 2153 01:42:03,400 --> 01:42:05,369 OPTION AND MENTORSHIP IS 2154 01:42:05,369 --> 01:42:08,472 EXPECTED TO BE DONE ON OTHER 2155 01:42:08,472 --> 01:42:09,639 INDEPENDENT GRANTS AND SQUEEZING 2156 01:42:09,639 --> 01:42:10,907 THE CORNERS OF EVERYTHING ELSE. 2157 01:42:10,907 --> 01:42:13,343 I THINK CONCRETE FUNDING FOR THE 2158 01:42:13,343 --> 01:42:15,746 PURPOSE OF MENTORSHIP IS A MAJOR 2159 01:42:15,746 --> 01:42:18,482 AREA IN WHICH WE HAVE LITTLE TO 2160 01:42:18,482 --> 01:42:19,583 NO PROGRESS. 2161 01:42:19,583 --> 01:42:23,854 >> LESLI OR ERIN, DO YOU WANT TO 2162 01:42:23,854 --> 01:42:30,660 RESPOND? 2163 01:42:30,660 --> 01:42:32,396 >> HAPPY TO RESPOND. 2164 01:42:32,396 --> 01:42:36,366 I'LL GO BACK TO THE RFI AND 2165 01:42:36,366 --> 01:42:37,200 RECOMMENDATIONS FROM THIS WORK 2166 01:42:37,200 --> 01:42:39,503 GROUP AND MAKING SURE THEY GET 2167 01:42:39,503 --> 01:42:43,039 COMMUNICATED TO THE RFI AND IF 2168 01:42:43,039 --> 01:42:46,476 THE COMMITTEE DOES FEEL THAT, 2169 01:42:46,476 --> 01:42:49,312 THAT MIDSTAGE MENTORING AREA IS 2170 01:42:49,312 --> 01:42:52,582 ONE WHERE WE NEED MORE SUPPORT, 2171 01:42:52,582 --> 01:42:54,017 PLEASE COMMUNICATE THAT. 2172 01:42:54,017 --> 01:42:56,453 WE HAVE A LIMITED -- THERE'S A 2173 01:42:56,453 --> 01:42:59,556 LIMITED BUDGET AND A VARIETY OF 2174 01:42:59,556 --> 01:43:03,660 MECHANISMS WE CAN USE AND THE 2175 01:43:03,660 --> 01:43:04,895 INSTITUTE TYPICALLY MAKES 2176 01:43:04,895 --> 01:43:06,363 DECISIONS BASED ACROSS THE 2177 01:43:06,363 --> 01:43:07,497 ENTIRETY. 2178 01:43:07,497 --> 01:43:08,899 SOME MECHANISMS ARE USED, SOME 2179 01:43:08,899 --> 01:43:09,499 ARE NOT. 2180 01:43:09,499 --> 01:43:12,769 IT'S ONE OF THE REASONS WE'RE 2181 01:43:12,769 --> 01:43:14,805 ABLE TO GET A K12 PROGRAM GOING 2182 01:43:14,805 --> 01:43:20,110 WHICH DOES FIT A LITTLE BIT OF 2183 01:43:20,110 --> 01:43:21,745 THE MENTORING SPACE. 2184 01:43:21,745 --> 01:43:23,847 I'VE SEEN K24 MECHANISM BE VERY 2185 01:43:23,847 --> 01:43:26,983 SUCCESSFUL. 2186 01:43:26,983 --> 01:43:28,418 I'LL LEAVE IT UP TO YOU TO 2187 01:43:28,418 --> 01:43:29,119 RECOMMEND. 2188 01:43:29,119 --> 01:43:32,422 >> YOUR RELATED SUGGESTION IS IF 2189 01:43:32,422 --> 01:43:35,826 A K24 WAS SOMETHING NICHD COULD 2190 01:43:35,826 --> 01:43:40,897 DEVELOP PERHAPS THE OTHER 2191 01:43:40,897 --> 01:43:43,667 MECHANISM COULD INCLUDE FUNDED 2192 01:43:43,667 --> 01:43:46,536 FOR THE EFFORT AND OTHERWISE 2193 01:43:46,536 --> 01:43:48,338 THEY'RE PUTTING UNFUNDED TIME. 2194 01:43:48,338 --> 01:43:50,207 >> WE'RE PUTTING PURCHASE ON 2195 01:43:50,207 --> 01:43:52,909 NICHD BUT THERE SHOULD BE FUND 2196 01:43:52,909 --> 01:43:55,145 FROM OTHER INSTITUTES AS WELL. 2197 01:43:55,145 --> 01:43:57,747 DO YOU HAVE ANY FOR US OR LESLY 2198 01:43:57,747 --> 01:44:00,150 ON ANY OF THE POTENTIAL K 2199 01:44:00,150 --> 01:44:01,718 FUNDING THAT MIGHT BE RECEIVE 2200 01:44:01,718 --> 01:44:05,255 THE IN THIS MATERNAL LACTATION 2201 01:44:05,255 --> 01:44:07,324 SPACE FROM OTHER INSTITUTES? 2202 01:44:07,324 --> 01:44:08,124 >> ONE THING I'LL MENTION I 2203 01:44:08,124 --> 01:44:14,064 THINK IS RELEVANT TO THIS IS THE 2204 01:44:14,064 --> 01:44:24,608 NIH PEDIATRIC LACTATION COUNCIL 2205 01:44:24,975 --> 01:44:28,445 WHEN DIANA BIANCHI JOINED AND 2206 01:44:28,445 --> 01:44:30,447 THERE'S BEEN A PEDIATRIC AND 2207 01:44:30,447 --> 01:44:31,281 PHARMACOLOGY DISCUSSION GROUP 2208 01:44:31,281 --> 01:44:33,683 AND STARTING TO ENGAGE THE OTHER 2209 01:44:33,683 --> 01:44:36,419 I.C.s IN A MORE FORMAL CAPACITY 2210 01:44:36,419 --> 01:44:37,254 TO DISCUSS TRAINING AND TRAINING 2211 01:44:37,254 --> 01:44:40,090 AND CAREER DEVELOPMENT WAS AN 2212 01:44:40,090 --> 01:44:41,491 ITEM THAT CAME UP AS A KEY 2213 01:44:41,491 --> 01:44:48,064 THINGS TO DISCUSS. 2214 01:44:48,064 --> 01:44:50,634 IT'S A THEME LESLY WAS 2215 01:44:50,634 --> 01:44:52,536 DESCRIBING, THE MAJORITY OF THE 2216 01:44:52,536 --> 01:44:54,905 FUNDING TO TRAINING AND CAREER 2217 01:44:54,905 --> 01:44:56,907 AWARDS COMES THROUGH PARENT 2218 01:44:56,907 --> 01:44:57,240 SOLICITATIONS. 2219 01:44:57,240 --> 01:45:00,911 I THINK ONE ASPECT OF THIS IS 2220 01:45:00,911 --> 01:45:05,415 ENCOURAGING INDIVIDUALS TO APPLY 2221 01:45:05,415 --> 01:45:08,485 FOR Ks AND T32s AT INSTITUTES 2222 01:45:08,485 --> 01:45:11,388 WHERE THERE COULD BE RELEVANT 2223 01:45:11,388 --> 01:45:11,855 APPLICATION. 2224 01:45:11,855 --> 01:45:13,857 IF SOMEBODY LOOKING AT ASTHMA 2225 01:45:13,857 --> 01:45:18,628 MEDICATIONS COULD APPLY FOR A K 2226 01:45:18,628 --> 01:45:20,263 AT HEART LUNG, DIABETES 2227 01:45:20,263 --> 01:45:21,898 MEDICATIONS THAT COULD BE 2228 01:45:21,898 --> 01:45:23,867 SOMETHING THAT GOES TO NIDDK OR 2229 01:45:23,867 --> 01:45:26,870 POTENTIALLY NICHD. 2230 01:45:26,870 --> 01:45:30,707 A COUPLE THINGS THAT COME UP THE 2231 01:45:30,707 --> 01:45:32,275 BRCH PROGRAM DUE TO 2232 01:45:32,275 --> 01:45:34,277 CONGRESSIONAL ALLOCATIONS AN 2233 01:45:34,277 --> 01:45:38,615 RESOURCES WERE ABLE TO HAVE 2234 01:45:38,615 --> 01:45:40,684 UNIQUE AND SPECIAL PROGRAMS AND 2235 01:45:40,684 --> 01:45:43,587 LEVERAGE LESLY BUILT UP WAS DUE 2236 01:45:43,587 --> 01:45:43,954 TO LEGISLATION. 2237 01:45:43,954 --> 01:45:45,388 I THINK I'M HEARING A COUPLE 2238 01:45:45,388 --> 01:45:48,892 THINGS I THINK WE NEED TO 2239 01:45:48,892 --> 01:45:50,193 EDUCATE INVESTIGATORS ABOUT 2240 01:45:50,193 --> 01:45:54,064 OPPORTUNITIES MORE BROADLY AND 2241 01:45:54,064 --> 01:45:54,931 DO WHAT WE CAN WITH THE RESOURCE 2242 01:45:54,931 --> 01:45:57,734 ARE WE HAVE IN HAND. 2243 01:45:57,734 --> 01:45:59,603 >> THANK YOU. 2244 01:45:59,603 --> 01:46:00,904 I'LL MOVE US. 2245 01:46:00,904 --> 01:46:03,006 I UNDERSTAND WE ARE AT OUR BREAK 2246 01:46:03,006 --> 01:46:06,276 TIME AND I'LL MOVE US QUICKLY TO 2247 01:46:06,276 --> 01:46:06,843 3C. 2248 01:46:06,843 --> 01:46:08,912 INCREASING KNOWLEDGE AND 2249 01:46:08,912 --> 01:46:11,414 ENGAGEMENT OF HEALTH CARE 2250 01:46:11,414 --> 01:46:12,415 PROVIDERS REGARDING OB AND 2251 01:46:12,415 --> 01:46:14,084 PHARMACOLOGY AND THERAPEUTICS. 2252 01:46:14,084 --> 01:46:16,886 WHAT I HEARD FROM TODAY'S 2253 01:46:16,886 --> 01:46:18,822 DISCUSSION WAS A LOT OF PROMISE 2254 01:46:18,822 --> 01:46:20,890 BUT PERHAPS NOT A LOT OF 2255 01:46:20,890 --> 01:46:22,959 PROGRESS. 2256 01:46:22,959 --> 01:46:26,296 SO I THINK THIS IS KIND OF A RUN 2257 01:46:26,296 --> 01:46:29,499 ARING THEME FOR THIS MORNING'S 2258 01:46:29,499 --> 01:46:31,735 SESSION BUT WOULD LIKE TO GET 2259 01:46:31,735 --> 01:46:34,604 SOMEBODY TO RECOMMEND WHERE WE 2260 01:46:34,604 --> 01:46:45,015 LIE WITH RESPECT TO 3C. 2261 01:46:50,453 --> 01:46:50,587 BECKY. 2262 01:46:50,587 --> 01:46:52,856 >> NOT MUCH PROGRESS. 2263 01:46:52,856 --> 01:46:55,992 I WONDER IF ANYBODY HAS 2264 01:46:55,992 --> 01:46:59,462 INFORMATION ABOUT 3CC, ABOUT 2265 01:46:59,462 --> 01:47:00,463 EMRs. 2266 01:47:00,463 --> 01:47:02,365 IS THAT EVEN A THING ANYONE'S 2267 01:47:02,365 --> 01:47:02,565 DOING? 2268 01:47:02,565 --> 01:47:04,334 >> I KNOW THERE'S SOME 2269 01:47:04,334 --> 01:47:05,035 INDIVIDUAL INSTITUTIONS DOING 2270 01:47:05,035 --> 01:47:07,570 THAT WORK BUT I DON'T KNOW 2271 01:47:07,570 --> 01:47:09,973 THAT -- I'M NOT AWARE OF 2272 01:47:09,973 --> 01:47:11,141 ANYTHING CROSS CUTTING BEYOND 2273 01:47:11,141 --> 01:47:16,112 THE SINGLE INSTITUTION. 2274 01:47:16,112 --> 01:47:18,248 >> A CLARIFYING QUESTION BECAUSE 2275 01:47:18,248 --> 01:47:20,517 THE NOT MUCH PROGRESS IS WHAT 2276 01:47:20,517 --> 01:47:22,986 WE'RE HEARING BUT WONDERING FOR 2277 01:47:22,986 --> 01:47:24,888 ACOG AND MAYBE THIS IS MORE OF 2278 01:47:24,888 --> 01:47:29,325 AN ABOG QUESTION WHEN YOU TALK 2279 01:47:29,325 --> 01:47:31,628 ABOUT THE TRAINING THAT SHOULD 2280 01:47:31,628 --> 01:47:33,897 BE HAPPENING TO THE 60,000 PLUS 2281 01:47:33,897 --> 01:47:35,732 OB-GYNs DO WE HAVE DATA ON HOW 2282 01:47:35,732 --> 01:47:39,069 MUCH ARE AVAILING THEMSELVES TO 2283 01:47:39,069 --> 01:47:41,738 THE MORE IN DEPTH TRAINING? 2284 01:47:41,738 --> 01:47:44,407 MY SENSE IS WHEN WE TALK IN THE 2285 01:47:44,407 --> 01:47:45,175 ACADEMIC CIRCLES THE KNOWLEDGE 2286 01:47:45,175 --> 01:47:50,547 AT THAT LEVEL IS VASTLY 2287 01:47:50,547 --> 01:47:53,783 DIFFERENT THAN THE BOOTS ON THE 2288 01:47:53,783 --> 01:47:55,785 GROUND AND COMMUNITY DOCS MOST 2289 01:47:55,785 --> 01:47:56,653 US PATIENTS ARE SEEING? 2290 01:47:56,653 --> 01:47:58,955 >> BEFORE THEY CAN AVAIL 2291 01:47:58,955 --> 01:48:00,356 THEMSELVES IT HAS TO BE 2292 01:48:00,356 --> 01:48:00,857 AVAILABLE. 2293 01:48:00,857 --> 01:48:04,194 I DON'T THINK WE HEARD THERE'S 2294 01:48:04,194 --> 01:48:09,899 SPECIFIC PHARMACOLOGY TRAINING 2295 01:48:09,899 --> 01:48:11,868 MODULES THAT WERE AVAILABLE. 2296 01:48:11,868 --> 01:48:16,840 >> I THINK WE CAN SAY WE'RE NOT 2297 01:48:16,840 --> 01:48:19,976 GETTING IT PERCOLATING TO THE 2298 01:48:19,976 --> 01:48:20,276 GENERALISTS. 2299 01:48:20,276 --> 01:48:23,980 >> SO WE HAVE CAPTURED AND I 2300 01:48:23,980 --> 01:48:24,948 APOLOGIZED FOR RUNNING A LITTLE 2301 01:48:24,948 --> 01:48:26,382 BIT OVER AND WE HAVE CAPTURED 2302 01:48:26,382 --> 01:48:28,351 WHERE THE PROGRESS IS FOR 2303 01:48:28,351 --> 01:48:28,918 RECOMMENDATION 3. 2304 01:48:28,918 --> 01:48:31,187 WE'LL HAVE MORE TIME LATER. 2305 01:48:31,187 --> 01:48:36,893 DOES ANYBODY HAVE ANY STRONGLY 2306 01:48:36,893 --> 01:48:38,628 DISSENTING OPINIONS ABOUT WHAT 2307 01:48:38,628 --> 01:48:39,295 WE'VE DISCUSSED THIS MORNING? 2308 01:48:39,295 --> 01:48:41,197 IF THAT'S THE CASE, THANK YOU 2309 01:48:41,197 --> 01:48:42,766 VERY MUCH FOR WONDERFUL DISCUSSION AND COMMENTS. 2310 01:48:42,766 --> 01:48:44,868 I'D LIKE TO THANK THE SPEAKERS AGAIN AND WE CAN MOVE INTO A 2311 01:48:44,868 --> 01:48:47,454 LITTLE BIO BREAK. 2312 01:48:49,455 --> 01:48:51,190 THIS IS CHRISTINA AND WE'LL 2313 01:48:51,190 --> 01:48:52,024 START SESSION 2. 2314 01:48:52,024 --> 01:48:55,294 THE FOCUS IS GOING TO LARGELY BE 2315 01:48:55,294 --> 01:48:59,965 AROUND COMMUNICATION, EDUCATION, 2316 01:48:59,965 --> 01:49:00,232 OUTREACH. 2317 01:49:00,232 --> 01:49:01,834 POOLING SOME TEAMS FROM THIS 2318 01:49:01,834 --> 01:49:02,801 MORNING INTO THAT AS WELL. 2319 01:49:02,801 --> 01:49:05,537 WE'RE THRILLED TO HAVE TWO 2320 01:49:05,537 --> 01:49:09,408 SPEAKERS TO PRESENT ONGOING 2321 01:49:09,408 --> 01:49:09,708 ACTIVITIES. 2322 01:49:09,708 --> 01:49:12,911 THESE INCLUDE THE CDC THE CENTER 2323 01:49:12,911 --> 01:49:14,046 ON DEVELOPMENT DISABILITIES. 2324 01:49:14,046 --> 01:49:17,349 AND WARE ALSO GOING TO INCLUDE 2325 01:49:17,349 --> 01:49:20,786 TINA CHAMBERS WHO IS AT UC SAN 2326 01:49:20,786 --> 01:49:20,986 DIEGO. 2327 01:49:20,986 --> 01:49:24,189 I THINK OUR AGENDA HAS THEM IN 2328 01:49:24,189 --> 01:49:27,226 THE ALTERNATE ORDER BUT WE'LL 2329 01:49:27,226 --> 01:49:28,093 FOCUS ON RECOMMENDATIONS 5 AND 2330 01:49:28,093 --> 01:49:35,534 6. 2331 01:49:35,534 --> 01:49:36,368 >> GOOD MORNING. 2332 01:49:36,368 --> 01:49:39,204 THANK YOU FOR INVITING ME TO BE 2333 01:49:39,204 --> 01:49:45,310 HERE TODAY. 2334 01:49:45,310 --> 01:49:48,947 I'M THE ASSOCIATE DIRECTOR FOR 2335 01:49:48,947 --> 01:49:50,149 COMMUNICATION DIVISION OF BIRTH 2336 01:49:50,149 --> 01:49:52,317 DEFECTS AN INFANT DISORDERS, 2337 01:49:52,317 --> 01:49:53,185 KARA POLEN. 2338 01:49:53,185 --> 01:49:56,555 BEFORE I BEGIN TO SET THE STAGE 2339 01:49:56,555 --> 01:49:56,889 A LITTLE BIT. 2340 01:49:56,889 --> 01:50:00,192 SOME KNOW CDC HAD AN IN FUNDED 2341 01:50:00,192 --> 01:50:05,264 INITIATIVE IN THE EARLY 2010s 2342 01:50:05,264 --> 01:50:06,798 CALLED TREATING FOR TWO AND 2343 01:50:06,798 --> 01:50:11,803 SOUGHT TO ADVANCE INFORMATION OF 2344 01:50:11,803 --> 01:50:13,505 MEDICATION USE DURING PREGNANCY 2345 01:50:13,505 --> 01:50:14,640 AND WE'LL DESCRIBE SOME OF WHAT 2346 01:50:14,640 --> 01:50:17,743 WE LEARNED THROUGH THAT WORK AND 2347 01:50:17,743 --> 01:50:20,179 IN THE TIME SINCE WE'VE HAD 2348 01:50:20,179 --> 01:50:21,313 SEVERAL PUBLIC HEALTH 2349 01:50:21,313 --> 01:50:23,582 EMERGENCIES BETWEEN ZIKA AND 2350 01:50:23,582 --> 01:50:24,183 COVID. 2351 01:50:24,183 --> 01:50:26,418 OUR COMMUNICATION WORK HAS BEEN 2352 01:50:26,418 --> 01:50:30,189 MORE FRAGMENTED BUT YOU'LL SEE 2353 01:50:30,189 --> 01:50:30,856 ELEMENTS THROUGH OUR EFFORTS 2354 01:50:30,856 --> 01:50:32,824 WHICH I'LL DESCRIBE. 2355 01:50:32,824 --> 01:50:35,027 WE ACKNOWLEDGE NOT EVERYONE 2356 01:50:35,027 --> 01:50:37,563 PERSON WHO CAN BECOME PREGNANT 2357 01:50:37,563 --> 01:50:39,965 IDENTIFIES AS A WOMAN MUCH THE 2358 01:50:39,965 --> 01:50:40,999 CURRENT RESEARCH AVAILABLE 2359 01:50:40,999 --> 01:50:43,202 CURRENTLY REFERS ONLY TO WOMEN 2360 01:50:43,202 --> 01:50:45,003 WHEN DISCUSSING WHO CAN BECOME 2361 01:50:45,003 --> 01:50:46,038 PREGNANT BUT WHERE POSSIBLE WE 2362 01:50:46,038 --> 01:50:47,973 TRIED TO USE PREGNANT PEOPLE OR 2363 01:50:47,973 --> 01:50:56,782 PREGNANT PATIENT AS WELL. 2364 01:50:56,782 --> 01:50:58,584 MEDICATION AMONG PREGNANT PEOPLE 2365 01:50:58,584 --> 01:50:59,184 IS COMMON. 2366 01:50:59,184 --> 01:51:01,787 9 OUT OF 10 INDIVIDUALS IN THE 2367 01:51:01,787 --> 01:51:04,823 UNITED STATES TAKE MEDICATION 2368 01:51:04,823 --> 01:51:08,727 TRANSLATING TO 5.5 MILLION 2369 01:51:08,727 --> 01:51:10,662 PREGNANCIES. 2370 01:51:10,662 --> 01:51:12,698 MEDICATION USE IN PREGNANCY 2371 01:51:12,698 --> 01:51:14,633 RAISES QUESTIONS FOR THE 2372 01:51:14,633 --> 01:51:16,101 INDIVIDUALS, PARTNERS AROUND 2373 01:51:16,101 --> 01:51:17,936 FAMILIES AND HEALTH CARE 2374 01:51:17,936 --> 01:51:18,270 PROFESSIONALS. 2375 01:51:18,270 --> 01:51:19,504 MOST ARE FACED WITH THE QUESTION 2376 01:51:19,504 --> 01:51:21,907 IS THE MEDICATION SAFE FOR ME 2377 01:51:21,907 --> 01:51:27,312 AND MY BABY AND WE HEARD STORIES 2378 01:51:27,312 --> 01:51:31,717 ABOUT PATIENTS RECEIVING 2379 01:51:31,717 --> 01:51:32,351 CONFLICTING INFORMATION LIKE 2380 01:51:32,351 --> 01:51:33,318 STOPPING MEDICATIONS BECAUSE OF 2381 01:51:33,318 --> 01:51:43,662 FEAR OF THE UNKNOWN. 2382 01:51:44,429 --> 01:51:46,798 A LITTLE BIT OF MY FORMATTING IS 2383 01:51:46,798 --> 01:51:47,666 MESSED UP AS WELL. 2384 01:51:47,666 --> 01:51:58,176 WE'RE GOING TO MOVE THROUGH. 2385 01:51:58,176 --> 01:52:00,178 FROM THE COMMUNICATION 2386 01:52:00,178 --> 01:52:01,780 PERSPECTIVE WE SOUGHT TO 2387 01:52:01,780 --> 01:52:03,715 UNDERSTAND ATTITUDES AMONG 2388 01:52:03,715 --> 01:52:06,184 WOMEN, HEALTH CARE PROVIDERS AND 2389 01:52:06,184 --> 01:52:07,052 PHARMA 2390 01:52:07,052 --> 01:52:07,352 PHARMACISTS. 2391 01:52:07,352 --> 01:52:11,189 I'LL TALK ABOUT THOSE FINDINGS 2392 01:52:11,189 --> 01:52:20,499 AND THE TIME SINCE. 2393 01:52:20,499 --> 01:52:22,601 WE HAD FOCUS GROUPS OF THOSE 2394 01:52:22,601 --> 01:52:24,169 TAKING PRESCRIPTION MEDICATION. 2395 01:52:24,169 --> 01:52:28,907 WE CONDUCTED INTERVIEWS INTO 2396 01:52:28,907 --> 01:52:29,141 THEMES. 2397 01:52:29,141 --> 01:52:30,642 SOME TOPICS WE EXPLORED DURING 2398 01:52:30,642 --> 01:52:32,844 THE WORK WAS THE INFLUENCE OF 2399 01:52:32,844 --> 01:52:35,147 HAVING CHRONIC CONDITION VERSUS 2400 01:52:35,147 --> 01:52:36,315 ACUTE CONDITION ON KNOWLEDGE, 2401 01:52:36,315 --> 01:52:38,817 ATTITUDES AND BEHAVIORS. 2402 01:52:38,817 --> 01:52:40,052 WHETHER WOMEN CREATED TREATMENT 2403 01:52:40,052 --> 01:52:42,220 PLANS AND HOW THEY PERCEIVED 2404 01:52:42,220 --> 01:52:43,422 MEDICATION USE AS COMPARED TO 2405 01:52:43,422 --> 01:52:46,091 OTHER BEHAVIORS WITH PREGNANCY. 2406 01:52:46,091 --> 01:52:53,665 MESSAGING THEY RF -- THEY'D 2407 01:52:53,665 --> 01:52:57,235 WISHED THEY'VE RESOURCED AND THE 2408 01:52:57,235 --> 01:53:00,906 MOST WIDE CONCERN IS SOMETHING 2409 01:53:00,906 --> 01:53:04,142 TAKEN DURING PREGNANCY CAN CAUSE 2410 01:53:04,142 --> 01:53:10,682 HARM AND WHEN PROBED FURTHER 2411 01:53:10,682 --> 01:53:14,820 THEY FELT THERE COULD CAUSE 2412 01:53:14,820 --> 01:53:18,190 PREMATURITY OR BIRTH EFFECT OR 2413 01:53:18,190 --> 01:53:19,658 LONGER TERM EFFECT SUCH AS 2414 01:53:19,658 --> 01:53:22,861 OBESITY, ASTHMA RECENTLY WE 2415 01:53:22,861 --> 01:53:25,197 HEARD IN THE AUTISM SPACE AND 2416 01:53:25,197 --> 01:53:26,064 CONCERNS ABOUT THAT. 2417 01:53:26,064 --> 01:53:27,232 PARTICIPANTS ACKNOWLEDGE 2418 01:53:27,232 --> 01:53:30,168 CONCERNS ABOUT THEIR OWN HEALTH. 2419 01:53:30,168 --> 01:53:32,037 MANY DESCRIBED, GUILT, FEAR AND 2420 01:53:32,037 --> 01:53:35,173 ANXIETY ABOUT THE USE OF 2421 01:53:35,173 --> 01:53:38,710 MEDICATION DURING PREGNANCY 2422 01:53:38,710 --> 01:53:39,611 WHILE RECOGNIZING A MOTHER'S 2423 01:53:39,611 --> 01:53:41,279 HEALTH WAS IMPORTANT. 2424 01:53:41,279 --> 01:53:42,114 HERE'S A QUOTE. 2425 01:53:42,114 --> 01:53:47,185 THOUGH THEY WERE WORRIED HOW 2426 01:53:47,185 --> 01:53:48,954 MEDICATIONS MAY AFFECT THE FETUS 2427 01:53:48,954 --> 01:53:50,422 AND SHOULD THEY TAKE A 2428 01:53:50,422 --> 01:53:51,490 MEDICATION TO MANAGE THEIR 2429 01:53:51,490 --> 01:54:00,031 CHRONIC CONDITION. 2430 01:54:00,031 --> 01:54:01,199 PARTICIPANTS SAID IF A RISK OF A 2431 01:54:01,199 --> 01:54:03,001 MEDICATION WAS UNKNOWN THEY 2432 01:54:03,001 --> 01:54:05,604 WOULD NOT TAKE IT. 2433 01:54:05,604 --> 01:54:08,874 THE WOMEN SAID THEY CONSIDERED A 2434 01:54:08,874 --> 01:54:11,143 MEDICATION WITH UNKNOWN FETAL 2435 01:54:11,143 --> 01:54:13,545 RISKS WHICH IS THE MAJORITY OF 2436 01:54:13,545 --> 01:54:15,180 WHAT WE KNOW SO A BIT SURPRISED 2437 01:54:15,180 --> 01:54:22,521 BY THAT. 2438 01:54:22,521 --> 01:54:24,256 PARTICIPANTS WANTED AS MUCH 2439 01:54:24,256 --> 01:54:24,923 DETAILED INFORMATION AN SPECIFIC 2440 01:54:24,923 --> 01:54:27,225 TOPICS ARE LISTED HERE BUT YOU 2441 01:54:27,225 --> 01:54:28,894 CAN'T REALLY SEE THEM. 2442 01:54:28,894 --> 01:54:30,495 THEY WERE INTERESTED IN KNOWING 2443 01:54:30,495 --> 01:54:37,302 THE POTENTIAL ADVERSESQUESS -- 2444 01:54:37,302 --> 01:54:39,204 ADVERSE EFFECTS AND RISK DURING 2445 01:54:39,204 --> 01:54:40,705 THE FETUS AND IN THE PREGNANCY 2446 01:54:40,705 --> 01:54:44,543 AND WE KNOW PROVIDERS ARE 2447 01:54:44,543 --> 01:54:46,411 TRUSTED SOURCES OF INFORMATION 2448 01:54:46,411 --> 01:54:49,815 BUT WE WERE CURIOUS ABOUT WHICH 2449 01:54:49,815 --> 01:54:53,385 DOCTOR THEY TRUSTED MOST DURING 2450 01:54:53,385 --> 01:54:53,652 PREGNANCY. 2451 01:54:53,652 --> 01:54:57,055 OVERWHELMINGLY WOMEN REPORTED 2452 01:54:57,055 --> 01:54:59,191 THEIR OB-GYNs WERE TRUSTED 2453 01:54:59,191 --> 01:55:00,926 SOURCES DURING PREGNANCY AND IN 2454 01:55:00,926 --> 01:55:02,227 ADDITION THEY CITED OTHER 2455 01:55:02,227 --> 01:55:05,864 SOURCES LIKE FRIENDS AND 2456 01:55:05,864 --> 01:55:06,731 RELATIVES AS WELL AS ONLINE 2457 01:55:06,731 --> 01:55:07,833 BLOGS AND SOCIAL NETWORKING 2458 01:55:07,833 --> 01:55:11,203 SITES AS PLACES THEY WENT TO FOR 2459 01:55:11,203 --> 01:55:19,277 INFORMATION. 2460 01:55:19,277 --> 01:55:22,380 SEVERAL EXPRESSED FRUSTRATION IN 2461 01:55:22,380 --> 01:55:23,381 CONFLICTING INFORMATION. 2462 01:55:23,381 --> 01:55:24,683 THEY WISHED THEY RECEIVED THE 2463 01:55:24,683 --> 01:55:28,520 SAME INFORMATION FROM ALL 2464 01:55:28,520 --> 01:55:30,222 PROVIDERS AND INDICATED THE 2465 01:55:30,222 --> 01:55:31,256 CONSISTENCY WOULD HAVE ENHANCED 2466 01:55:31,256 --> 01:55:33,492 THE TRUST WORTHINESS. 2467 01:55:33,492 --> 01:55:36,228 INFORMATION FROM A DOCTOR WAS 2468 01:55:36,228 --> 01:55:40,031 VALIDATE INTERNET RESOURCES OR 2469 01:55:40,031 --> 01:55:41,733 OTHER SOURCES WOULD HELP THEM 2470 01:55:41,733 --> 01:55:43,001 FEEL MORE CONFIDENT AROUND 2471 01:55:43,001 --> 01:55:43,468 MEDICATION USE. 2472 01:55:43,468 --> 01:55:45,704 PARTICIPANTS TALK ABOUT THE 2473 01:55:45,704 --> 01:55:46,605 QUESTIONS WITH OTHER TRUSTED 2474 01:55:46,605 --> 01:55:49,407 SOURCES LIKE FRIENDS AND FAMILY 2475 01:55:49,407 --> 01:55:50,942 OR READ BLOGS FROM PEOPLE WHO 2476 01:55:50,942 --> 01:55:51,476 HAVE GONE THROUGH SIMILAR 2477 01:55:51,476 --> 01:55:56,248 EXPERIENCES. 2478 01:55:56,248 --> 01:55:58,016 AND THEY MENTION HEARING SIMILAR 2479 01:55:58,016 --> 01:56:00,218 EXPERIENCE WAS A POWERFUL SOURCE 2480 01:56:00,218 --> 01:56:02,754 OF INFORMATION THAT SUPPLEMENTED 2481 01:56:02,754 --> 01:56:12,430 FACTS IN RESEARCH. 2482 01:56:12,430 --> 01:56:15,200 THEY CONDUCTED A NATIONAL SURVEY 2483 01:56:15,200 --> 01:56:17,269 AND PROVIDERS WERE TREATED 2484 01:56:17,269 --> 01:56:19,204 DURING CLINICAL VISITS, 2485 01:56:19,204 --> 01:56:22,440 WIDESPREAD PROVISION OF SAFE 2486 01:56:22,440 --> 01:56:24,976 LISTS AND UNLIMITED COUNSELLING 2487 01:56:24,976 --> 01:56:27,245 FOR PREGNANCY AN IMPLICATIONS 2488 01:56:27,245 --> 01:56:30,081 FOR THE GROUPS INCLUDING 2489 01:56:30,081 --> 01:56:31,650 IMPROVED DIGITAL TOOL FOR 2490 01:56:31,650 --> 01:56:32,384 DISCUSSING INFORMATION IN 2491 01:56:32,384 --> 01:56:33,652 CLINICAL SETTINGS, INTEGRATING 2492 01:56:33,652 --> 01:56:38,123 LINKS TO LOCAL RESOURCES, 2493 01:56:38,123 --> 01:56:39,457 DEVELOPING MORE EVIDENCE-BASED 2494 01:56:39,457 --> 01:56:40,258 WRITTEN INFORMATION FOR 2495 01:56:40,258 --> 01:56:43,194 PHYSICIAN TO SHARE WITH PATIENTS 2496 01:56:43,194 --> 01:56:45,864 AND ENCOURAGING COUNSELLING OF 2497 01:56:45,864 --> 01:56:48,199 WOMEN OF REPRODUCTIVE AGE OF 2498 01:56:48,199 --> 01:56:58,276 USE. 2499 01:57:01,780 --> 01:57:03,248 WE HAVE DIFFERENT RESOURCES AND 2500 01:57:03,248 --> 01:57:09,487 WORKED ON NEW RESOURCES LIKE THE 2501 01:57:09,487 --> 01:57:12,223 ONE TO THE RIGHT AND BRING THE 2502 01:57:12,223 --> 01:57:13,158 CONVERSATIONS TO THE HEALTH CARE 2503 01:57:13,158 --> 01:57:14,693 PROVIDERS AND TALK TO THEM 2504 01:57:14,693 --> 01:57:22,400 BEFORE AND DURING THE PREGNANCY. 2505 01:57:22,400 --> 01:57:25,337 AND WE HAD ONLINE ACTIVITIES AND 2506 01:57:25,337 --> 01:57:27,205 SOCIAL MEDIA AND PARTNERED WITH 2507 01:57:27,205 --> 01:57:31,176 DIFFERENT BLOGGERS BACK IN 2018. 2508 01:57:31,176 --> 01:57:35,080 BLOGGERS ARE NOW WHAT YOU'D CALL 2509 01:57:35,080 --> 01:57:35,513 INFLUENCERS. 2510 01:57:35,513 --> 01:57:36,314 WE TRIED TO AMPLIFY THIS AT THE 2511 01:57:36,314 --> 01:57:46,424 TIME. 2512 01:57:52,497 --> 01:57:59,671 YOU'LL LOOK AT OUR DISSEMINATION 2513 01:57:59,671 --> 01:58:00,538 AND EFFORTS. 2514 01:58:00,538 --> 01:58:01,539 SORRY ABOUT THE SLIDES. 2515 01:58:01,539 --> 01:58:02,974 THIS IS DESCRIBING A RECENT 2516 01:58:02,974 --> 01:58:05,377 SURVEY WE CONDUCTED IN LATE 2517 01:58:05,377 --> 01:58:08,213 SUMMER OF LAST YEAR. 2518 01:58:08,213 --> 01:58:11,182 SO WE WERE INTERESTED IN 2519 01:58:11,182 --> 01:58:12,217 TERMINOLOGY SPECIFICALLY AROUND 2520 01:58:12,217 --> 01:58:14,319 BIRTH DEFECTS BECAUSE THAT'S THE 2521 01:58:14,319 --> 01:58:16,588 TOPIC FOR OUR DIVISION AND 2522 01:58:16,588 --> 01:58:18,089 INFORMATION-SEEKING PRACTICES 2523 01:58:18,089 --> 01:58:21,126 CONSIDERING THE PANDEMIC CHANGED 2524 01:58:21,126 --> 01:58:21,993 HOW PEOPLE RECEIVE INFORMATION. 2525 01:58:21,993 --> 01:58:23,995 AND WANTED TO SEE IF IT'S 2526 01:58:23,995 --> 01:58:27,132 CONSISTENT WITH WHAT WAS 2527 01:58:27,132 --> 01:58:27,632 PREPANDEMIC VERSUS NOW. 2528 01:58:27,632 --> 01:58:30,168 A LOT OF IT IS WHAT YOU WOULD 2529 01:58:30,168 --> 01:58:32,671 EXPECT AND WHERE YOU GO FOR 2530 01:58:32,671 --> 01:58:35,006 INFORMATION ON PREGNANCY AND 2531 01:58:35,006 --> 01:58:37,942 BABY HEALTH AND THE MAJORITY 2532 01:58:37,942 --> 01:58:39,778 SAID ASK A PROFESSIONAL AND A 2533 01:58:39,778 --> 01:58:43,481 NUMBER SAID ASK A FAMILY MEMBER 2534 01:58:43,481 --> 01:58:44,916 OR SEARCH THE INTERNET AND 2535 01:58:44,916 --> 01:58:46,051 MESSAGING TO OLDER GENERATIONS 2536 01:58:46,051 --> 01:58:47,085 AND PEOPLE IN THEIR LIVES. 2537 01:58:47,085 --> 01:58:49,587 AND HOW YOU WOULD LIKE TO 2538 01:58:49,587 --> 01:58:55,193 RECEIVE INFORMATION ABOUT THE 2539 01:58:55,193 --> 01:58:55,393 TOPIC. 2540 01:58:55,393 --> 01:59:00,965 MOST SAID THEY WOULD PREFER A 2541 01:59:00,965 --> 01:59:02,434 CONVERSATION WITH FROM DOCTOR 2542 01:59:02,434 --> 01:59:12,977 AND TEXTING, VIDEOS, WE HAVE A 2543 01:59:20,385 --> 01:59:22,020 STUDY TO EVALUATE PREGNANCY 2544 01:59:22,020 --> 01:59:22,287 EXPOSURES. 2545 01:59:22,287 --> 01:59:29,694 WE ADDED QUESTIONS AROUND RISK 2546 01:59:29,694 --> 01:59:31,296 COMMUNICATION AND THIS IS BASED 2547 01:59:31,296 --> 01:59:33,598 ON POPULATION-BASED SURVEILLANCE 2548 01:59:33,598 --> 01:59:36,201 PROGRAMS IN SEVEN STATES. 2549 01:59:36,201 --> 01:59:39,404 FOR THIS PART OF THE STUDY AND 2550 01:59:39,404 --> 01:59:42,073 WOMEN ARE ASKED HOW THEY TALK TO 2551 01:59:42,073 --> 01:59:44,275 THEIR HEALTH CARE PROVIDER ABOUT 2552 01:59:44,275 --> 01:59:44,776 TREATMENT OPTION. 2553 01:59:44,776 --> 01:59:46,344 WE'RE START THE ANALYSES. 2554 01:59:46,344 --> 01:59:51,182 WE'LL BE SURE TO UPDATE YOU WHEN 2555 01:59:51,182 --> 01:59:52,484 WE HAVE THE RESULTS. 2556 01:59:52,484 --> 01:59:55,587 AND THERE'S FORMATIVE RESEARCH 2557 01:59:55,587 --> 01:59:58,289 THAT LOOKS AT PREGNANCY AND 2558 01:59:58,289 --> 02:00:00,692 OPTIMIZE HEALTH BEFORE AND AFTER 2559 02:00:00,692 --> 02:00:00,959 PREGNANCY. 2560 02:00:00,959 --> 02:00:03,194 THIS WAS BORN OUT OF OUR 2561 02:00:03,194 --> 02:00:04,262 EXPERIENCE AFTER COVID. 2562 02:00:04,262 --> 02:00:06,097 I WAS INTERESTED IN HOW PEOPLE 2563 02:00:06,097 --> 02:00:09,100 INTERPRET RISK IN THE CONTEXT OF 2564 02:00:09,100 --> 02:00:10,135 UNCERTAINTY AND DATA. 2565 02:00:10,135 --> 02:00:13,104 WE KNEW PEOPLE WERE CONCERNED 2566 02:00:13,104 --> 02:00:14,506 ABOUT RISK OF VACCINATION DURING 2567 02:00:14,506 --> 02:00:14,773 PREGNANCY. 2568 02:00:14,773 --> 02:00:16,474 THAT'S A LOT OF THE WORK I DID 2569 02:00:16,474 --> 02:00:17,408 DURING THE PANDEMIC AND SEEMED 2570 02:00:17,408 --> 02:00:20,211 LESS CONCERNED ABOUT THE RISK OF 2571 02:00:20,211 --> 02:00:21,179 INFECTION. 2572 02:00:21,179 --> 02:00:22,647 AT THE TYPE OF WE HAD A LOT OF 2573 02:00:22,647 --> 02:00:24,749 INFORMATION ABOUT AND SAW 2574 02:00:24,749 --> 02:00:26,451 MISINFORMATION AND INCONSISTENT 2575 02:00:26,451 --> 02:00:28,853 GUIDANCE AND CONFLICTING 2576 02:00:28,853 --> 02:00:30,588 INFORMATION PROLIFERATING ONLINE 2577 02:00:30,588 --> 02:00:32,791 CONTRIBUTING TO DISTRESS AND 2578 02:00:32,791 --> 02:00:34,993 CONFUSION. 2579 02:00:34,993 --> 02:00:37,996 THE IMPETUS IS WHAT CAN WE LEARN 2580 02:00:37,996 --> 02:00:41,633 MOVING FORWARD AND THIS IS IN 2581 02:00:41,633 --> 02:00:42,667 AGREEMENT WITH A HEALTH 2582 02:00:42,667 --> 02:00:43,668 COMMUNICATION FIRM CARNA. 2583 02:00:43,668 --> 02:00:45,203 THEY STARTED WITH THE LITERATURE 2584 02:00:45,203 --> 02:00:46,938 REVIEW AND I HIGHLIGHTED THEIR 2585 02:00:46,938 --> 02:00:48,339 FINDINGS ON THE SLIDE WHICH 2586 02:00:48,339 --> 02:00:51,342 CANNOT SEE. 2587 02:00:51,342 --> 02:00:52,911 EARLY FINDINGS FROM THE 2588 02:00:52,911 --> 02:00:56,147 LITERATURE REVIEW IS MORE 2589 02:00:56,147 --> 02:00:56,915 CONSISTENT WITH PREVIOUS 2590 02:00:56,915 --> 02:00:58,183 KNOWLEDGE ON THE TOPIC. 2591 02:00:58,183 --> 02:01:01,386 SO THERE'S A HEIGHTENED 2592 02:01:01,386 --> 02:01:02,754 PERCEPTION OF RISK DURING 2593 02:01:02,754 --> 02:01:04,989 PREGNANCY AND OVER ESTIMATION OF 2594 02:01:04,989 --> 02:01:08,293 RISK AND MEDICATION AND RELIANCE 2595 02:01:08,293 --> 02:01:12,363 ON INTERNET SOURCES AND FAMILY 2596 02:01:12,363 --> 02:01:16,067 AND FRIENDS FOR INFORMATION AND 2597 02:01:16,067 --> 02:01:17,936 CONFLICTING ISSUES WERE LANGUAGE 2598 02:01:17,936 --> 02:01:20,471 BARRIERS AND PLAIN LANGUAGE AND 2599 02:01:20,471 --> 02:01:23,174 VISUALS AND INFORMATION TAILORED 2600 02:01:23,174 --> 02:01:28,446 TO THE AUDIENCES. 2601 02:01:28,446 --> 02:01:31,015 NEXT STEPS INCLUDE A FOCUS GROUP 2602 02:01:31,015 --> 02:01:31,850 AND SURVEY. 2603 02:01:31,850 --> 02:01:33,985 WE HAVE SIX GROUPS PLANNED RIGHT 2604 02:01:33,985 --> 02:01:35,153 NOW, A COUPLE WITH THOSE 2605 02:01:35,153 --> 02:01:36,554 PLANNING PREGNANCY. 2606 02:01:36,554 --> 02:01:39,190 A COUPLE WITH THOSE CURRENTLY OR 2607 02:01:39,190 --> 02:01:40,925 RECENTLY PREGNANT FOR THE FIRST 2608 02:01:40,925 --> 02:01:42,293 TIME AND A COUPLE RECENTLY 2609 02:01:42,293 --> 02:01:44,963 PREGNANT BUT NOT FOR THE FIRST 2610 02:01:44,963 --> 02:01:47,799 TIME CONSIDERING RISK TOLERANCE 2611 02:01:47,799 --> 02:01:50,501 IS PROBABLY PREGNANT PREVIOUSLY. 2612 02:01:50,501 --> 02:01:51,769 DOMAINS WE'RE HOPING TO EXPLORE 2613 02:01:51,769 --> 02:01:53,671 IS RISK PERCEPTION AND 2614 02:01:53,671 --> 02:01:55,907 COMMUNICATION AND INFORMATION 2615 02:01:55,907 --> 02:01:58,376 SEEKING, MESSAGING AND FRAMING 2616 02:01:58,376 --> 02:02:03,715 LOOKING AT GAME FRAME MESSAGES 2617 02:02:03,715 --> 02:02:04,716 VERSUS LOSS FRAME. 2618 02:02:04,716 --> 02:02:11,756 WE EXPECT TO EXPLORE SCENARIOS 2619 02:02:11,756 --> 02:02:13,524 AND MEDICATION FOR DEPRESSION IS 2620 02:02:13,524 --> 02:02:15,193 ONE WE'LL BE ASKING QUESTIONS 2621 02:02:15,193 --> 02:02:15,827 ABOUT. 2622 02:02:15,827 --> 02:02:22,333 CONCEPTS OR APPROACHES ARE SHOWN 2623 02:02:22,333 --> 02:02:22,700 HERE. 2624 02:02:22,700 --> 02:02:25,470 RISK TO MOM VERSUS BABY AND 2625 02:02:25,470 --> 02:02:26,771 INFORMATION ON SPECIFIC TOPICS 2626 02:02:26,771 --> 02:02:32,043 VERSUS GROUPED INFORMATION. 2627 02:02:32,043 --> 02:02:35,146 USING DATA VERSUS STORY TELLING 2628 02:02:35,146 --> 02:02:36,648 TECHNIQUES AND HAVING GUIDANCE 2629 02:02:36,648 --> 02:02:39,017 WITH AN EXPLANATION OR MORE 2630 02:02:39,017 --> 02:02:40,852 DIRECTED STYLE AND USING 2631 02:02:40,852 --> 02:02:41,552 TESTIMONIALS. 2632 02:02:41,552 --> 02:02:42,553 THIS IS A WORK IN PROGRESS. 2633 02:02:42,553 --> 02:02:45,123 WE'VE NOT FIELDED THE FOCUS 2634 02:02:45,123 --> 02:02:46,291 GROUPS YET WE'RE PLANNING FOR 2635 02:02:46,291 --> 02:02:47,091 NEXT MONTH. 2636 02:02:47,091 --> 02:02:48,293 IF YOU HAVE SUGGESTIONS WE'RE 2637 02:02:48,293 --> 02:02:50,662 OPEN TO FEEDBACK AT THIS STAGE. 2638 02:02:50,662 --> 02:02:54,198 I CAN FIND ME AFTER THE 2639 02:02:54,198 --> 02:02:55,500 PRESENTATION. 2640 02:02:55,500 --> 02:02:56,901 MOVING ON TO OUR INFORMATION 2641 02:02:56,901 --> 02:02:57,468 DISSEMINATION. 2642 02:02:57,468 --> 02:02:59,637 WE PRESENTLY SHARE CLEAR 2643 02:02:59,637 --> 02:03:01,472 MESSAGING AN HAVE NEW FINDINGS 2644 02:03:01,472 --> 02:03:03,308 OUT OF CUC. 2645 02:03:03,308 --> 02:03:04,575 THIS SLIDE SHARES A COUPLE 2646 02:03:04,575 --> 02:03:06,210 EXAMPLES NOT SPECIFIC TO 2647 02:03:06,210 --> 02:03:16,754 MEDICATIONS IN PREGNANCY BUT AND 2648 02:03:17,021 --> 02:03:20,224 THE RSV VACCINE AND WE USED 2649 02:03:20,224 --> 02:03:23,194 PATIENT TESTIMONIALS 2650 02:03:23,194 --> 02:03:24,829 HIGHLIGHTING PEOPLE'S 2651 02:03:24,829 --> 02:03:25,630 EXPERIENCED AND THE CAPTION 2652 02:03:25,630 --> 02:03:26,631 INFORMATION THEY MAY NEED TO 2653 02:03:26,631 --> 02:03:31,202 KNOW. 2654 02:03:31,202 --> 02:03:35,473 AND ON THE RIGHT IS A VIDEO ON 2655 02:03:35,473 --> 02:03:38,743 FOLIC ACID. 2656 02:03:38,743 --> 02:03:46,317 THERE'S BEEN MISINFORMATION AND 2657 02:03:46,317 --> 02:03:48,286 LOOKING AT THE LABEL IT SEE IF 2658 02:03:48,286 --> 02:03:50,221 THEY HAVE THE RECOMMENDED AMOUNT 2659 02:03:50,221 --> 02:03:52,824 OF FOL IC ACID INCLUDED. 2660 02:03:52,824 --> 02:03:54,792 MOVING ON TO PARTNERSHIPS. 2661 02:03:54,792 --> 02:03:58,763 WE PARTNER WITH MOTHER TO BABY. 2662 02:03:58,763 --> 02:04:01,933 I WON'T TALK MUCH ABOUT THAT 2663 02:04:01,933 --> 02:04:02,767 BECAUSE TINA WILL DISCUSS PART 2664 02:04:02,767 --> 02:04:07,305 OF THIS AND WE HAVE A RECIPROCAL 2665 02:04:07,305 --> 02:04:10,274 PARTNERSHIP AND THIS HELPS 2666 02:04:10,274 --> 02:04:12,210 UNDERSTAND COMMON CONCERNS AMONG 2667 02:04:12,210 --> 02:04:17,181 THEIR AUDIENCE AND THIGH 2668 02:04:17,181 --> 02:04:18,216 RECEIVED CALLS ABOUT EXPOSURE 2669 02:04:18,216 --> 02:04:23,187 AND THE FEEDBACK FROM THE CALL 2670 02:04:23,187 --> 02:04:25,523 DATA AND TRY TO UNDERSTAND WHAT 2671 02:04:25,523 --> 02:04:28,059 MAY BE CONFUSING OR TAILOR 2672 02:04:28,059 --> 02:04:29,327 MESSAGING AND SHARE BACK WITH 2673 02:04:29,327 --> 02:04:31,095 SMEs TO DIG DEEPER IF THERE'S 2674 02:04:31,095 --> 02:04:33,398 QUESTIONS WE DON'T HAVE ANSWERS 2675 02:04:33,398 --> 02:04:33,564 TO. 2676 02:04:33,564 --> 02:04:35,199 ALSO, WHEN WE HAVE UPDATED 2677 02:04:35,199 --> 02:04:37,301 INFORMATION OR NEWS ESPECIALLY 2678 02:04:37,301 --> 02:04:38,636 DURING RESPONSE TIME WE SHARE 2679 02:04:38,636 --> 02:04:41,005 THAT WITH MOTHER TO BABY TO MAKE 2680 02:04:41,005 --> 02:04:42,206 SURE WE'RE ALL ON THE SAME PAGE 2681 02:04:42,206 --> 02:04:45,143 AROUND GUIDANCE COMING OUT AND 2682 02:04:45,143 --> 02:04:45,710 HELP DISSEMINATE WITH MANY 2683 02:04:45,710 --> 02:04:48,046 EXAMPLES SHOWN HERE. 2684 02:04:48,046 --> 02:04:54,185 THEY HAVE FACT SHEETS AND 2685 02:04:54,185 --> 02:04:54,919 PODCASTS TO HELP DISSEMINATE 2686 02:04:54,919 --> 02:05:04,062 THIS MORE BROADLY. 2687 02:05:04,062 --> 02:05:06,230 WE TOUCH BASE REGULARLY TO TALK 2688 02:05:06,230 --> 02:05:08,032 ABOUT DIFFERENT EXPOSURES DURING 2689 02:05:08,032 --> 02:05:09,600 PREGNANCY ESPECIALLY DURING 2690 02:05:09,600 --> 02:05:11,169 RESPONSE TIMES AGAIN. 2691 02:05:11,169 --> 02:05:14,472 THIS HELPS TO ENSURE CONSISTENT 2692 02:05:14,472 --> 02:05:16,340 RECOMMENDATIONS AND EDUCATED 2693 02:05:16,340 --> 02:05:18,209 POWER WOMEN'S HELP PROVIDERS AND 2694 02:05:18,209 --> 02:05:21,979 RECRUT CHAMPIONS. 2695 02:05:21,979 --> 02:05:25,516 IN TERMS OF SOME OF OUR FUTURE 2696 02:05:25,516 --> 02:05:28,219 STEPS IN THE SPACE, I VIT 2697 02:05:28,219 --> 02:05:31,189 OUTLINED BY SHORT TERM ACTIONS 2698 02:05:31,189 --> 02:05:32,824 VERSUS LONGER TERM 2699 02:05:32,824 --> 02:05:33,157 OPPORTUNITIES. 2700 02:05:33,157 --> 02:05:34,092 IN THE SHORT TERM THESE ARE 2701 02:05:34,092 --> 02:05:38,029 THINGS OUR TEAM IS CURRENTLY OR 2702 02:05:38,029 --> 02:05:39,730 PLANNING TO DO THIS YEAR. 2703 02:05:39,730 --> 02:05:41,499 WE'RE CONCERNED ABOUT MEETING 2704 02:05:41,499 --> 02:05:43,601 PEOPLE WHERE THEY ARE IN THE 2705 02:05:43,601 --> 02:05:45,436 COMMUNICATION SPACE WHETHER 2706 02:05:45,436 --> 02:05:46,003 HEALTH CARE PROVIDERS OR 2707 02:05:46,003 --> 02:05:47,004 PREGNANT INDIVIDUALS. 2708 02:05:47,004 --> 02:05:49,974 WE'RE LOOKING TO LOOK AT DIGITAL 2709 02:05:49,974 --> 02:05:50,741 PLATFORMS FOR HEALTH CARE 2710 02:05:50,741 --> 02:05:53,277 PROVIDERS AND UP TO DATE AND SEE 2711 02:05:53,277 --> 02:05:57,682 IF THEY HAVE GUIDANCE OR PATIENT 2712 02:05:57,682 --> 02:05:59,383 MATERIALS OR THINGS EASILY 2713 02:05:59,383 --> 02:06:00,551 ACCESSIBLE TO PROVIDERS IN THE 2714 02:06:00,551 --> 02:06:04,088 CLINICAL SETTINGS AND WE'RE 2715 02:06:04,088 --> 02:06:06,257 PLANNING TO SAYS INFORMATION ON 2716 02:06:06,257 --> 02:06:07,325 PREGNANCY PLATFORMS LIKE WHO 2717 02:06:07,325 --> 02:06:08,693 WHAT TO EXPECT TO UNDERSTAND 2718 02:06:08,693 --> 02:06:10,328 WHAT THEY'RE COVERING ON THE 2719 02:06:10,328 --> 02:06:12,096 TOPIC AND HOW WE CAN BETTER 2720 02:06:12,096 --> 02:06:13,164 INFORM THOSE AND POTENTIALLY 2721 02:06:13,164 --> 02:06:15,199 PITCH NEW CONTENT TO THOSE 2722 02:06:15,199 --> 02:06:15,733 PARTNERS. 2723 02:06:15,733 --> 02:06:17,902 WE'RE WORKING TO EXPAND OUR 2724 02:06:17,902 --> 02:06:20,037 PARTNERSHIPS WITH NURSES, 2725 02:06:20,037 --> 02:06:25,109 MIDWIFES AND NURSE PRAC TITITIOS 2726 02:06:25,109 --> 02:06:27,812 AND SHARING WITH AUDIENCES. 2727 02:06:27,812 --> 02:06:29,680 IN TERMS OF LONGER TERM 2728 02:06:29,680 --> 02:06:31,949 OPPORTUNITIES, WE'RE WORK ON 2729 02:06:31,949 --> 02:06:34,218 IMPROVING OR BASED ON THIS IS 2730 02:06:34,218 --> 02:06:35,186 NOT SOMETHING C.D.C. IS 2731 02:06:35,186 --> 02:06:42,226 CURRENTLY DOING BUT IDEAS FOR 2732 02:06:42,226 --> 02:06:51,202 CONSIDERA 2733 02:06:51,202 --> 02:06:52,270 CONSIDERATIONED AND PROVIDING 2734 02:06:52,270 --> 02:06:54,972 CARE TO PREGNANT INDIVIDUALS AND 2735 02:06:54,972 --> 02:06:56,807 WE HAVE EMERGENCY MEDICINE 2736 02:06:56,807 --> 02:07:00,244 DOCTORS AND THINGS LIKE THAT WE 2737 02:07:00,244 --> 02:07:01,946 CAN POTENTIALLY EXPLORE FURTHER 2738 02:07:01,946 --> 02:07:02,980 TO HELP MAKE SURE WE'RE 2739 02:07:02,980 --> 02:07:03,648 DISSEMINATING INFORMATION IN THE 2740 02:07:03,648 --> 02:07:04,549 RIGHT WAY AND GETTING THE 2741 02:07:04,549 --> 02:07:06,484 INFORMATION TO THOSE WHO NEED 2742 02:07:06,484 --> 02:07:13,090 IT. 2743 02:07:13,090 --> 02:07:14,158 ENHANCE 2744 02:07:14,158 --> 02:07:20,164 ENHANCING AND STORIES AN VISUALS 2745 02:07:20,164 --> 02:07:22,733 AND PARTNERING WITH OTHER 2746 02:07:22,733 --> 02:07:24,969 EXPERTS LIKE LACTATION AND 2747 02:07:24,969 --> 02:07:30,107 RESPONSE AND CONSOLIDATED HUB 2748 02:07:30,107 --> 02:07:31,342 WHICH SOUNDS SIMILAR TO WHAT 2749 02:07:31,342 --> 02:07:34,812 BECKY ALREADY DESCRIBED. 2750 02:07:34,812 --> 02:07:37,815 SOME KEY POINTS TO REITERATE ARE 2751 02:07:37,815 --> 02:07:39,350 PATIENTS ARE HIGHLY MOTIVATED TO 2752 02:07:39,350 --> 02:07:42,286 PROTECT THEIR BABIES, STRATEGIC 2753 02:07:42,286 --> 02:07:44,188 MESSAGE AND IMPROVED RESOURCES 2754 02:07:44,188 --> 02:07:48,025 CAN HELP MAXIMIZE THE 2755 02:07:48,025 --> 02:07:48,659 PATIENT-PROVIDER INTERACTION AND 2756 02:07:48,659 --> 02:07:52,563 A MULTI-PRONGED APPROACH SNEIS 2757 02:07:52,563 --> 02:07:53,864 KNEADED TO SHARE THE 2758 02:07:53,864 --> 02:07:54,232 INFORMATION. 2759 02:07:54,232 --> 02:07:57,568 THAT'S ALL I HAVE. 2760 02:07:57,568 --> 02:07:58,269 THANK YOU. 2761 02:07:58,269 --> 02:08:01,806 SORRY ABOUT THE FORMATTING. 2762 02:08:01,806 --> 02:08:02,673 >> THANK YOU, KARA. 2763 02:08:02,673 --> 02:08:04,542 WE APPRECIATE THE BREADTH OF 2764 02:08:04,542 --> 02:08:05,710 WHAT YOU TRIED TO COVER IN SUCH 2765 02:08:05,710 --> 02:08:06,811 A SHORT PERIOD OF TIME. 2766 02:08:06,811 --> 02:08:07,645 THANK YOU VERY MUCH. 2767 02:08:07,645 --> 02:08:11,349 I THINK WE HAVE TIME FOR A 2768 02:08:11,349 --> 02:08:16,921 HARD-HITTING CLARIFICATION 2769 02:08:16,921 --> 02:08:17,188 QUESTION. 2770 02:08:17,188 --> 02:08:17,688 >> THANK YOU. 2771 02:08:17,688 --> 02:08:19,190 I LOVE ALL THE RESOURCES YOUR 2772 02:08:19,190 --> 02:08:23,294 TEAM IS WORKING ON. 2773 02:08:23,294 --> 02:08:24,895 I'M FROM NICHD. 2774 02:08:24,895 --> 02:08:29,300 A CLARIFYING QUESTION ABOUT THE 2775 02:08:29,300 --> 02:08:31,402 PAST EFFORTS FOR FUTURE PLANS. 2776 02:08:31,402 --> 02:08:35,806 IS THERE AN OPPORTUNITY TO 2777 02:08:35,806 --> 02:08:37,108 PROMOTE THE INCLUSION OF 2778 02:08:37,108 --> 02:08:39,377 PREGNANT AND LACTATING WOMEN IN 2779 02:08:39,377 --> 02:08:45,616 RESEARCH THROUGH YOUR EFFORTS? 2780 02:08:45,616 --> 02:08:46,617 >> YES. 2781 02:08:46,617 --> 02:08:48,052 WE CAN ALWAYS ADD INFORMATION 2782 02:08:48,052 --> 02:08:54,392 AND THE CDC WEBSITE DOES LINK TO 2783 02:08:54,392 --> 02:08:59,163 DIFFERENT RESOURCES POTENTIAL 2784 02:08:59,163 --> 02:09:00,031 REGISTRIES AND THERE'S ALWAYS 2785 02:09:00,031 --> 02:09:01,299 OPPORTUNITY TO BUILD THAT OUT 2786 02:09:01,299 --> 02:09:07,238 MORE DEFINITELY. 2787 02:09:07,238 --> 02:09:08,239 >> RACHEL. 2788 02:09:08,239 --> 02:09:10,941 >> I WAS EXCITED TO HEAR ABOUT 2789 02:09:10,941 --> 02:09:13,644 THE FOCUS GROUPS AND WONDERING 2790 02:09:13,644 --> 02:09:15,179 IF YOU CAN TALK WHAT YOU EXPECT 2791 02:09:15,179 --> 02:09:17,415 THE FINAL PRODUCT OF THAT TO BE 2792 02:09:17,415 --> 02:09:18,883 IF THERE IS ONE. 2793 02:09:18,883 --> 02:09:21,786 AND WHO THE TARGET AUDIENCE 2794 02:09:21,786 --> 02:09:27,725 WOULD BE OF THAT. 2795 02:09:27,725 --> 02:09:30,227 >> THE FOCUS GROUP WORK I'M 2796 02:09:30,227 --> 02:09:32,563 TALKING ABOUT IN PROGRESS IS 2797 02:09:32,563 --> 02:09:33,064 INTENDED TO INFORM OUR 2798 02:09:33,064 --> 02:09:33,964 COMMUNICATION ACROSS THE 2799 02:09:33,964 --> 02:09:34,365 DIVISION. 2800 02:09:34,365 --> 02:09:35,599 IT'S NOT SPECIFIC TO MEDICATIONS 2801 02:09:35,599 --> 02:09:39,136 IN PREGNANCY BUT THERE'S A 2802 02:09:39,136 --> 02:09:39,537 COMPONENT OF THAT. 2803 02:09:39,537 --> 02:09:41,105 THE ACTUAL END PRODUCT RIGHT NOW 2804 02:09:41,105 --> 02:09:44,775 IS HIGH-LEVEL FINDINGS AND 2805 02:09:44,775 --> 02:09:45,476 DEVELOPMENT OF COMMUNICATION 2806 02:09:45,476 --> 02:09:47,812 PLAN TO BETTER HELP US BE MORE 2807 02:09:47,812 --> 02:09:49,914 EFFECTIVE IN OUR COMMUNICATIONS 2808 02:09:49,914 --> 02:09:52,316 ABOUT ALL OF OUR TOPICS BUT WE'D 2809 02:09:52,316 --> 02:09:53,451 BE HAPPY TO SHARE ANYTHING WE DO 2810 02:09:53,451 --> 02:10:03,561 FIND. 2811 02:10:03,561 --> 02:10:08,399 >> I SEE COMMENTS IN THE CHAT 2812 02:10:08,399 --> 02:10:10,134 BUT I CAN'T TELL IF THERE'S A 2813 02:10:10,134 --> 02:10:12,670 QUALIFYING QUESTION. 2814 02:10:12,670 --> 02:10:14,805 HOW MUCH IS A.I. IN CHAT BEING 2815 02:10:14,805 --> 02:10:17,508 USED FOR THE WEBSITE? 2816 02:10:17,508 --> 02:10:19,944 IS THAT BEFORE? 2817 02:10:19,944 --> 02:10:20,211 WONDERFUL. 2818 02:10:20,211 --> 02:10:20,811 KARA, THANK YOU VERY MUCH. 2819 02:10:20,811 --> 02:10:22,913 WE APPRECIATE YOUR WILLINGNESS 2820 02:10:22,913 --> 02:10:27,017 TO PROVIDE THE CLARIFICATION 2821 02:10:27,017 --> 02:10:27,284 QUESTIONS. 2822 02:10:27,284 --> 02:10:37,795 AND GIVE THE QUESTION TO TINA. 2823 02:10:38,629 --> 02:10:40,231 >> THANK YOU SO MUCH. 2824 02:10:40,231 --> 02:10:41,665 IT'S NICE TO FOLLOW KARA. 2825 02:10:41,665 --> 02:10:44,935 I'M GOING TALK ABOUT MOTHER TO 2826 02:10:44,935 --> 02:10:47,271 BABY AND SOME ARE FAMILIAR AND 2827 02:10:47,271 --> 02:10:48,239 SOME NOT. 2828 02:10:48,239 --> 02:10:50,274 I'LL GIVE SOME BACKGROUND 2829 02:10:50,274 --> 02:10:50,574 INFORMATION. 2830 02:10:50,574 --> 02:10:53,043 SO MOTHER TO BABY INFORMATION 2831 02:10:53,043 --> 02:10:57,481 SERVICE IS WHAT THIS WAS FOUNDED 2832 02:10:57,481 --> 02:11:00,217 AS AND THIS IS AN INITIATIVE 2833 02:11:00,217 --> 02:11:01,318 THAT PROVIDES EVIDENCE-BASED 2834 02:11:01,318 --> 02:11:02,453 INFORMATION ON CURRENT DATA 2835 02:11:02,453 --> 02:11:04,688 REGARDING THE BENEFIT OR RISK OF 2836 02:11:04,688 --> 02:11:09,393 MEDICATIONS AND OTHER EXPOSURES 2837 02:11:09,393 --> 02:11:10,428 DURING PREGNANCY OR DURING 2838 02:11:10,428 --> 02:11:12,129 LACTATION IN ADDITION TO 2839 02:11:12,129 --> 02:11:13,731 MEDICATIONS WE PROVIDE 2840 02:11:13,731 --> 02:11:15,666 INFORMATION ON VACCINES, 2841 02:11:15,666 --> 02:11:19,069 CHEMICAL, PESTICIDES, HERBAL 2842 02:11:19,069 --> 02:11:21,105 PRODUCTS, DIETARY SUPPLEMENTS, 2843 02:11:21,105 --> 02:11:22,907 SUBSTANCE AND MATERNAL HEALTH 2844 02:11:22,907 --> 02:11:23,207 CONDITIONS. 2845 02:11:23,207 --> 02:11:26,343 FROM THE BEGINNING, THESE 2846 02:11:26,343 --> 02:11:27,211 SERVICES HAVE BEEN PROVIDED AT 2847 02:11:27,211 --> 02:11:29,313 NO COST TO THE RECIPIENT WHOEVER 2848 02:11:29,313 --> 02:11:31,615 IS ACCESSING THESE AND THEY'RE 2849 02:11:31,615 --> 02:11:32,149 AVAILABLE IN ENGLISH AND 2850 02:11:32,149 --> 02:11:34,852 SPANISH. 2851 02:11:34,852 --> 02:11:37,855 THE SERVICES, THE FIRST OF THESE 2852 02:11:37,855 --> 02:11:38,456 WAS FIRST ESTABLISHED IN THE 2853 02:11:38,456 --> 02:11:44,128 1980s. 2854 02:11:44,128 --> 02:11:46,397 AND THERE'S NOW 14 SERVICES THAT 2855 02:11:46,397 --> 02:11:48,232 SERVE RESIDENTS IN ALL 50 STATES 2856 02:11:48,232 --> 02:11:50,367 AND TERRITORIES THROUGH A 2857 02:11:50,367 --> 02:11:50,935 NATIONAL ROUTING SYSTEM. 2858 02:11:50,935 --> 02:11:55,773 IF SOMEBODY CONTACTS US FROM 2859 02:11:55,773 --> 02:11:57,475 INDIANA THEY'LL BE MAYBE ROUTED 2860 02:11:57,475 --> 02:12:00,211 TO THE NEBRASKA SERVICE AND FROM 2861 02:12:00,211 --> 02:12:01,912 HAWAI'I TO THE CALIFORNIA 2862 02:12:01,912 --> 02:12:04,281 SERVICE. 2863 02:12:04,281 --> 02:12:08,152 THEY'RE STAFFED VARIABLY SOME BY 2864 02:12:08,152 --> 02:12:09,553 COUNSELORS, NURSES, HEALTH 2865 02:12:09,553 --> 02:12:10,988 EDUCATORS AND EACH OF THE 2866 02:12:10,988 --> 02:12:12,990 SERVICES HAS TO HAVE AN 2867 02:12:12,990 --> 02:12:15,192 IDENTIFIED MEDICAL DIRECTOR. 2868 02:12:15,192 --> 02:12:17,661 THE FUNDING FOR THESE VARIES BY 2869 02:12:17,661 --> 02:12:18,162 STATE. 2870 02:12:18,162 --> 02:12:21,165 SO STATE AND LOCAL RESOURCES 2871 02:12:21,165 --> 02:12:23,934 FUND SOME OF THE SERVICES SO FOR 2872 02:12:23,934 --> 02:12:24,935 EXAMPLE OUR SERVICE IN 2873 02:12:24,935 --> 02:12:28,172 CALIFORNIA IS PRIMARILY FUNDED 2874 02:12:28,172 --> 02:12:30,040 BY THE STATE DEPARTMENT OF 2875 02:12:30,040 --> 02:12:30,941 EDUCATION THROUGH THE UNIVERSITY 2876 02:12:30,941 --> 02:12:33,043 OF CALIFORNIA BUT ACROSS THE 2877 02:12:33,043 --> 02:12:35,179 NETWORK WE HAVE BEEN FUNDED FOR 2878 02:12:35,179 --> 02:12:39,783 THE LAST EIGHT YEARS IN PART BY 2879 02:12:39,783 --> 02:12:41,452 HRSA MATERNAL CHILD HEALTH 2880 02:12:41,452 --> 02:12:44,054 BRANCH AND IN THE LAST YEAR WE 2881 02:12:44,054 --> 02:12:44,655 HAVE RECEIVED DIRECT FUNDING 2882 02:12:44,655 --> 02:12:48,959 AWARD FROM CDC. 2883 02:12:48,959 --> 02:12:52,096 ON AVERAGE WE TAKE ABOUT 35 TO 2884 02:12:52,096 --> 02:12:55,199 40,000 QUERIES ANNUALLY. 2885 02:12:55,199 --> 02:12:58,002 OF THESE, ON AVERAGE ABOUT 80% 2886 02:12:58,002 --> 02:12:59,904 COME DIRECTLY FROM CONSUMERS. 2887 02:12:59,904 --> 02:13:01,605 SO PREGNANT AND LACTATING 2888 02:13:01,605 --> 02:13:04,875 PERSONS OR THE PUBLIC WITH 2889 02:13:04,875 --> 02:13:06,243 QUESTIONS ABOUT PREGNANCY AND 2890 02:13:06,243 --> 02:13:08,712 LACTATING EXPOSURES. 2891 02:13:08,712 --> 02:13:11,148 ABOUT 20% COME DIRECTLY HEALTH 2892 02:13:11,148 --> 02:13:12,349 CARE PROVIDERS IT CAN BEING A 2893 02:13:12,349 --> 02:13:15,252 PROVIDER WITH A PATIENT COMING 2894 02:13:15,252 --> 02:13:16,287 IN THAT AFTERNOON AND KNOW 2895 02:13:16,287 --> 02:13:18,255 THEY'LL HAVE TO TALK TO THEM 2896 02:13:18,255 --> 02:13:20,090 ABOUT OPTIONS IN TERMS OF 2897 02:13:20,090 --> 02:13:21,792 MEDICATIONS AND WANT TO GET 2898 02:13:21,792 --> 02:13:23,360 UPDATED INFORMATION ON WHAT 2899 02:13:23,360 --> 02:13:24,528 MIGHT BE AVAILABLE ON THE 2900 02:13:24,528 --> 02:13:26,497 VARIOUS OPTIONS. 2901 02:13:26,497 --> 02:13:29,633 WE GET CALLED FROM GENETIC 2902 02:13:29,633 --> 02:13:30,901 COUNSELORS WANTING TO GET 2903 02:13:30,901 --> 02:13:32,636 INFORMATION ON MEDICATION BEFORE 2904 02:13:32,636 --> 02:13:37,441 THEY TALK TO A PATIENT DURING A 2905 02:13:37,441 --> 02:13:38,008 VISIT. 2906 02:13:38,008 --> 02:13:41,345 WE ALSO TAKE CALLS ABOUT 2907 02:13:41,345 --> 02:13:46,116 LACTATION AND ABOUT 30% OF THE 2908 02:13:46,116 --> 02:13:48,252 CONTACTS INCLUDE A QUESTION 2909 02:13:48,252 --> 02:13:51,388 ABOUT LACTATION OR PREGNANCY AND 2910 02:13:51,388 --> 02:13:51,989 LACTATION COMBINATION CALL. 2911 02:13:51,989 --> 02:13:53,958 WHEN THE SERVICES WERE FIRST 2912 02:13:53,958 --> 02:13:56,126 STARTED THEY WERE ALL PROVIDED 2913 02:13:56,126 --> 02:14:00,497 BY TELEPHONE WITH SOME IN PERSON 2914 02:14:00,497 --> 02:14:00,931 CONSULTATION. 2915 02:14:00,931 --> 02:14:03,200 THIS HAS FLIPPED DRAMATICALLY IN 2916 02:14:03,200 --> 02:14:07,871 THE LAST SEVERAL YEARS. 2917 02:14:07,871 --> 02:14:09,373 NOW 27% OF SESSIONS ARE 2918 02:14:09,373 --> 02:14:14,011 CONDUCTED BY E-MAIL. 2919 02:14:14,011 --> 02:14:18,415 THE PREDOMINANT METHOD IS NOW 2920 02:14:18,415 --> 02:14:19,183 CHAT AND. 2921 02:14:19,183 --> 02:14:22,519 LAR AND MAKE IT POSSIBLE TO HAVE 2922 02:14:22,519 --> 02:14:24,254 AN INTERACTION WITH THE 2923 02:14:24,254 --> 02:14:25,356 PARTICIPANT BUT NOTHING WE'RE 2924 02:14:25,356 --> 02:14:27,224 DOING ON TELEPHONE OR IN PERSON. 2925 02:14:27,224 --> 02:14:30,794 WE OFFER A TEXT OPTION WHICH HAS 2926 02:14:30,794 --> 02:14:32,630 LIMITED CHARACTERS. 2927 02:14:32,630 --> 02:14:34,898 THAT'S USED LESS FREQUENTLY BY 2928 02:14:34,898 --> 02:14:37,534 7% AND WE STILL GET A QUARTER OF 2929 02:14:37,534 --> 02:14:40,337 OUR CONTACTS BY TELEPHONE. 2930 02:14:40,337 --> 02:14:42,339 I SHOULD SAY IN EACH OPTIONS 2931 02:14:42,339 --> 02:14:44,908 WHETHER E-MAIL, LIVE CHAT OR 2932 02:14:44,908 --> 02:14:46,276 TEXT, IF THE EXPOSURE THAT'S 2933 02:14:46,276 --> 02:14:49,279 BEING QUERIED ABOUT IS ONE THAT 2934 02:14:49,279 --> 02:14:52,583 CARRIES HIGH RISK OR IS 2935 02:14:52,583 --> 02:14:53,717 COMPLICATED IT'S ALWAYS OFFERED 2936 02:14:53,717 --> 02:14:55,452 TO THE PERSON WHO IS CONTACTING 2937 02:14:55,452 --> 02:14:59,189 IT BE CONVERTED TO A TELEPHONE 2938 02:14:59,189 --> 02:15:00,257 CONTACT BECAUSE IN THE COMPLEX 2939 02:15:00,257 --> 02:15:02,259 SITUATIONS IT'S DIFFICULT TO 2940 02:15:02,259 --> 02:15:03,994 HAVE A CONVERSATION AND BACK AND 2941 02:15:03,994 --> 02:15:05,095 FORTH EXCHANGE YOU NEED TO HAVE 2942 02:15:05,095 --> 02:15:09,033 AND CLARIFY THE LEVEL OF 2943 02:15:09,033 --> 02:15:11,201 UNDERSTANDING WITHOUT DOING IT 2944 02:15:11,201 --> 02:15:17,441 OVER THE TELEPHONE. 2945 02:15:17,441 --> 02:15:23,180 WE HAVE PARTNERED WITH CDC ON 2946 02:15:23,180 --> 02:15:25,182 MULTIPLE PUBLIC HEALTH URGENT 2947 02:15:25,182 --> 02:15:27,217 SITUATI 2948 02:15:27,217 --> 02:15:30,454 SITUATIONS GOING BACK TO 2949 02:15:30,454 --> 02:15:33,290 HURRICANE KATRINA FOR 2950 02:15:33,290 --> 02:15:36,260 INDIVIDUALS WHO MAY HAVE HAD 2951 02:15:36,260 --> 02:15:38,796 UNIQUE EXPOSURES DURING 2952 02:15:38,796 --> 02:15:39,196 PREGNANCY. 2953 02:15:39,196 --> 02:15:40,664 DURING ZIKA PARTNERED WITH THE 2954 02:15:40,664 --> 02:15:42,800 CDC WITH MARCH OF DIMES TO 2955 02:15:42,800 --> 02:15:43,867 PROVIDE UP TO DATE INFORMATION 2956 02:15:43,867 --> 02:15:47,171 AS IT WAS EVOLVING. 2957 02:15:47,171 --> 02:15:50,741 AND RECENTLY WITH COVID AND 2958 02:15:50,741 --> 02:15:53,711 COVID-19 VACCINES AND AS WE 2959 02:15:53,711 --> 02:15:55,412 ENTERED INTO VACCINES BEING 2960 02:15:55,412 --> 02:15:58,415 AVAILABLE, THE CDC PROACTIVELY 2961 02:15:58,415 --> 02:16:01,251 PARTNERED WITH US TO NAME 2962 02:16:01,251 --> 02:16:06,990 ANOTHER BABY AS A RESOURCE TO 2963 02:16:06,990 --> 02:16:07,558 PROVIDE INFORMATION ABOUT 2964 02:16:07,558 --> 02:16:08,926 PREGNANCY AND BREASTFEEDING WITH 2965 02:16:08,926 --> 02:16:13,330 A PARTNERSHIP THROUGH THE 2966 02:16:13,330 --> 02:16:15,099 AMERICAN ACADEMY OF PEDIATRICS 2967 02:16:15,099 --> 02:16:17,868 WAS A HUGE INFLUX OF CONTACTS 2968 02:16:17,868 --> 02:16:21,004 AND WE TALLIED MORE THAN 16,000 2969 02:16:21,004 --> 02:16:21,739 INDIVIDUALS ABOUT COVID VACCINES 2970 02:16:21,739 --> 02:16:24,608 AND INFECTIONS SINCE THE 2971 02:16:24,608 --> 02:16:25,576 PARTNERSHIP STARTED. 2972 02:16:25,576 --> 02:16:28,512 AS KARA MENTIONED WE HAVE FACT 2973 02:16:28,512 --> 02:16:29,012 SHEETS. 2974 02:16:29,012 --> 02:16:31,181 THIS IS A WAY OF EXTENDING THE 2975 02:16:31,181 --> 02:16:35,152 REACH PRIMARILY TO CONSUMERS TO 2976 02:16:35,152 --> 02:16:37,788 PREGNANT OR LACTATING PERSONS OR 2977 02:16:37,788 --> 02:16:40,491 PEOPLE CONSIDERING THAT 2978 02:16:40,491 --> 02:16:40,758 SITUATION. 2979 02:16:40,758 --> 02:16:42,793 THESE ANSWER FREQUENTLY ASKED 2980 02:16:42,793 --> 02:16:46,463 QUESTIONS ABOUT MANY COMMON 2981 02:16:46,463 --> 02:16:48,632 EXPOSURES DURING PREGNANCY AND 2982 02:16:48,632 --> 02:16:50,334 BREASTFEEDING AND FREE TO VIEW 2983 02:16:50,334 --> 02:16:54,271 AND DOWNLOAD AND WRITTEN BY A 2984 02:16:54,271 --> 02:16:54,972 DESIGNATED SPECIALIST WITHIN OUR 2985 02:16:54,972 --> 02:16:57,975 NETWORK AND REVIEWED AND UPDATED 2986 02:16:57,975 --> 02:17:00,144 AT LEAST ANNUALLY. 2987 02:17:00,144 --> 02:17:01,245 OVER THE LAST SEVERAL YEARS 2988 02:17:01,245 --> 02:17:04,081 WE'VE HAD A PARTNERSHIP WITH THE 2989 02:17:04,081 --> 02:17:05,516 NATIONAL LIBRARY OF MEDICINE AND 2990 02:17:05,516 --> 02:17:06,784 THEY HOST ALL OF OUR FACT SHEETS 2991 02:17:06,784 --> 02:17:08,919 ON THE WEBSITE AS WELL. 2992 02:17:08,919 --> 02:17:10,554 YOU CAN SEE HERE THESE ARE 2993 02:17:10,554 --> 02:17:12,790 PRETTY SIMPLE. 2994 02:17:12,790 --> 02:17:17,594 THEY'RE SINGLE PAGE TWO-SIDED 2995 02:17:17,594 --> 02:17:19,630 WITH THE SAME QUESTIONS ON EACH 2996 02:17:19,630 --> 02:17:23,300 ONE AND ANSWERED IN SIMPLE TERMS 2997 02:17:23,300 --> 02:17:25,269 WITH BLANK 2 REFERENCES. 2998 02:17:25,269 --> 02:17:27,704 WE HAVE OVER 500 FACT SHEETS 2999 02:17:27,704 --> 02:17:29,273 AVAILABLE ON A VARIETY OF 3000 02:17:29,273 --> 02:17:31,108 EXPOSURES INCLUDING VACCINES AND 3001 02:17:31,108 --> 02:17:32,843 MEDICATIONS, OCCUPATIONAL 3002 02:17:32,843 --> 02:17:36,079 HAZARDS, INFECTIONS AND HERBAL 3003 02:17:36,079 --> 02:17:36,480 SUPPLEMENTS. 3004 02:17:36,480 --> 02:17:38,415 THEY'RE ALL AVAILABLE IN ENGLISH 3005 02:17:38,415 --> 02:17:43,120 AND SPANISH AND WE HAVE SOME 3006 02:17:43,120 --> 02:17:47,891 AVAILABLE IN FRENCH AND HAVE 3007 02:17:47,891 --> 02:17:50,794 SERVICES IN CANADA AS WELL AND 3008 02:17:50,794 --> 02:17:52,596 IN 2022 ABOUT 4 MILLION TIMES 3009 02:17:52,596 --> 02:17:53,730 THE FACT SHEETS HAVE BEEN VIEWED 3010 02:17:53,730 --> 02:17:56,567 OR DOWNLOADED. 3011 02:17:56,567 --> 02:18:00,270 WE BRING THEM LINKS TO 3012 02:18:00,270 --> 02:18:02,272 PROFESSIONAL MEETINGS AS WELL 3013 02:18:02,272 --> 02:18:04,107 AND HEALTH CARE PROVIDERS 3014 02:18:04,107 --> 02:18:04,842 UTILIZE THESE WIDELY. 3015 02:18:04,842 --> 02:18:09,279 AS KARA MENTIONED WE HAVE 3016 02:18:09,279 --> 02:18:09,546 PODCASTS. 3017 02:18:09,546 --> 02:18:12,649 THESE GIVE LISTENERS INSIGHTS 3018 02:18:12,649 --> 02:18:15,185 INTO THE SAFETY AND EXPOSURES A 3019 02:18:15,185 --> 02:18:18,322 PREGNANT OR LACTATING PERSON MAY 3020 02:18:18,322 --> 02:18:18,889 EXPERIENCE. 3021 02:18:18,889 --> 02:18:21,625 THE PERSON WHO LEADS THE EFFORTS 3022 02:18:21,625 --> 02:18:22,759 IS CHRIS STALMAN WHO LOVE THIS 3023 02:18:22,759 --> 02:18:28,131 AND IS A GENETIC COUNSELOR FROM 3024 02:18:28,131 --> 02:18:28,866 OUR ARIZONA SERVICE. 3025 02:18:28,866 --> 02:18:31,568 AND TOPICS ARE NOMINATED AND 3026 02:18:31,568 --> 02:18:34,104 SELECTED FOR THESE PODCASTS AND 3027 02:18:34,104 --> 02:18:35,072 OFTEN TIMES INCLUDE INTERVIEWS 3028 02:18:35,072 --> 02:18:38,809 WITH KEY OPINION LEADERS AND 3029 02:18:38,809 --> 02:18:40,510 TOPIC AREA SPECIALISTS WHO CHRIS 3030 02:18:40,510 --> 02:18:42,679 HOSTS AND INTERVIEWS ON THE 3031 02:18:42,679 --> 02:18:43,013 PODCAST. 3032 02:18:43,013 --> 02:18:47,184 WE LAUNCHED THE FIRST IN 2017 SO 3033 02:18:47,184 --> 02:18:50,487 WE'RE NOW IN OUR FIFTH SEASON 3034 02:18:50,487 --> 02:18:52,022 AND AS OF MARCH OF THIS YEAR 3035 02:18:52,022 --> 02:18:54,258 THERE'S 57 PUBLISHED EPISODES 3036 02:18:54,258 --> 02:18:57,895 AND WE CATALOGED ABOUT 35,000 3037 02:18:57,895 --> 02:18:59,196 UNIQUE DOWNLOADS OF THE PODCAST 3038 02:18:59,196 --> 02:19:02,466 SESSIONS. 3039 02:19:02,466 --> 02:19:03,967 EXAMPLES OF RECENT TOPICS 3040 02:19:03,967 --> 02:19:07,137 INCLUDE RSV VACCINE, THE NEW 3041 02:19:07,137 --> 02:19:11,174 WEIGHT LOSS MEDICATIONS, 3042 02:19:11,174 --> 02:19:12,009 CANNABIS, MATERNAL HEALTH AND 3043 02:19:12,009 --> 02:19:15,178 COVID-19 IN PREGNANCY AND HIV 3044 02:19:15,178 --> 02:19:15,746 AND BREASTFEEDING. 3045 02:19:15,746 --> 02:19:19,116 BLOGS IS ANOTHER METHOD OF 3046 02:19:19,116 --> 02:19:22,052 COMMUNICATING DIRECTLY TO 3047 02:19:22,052 --> 02:19:22,319 CONSUMERS. 3048 02:19:22,319 --> 02:19:24,755 THESE ARE MORE CONVERSATIONAL, 3049 02:19:24,755 --> 02:19:28,292 PRACTICAL INFORMATION TO TARGET 3050 02:19:28,292 --> 02:19:29,426 AUDIENCE IN THE GENERAL PUBLIC. 3051 02:19:29,426 --> 02:19:33,263 THEY'RE WRITTEN BY OUR INTERNAL 3052 02:19:33,263 --> 02:19:34,831 INFLUENCERS OF ROTATING STAFF OF 3053 02:19:34,831 --> 02:19:37,000 MOTHER TO BABY EXPERTS AND 3054 02:19:37,000 --> 02:19:38,669 PUBLISHED MONTHLY TO OUR WEBSITE 3055 02:19:38,669 --> 02:19:39,703 IN ENGLISH AND SPANISH AND 3056 02:19:39,703 --> 02:19:42,339 HERE'S AN EXAMPLE OF ONE THAT 3057 02:19:42,339 --> 02:19:47,177 CAME OUT IN FEBRUARY OF THIS 3058 02:19:47,177 --> 02:19:49,913 YEAR LOOKING AT HYPERTENSION. 3059 02:19:49,913 --> 02:19:52,482 IN TERMS OF LACTATION AS YOU ALL 3060 02:19:52,482 --> 02:19:55,585 PROBABLY KNOW, PHIL ANDERSON AND 3061 02:19:55,585 --> 02:20:01,591 JASON SOBRON AUTHORED A RESOURCE 3062 02:20:01,591 --> 02:20:03,193 INFORMATION ON SAFETY OF 3063 02:20:03,193 --> 02:20:07,197 MEDICATIONS AND OTHER EXPOSURES 3064 02:20:07,197 --> 02:20:08,865 DURING LACTATION. 3065 02:20:08,865 --> 02:20:11,668 NICHD SPONSORS OR HOSTS THE 3066 02:20:11,668 --> 02:20:15,172 NATIONAL LIBRARY OF MEDICINE 3067 02:20:15,172 --> 02:20:17,374 PROVIDED ON THE WEBSITE HOWEVER 3068 02:20:17,374 --> 02:20:19,176 NATIONAL LIBRARY OF MEDICINE 3069 02:20:19,176 --> 02:20:21,511 DETERMINE THE APP WITH LACTRX 3070 02:20:21,511 --> 02:20:23,180 THEY'D NO LONGER SUPPORT AND 3071 02:20:23,180 --> 02:20:24,381 DR. ANDERSON CAME TO US BECAUSE 3072 02:20:24,381 --> 02:20:26,783 HE SAID IT WAS WIDELY USED AND 3073 02:20:26,783 --> 02:20:29,486 HE WAS CONCERNED THERE WOULD BE 3074 02:20:29,486 --> 02:20:35,726 LESS UPTAKE OF USE OF LACTRX IF 3075 02:20:35,726 --> 02:20:37,561 THE APP WAS NOT AVAILABLE AND WE 3076 02:20:37,561 --> 02:20:39,162 AGREED TO TAKE THIS ON AND 3077 02:20:39,162 --> 02:20:40,163 NEGOTIATED WITH THE NATIONAL 3078 02:20:40,163 --> 02:20:41,832 LIBRARY OF MEDICINE WHO SAID 3079 02:20:41,832 --> 02:20:44,101 THEY'D BE FINE IF WE MIRRORED 3080 02:20:44,101 --> 02:20:45,102 WHAT WAS ON THE NATIONAL LIBRARY 3081 02:20:45,102 --> 02:20:47,204 OF MEDICINE AND RATHER THAN GO 3082 02:20:47,204 --> 02:20:48,071 THROUGH THE WHOLE LICENSING 3083 02:20:48,071 --> 02:20:50,640 ISSUE OF THE NAME AGREED WE 3084 02:20:50,640 --> 02:20:52,943 COULD CHANGE THE NAME TO LACTRX 3085 02:20:52,943 --> 02:20:54,778 BY MOTHER TO BABY. 3086 02:20:54,778 --> 02:20:59,182 THE APP IS NOW LACTRX BY ANOTHER 3087 02:20:59,182 --> 02:21:02,085 BABY AND FREE ACCESS TO 3088 02:21:02,085 --> 02:21:04,988 EVERYTHING IN LACTRX AS IT 3089 02:21:04,988 --> 02:21:06,256 APPEARS THERE FOR CURRENT 3090 02:21:06,256 --> 02:21:08,125 INFORMATION ON MEDICATIONS, 3091 02:21:08,125 --> 02:21:08,725 SUBSTANCE AND OTHER EXPOSURES 3092 02:21:08,725 --> 02:21:19,036 DURING LACTATION. 3093 02:21:20,370 --> 02:21:23,073 WE MONITOR METRICS AND HAVE 3094 02:21:23,073 --> 02:21:28,045 16,000 NEW USERS AND ABOUT 80% 3095 02:21:28,045 --> 02:21:30,447 OF NEW USERS ENGAGE IN THE 3096 02:21:30,447 --> 02:21:32,883 SESSION WITH AN AVERAGE 3097 02:21:32,883 --> 02:21:35,185 ENGAGEMENT TIME OF ABOUT SIX 3098 02:21:35,185 --> 02:21:38,555 MINUTES PER SESSION. 3099 02:21:38,555 --> 02:21:40,757 THE MAJORITY ARE FROM THE UNITED 3100 02:21:40,757 --> 02:21:42,993 STATES BUT THE UPTAKE OF THE APP 3101 02:21:42,993 --> 02:21:44,461 IS WORLDWIDE AND SEE THE 3102 02:21:44,461 --> 02:21:47,197 DISTRIBUTION BY COUNTRY ON THE 3103 02:21:47,197 --> 02:21:49,666 MAP HERE. 3104 02:21:49,666 --> 02:21:53,804 WE ALSO PARTNER DIRECTLY WITH 3105 02:21:53,804 --> 02:21:55,505 CLINICIANS AND HERE'S ONE 3106 02:21:55,505 --> 02:21:56,239 EXAMPLE. 3107 02:21:56,239 --> 02:21:58,642 HRSA HAS ESTABLISHED A NATIONAL 3108 02:21:58,642 --> 02:22:03,747 MATERNAL MENTAL HEALTH HOT LINE 3109 02:22:03,747 --> 02:22:05,315 WHICH IS STAFFED BY MENTAL 3110 02:22:05,315 --> 02:22:06,583 HEALTH PROFESSIONALS TO INTERACT 3111 02:22:06,583 --> 02:22:09,986 WITH TEAM WHO MAY BE HAVING 3112 02:22:09,986 --> 02:22:10,654 DIFFICULTIES WITH MENTAL HEALTH 3113 02:22:10,654 --> 02:22:11,121 DURING PREGNANCY. 3114 02:22:11,121 --> 02:22:16,693 WE HAVE PARTNERED WITH THEM AND 3115 02:22:16,693 --> 02:22:17,828 HAVE ESTABLISHED A PROCESS 3116 02:22:17,828 --> 02:22:19,196 WHEREBY THE MENTAL HEALTH HOT 3117 02:22:19,196 --> 02:22:20,964 LINE PROVIDERS CAN WARM TRANSFER 3118 02:22:20,964 --> 02:22:25,202 CLIENTS THEY HAD CONTACT WITH TO 3119 02:22:25,202 --> 02:22:26,369 MOTHER TO BABY ABOUT INFORMATION 3120 02:22:26,369 --> 02:22:29,072 ON MEDICATIONS THEY MAY BE 3121 02:22:29,072 --> 02:22:31,174 TAKING OR CONSIDERING USING IN 3122 02:22:31,174 --> 02:22:39,583 TERM OF SAFETY IN PREGNANCY AND 3123 02:22:39,583 --> 02:22:39,850 LACTATION. 3124 02:22:39,850 --> 02:22:47,190 AS YOU HEARD WE PARTNER WITH 3125 02:22:47,190 --> 02:22:47,424 SFMF. 3126 02:22:47,424 --> 02:22:51,661 THEY'VE AGREED TO DISTRIBUTE NEW 3127 02:22:51,661 --> 02:22:53,663 AND UPDATED FACT SHEETS TO 3128 02:22:53,663 --> 02:22:56,933 MEMBER CLINICIANS VIA THE 3129 02:22:56,933 --> 02:22:58,502 ORGANIZATION'S NEWSLETTER. 3130 02:22:58,502 --> 02:23:00,270 TAT A MECHANISM FOR GETTING THAT 3131 02:23:00,270 --> 02:23:06,042 OUT TO PROVIDERS AND WORK WITH 3132 02:23:06,042 --> 02:23:16,520 ACOG, CDC AND DOING ONE ON 3133 02:23:27,297 --> 02:23:30,233 CONGENITAL SYPHILIS AND WE HAVE 3134 02:23:30,233 --> 02:23:33,737 A COURSE AND SOME MAY REMEMBER 3135 02:23:33,737 --> 02:23:38,642 THIS WAS STARTED BY MASS GENERAL 3136 02:23:38,642 --> 02:23:41,478 MANY YEARS AGO AND IS THE ONLY 3137 02:23:41,478 --> 02:23:44,915 COURSE AVAILABLE TO TRAIN 3138 02:23:44,915 --> 02:23:49,853 UNDERSTANDING HOW TO EVALUATE 3139 02:23:49,853 --> 02:23:51,188 AND IDENTIFY INFORMATION 3140 02:23:51,188 --> 02:24:01,665 AVAILABLE IN THAT FIELD OF 3141 02:24:02,699 --> 02:24:04,334 TERATOGENS AND THEY NOW OFFER IT 3142 02:24:04,334 --> 02:24:06,269 AS A LIVE VIRTUAL COURSE EVERY 3143 02:24:06,269 --> 02:24:15,579 OTHER YEAR. 3144 02:24:15,579 --> 02:24:26,122 IT'S HEADED BY A MATERNAL FETAL 3145 02:24:26,323 --> 02:24:27,524 EXPERT AND CONTINUING EDUCATION 3146 02:24:27,524 --> 02:24:29,659 CREDITS ARE OFFERED TO PROVIDERS 3147 02:24:29,659 --> 02:24:32,262 AND IT'S BEEN WITH THIS VIRTUAL 3148 02:24:32,262 --> 02:24:34,364 OPTION PLUS IN PERSON. 3149 02:24:34,364 --> 02:24:38,068 IT'S BEEN VERY POPULAR. 3150 02:24:38,068 --> 02:24:40,103 WE HAVE HAD ATTENDEES FROM 22 3151 02:24:40,103 --> 02:24:50,280 COUNTRIES. 3152 02:24:51,214 --> 02:24:52,882 I WON'T TALK ABOUT THE ASPECT 3153 02:24:52,882 --> 02:24:56,386 BUT MOTHER TO BABY HAS A 3154 02:24:56,386 --> 02:24:58,288 RESEARCH ARM SO PREGNANCY 3155 02:24:58,288 --> 02:25:01,524 STUDIES STARTED BACK IN THE 3156 02:25:01,524 --> 02:25:06,263 EARLY 2000s, IT'S A RESEARCH 3157 02:25:06,263 --> 02:25:07,197 PROGRAM SEEKING TO UNDERSTAND 3158 02:25:07,197 --> 02:25:14,037 HOW CERTAIN MEDICATIONS, 3159 02:25:14,037 --> 02:25:16,740 VACCINES AFFECT OUTCOMES AND 3160 02:25:16,740 --> 02:25:18,275 RECRUITED CALIFORNIA SAN DIEGO 3161 02:25:18,275 --> 02:25:21,978 AND RECRUITED INDIVIDUALS AND 3162 02:25:21,978 --> 02:25:23,179 CAPTURED INFORMATION FROM 3163 02:25:23,179 --> 02:25:26,983 TELEPHONE INTERVIEWS AND MEDICAL 3164 02:25:26,983 --> 02:25:35,425 REPORTS AND A PEDIATRIC 3165 02:25:35,425 --> 02:25:36,293 EXAMINATION FOR LIVE BORN 3166 02:25:36,293 --> 02:25:40,664 INFANTS AND WE PARTNER WITH 3167 02:25:40,664 --> 02:25:43,900 SPECIALTY PROVIDERS AND OBs TO 3168 02:25:43,900 --> 02:25:46,036 MAKE THOSE REFERRALS AND IT 3169 02:25:46,036 --> 02:25:48,171 WORKS FULL CIRCLE. 3170 02:25:48,171 --> 02:25:49,873 OUR INFORMATION SERVICES REFER 3171 02:25:49,873 --> 02:25:52,042 INDIVIDUALS WHO MAY BE 3172 02:25:52,042 --> 02:25:53,143 INTERESTED AND ELIGIBLE FOR 3173 02:25:53,143 --> 02:25:54,144 PREGNANCY STUDIES INTO STUDIES 3174 02:25:54,144 --> 02:25:59,182 AND THE INFORMATION GENERATED 3175 02:25:59,182 --> 02:26:09,726 FROM THESE IS RETURNED BACK TO 3176 02:26:17,567 --> 02:26:20,003 PROVIDE TO PROVIDERS AND WE'RE 3177 02:26:20,003 --> 02:26:25,075 CAPTURING SAMPLES AND DATA ABOUT 3178 02:26:25,075 --> 02:26:29,412 EXPOSURES DURING LACTATION OVER 3179 02:26:29,412 --> 02:26:31,181 THE COURSE OF TIME A MOTHER MAY 3180 02:26:31,181 --> 02:26:31,781 BE BREASTFEEDING. 3181 02:26:31,781 --> 02:26:35,185 I'LL END THERE. 3182 02:26:35,185 --> 02:26:36,252 THANK YOU. 3183 02:26:36,252 --> 02:26:39,923 >> THANK YOU VERY MUCH, TINA FOR 3184 02:26:39,923 --> 02:26:41,758 COVERING THE BREADTH OF 3185 02:26:41,758 --> 02:26:43,093 ACTIVITIES IN MOTHER TO BABY. 3186 02:26:43,093 --> 02:26:45,195 ANY CLARIFYING QUESTIONS BEFORE 3187 02:26:45,195 --> 02:26:47,330 WE GO INTO THE BROADER 3188 02:26:47,330 --> 02:26:47,831 DISCUSSION. 3189 02:26:47,831 --> 02:26:48,665 KATHERINE? 3190 02:26:48,665 --> 02:26:51,201 >> I HAVE A QUICK QUESTION AS 3191 02:26:51,201 --> 02:26:53,303 YOU TALK ABOUT AND MAYBE THIS 3192 02:26:53,303 --> 02:26:55,071 LAS PLEASE TO CDC. 3193 02:26:55,071 --> 02:26:58,274 AS YOU THINK ABOUT ENGAGING WITH 3194 02:26:58,274 --> 02:27:00,276 HEALTH CARE PROVIDERS YOU 3195 02:27:00,276 --> 02:27:01,678 MENTIONED ACOG AND SMFM ARE YOU 3196 02:27:01,678 --> 02:27:04,147 WORKING WITH THE NURSE 3197 02:27:04,147 --> 02:27:06,282 PRACTITIONERS AND OTHER FOLKS 3198 02:27:06,282 --> 02:27:10,920 WHO MAY BE ENGAGING WITH THESE 3199 02:27:10,920 --> 02:27:13,923 POPULATIONS AS WELL? 3200 02:27:13,923 --> 02:27:19,229 >> WE'VE HAD PARTNERS WITH A1 3201 02:27:19,229 --> 02:27:21,297 AND NURSE MIDWIVES AND THE 3202 02:27:21,297 --> 02:27:23,099 NATIONAL OFFICE FOR MOTHER TO 3203 02:27:23,099 --> 02:27:24,868 BABY HAS A PRETTY EXTENSIVE 3204 02:27:24,868 --> 02:27:26,436 PROGRAM OF ENGAGING WITH 3205 02:27:26,436 --> 02:27:29,539 DIFFERENT TYPES OF PROVIDERS 3206 02:27:29,539 --> 02:27:31,207 THAT MIGHT BE IN THE OBSTETRIC 3207 02:27:31,207 --> 02:27:39,549 OR BREASTFEEDING SPACE. 3208 02:27:39,549 --> 02:27:44,621 >> WE HAVE A LONG STANDING 3209 02:27:44,621 --> 02:27:45,922 RELATIONSHIP IN ALCOHOL WORK AND 3210 02:27:45,922 --> 02:27:48,124 WORKING ON A BROADER ENGAGEMENT 3211 02:27:48,124 --> 02:27:49,926 WITH THIS GROUP. 3212 02:27:49,926 --> 02:27:51,094 >> RACHEL. 3213 02:27:51,094 --> 02:27:55,598 >> LONG THE SAME LINES AND SINCE 3214 02:27:55,598 --> 02:27:59,135 THERE'S MENTION OF CONGENITAL 3215 02:27:59,135 --> 02:28:01,538 SYPHILIS AND SOME OF THE OTHER 3216 02:28:01,538 --> 02:28:04,674 EMERGING THINGS AND I'M THINKING 3217 02:28:04,674 --> 02:28:07,177 OF RSV AS WELL AND THE ROLLOUT 3218 02:28:07,177 --> 02:28:09,679 IF THERE'S BEEN WORK WITH THE 3219 02:28:09,679 --> 02:28:10,146 PHARMACY GROUPS. 3220 02:28:10,146 --> 02:28:15,919 I KNOW THAT CAME UP IN THE LAST 3221 02:28:15,919 --> 02:28:19,522 WE HEARD WITH RSV SEASON AND 3222 02:28:19,522 --> 02:28:21,458 OPTIONS AVAILABLE DURING 3223 02:28:21,458 --> 02:28:22,625 PREGNANCY THERE WERE SOME 3224 02:28:22,625 --> 02:28:30,266 PHARMACISTS THAT REFUSED TO 3225 02:28:30,266 --> 02:28:32,302 VACCINE PREGNANT PATIENTS AND 3226 02:28:32,302 --> 02:28:34,270 ADMINISTERED THE WRONG VACCINE 3227 02:28:34,270 --> 02:28:36,272 AND PEOPLE HAVE SAID WOW, ARE 3228 02:28:36,272 --> 02:28:37,373 YOUR MEMBERS NOT GETTING THIS 3229 02:28:37,373 --> 02:28:45,215 AND WHY IS THIS HAPPENING? 3230 02:28:45,215 --> 02:28:46,516 IN THE OB-GYN OFFICE IT WOULD 3231 02:28:46,516 --> 02:28:48,918 NOT HAPPEN AND THERE WERE 3232 02:28:48,918 --> 02:28:50,386 BARRIERS TO HAPPENING IN THE 3233 02:28:50,386 --> 02:28:52,655 OFFICE AND EXTENDING THAT 3234 02:28:52,655 --> 02:28:56,326 QUESTION TO NOT JUST OB-GYN BUT 3235 02:28:56,326 --> 02:28:58,027 THE PHARMACISTS AS WELL. 3236 02:28:58,027 --> 02:29:04,133 >> I COULD SAY YES I AGREE 100% 3237 02:29:04,133 --> 02:29:05,869 PHARMACISTS ARE THE FRONT LINE 3238 02:29:05,869 --> 02:29:09,973 CLINICIANS THAT NEED TO HAVE 3239 02:29:09,973 --> 02:29:11,674 THIS INFORMATION AND WE -- I 3240 02:29:11,674 --> 02:29:13,676 TEACH A COURSE IN THE SCHOOL OF 3241 02:29:13,676 --> 02:29:16,079 PHARMACY AND NOW TAKING IT 3242 02:29:16,079 --> 02:29:17,647 STATEWIDE BECAUSE SO FEW GET 3243 02:29:17,647 --> 02:29:18,781 TRAINING IN THAT. 3244 02:29:18,781 --> 02:29:20,183 WE'VE BEEN FORTUNATE WITH MOTHER 3245 02:29:20,183 --> 02:29:24,754 TO BABY THAT JERRY BRIGGS WHO IS 3246 02:29:24,754 --> 02:29:29,392 A PHARMACIST HAS ALWAYS BEEN AN 3247 02:29:29,392 --> 02:29:33,563 ADVOCACY FOR US EXHIBITING AND 3248 02:29:33,563 --> 02:29:34,731 DOING PRESENTATIONS AT THE MAJOR 3249 02:29:34,731 --> 02:29:36,466 PHARMACY MEETINGS SO IT'S BEEN 3250 02:29:36,466 --> 02:29:38,935 AN AVENUE FOR TRYING TO EDUCATE 3251 02:29:38,935 --> 02:29:43,106 AS WELL. 3252 02:29:43,106 --> 02:29:48,945 >> OUR GROUP DOES NOT HAVE A 3253 02:29:48,945 --> 02:29:53,216 VERY CLOSE COLLABORATION WITH 3254 02:29:53,216 --> 02:29:58,087 PHARMACEUTICAL GROUPS BUT THE 3255 02:29:58,087 --> 02:29:59,188 IMMUNIZING AND THE GROUPS 3256 02:29:59,188 --> 02:29:59,722 DESCRIBED. 3257 02:29:59,722 --> 02:30:03,726 >> I WAS WONDERING, JULIE 3258 02:30:03,726 --> 02:30:06,129 SPEAKING, WHAT YOUR OUTREACH HAS 3259 02:30:06,129 --> 02:30:07,564 BEEN TO THE LACTATION 3260 02:30:07,564 --> 02:30:07,897 PROFESSIONALS? 3261 02:30:07,897 --> 02:30:09,699 THIS IS ALL NEW TO ME AND WE'RE 3262 02:30:09,699 --> 02:30:12,335 ALWAYS LOOK OUT FOR PLACES TO 3263 02:30:12,335 --> 02:30:15,171 SEND CLIENTS REGARDING 3264 02:30:15,171 --> 02:30:16,806 INFORMATION ON THAT SO I JUST 3265 02:30:16,806 --> 02:30:19,509 TEXTED ALL MY COLLEAGUES TO GO 3266 02:30:19,509 --> 02:30:20,543 TO ALL THE CONFERENCES AND 3267 02:30:20,543 --> 02:30:23,179 WHAT'S BEEN THE OUTREACH THERE? 3268 02:30:23,179 --> 02:30:26,316 >> JULIE, THANK YOU FOR SAYING 3269 02:30:26,316 --> 02:30:27,483 THAT. 3270 02:30:27,483 --> 02:30:30,253 I THINK IT'S A HUGE OPPORTUNITY 3271 02:30:30,253 --> 02:30:32,889 AND WE'RE JUST SORT OF VENTURING 3272 02:30:32,889 --> 02:30:35,458 INTO THAT NOW. 3273 02:30:35,458 --> 02:30:41,598 GOING BACK TO THE LACTRX APP, I 3274 02:30:41,598 --> 02:30:45,969 KNOW THAT WAS WIDELY USED. 3275 02:30:45,969 --> 02:30:47,670 THERE'S A LITTLE BIT OF 3276 02:30:47,670 --> 02:30:49,772 CONFUSION ON THE COMMUNICATION 3277 02:30:49,772 --> 02:30:52,041 BECAUSE SOME PEOPLE THINK LACTRX 3278 02:30:52,041 --> 02:30:56,346 STILL EXISTS AND NOT UPDATED AND 3279 02:30:56,346 --> 02:30:57,914 DON'T UNDERSTAND LACTRX REPLACED 3280 02:30:57,914 --> 02:30:58,681 IT. 3281 02:30:58,681 --> 02:31:02,185 WE'RE LOOKING THROUGH ACADEMY OF 3282 02:31:02,185 --> 02:31:04,320 BREASTFEEDING MEDICINE TO GET 3283 02:31:04,320 --> 02:31:04,887 THE INFORMATION OUT. 3284 02:31:04,887 --> 02:31:09,158 I THINK WE CAN DO MORE ABOUT 3285 02:31:09,158 --> 02:31:09,792 LACTATION CONSULTANTS GETTING 3286 02:31:09,792 --> 02:31:10,827 INFORMATION WHERE THEY CAN GO TO 3287 02:31:10,827 --> 02:31:20,236 GET THIS INFORMATION. 3288 02:31:20,236 --> 02:31:22,939 >> I WONDER IF WE CAN GET YOU TO 3289 02:31:22,939 --> 02:31:27,210 OPINE A LITTLE BIT GIVEN YOU DO 3290 02:31:27,210 --> 02:31:29,746 WORK AN ACROSS RECOMMENDATION 5 3291 02:31:29,746 --> 02:31:33,883 AND 6 AND AS WE THINK ABOUT THE 3292 02:31:33,883 --> 02:31:35,885 TOP LINE OF RECOMMENDATION 5 OF 3293 02:31:35,885 --> 02:31:36,552 PUBLIC AWARENESS CAMPAIGN BEYOND 3294 02:31:36,552 --> 02:31:39,188 WHAT MOTHER TO BABY IS DOING. 3295 02:31:39,188 --> 02:31:40,990 I WONDER IF YOU HAVE ME HIGH 3296 02:31:40,990 --> 02:31:41,858 LEVEL THOUGHTS AS THE EXPERT 3297 02:31:41,858 --> 02:31:44,694 AROUND WHAT THAT COULD LOOK LIKE 3298 02:31:44,694 --> 02:31:47,196 AND WHAT'S MISSING AS WE THINK 3299 02:31:47,196 --> 02:31:51,534 ABOUT THE RECOMMENDATION. 3300 02:31:51,534 --> 02:31:54,237 >> I THINK IT CROSSES OVER TO 3301 02:31:54,237 --> 02:31:58,975 WHAT KARA SAID. 3302 02:31:58,975 --> 02:32:03,880 I LOOK AT PUBLIC AWARENESS AND 3303 02:32:03,880 --> 02:32:05,948 IF A FRACTION OF PEOPLE WHO ARE 3304 02:32:05,948 --> 02:32:08,484 PREGNANT OR LACTATING IN ANY 3305 02:32:08,484 --> 02:32:09,919 GIVEN YEAR ARE ACTUALLY 3306 02:32:09,919 --> 02:32:12,321 CONTACTING US, HOW AWARE IS THE 3307 02:32:12,321 --> 02:32:15,191 PUBLIC OF TAKING ADVANTAGE OF 3308 02:32:15,191 --> 02:32:16,592 THESE SERVICES. 3309 02:32:16,592 --> 02:32:21,798 AND AS KARA MADE THE CASE, IT'S 3310 02:32:21,798 --> 02:32:25,968 NOT LIKE .01% OF PEOPLE HAVE 3311 02:32:25,968 --> 02:32:28,071 QUESTIONS AND CONCERNS AND ARE 3312 02:32:28,071 --> 02:32:29,505 MAYBE NOT -- DON'T KNOW WHERE TO 3313 02:32:29,505 --> 02:32:29,672 GO. 3314 02:32:29,672 --> 02:32:32,375 I THINK WE COULD DO A MUCH 3315 02:32:32,375 --> 02:32:35,044 BETTER JOB IN A PUBLIC AWARENESS 3316 02:32:35,044 --> 02:32:39,882 CAMPAIGN OF MAKING THE CASE THAT 3317 02:32:39,882 --> 02:32:44,587 THIS INFORMATION TA WE KNOW 3318 02:32:44,587 --> 02:32:45,588 PEOPLE WANT TO HAVE IS AVAILABLE 3319 02:32:45,588 --> 02:32:49,559 AND HOW TO ACCESS IT. 3320 02:32:49,559 --> 02:32:50,126 >> THANK YOU. 3321 02:32:50,126 --> 02:32:51,828 HOLD ONE SECOND. 3322 02:32:51,828 --> 02:32:54,230 I THINK BECKY YOU NICELY 3323 02:32:54,230 --> 02:32:55,164 TRANSITIONED US TO THE BROADER 3324 02:32:55,164 --> 02:32:56,532 DISCUSSION SO I THINK WE CAN 3325 02:32:56,532 --> 02:32:57,400 WELCOME ALL OTHER QUESTIONS TO 3326 02:32:57,400 --> 02:33:00,503 THE BROADER DISCUSSION. 3327 02:33:00,503 --> 02:33:04,474 THE TOPIC OF THE PUBLIC 3328 02:33:04,474 --> 02:33:05,074 AWARENESS CAMPAIGNS. 3329 02:33:05,074 --> 02:33:08,878 >> APOLOGIES BECAUSE I DIDN'T 3330 02:33:08,878 --> 02:33:12,281 INTRODUCE MYSELF, CARDINAL RULE 3331 02:33:12,281 --> 02:33:14,016 BROKEN THERE. 3332 02:33:14,016 --> 02:33:22,391 I'M WITH THE PREECLAMPSIA 3333 02:33:22,391 --> 02:33:22,692 FOUNDATION. 3334 02:33:22,692 --> 02:33:23,826 YOU'RE THE ONE I UNDERSTAND 3335 02:33:23,826 --> 02:33:24,293 BEST. 3336 02:33:24,293 --> 02:33:26,095 THANK YOU. 3337 02:33:26,095 --> 02:33:30,299 WHILE I KNOW IT WASN'T 3338 02:33:30,299 --> 02:33:34,570 NECESSARILY A BUSINESS ANALYSIS 3339 02:33:34,570 --> 02:33:39,041 PRESENTATION, IN OUR EVALUATING 3340 02:33:39,041 --> 02:33:41,010 WHAT CAN YOU SAY ABOUT OTHER 3341 02:33:41,010 --> 02:33:43,179 SIMILAR SERVICES, IE COMPETITORS 3342 02:33:43,179 --> 02:33:45,581 TO THIS THAT ARE PROVIDING 3343 02:33:45,581 --> 02:33:46,015 SIMILAR SERVICES. 3344 02:33:46,015 --> 02:33:47,183 WHAT'S THE FIELD OUT THERE 3345 02:33:47,183 --> 02:33:48,284 BEYOND THIS MOTHER TO BABY 3346 02:33:48,284 --> 02:33:58,427 SERVICE? 3347 02:33:59,462 --> 02:34:01,230 >> THAT'S A GOOD QUESTION. 3348 02:34:01,230 --> 02:34:04,734 I THINK IT'S COLLABORATIVE. 3349 02:34:04,734 --> 02:34:10,473 I THINK CDC IS VERY MUCH OUR 3350 02:34:10,473 --> 02:34:11,174 PUBLIC FACING PARTNER IN TERMS 3351 02:34:11,174 --> 02:34:13,176 OF GETTING INFORMATION LIKE KARA 3352 02:34:13,176 --> 02:34:14,410 DESCRIBED THAT PEOPLE WILL 3353 02:34:14,410 --> 02:34:16,279 PRIMARILY ACCESS THROUGH THE 3354 02:34:16,279 --> 02:34:17,013 WEBSITE. 3355 02:34:17,013 --> 02:34:18,881 CDC IS I THINK LONG AGO DECIDED 3356 02:34:18,881 --> 02:34:20,583 THEY WERE NOT GOING TO BE 3357 02:34:20,583 --> 02:34:21,851 ANSWERING THE TELEPHONE FOR 3358 02:34:21,851 --> 02:34:26,255 PEOPLE WHO WANTED TO ASK 3359 02:34:26,255 --> 02:34:36,299 QUESTIONS ABOUT X, Y OR Z AND 3360 02:34:36,299 --> 02:34:40,903 THERE'S BEEN OTHER INITIATIVES 3361 02:34:40,903 --> 02:34:43,806 LIKE TEXT FOR BABY AS WAYS TO 3362 02:34:43,806 --> 02:34:46,609 GET INFORMATION TO CONSUMERS. 3363 02:34:46,609 --> 02:34:50,146 THERE'S A COUPLE COMMERCIAL 3364 02:34:50,146 --> 02:34:50,479 THINGS. 3365 02:34:50,479 --> 02:34:51,214 THERE WAS AN NICHD INITIATIVE 3366 02:34:51,214 --> 02:34:58,821 FOR A WHILE. 3367 02:34:58,821 --> 02:35:06,295 I DON'T REALLY SEE ANOTHER KIND 3368 02:35:06,295 --> 02:35:11,500 OF COMPETITIVE BROAD BASED 3369 02:35:11,500 --> 02:35:12,468 INITIATIVE THAT DOES WHAT MOTHER 3370 02:35:12,468 --> 02:35:15,037 TO BABY DOES. 3371 02:35:15,037 --> 02:35:18,174 >> I'M WITH THE CDC. 3372 02:35:18,174 --> 02:35:20,910 IT PUTS INFORMATION SERVICE NOT 3373 02:35:20,910 --> 02:35:23,179 ONLY IN THE U.S. BUT THE OUTWARD 3374 02:35:23,179 --> 02:35:25,281 FACING MOTHER TO BABY AND 3375 02:35:25,281 --> 02:35:26,682 INTERNATIONALLY, THOSE ARE THE 3376 02:35:26,682 --> 02:35:28,684 PEOPLE THAT FOLKS CALL WHEN THEY 3377 02:35:28,684 --> 02:35:31,721 HAVE QUESTIONS ABOUT MEDICATIONS 3378 02:35:31,721 --> 02:35:33,356 DURING PREGNANCY. 3379 02:35:33,356 --> 02:35:35,191 I DON'T THINK THERE'S A LOT OF 3380 02:35:35,191 --> 02:35:35,958 OTHER ORGANIZATIONS OUT THERE 3381 02:35:35,958 --> 02:35:46,168 THAT DO IT. 3382 02:35:57,480 --> 02:36:00,116 WE KNOW ABOUT MAP GENERATION AND 3383 02:36:00,116 --> 02:36:02,184 IT'S BEING ADDRESSED AND 3384 02:36:02,184 --> 02:36:02,952 HOPEFULLY IN THE RECOMMENDATIONS 3385 02:36:02,952 --> 02:36:04,820 BUT HOW CAN WHAT ARE SOME OF THE 3386 02:36:04,820 --> 02:36:06,289 PIECES AND THIS FOR EVERYONE 3387 02:36:06,289 --> 02:36:08,157 AROUND THE ROOM AND NOT 3388 02:36:08,157 --> 02:36:11,193 NECESSARILY JUST KARA AND TINA 3389 02:36:11,193 --> 02:36:13,529 BUT WHERE DO WE THINK THERE ARE 3390 02:36:13,529 --> 02:36:15,064 IDENTIFIED GAPS IN BRINGING ALL 3391 02:36:15,064 --> 02:36:23,306 THE STAKEHOLDERS TO THE TABLE? 3392 02:36:23,306 --> 02:36:24,907 WE HAVE A SPONSOR NEGOTIATING 3393 02:36:24,907 --> 02:36:30,713 WITH THE AGENCY AND APPROVE A 3394 02:36:30,713 --> 02:36:31,614 LABEL INCLUDING PATIENT 3395 02:36:31,614 --> 02:36:41,958 INFORMATION WHAT'S NECESSARY AND 3396 02:36:41,958 --> 02:36:42,158 SPAM. 3397 02:36:42,158 --> 02:36:43,926 MOU ARE THERE POTENTIAL GAPS WE 3398 02:36:43,926 --> 02:36:46,195 MIGHT NEED TO ADDRESS IN OUR 3399 02:36:46,195 --> 02:36:48,064 REPORT TO CONGRESS TO HELP 3400 02:36:48,064 --> 02:36:49,598 BETTER FACILITATE HOW THE 3401 02:36:49,598 --> 02:36:51,200 INFORMATION IS ULTIMATE ABLE TO 3402 02:36:51,200 --> 02:36:54,303 BE COMMUNICATED? 3403 02:36:54,303 --> 02:37:01,978 ANY THOUGHTS FROM ANYONE. 3404 02:37:01,978 --> 02:37:04,246 THERE'S CONNECTIVITY BETWEEN 3405 02:37:04,246 --> 02:37:06,282 PROVIDERS AND TALKING ABOUT 3406 02:37:06,282 --> 02:37:10,786 PHARMACISTS BUT THE CONNECTION 3407 02:37:10,786 --> 02:37:12,288 BETWEEN THE SPECIALISTS THAT 3408 02:37:12,288 --> 02:37:15,491 TREAT THE DISEASE BEING TREATED. 3409 02:37:15,491 --> 02:37:19,495 WITH THE OB-GYN AND PHARMACIST 3410 02:37:19,495 --> 02:37:20,896 WHO HANDS OVER THE MEDICATION. 3411 02:37:20,896 --> 02:37:22,631 THAT CONNECTION IS NOT ALWAYS 3412 02:37:22,631 --> 02:37:25,601 THERE TO THE EXTENT WE'D LIKE TO 3413 02:37:25,601 --> 02:37:26,435 SEE IT. 3414 02:37:26,435 --> 02:37:28,137 HOW TO FACILITATE IT I DON'T 3415 02:37:28,137 --> 02:37:29,905 HAVE A GOOD IDEA FOR RIGHT NOW 3416 02:37:29,905 --> 02:37:34,143 BUT I DO THINK THAT'S SOMETHING 3417 02:37:34,143 --> 02:37:44,687 THAT IS IT STILL TO BE IMPROVED. 3418 02:37:52,094 --> 02:37:56,932 YOU GO TO A RHEUMATOLOGIST AND 3419 02:37:56,932 --> 02:37:59,201 THEY SEND THEM TO THE OB IT'S 3420 02:37:59,201 --> 02:38:02,705 NOT MY JOB AND IT'S IDENTIFYING 3421 02:38:02,705 --> 02:38:04,573 A GROUP OF 10 OR SO 3422 02:38:04,573 --> 02:38:08,444 RHEUMATOLOGISTS WHO CARRY THE 3423 02:38:08,444 --> 02:38:10,112 FLAG FOR REPRODUCTIVE HEALTH AND 3424 02:38:10,112 --> 02:38:11,113 THEY'RE MOTIVATE AND INTERESTED 3425 02:38:11,113 --> 02:38:14,383 AND OPINION LEADERS AND CARRY 3426 02:38:14,383 --> 02:38:16,519 THE INITIATIVE FORWARD FOR 3427 02:38:16,519 --> 02:38:18,220 EVERYBODY ELSE IT. TAKES THAT 3428 02:38:18,220 --> 02:38:19,755 GROUP THAT HAS SPECIAL INTEREST 3429 02:38:19,755 --> 02:38:21,891 AND THE SPECIALTY PROVIDERS TO 3430 02:38:21,891 --> 02:38:23,225 MAKE THAT CONNECTION AND 3431 02:38:23,225 --> 02:38:24,593 INITIATE WAYS TO DO THAT. 3432 02:38:24,593 --> 02:38:28,297 THE OTHER ONE WHERE THERE'S A 3433 02:38:28,297 --> 02:38:30,733 GAP IS BETWEEN OBs AND 3434 02:38:30,733 --> 02:38:31,067 PEDIATRICIANS. 3435 02:38:31,067 --> 02:38:36,305 THE WHOLE THING ABOUT LACTATION, 3436 02:38:36,305 --> 02:38:38,574 THE OB IS THE PERSON WHO SHOULD 3437 02:38:38,574 --> 02:38:40,109 BE DISCUSSING THE LACTATION 3438 02:38:40,109 --> 02:38:41,110 QUESTION BEFORE THE PERSON EVER 3439 02:38:41,110 --> 02:38:42,812 DELIVERS AND THEN WE HAVE THE 3440 02:38:42,812 --> 02:38:51,053 GAP ON THE PEDIATRIC SIDE WHERE 3441 02:38:51,053 --> 02:38:53,355 IT'S NOT RECORDED IN E.H.R. 3442 02:38:53,355 --> 02:38:54,890 BECAUSE THE MOTHER'S TAKING THE 3443 02:38:54,890 --> 02:38:56,325 MEDICATION NOT THE BABY. 3444 02:38:56,325 --> 02:38:58,961 AND THE CONNECTION BETWEEN 3445 02:38:58,961 --> 02:39:03,933 PEDIATRICIANS AND OB'S 3446 02:39:03,933 --> 02:39:06,302 IMPORTANT. 3447 02:39:06,302 --> 02:39:09,672 >> I THINK IT'S AN INTERESTING 3448 02:39:09,672 --> 02:39:11,674 AND COMPLICATED QUESTION. 3449 02:39:11,674 --> 02:39:18,280 I THINK WE HAD A LOT OF OPTIMISM 3450 02:39:18,280 --> 02:39:19,648 AND EXCITEMENT WHEN THE 3451 02:39:19,648 --> 02:39:20,316 REGULATION CAME OUT SWITCHING 3452 02:39:20,316 --> 02:39:23,185 FROM THE LETTERS TO THE 3453 02:39:23,185 --> 02:39:26,922 EXPLANATORY STATEMENT AND HEARD 3454 02:39:26,922 --> 02:39:28,824 FROM MEMBERS WHO WERE CHALLENGED 3455 02:39:28,824 --> 02:39:30,459 BY THAT. 3456 02:39:30,459 --> 02:39:34,830 IT WAS A SIMPLER STRAIGHTFORWARD 3457 02:39:34,830 --> 02:39:40,736 CONVERSATION AND I THINK EASILY 3458 02:39:40,736 --> 02:39:46,809 DIGESTIBLE AND SAY HAS A LETTER 3459 02:39:46,809 --> 02:39:48,410 AND THAT WAS AN EASIER 3460 02:39:48,410 --> 02:39:49,211 CONVERSATION OR START OF 3461 02:39:49,211 --> 02:39:50,379 CONVERSATION WITH OUR PATIENTS 3462 02:39:50,379 --> 02:39:55,050 AND NOW OF COURSE IT'S A BIT 3463 02:39:55,050 --> 02:39:56,752 DIFFERENT WITH THE PACKAGING. 3464 02:39:56,752 --> 02:39:57,953 THERE CONTINUES TO BE POTENTIAL 3465 02:39:57,953 --> 02:40:00,356 BUT IT'S A MORE COMPLICATED 3466 02:40:00,356 --> 02:40:04,326 CONVERSATION ESPECIALLY WHEN THE 3467 02:40:04,326 --> 02:40:05,861 PHYSICIANS OR THERE'S NOT A LOT 3468 02:40:05,861 --> 02:40:07,196 OF TIME WITH EACH PATIENT AND 3469 02:40:07,196 --> 02:40:09,632 CAN'T TAKE THE TIME TO DIG INTO 3470 02:40:09,632 --> 02:40:14,670 WHAT'S AVAILABLE OR NOT. 3471 02:40:14,670 --> 02:40:18,941 I THINK THAT WILL CONTINUE TO BE 3472 02:40:18,941 --> 02:40:21,310 CHALLENGING AN I SEE IT AS AN 3473 02:40:21,310 --> 02:40:23,179 ONGOING CHALLENGE WHICH IS WHAT 3474 02:40:23,179 --> 02:40:24,947 YOU'RE TALKING ABOUT BUT DON'T 3475 02:40:24,947 --> 02:40:26,348 KNOW HOW TO GET PAST THAT 3476 02:40:26,348 --> 02:40:27,249 WITHOUT HAVING MORE OF THAT 3477 02:40:27,249 --> 02:40:34,056 INFORMATION. 3478 02:40:34,056 --> 02:40:34,757 IT CONTINUES TO BE DIFFICULT. 3479 02:40:34,757 --> 02:40:35,090 >> THANK YOU. 3480 02:40:35,090 --> 02:40:36,725 JEN. 3481 02:40:36,725 --> 02:40:42,298 >> I WANTED TO CIRCLE BACK TO 3482 02:40:42,298 --> 02:40:46,702 ADDING TO THE CONVERSATION TO 3483 02:40:46,702 --> 02:40:51,207 TIE INTO THE COMMUNICATION 3484 02:40:51,207 --> 02:40:54,276 BETWEEN SPECIALIST AND OB-GYN 3485 02:40:54,276 --> 02:40:56,145 AND THE THOUGHT DISEASE BASED 3486 02:40:56,145 --> 02:41:01,350 REGISTRIES CAN BE HELPFUL FOR 3487 02:41:01,350 --> 02:41:05,020 SAFETY AND THERE'S BASICALLY RUN 3488 02:41:05,020 --> 02:41:07,156 WITH SPECIALIST AND THERE'S NOT 3489 02:41:07,156 --> 02:41:09,158 A LOT OF COMMUNICATION WITH 3490 02:41:09,158 --> 02:41:10,993 OB-GYNs AND A COMMUNICATION GAP 3491 02:41:10,993 --> 02:41:14,830 WHERE THE PATIENT IS EXPECTED TO 3492 02:41:14,830 --> 02:41:16,999 BRING THE INFORMATION OVER AND 3493 02:41:16,999 --> 02:41:22,771 THAT'S IN MY VIEW PROBLEMATIC. 3494 02:41:22,771 --> 02:41:24,974 >> I WANTED TO BRING OUT THE 3495 02:41:24,974 --> 02:41:26,775 QUESTION HIGHLIGHTED IN 5A WHERE 3496 02:41:26,775 --> 02:41:28,644 THE FOCUS NOT SOLELY INTENDED TO 3497 02:41:28,644 --> 02:41:31,213 BE JUST ON THE RISK OF 3498 02:41:31,213 --> 02:41:33,649 MEDICATION USE IN PREGNANCY BUT 3499 02:41:33,649 --> 02:41:36,885 THE RISK OF NOT USING A 3500 02:41:36,885 --> 02:41:39,188 MEDICATION IN PREGNANCY. 3501 02:41:39,188 --> 02:41:42,925 DO WE FEEL THE COMMUNICATION 3502 02:41:42,925 --> 02:41:50,232 STRATEGIES ARE ADEQUATELY BOTH 3503 02:41:50,232 --> 02:41:50,599 COMPONENTS? 3504 02:41:50,599 --> 02:41:53,235 DOES ANYBODY WANT TO SPEAK THAT? 3505 02:41:53,235 --> 02:41:55,938 >> THIS IS ALISA HURLEY AND 3506 02:41:55,938 --> 02:41:59,341 WANTED TO ASK A QUESTION ABOUT 3507 02:41:59,341 --> 02:41:59,775 THAT. 3508 02:41:59,775 --> 02:42:07,049 WHEN SOMEBODY CALLS OR TEXTS THE 3509 02:42:07,049 --> 02:42:09,785 HELP LINE HOW MUCH OF THAT 3510 02:42:09,785 --> 02:42:11,020 CONVERSATION IS ASSESSING 3511 02:42:11,020 --> 02:42:12,288 RELATIVE RISK OR THE RISK OF 3512 02:42:12,288 --> 02:42:14,990 EXPOSURE OPPOSED TO NOT TAKING 3513 02:42:14,990 --> 02:42:16,425 IT AND WHATEVER IT IS. 3514 02:42:16,425 --> 02:42:20,095 >> IT'S EQUALLY WEIGHTED. 3515 02:42:20,095 --> 02:42:30,572 IT'S VERY MUCH A PART OF IT. 3516 02:42:31,840 --> 02:42:36,478 I WORRY THE CLINICIAN OR PATIENT 3517 02:42:36,478 --> 02:42:38,547 DOESN'T READ DOWN TO THE PART 3518 02:42:38,547 --> 02:42:41,450 AND NEEDS TO BE PART OF THE SAME 3519 02:42:41,450 --> 02:42:44,186 CONVERSATION TAKEN IN THE SAME 3520 02:42:44,186 --> 02:42:44,420 BREADTH. 3521 02:42:44,420 --> 02:42:46,088 IT'S PART OF THE CONVERSATION 3522 02:42:46,088 --> 02:42:47,890 WHEN YOU TALK ABOUT A VACCINE 3523 02:42:47,890 --> 02:42:50,125 BUT IT'S ABSOLUTELY THE PART 3524 02:42:50,125 --> 02:42:54,296 YOU'RE TALKING ABOUT AN ASTHMA 3525 02:42:54,296 --> 02:43:04,807 MEDICATION OR CYCLOMEDICATION. 3526 02:43:06,542 --> 02:43:08,177 >> HOW MANY FOLKS THAT HAVE 3527 02:43:08,177 --> 02:43:12,281 CALLED IN HAVE SPOKEN TO THEIR 3528 02:43:12,281 --> 02:43:14,149 PROVIDER ALREADY ABOUT THE ISSUE 3529 02:43:14,149 --> 02:43:16,919 WHETHER IT'S THE RISK OF TAKING 3530 02:43:16,919 --> 02:43:21,557 A DRUG OR THE RISK ARE OF GOING 3531 02:43:21,557 --> 02:43:23,992 OFF A DRUG DURING PREGNANCY? 3532 02:43:23,992 --> 02:43:26,395 >> I WON'T BE ABLE TO GIVE 3533 02:43:26,395 --> 02:43:29,498 CONCRETE NUMBERS BUT THEY COME 3534 02:43:29,498 --> 02:43:31,166 DIFFERENT PATHWAYS OFTEN IT'S I 3535 02:43:31,166 --> 02:43:34,103 READ THIS ON THE INTERNET OR 3536 02:43:34,103 --> 02:43:39,942 READ THIS IS HARMFUL IN RATS OR 3537 02:43:39,942 --> 02:43:42,611 MY SISTER TOLD ME SUCH AND SUCH. 3538 02:43:42,611 --> 02:43:43,879 SOMETIMES IT'S THEY TALKED TO 3539 02:43:43,879 --> 02:43:45,447 THEIR PROVIDER AND THEY'RE 3540 02:43:45,447 --> 02:43:51,153 WANTING REASSURING INFORMATION. 3541 02:43:51,153 --> 02:43:52,821 WE ALWAYS SAY THE INFORMATION WE 3542 02:43:52,821 --> 02:43:54,123 PROVIDE YOU TO YOUR PROVIDER AND 3543 02:43:54,123 --> 02:43:56,692 TALK TO THEM ABOUT IT. 3544 02:43:56,692 --> 02:43:58,694 WE'RE NOT PROVIDING MEDICAL 3545 02:43:58,694 --> 02:43:59,094 CARE. 3546 02:43:59,094 --> 02:44:01,230 IT'S AN INFORMATION SERVICE 3547 02:44:01,230 --> 02:44:01,597 ONLY. 3548 02:44:01,597 --> 02:44:02,531 AND THE INFORMATION WE PROVIDE 3549 02:44:02,531 --> 02:44:04,400 YOU WE ENCOURAGE YOU TO TAKE TO 3550 02:44:04,400 --> 02:44:05,634 YOUR PROVIDER AND IF YOU'RE 3551 02:44:05,634 --> 02:44:07,169 PROVIDER HAS QUESTIONS TO COME 3552 02:44:07,169 --> 02:44:12,741 BACK AND ASK US WHICH DOES 3553 02:44:12,741 --> 02:44:22,885 HAPPEN. 3554 02:44:40,836 --> 02:44:42,604 >> THERE'S ONE THING IT'S A 3555 02:44:42,604 --> 02:44:44,039 VACCINE OR PSYCHO THERAPEUTIC 3556 02:44:44,039 --> 02:44:46,241 AND HERE'S THE RISK BENEFIT BUT 3557 02:44:46,241 --> 02:44:47,910 I WONDER IF THERE'S A LIST OR 3558 02:44:47,910 --> 02:44:50,312 COMMONLY USED GROUP OF MEDS THAT 3559 02:44:50,312 --> 02:44:51,680 WE DON'T ACTUALLY HAVE SO MUCH 3560 02:44:51,680 --> 02:44:54,283 GUIDELINES ON AND NO ONE KNOWS 3561 02:44:54,283 --> 02:44:59,188 WHAT TO DO THAT WE COULD DIRECT 3562 02:44:59,188 --> 02:45:05,260 RESOURCES TO DISSEMINATE THOSE. 3563 02:45:05,260 --> 02:45:06,295 AS MUCH AS THE INFORMATION THAT 3564 02:45:06,295 --> 02:45:07,930 IS KNOW I WONDER THE GAPS AND WE 3565 02:45:07,930 --> 02:45:09,231 DON'T TALK BIT AT ALL. 3566 02:45:09,231 --> 02:45:11,934 >> I DON'T WANT TO PUT CAMILLE 3567 02:45:11,934 --> 02:45:14,069 ON THE SPOT BUT AARON OR CAMILLE 3568 02:45:14,069 --> 02:45:15,204 TALK ABOUT THE PRIORITIZATION 3569 02:45:15,204 --> 02:45:25,314 LISTS. 3570 02:45:33,188 --> 02:45:40,395 >> DISCUSS THE REQUEST FOR 3571 02:45:40,395 --> 02:45:41,797 LABELS FOR RESEARCH. 3572 02:45:41,797 --> 02:45:47,169 WE RECEIVE ABOUT 136 NOMINATIONS 3573 02:45:47,169 --> 02:45:50,472 IN THE FALL AND WE ARE GOING TO 3574 02:45:50,472 --> 02:45:52,007 BE ORGANIZING THOSE NOMINATIONS 3575 02:45:52,007 --> 02:45:55,878 AND GATHERING FEEDBACK AND 3576 02:45:55,878 --> 02:45:57,412 COLLECTING FEEDBACK FROM 3577 02:45:57,412 --> 02:45:58,714 STAKEHOLDERS AT A FUTURE MEETING 3578 02:45:58,714 --> 02:46:01,550 LATER THIS SUMMER, ACTUALLY. 3579 02:46:01,550 --> 02:46:03,185 WE'LL BE HAPPY TO SHARE 3580 02:46:03,185 --> 02:46:06,288 INFORMATION WITH THIS GROUP WHEN 3581 02:46:06,288 --> 02:46:07,556 IT BECOMES AVAILABLE. 3582 02:46:07,556 --> 02:46:08,557 >> THANK YOU FOR LETTING ME PUT 3583 02:46:08,557 --> 02:46:10,192 YOU ON THE SHOT. 3584 02:46:10,192 --> 02:46:15,631 >> ALSO WANTED TO ADD THE TWO 3585 02:46:15,631 --> 02:46:18,300 SOURCES OF INFORMATION ON OVER 3586 02:46:18,300 --> 02:46:21,169 THE COUNTER MEDICATION THE 3587 02:46:21,169 --> 02:46:22,471 NATIONAL BIRTH DEFECTS 3588 02:46:22,471 --> 02:46:24,740 PREVENTION STUDY WHICH CAPTURES 3589 02:46:24,740 --> 02:46:26,742 INFORMATION ON OVER THE COUNTER 3590 02:46:26,742 --> 02:46:31,113 USE AND PREGNANCY REGISTRIES WE 3591 02:46:31,113 --> 02:46:32,548 DO WE CAPTURE INFORMATION AS 3592 02:46:32,548 --> 02:46:32,748 WELL. 3593 02:46:32,748 --> 02:46:35,317 SO A LOT OF THE INFORMATION ON 3594 02:46:35,317 --> 02:46:38,654 OUR FACT SHEETS ON ACETAMINOPHEN 3595 02:46:38,654 --> 02:46:41,723 AND OTHER COMMONLY USED 3596 02:46:41,723 --> 02:46:42,457 MEDICATIONS, THAT'S WHY DATA ON 3597 02:46:42,457 --> 02:46:44,626 THOSE COME FROM. 3598 02:46:44,626 --> 02:46:46,495 >> THANKS VERY MUCH FOR THOSE 3599 02:46:46,495 --> 02:46:47,896 PIECES. 3600 02:46:47,896 --> 02:46:51,199 ADJUST TO TRY AND SUMMARIZE 3601 02:46:51,199 --> 02:46:52,734 RECOMMENDATION 5 AND FOCUS ON 3602 02:46:52,734 --> 02:46:53,168 RECOMMENDATION 6. 3603 02:46:53,168 --> 02:46:55,604 WHAT WE HEARD CLEARLY IS THAT 3604 02:46:55,604 --> 02:46:56,872 THERE MAY BE MORE NEED FOR US TO 3605 02:46:56,872 --> 02:46:59,007 FOCUS SOME OF THE PUBLIC 3606 02:46:59,007 --> 02:47:03,178 AWARENESS ON THE RISKS OF NOT 3607 02:47:03,178 --> 02:47:05,147 TAKING MEDICATIONS IN PREGNANCY 3608 02:47:05,147 --> 02:47:07,182 AND LACK TAGE AND HELP THE 3609 02:47:07,182 --> 02:47:08,083 STAKEHOLDERS INVOLVE UNDERSTAND 3610 02:47:08,083 --> 02:47:09,818 WHY IT'S A CRITICAL COMPONENT OF 3611 02:47:09,818 --> 02:47:10,385 THE DISCUSSION. 3612 02:47:10,385 --> 02:47:11,553 OTHER PIECES AND OPPORTUNITIES 3613 02:47:11,553 --> 02:47:14,022 TO EXPAND THE CONVERSATIONS INTO 3614 02:47:14,022 --> 02:47:16,058 THE LACTATION EXPERT COMMUNITY 3615 02:47:16,058 --> 02:47:18,226 AND HOW TO STRENGTHEN THE 3616 02:47:18,226 --> 02:47:20,896 CONNECTIVITY BETWEEN STAKEHOLDER 3617 02:47:20,896 --> 02:47:25,300 GROUPS THAT HAVE A CONTEXT TROLL 3618 02:47:25,300 --> 02:47:27,336 GROUPS AND THERE APPEARS TO BE 3619 02:47:27,336 --> 02:47:28,870 PROGRESS MADE IN THE SPACE BUT 3620 02:47:28,870 --> 02:47:30,305 MORE TO BE DONE AND I SAW YOUR 3621 02:47:30,305 --> 02:47:33,008 HAND RAISED. 3622 02:47:33,008 --> 02:47:38,146 >> WE NEED TO CONTINUE TO 3623 02:47:38,146 --> 02:47:43,118 EDUCATE ON WHAT A RISK MEANS. 3624 02:47:43,118 --> 02:47:48,790 APPROPRIATE WHAT DOES IT MEAN 3625 02:47:48,790 --> 02:47:50,359 AND CONTINUING TO EDUCATE THE 3626 02:47:50,359 --> 02:47:52,461 PUBLIC BECAUSE THERE'S ONE CASE 3627 02:47:52,461 --> 02:47:54,296 OF SOMETHING AMONG THOSE THAT 3628 02:47:54,296 --> 02:47:58,934 HAVE TAKEN SOMETHING DOES NOT 3629 02:47:58,934 --> 02:48:09,177 MEAN -- AND 3630 02:48:14,950 --> 02:48:20,422 >> HOW PREGNANT WOMEN THINK 3631 02:48:20,422 --> 02:48:21,189 ABOUT RISK. 3632 02:48:21,189 --> 02:48:23,058 >> THAT'S PART OF THE WORK WE'RE 3633 02:48:23,058 --> 02:48:27,229 TRYING TO DO. 3634 02:48:27,229 --> 02:48:31,233 >> THAT TAKES US NICELY TO 3635 02:48:31,233 --> 02:48:31,867 RECOMMENDATION 6. 3636 02:48:31,867 --> 02:48:35,003 >> WE DIDN'T STUDY THE RISK OF 3637 02:48:35,003 --> 02:48:35,404 NOT BREASTFEEDING. 3638 02:48:35,404 --> 02:48:36,571 THAT'S THE LAST FEEDING. 3639 02:48:36,571 --> 02:48:42,377 I DON'T THINK WE'RE MAKING MUCH 3640 02:48:42,377 --> 02:48:49,084 PROGRESS THERE CONSIDERING WE 3641 02:48:49,084 --> 02:48:51,186 GET ENOUGH PUSHBACK OF THE RISK 3642 02:48:51,186 --> 02:48:52,854 INOCCURS GUILT AND DON'T WANT TO 3643 02:48:52,854 --> 02:48:54,890 TALK ABOUT IT AND THAT'S BEFORE 3644 02:48:54,890 --> 02:48:57,325 YOU ADD IN A MED. 3645 02:48:57,325 --> 02:49:00,195 YOU HAVE TO ADDRESS THAT PART 3646 02:49:00,195 --> 02:49:02,731 FIRST BEFORE YOU CAN GET IN THE 3647 02:49:02,731 --> 02:49:03,432 MEDICATIONS ASPECT. 3648 02:49:03,432 --> 02:49:06,301 >> THANK YOU, THAT'S IMPORTANT 3649 02:49:06,301 --> 02:49:16,545 CLARIFICATION. 3650 02:49:36,364 --> 02:49:38,133 >> MAKING THE TIE OF THE 3651 02:49:38,133 --> 02:49:39,000 INFORMATION WE HAVE FOR THE NEED 3652 02:49:39,000 --> 02:49:40,135 FOR RESEARCH IN THE AREA NEEDS 3653 02:49:40,135 --> 02:49:40,535 TO BE PART OF THE 3654 02:49:40,535 --> 02:49:50,812 COMMUNICATIONS. 3655 02:50:06,661 --> 02:50:09,097 >> TO UNDERSTAND THE MIND SET OF 3656 02:50:09,097 --> 02:50:09,598 RESEARCH PARTICIPATION. 3657 02:50:09,598 --> 02:50:12,601 >> WE HAVE THAT ON OUR WEBSITE 3658 02:50:12,601 --> 02:50:13,869 HIGHLIGHTING THERE'S NOT A LOT 3659 02:50:13,869 --> 02:50:15,170 KNOWN ABOUT VARIOUS MEDICATIONS 3660 02:50:15,170 --> 02:50:20,275 AND IF YOU WANT TO PARTICIPATE 3661 02:50:20,275 --> 02:50:22,944 HERE'S PLACES TO LOOK BUT WE CAN 3662 02:50:22,944 --> 02:50:25,080 MAKE THE CONNECTION MORE 3663 02:50:25,080 --> 02:50:25,347 SPECIFIC. 3664 02:50:25,347 --> 02:50:28,216 >> AND MORE ABOUT IN THE SURVEYS 3665 02:50:28,216 --> 02:50:29,618 THAT YOU'RE ASKING ACTUALLY -- 3666 02:50:29,618 --> 02:50:32,187 >> AS WE WERE TALKING TODAY I 3667 02:50:32,187 --> 02:50:33,221 THOUGHT WE SHOULD ADD THAT AND 3668 02:50:33,221 --> 02:50:34,823 HOW TO FRAME IT TO ENCOURAGE 3669 02:50:34,823 --> 02:50:45,200 PEOPLE TO PARTICIPATE. 3670 02:50:59,981 --> 02:51:01,650 >> WE NEED TO UNDER SCORE THE 3671 02:51:01,650 --> 02:51:03,051 NUANCE ABOUT RISK WHICH IS TO 3672 02:51:03,051 --> 02:51:09,891 HAVE A PATIENT DEFINED RISK 3673 02:51:09,891 --> 02:51:20,101 THRESHO 3674 02:51:29,711 --> 02:51:32,480 THRESHOLDS DEFINE RISK AS AN 3675 02:51:32,480 --> 02:51:34,583 OUTCOME THAT'S PATIENT CENTER 3676 02:51:34,583 --> 02:51:39,855 AND INCORPORATE THAT TO FUTURE 3677 02:51:39,855 --> 02:51:40,121 RESEARCH. 3678 02:51:40,121 --> 02:51:42,224 AND THEN BRIDGE ADVANCEMENTS 3679 02:51:42,224 --> 02:51:43,758 WE'VE SEEN IN THE FAMILY 3680 02:51:43,758 --> 02:51:44,726 PLANNING RESEARCH SPACE INTO 3681 02:51:44,726 --> 02:51:46,127 SOME OF THE THINGS WE'RE TALKING 3682 02:51:46,127 --> 02:51:48,730 ABOUT IN TERMS OF OBSTETRIC AND 3683 02:51:48,730 --> 02:51:51,199 LACTATION PHARMACOLOGY. 3684 02:51:51,199 --> 02:51:57,105 THANK YOU. 3685 02:51:57,105 --> 02:52:00,942 >> THANK YOU, BECKY FROM SMFM. 3686 02:52:00,942 --> 02:52:02,077 I APPRECIATE THAT CONVERSATION 3687 02:52:02,077 --> 02:52:04,346 AND AS WE SCORE THE PARTS IN 5 I 3688 02:52:04,346 --> 02:52:06,047 WANT TO UNDER SCORE I DON'T WANT 3689 02:52:06,047 --> 02:52:09,751 US TO SAY NO RESEARCH IS NEEDED 3690 02:52:09,751 --> 02:52:14,890 BECAUSE KARA'S DOING SOMETHING 3691 02:52:14,890 --> 02:52:25,200 FOR COMMUNICATION. 3692 02:52:28,103 --> 02:52:31,072 THANK YOU FOR YOUR WORK, KARA, 3693 02:52:31,072 --> 02:52:32,240 BUT MORE NEEDS TO BE DONE. 3694 02:52:32,240 --> 02:52:42,717 >> I THINK I HEARD UNFUNDED. 3695 02:52:44,252 --> 02:52:45,720 >> THAT MAY BE A GOOD 3696 02:52:45,720 --> 02:52:47,722 OPPORTUNITY AS WE THINK ABOUT 3697 02:52:47,722 --> 02:52:49,457 THE BRIDGE BETWEEN FIVE AND SIX 3698 02:52:49,457 --> 02:52:51,726 AND THE DICHOTOMY OF WHAT THE 3699 02:52:51,726 --> 02:52:54,296 PUBLIC WAS AWARE OF AND MAKE THE 3700 02:52:54,296 --> 02:52:56,097 PUBLIC AWARE OF THINGS WHEN 3701 02:52:56,097 --> 02:52:56,898 MAYBE THE HEALTH CARE PROVIDERS 3702 02:52:56,898 --> 02:52:58,967 DON'T KNOW THE ANSWERS TO THE 3703 02:52:58,967 --> 02:53:01,937 QUESTIONS WHICH IS WHY WE'RE 3704 02:53:01,937 --> 02:53:02,337 HERE. 3705 02:53:02,337 --> 02:53:05,240 SO ONE OF THE AN ADDITION TO ALL 3706 02:53:05,240 --> 02:53:06,942 THIS NEEDS MORE FUNDING AND 3707 02:53:06,942 --> 02:53:08,777 NEEDS MORE DEDICATED FUNDING FOR 3708 02:53:08,777 --> 02:53:11,613 THE SPECIFIC ACTIVITIES. 3709 02:53:11,613 --> 02:53:12,681 ANYTIME WE SEE WE'RE LIKE 3710 02:53:12,681 --> 02:53:13,915 PULLING TOGETHER THE RESOURCES 3711 02:53:13,915 --> 02:53:16,451 THAT WE HAVE WHEN I HEAR THAT 3712 02:53:16,451 --> 02:53:18,320 FROM FEDERAL AGENCIES WE'RE 3713 02:53:18,320 --> 02:53:20,288 TAKING NOTES ON ALL THIS AND 3714 02:53:20,288 --> 02:53:22,290 THINKING WHAT DOES THIS MEAN. 3715 02:53:22,290 --> 02:53:24,125 THE CALL THERE NEEDS TO BE A 3716 02:53:24,125 --> 02:53:26,695 CALL TO ACTION TOO IN A LOT OF 3717 02:53:26,695 --> 02:53:26,895 THESE. 3718 02:53:26,895 --> 02:53:28,897 WITHIN A PUBLIC AWARENESS 3719 02:53:28,897 --> 02:53:30,065 CAMPAIGN WHAT'S THE CALL TO AC 3720 02:53:30,065 --> 02:53:35,437 TO THE AUDIENCE WE'RE TRYING TO 3721 02:53:35,437 --> 02:53:37,806 GET TO WITHIN STRATEGIES RELATED 3722 02:53:37,806 --> 02:53:38,940 TO HEALTH CARE PROVIDERS WHAT'S 3723 02:53:38,940 --> 02:53:43,178 THEIR CALL TO ACTION AND THIS 3724 02:53:43,178 --> 02:53:44,446 TIES TOO THE BROADER 3725 02:53:44,446 --> 02:53:45,647 CONVERSATION ABOUT WOMEN'S 3726 02:53:45,647 --> 02:53:47,482 HEALTH RESEARCH IN THE COUNTRY 3727 02:53:47,482 --> 02:53:49,851 RIGHT NOW IN PARTICULAR IN LIGHT 3728 02:53:49,851 --> 02:53:52,053 OF AN EXECUTIVE ORDER SIGNED ON 3729 02:53:52,053 --> 02:53:55,190 MONDAY THERE'S A LOT WE DON'T 3730 02:53:55,190 --> 02:53:56,124 KNOW AND IT'S STRUCTURAL THE 3731 02:53:56,124 --> 02:54:05,367 REASONS WE DON'T KNOW IT. 3732 02:54:05,367 --> 02:54:07,202 AND FIT INTO RESEARCH TRAINING 3733 02:54:07,202 --> 02:54:10,905 AND CURRICULUM WITHIN THE 3734 02:54:10,905 --> 02:54:12,640 BROADER WOMEN'S HEALTH CONTEXT. 3735 02:54:12,640 --> 02:54:19,180 IT SHOULDN'T BE SILOED IF YOU'RE 3736 02:54:19,180 --> 02:54:24,319 GOING TO HEAR ABOUT AUTO IMMUNE 3737 02:54:24,319 --> 02:54:29,391 CONDITIONS AND WHY THEY IMPACT 3738 02:54:29,391 --> 02:54:31,960 WOMEN MORE AND PEOPLE DON'T KNOW 3739 02:54:31,960 --> 02:54:36,097 THE ANSWERS SO IT'S ONE THING WE 3740 02:54:36,097 --> 02:54:38,233 HEAR ABOUT OUR PROGRAMS NOT 3741 02:54:38,233 --> 02:54:39,067 RELATED TO PREGNANCY. 3742 02:54:39,067 --> 02:54:42,103 WE HEAR IT IN LUPUS AND 3743 02:54:42,103 --> 02:54:45,306 NARCOLEPSY AND ANY ISSUE WE'RE 3744 02:54:45,306 --> 02:54:46,741 LOOKING AT THAT HEALTH CARE 3745 02:54:46,741 --> 02:54:48,643 PROVIDERS, THAT'S A PIECE OF IT 3746 02:54:48,643 --> 02:54:51,146 AND RESEARCH OBVIOUSLY AND THE 3747 02:54:51,146 --> 02:54:52,580 MORE PUBLIC AWARENESS SIDE 3748 02:54:52,580 --> 02:54:52,881 ALTOGETHER. 3749 02:54:52,881 --> 02:54:54,883 THERE'S DEFINITELY A CALL TO 3750 02:54:54,883 --> 02:54:59,187 ACTION IN TERMS OF HOW TO FIT 3751 02:54:59,187 --> 02:54:59,754 THIS INTO SOMETHING ALREADY 3752 02:54:59,754 --> 02:54:59,988 MOVING. 3753 02:54:59,988 --> 02:55:07,962 AND THEN ON THE ADVOCACY SIDE 3754 02:55:07,962 --> 02:55:10,065 THE DEDICATED FUNDING STREAM IS 3755 02:55:10,065 --> 02:55:10,899 SUPER IMPORTANT. 3756 02:55:10,899 --> 02:55:12,767 >> WHAT YOU SAID HAS BEEN 3757 02:55:12,767 --> 02:55:14,202 RESONATING WITH ME BECAUSE IT 3758 02:55:14,202 --> 02:55:15,770 HIGHLIGHTS WE NEED TO BE CLEAR 3759 02:55:15,770 --> 02:55:17,072 IN OUR REPORT THE 3760 02:55:17,072 --> 02:55:19,174 RECOMMENDATIONS ARE SO 3761 02:55:19,174 --> 02:55:20,308 INTERCONNECTED AND CAN'T LIVE 3762 02:55:20,308 --> 02:55:21,776 UNTO THEMSELVES THEY RELY ON 3763 02:55:21,776 --> 02:55:24,345 OTHER PIECES IN ORDER TO 3764 02:55:24,345 --> 02:55:26,414 CONTINUE TO GROW THE RESEARCH 3765 02:55:26,414 --> 02:55:28,917 COMMUNITY AROUND OUR ABILITY TO 3766 02:55:28,917 --> 02:55:34,255 GENERATE DATA TO BETTER INFORM 3767 02:55:34,255 --> 02:55:36,091 OUR PATIENTS HOW DO WE DO THAT 3768 02:55:36,091 --> 02:55:38,426 AND PUT THE PIECES TOGETHER. 3769 02:55:38,426 --> 02:55:40,829 >> AND PATIENT CENTEREDNESS AND 3770 02:55:40,829 --> 02:55:43,665 ENGAGEMENT AND THERE'S AREAS WE 3771 02:55:43,665 --> 02:55:44,666 CAN ALREADY PULL FROM 3772 02:55:44,666 --> 02:55:46,901 POTENTIALLY IF WE HAD THE 3773 02:55:46,901 --> 02:55:48,736 RESOURCES TO DO THAT BUT CLARITY 3774 02:55:48,736 --> 02:55:54,309 BECAUSE THAT'S WHAT'S GOING TO 3775 02:55:54,309 --> 02:55:57,712 MOVE THIS SIDE OF THE PROCESS. 3776 02:55:57,712 --> 02:55:59,614 >> I'D LIKE TO ADD ONE MORE 3777 02:55:59,614 --> 02:56:01,616 THING BASED ON ONE OF THE 3778 02:56:01,616 --> 02:56:02,717 PODCASTS FROM MOTHER TO BABY 3779 02:56:02,717 --> 02:56:04,619 ABOUT FOLIC ACID AND I WAS 3780 02:56:04,619 --> 02:56:07,188 LISTENING TO IT IN MY CAR AND 3781 02:56:07,188 --> 02:56:09,924 THINKING WHY ARE WE STILL 3782 02:56:09,924 --> 02:56:11,226 TALKING ABOUT FOLIC ACID. 3783 02:56:11,226 --> 02:56:12,794 I'VE BEEN TALKING ABOUT IT FOR 3784 02:56:12,794 --> 02:56:14,229 20 YEARS BUT THE COMMUNITY 3785 02:56:14,229 --> 02:56:15,563 CHANGES EVERY COUPLE YEARS AND 3786 02:56:15,563 --> 02:56:19,067 SO THIS IS NOT SOMETHING WHERE 3787 02:56:19,067 --> 02:56:22,170 WE CAN USE INFORMATION FROM 2018 3788 02:56:22,170 --> 02:56:27,142 BECAUSE THE WOMEN WE WANT IT 3789 02:56:27,142 --> 02:56:29,277 REACH NOW GREW UP AFTER COVID 3790 02:56:29,277 --> 02:56:29,511 ALREADY. 3791 02:56:29,511 --> 02:56:31,012 I THINK THAT IS AN IMPORTANT 3792 02:56:31,012 --> 02:56:32,547 ASPECT WE NEED TO REALIZE IS 3793 02:56:32,547 --> 02:56:34,415 WE'RE CONSTANTLY TALKING TO A 3794 02:56:34,415 --> 02:56:39,420 NEW GROUP OF WOMEN TO WHICH I NO 3795 02:56:39,420 --> 02:56:40,822 LONGER BELONG BUT THAT'S AN 3796 02:56:40,822 --> 02:56:41,689 IMPORTANT ASPECT TOO. 3797 02:56:41,689 --> 02:56:44,659 >> NOT ONLY BASED ON AGE BUT THE 3798 02:56:44,659 --> 02:56:45,793 EVOLVING DEMOGRAPHIC OF OUR 3799 02:56:45,793 --> 02:56:46,227 SOCIETY AS WELL. 3800 02:56:46,227 --> 02:56:50,632 >> AND HOW THEY'RE GETTING 3801 02:56:50,632 --> 02:56:54,736 INFORMATION AND WHERE NOW. 3802 02:56:54,736 --> 02:56:59,174 >> IT'S A LOT TO COORDINATE. 3803 02:56:59,174 --> 02:57:03,178 >> CAKARA, THE PRIORITIZATION O 3804 02:57:03,178 --> 02:57:04,412 WHERE MESSAGES MOST RESONATE AND 3805 02:57:04,412 --> 02:57:06,181 FAMILY AND FRIENDS IS IS RIGHT 3806 02:57:06,181 --> 02:57:06,848 AFTER PROVIDER. 3807 02:57:06,848 --> 02:57:10,118 IT CAN HAVE AN OUTSIZED IMPACT. 3808 02:57:10,118 --> 02:57:12,320 >> AND KIND OF WHAT WE WERE 3809 02:57:12,320 --> 02:57:15,957 TALKING ABOUT BUT WE ARE DOING 3810 02:57:15,957 --> 02:57:18,293 MORE FOCUS RESEARCH RIGHT NOW AS 3811 02:57:18,293 --> 02:57:19,227 WELL WITH HISPANIC COMMUNITIES 3812 02:57:19,227 --> 02:57:22,897 AROUND FOLIC ACID AND DEPENDING 3813 02:57:22,897 --> 02:57:24,799 ON WHO YOU'RE TALKING TO MAY 3814 02:57:24,799 --> 02:57:27,168 RELY MORE ON ADVICE FROM YOUR 3815 02:57:27,168 --> 02:57:33,641 GRANDMOTHER OR MOTHER AND 3816 02:57:33,641 --> 02:57:35,009 COMMUNICATING ALSO WITH THOSE IN 3817 02:57:35,009 --> 02:57:39,113 THEIR CLOSE CIRCLES. 3818 02:57:39,113 --> 02:57:41,816 >> IF I COULD JUST MAKE ONE MORE 3819 02:57:41,816 --> 02:57:46,521 COMMENT ABOUT THE BRIDGING TO 3820 02:57:46,521 --> 02:57:47,088 OTHER ISSUES. 3821 02:57:47,088 --> 02:57:49,157 SO I'M OVER SIMPLIFYING BECAUSE 3822 02:57:49,157 --> 02:57:50,491 OUR RESEARCH IS SUPER IMPORTANT 3823 02:57:50,491 --> 02:57:53,194 AND WILL CONTINUE TO BE SUPER 3824 02:57:53,194 --> 02:57:54,295 IMPORTANT AND PARSING OUT 3825 02:57:54,295 --> 02:57:56,464 EXACTLY WHAT THE MESSAGING 3826 02:57:56,464 --> 02:58:00,735 PROBLEMS ARE WE'RE HAVING BUT AS 3827 02:58:00,735 --> 02:58:03,171 A GENERALIZATION I THINK IF YOU 3828 02:58:03,171 --> 02:58:05,173 ASK THE PUBLIC AND THE TARGET 3829 02:58:05,173 --> 02:58:08,910 POPULATION HERE ABOUT 3830 02:58:08,910 --> 02:58:11,379 MEDICATIONS AND PREGNANCY THE 3831 02:58:11,379 --> 02:58:12,480 GENERAL BELIEF IS THAT PREGNANT 3832 02:58:12,480 --> 02:58:17,318 PEOPLE SHOULD NOT BE TAKING 3833 02:58:17,318 --> 02:58:18,653 MEDICATIONS AND THEIR PHYSICIANS 3834 02:58:18,653 --> 02:58:20,688 WILL SAY DON'T TAKE THESE 3835 02:58:20,688 --> 02:58:21,356 MEDICATIONS BECAUSE THEY BELIEVE 3836 02:58:21,356 --> 02:58:25,360 THE MEDICATIONS ARE KNOWN TO BE 3837 02:58:25,360 --> 02:58:29,330 BAD FOR THEM VERSUS WE JUST 3838 02:58:29,330 --> 02:58:29,897 DON'T KNOW. 3839 02:58:29,897 --> 02:58:31,599 THERE'S A DIFFERENCE VERSUS 3840 02:58:31,599 --> 02:58:32,900 SOMETHING WE DON'T KNOW IS BAD 3841 02:58:32,900 --> 02:58:34,469 AND DON'T KNOW AND TO THE PUBLIC 3842 02:58:34,469 --> 02:58:35,870 IT'S AN INTERPRETED AS DON'T 3843 02:58:35,870 --> 02:58:37,305 TAKE IT BECAUSE TAKING 3844 02:58:37,305 --> 02:58:39,707 MEDICATION IN PREGNANCY IS BAD. 3845 02:58:39,707 --> 02:58:42,143 THAT LINKS TO A COMMUNICATION 3846 02:58:42,143 --> 02:58:46,881 PROBLEM WE HAVE AND/OR ARE GOING 3847 02:58:46,881 --> 02:58:49,450 TO HAVE ABOUT DRUG DEVELOPMENT 3848 02:58:49,450 --> 02:58:52,220 FOR PREGNANCY COMPLICATIONS. 3849 02:58:52,220 --> 02:58:55,623 IT'S INCREASINGLY IN OUR 3850 02:58:55,623 --> 02:58:57,058 PREECLAMPSIA WORLD IS SOMETHING 3851 02:58:57,058 --> 02:58:58,359 WE'LL HAVE TO ADDRESS BECAUSE 3852 02:58:58,359 --> 02:58:59,060 THERE'S THERAPEUTICS BEING 3853 02:58:59,060 --> 02:58:59,327 DEVELOPED. 3854 02:58:59,327 --> 02:59:03,164 IF YOU LINK THE IDEA THERE'S A 3855 02:59:03,164 --> 02:59:04,165 PERVASIVE KNOWLEDGE THAT 3856 02:59:04,165 --> 02:59:06,000 MEDICATION IN PREGNANCY IS BAD 3857 02:59:06,000 --> 02:59:07,935 BECAUSE THE MEDICATIONS ARE BAD 3858 02:59:07,935 --> 02:59:09,570 AND NOW WE'RE GOING TO BE TRYING 3859 02:59:09,570 --> 02:59:11,639 TO INTRODUCE COMMUNICATIONS 3860 02:59:11,639 --> 02:59:14,275 AROUND NEW DRUG DEVELOPMENT AND 3861 02:59:14,275 --> 02:59:15,877 WHY IT'S IMPORTANT TO 3862 02:59:15,877 --> 02:59:18,313 PARTICIPATE IN RESEARCH IS A 3863 02:59:18,313 --> 02:59:20,815 BIGGER HURDLE TO JUMP OVER. 3864 02:59:20,815 --> 02:59:22,550 IT IS A LINKAGE BECAUSE WE'VE 3865 02:59:22,550 --> 02:59:25,920 BEEN TALKING ABOUT EXISTING 3866 02:59:25,920 --> 02:59:26,220 MEDICATIONS. 3867 02:59:26,220 --> 02:59:28,222 I'M ALSO HERE TO MAKE SURE WE 3868 02:59:28,222 --> 02:59:29,390 STAY FOCUSSED ON THE DEVELOPMENT 3869 02:59:29,390 --> 02:59:30,892 OF NEW DRUGS AND WHAT IT'S GOING 3870 02:59:30,892 --> 02:59:34,195 TO TAKE TO GET THE RESEARCH FOR 3871 02:59:34,195 --> 02:59:34,395 THAT. 3872 02:59:34,395 --> 02:59:35,196 >> THANK YOU. 3873 02:59:35,196 --> 02:59:38,766 I THINK IT'S AN IMPORTANT PIECE 3874 02:59:38,766 --> 02:59:43,037 AND CLEAR COMPONENT OF 6A AND 3875 02:59:43,037 --> 02:59:44,572 REMINDED ME OF A POINT IN 3876 02:59:44,572 --> 02:59:46,541 SESSION 1 ABOUT THE COALITION 3877 02:59:46,541 --> 02:59:47,208 AND BRINGING TOGETHER OTHER 3878 02:59:47,208 --> 02:59:47,842 EXPERT COMMUNITIES. 3879 02:59:47,842 --> 02:59:50,244 I THINK IT'S A CRITICAL PIECE. 3880 02:59:50,244 --> 02:59:52,814 SO UNDERSTANDING THE CAST OF THE 3881 02:59:52,814 --> 02:59:54,849 MESSAGING WITHIN THE COMMUNITY 3882 02:59:54,849 --> 02:59:57,552 GOES BEYOND OBSTETRICS AND 3883 02:59:57,552 --> 02:59:59,620 GYNECOLOGY BUT TO THE ENTIRE SET 3884 02:59:59,620 --> 03:00:01,356 OF COMMUNITIES WHERE THERE'S 3885 03:00:01,356 --> 03:00:02,190 THERAPEUTICS DEVELOPMENTS GOING 3886 03:00:02,190 --> 03:00:02,557 ON. 3887 03:00:02,557 --> 03:00:05,193 HOW DO WE ENSURE THERE IS THAT 3888 03:00:05,193 --> 03:00:06,227 INFUSION OF INFORMATION TO 3889 03:00:06,227 --> 03:00:08,763 INFORM THEM ABOUT WHY THE 3890 03:00:08,763 --> 03:00:10,598 RESEARCH IS NECESSARY AND WHY 3891 03:00:10,598 --> 03:00:13,835 THEY'RE UNDERSTANDING OF THE 3892 03:00:13,835 --> 03:00:15,002 INFORMATION AND HOW IT INFORMS 3893 03:00:15,002 --> 03:00:18,306 THE ACTUAL RISK VERSUS BENEFIT 3894 03:00:18,306 --> 03:00:21,676 IS ALSO IMPORTANT. 3895 03:00:21,676 --> 03:00:22,510 LYNN. 3896 03:00:22,510 --> 03:00:25,980 >> PIGGYBACKING OFF THAT I'M 3897 03:00:25,980 --> 03:00:27,215 THINKING WHEN THE WORD EVIDENCE 3898 03:00:27,215 --> 03:00:28,216 BASE IN 6. 3899 03:00:28,216 --> 03:00:30,618 I WANT TO PROPOSE I THINK A GAP 3900 03:00:30,618 --> 03:00:32,053 IN RESEARCH RIGHT NOW IS FUNDING 3901 03:00:32,053 --> 03:00:35,356 FOR PARTNERSHIPS WITH EXPERTS IN 3902 03:00:35,356 --> 03:00:37,024 FOR EXAMPLE SCHOOLS OF 3903 03:00:37,024 --> 03:00:38,860 COMMUNICATION AND JOURNALISM WHO 3904 03:00:38,860 --> 03:00:42,730 ARE THE ONES WHO DEVELOP THE 3905 03:00:42,730 --> 03:00:43,331 RESEARCH FOR EVIDENCE BASED 3906 03:00:43,331 --> 03:00:45,767 COMMUNICATION STRATEGIES AND I 3907 03:00:45,767 --> 03:00:49,837 THINK IN HEALTH CARE MEDICAL 3908 03:00:49,837 --> 03:00:52,407 FIELD, WE NEED TO PARTNER WITH 3909 03:00:52,407 --> 03:00:55,510 THE EXPERTS WHO DEVELOP AND TEST 3910 03:00:55,510 --> 03:00:57,211 COMMUNICATION STRATEGIES AND 3911 03:00:57,211 --> 03:00:59,947 DETERMINE HOW THEY NEED TO 3912 03:00:59,947 --> 03:01:00,448 EVOLVE WITH DIFFERENT 3913 03:01:00,448 --> 03:01:02,517 COMMUNITIES AND GENERATIONS AND 3914 03:01:02,517 --> 03:01:04,919 LITERACY LEVELS AND SUCH AND I 3915 03:01:04,919 --> 03:01:08,189 WOULD LOVE TO SEE MORE FUNDING 3916 03:01:08,189 --> 03:01:08,823 SPECIFICALLY FOR THOSE KINDS OF 3917 03:01:08,823 --> 03:01:15,129 PARTNERSHIPS. 3918 03:01:15,129 --> 03:01:16,998 >> I KNOW SOMEONE ELSE HAD A 3919 03:01:16,998 --> 03:01:18,299 COMMENT ABOUT THE SAME TIME BUT 3920 03:01:18,299 --> 03:01:19,634 MISSED WHO IT WAS. 3921 03:01:19,634 --> 03:01:23,204 >> IT WAS ME BUT I THINK DR. YE 3922 03:01:23,204 --> 03:01:24,972 STOLE MY SHOW. 3923 03:01:24,972 --> 03:01:29,243 I WAS THINKING THE SAME THING. 3924 03:01:29,243 --> 03:01:34,215 ACTUALLY TO CONTINUE THAT IDEA I 3925 03:01:34,215 --> 03:01:35,783 WAS ALSO CURIOUS ABOUT AN 3926 03:01:35,783 --> 03:01:37,051 ASSUMPTION IN RECOMMENDATION 6 3927 03:01:37,051 --> 03:01:39,620 THREES AN EXISTING WORKFORCE TO 3928 03:01:39,620 --> 03:01:42,023 DO THE COMMUNICATION WORK BUT I 3929 03:01:42,023 --> 03:01:43,191 FEEL EMBEDDED IN RECOMMENDATION 3930 03:01:43,191 --> 03:01:45,493 5 AS WE THINK OF THE ONGOING 3931 03:01:45,493 --> 03:01:47,195 TRAINING OPPORTUNITIES ARE WE 3932 03:01:47,195 --> 03:01:49,130 ALSO THEN PROVIDING TRAINING AND 3933 03:01:49,130 --> 03:01:54,135 ENGAGEMENT IN PEOPLE WHO DO 3934 03:01:54,135 --> 03:01:59,674 COMMUNICATION OR ASKING TO THINK 3935 03:01:59,674 --> 03:02:01,108 ABOUT DISSEMINATION AND WHEN WE 3936 03:02:01,108 --> 03:02:03,177 THINK OF THE INVOLVEMENT IN 3937 03:02:03,177 --> 03:02:04,212 FAMILY PARTNERS NOT AS 3938 03:02:04,212 --> 03:02:06,614 REQUIREMENT FOR CONSENT BUT 3939 03:02:06,614 --> 03:02:08,616 COMFORT, ENGAGEMENT, INTEREST 3940 03:02:08,616 --> 03:02:12,787 AROUND RESEARCH OR TAKING NOVEL 3941 03:02:12,787 --> 03:02:16,724 THERAPEUTICS LYNN WAS TALKING 3942 03:02:16,724 --> 03:02:18,860 ABOUT HAVE A BEHAVIORAL SCIENCE 3943 03:02:18,860 --> 03:02:20,761 FOCUS AND CONSIDERING THE 3944 03:02:20,761 --> 03:02:22,897 WORKFORCE IS AN INTERESTING 3945 03:02:22,897 --> 03:02:26,267 ENGAGEMENT IS VALUABLE TO AVOID 3946 03:02:26,267 --> 03:02:29,804 BACKLASH WE'VE SEEN AROUND NOVEL 3947 03:02:29,804 --> 03:02:32,106 THINGS LIKE COVID OR RSV VACCINE 3948 03:02:32,106 --> 03:02:32,940 IF WE START THAT CONVERSATION 3949 03:02:32,940 --> 03:02:35,109 FROM THE BEGINNING WITH 3950 03:02:35,109 --> 03:02:35,977 BEHAVIORAL SCIENTIST COLLEAGUES 3951 03:02:35,977 --> 03:02:39,180 CAN WE DO MORE FROM THE 3952 03:02:39,180 --> 03:02:39,614 BEGINNING. 3953 03:02:39,614 --> 03:02:42,316 THANKS FOR DR. YEE FOR STARTING 3954 03:02:42,316 --> 03:02:43,184 THAT. 3955 03:02:43,184 --> 03:02:45,019 >> VERY GOOD. 3956 03:02:45,019 --> 03:02:47,188 OTHER COMMENTS ONLINE I'VE 3957 03:02:47,188 --> 03:02:55,129 MISSED? 3958 03:02:55,129 --> 03:02:56,130 SEEING NONE -- 3959 03:02:56,130 --> 03:02:57,832 >> NOT TO PUT FDA ON THE SPOT 3960 03:02:57,832 --> 03:02:59,967 BUT THE THOUGHT OCCURRED TO ME 3961 03:02:59,967 --> 03:03:01,869 THAT THERE MAY BE AN TONIGHT 3962 03:03:01,869 --> 03:03:05,306 WHEN WE THINK ABOUT THE PATIENT 3963 03:03:05,306 --> 03:03:07,508 FOCUSSED DRUG DEVELOPMENT THAT 3964 03:03:07,508 --> 03:03:08,209 MAYBE THERE'S SOMETHING THERE 3965 03:03:08,209 --> 03:03:10,611 AND I'M GOING THROUGH THE LIST. 3966 03:03:10,611 --> 03:03:14,315 I KNOW THOSE MEETINGS ARE 3967 03:03:14,315 --> 03:03:14,949 SPECIFIC TO PARTICULAR 3968 03:03:14,949 --> 03:03:16,450 CONDITIONS BUT I DON'T KNOW IF 3969 03:03:16,450 --> 03:03:20,721 THERE'S BEEN A THOUGHT OR IF 3970 03:03:20,721 --> 03:03:23,691 THERE'S A NEED TO CONSIDER 3971 03:03:23,691 --> 03:03:24,358 PREGNANCY OR CONDITIONS SPECIFIC 3972 03:03:24,358 --> 03:03:27,228 TO PREGNANCY THAT START THAT 3973 03:03:27,228 --> 03:03:30,298 CONVERSATION GOING. 3974 03:03:30,298 --> 03:03:37,138 GOING SOME FDA-LED PATIENT FOCUS 3975 03:03:37,138 --> 03:03:38,639 THERE NEEDS TO BE SUPPORT. 3976 03:03:38,639 --> 03:03:41,475 >> WE DO HAVE WORKSHOPS ON 3977 03:03:41,475 --> 03:03:43,010 PRETERM BIRTH AND WE ALWAYS HAVE 3978 03:03:43,010 --> 03:03:44,378 A PATIENT COMPONENT IN ALL THE 3979 03:03:44,378 --> 03:03:50,585 WORKSHOPS WE DO. 3980 03:03:50,585 --> 03:03:52,019 MAYBE I'M NOT UNDERSTANDING 3981 03:03:52,019 --> 03:03:52,253 EXACTLY. 3982 03:03:52,253 --> 03:04:00,127 >> I'M THINKING LIKE A FULL 3983 03:04:00,127 --> 03:04:06,300 PFDD-FDA LED MEETING ON LIKE 3984 03:04:06,300 --> 03:04:06,867 PREGNANCY. 3985 03:04:06,867 --> 03:04:17,044 SOME CONDITIONS TO GET TO THE 3986 03:04:17,044 --> 03:04:18,312 CONSUMER SIDE AND WHAT THEY 3987 03:04:18,312 --> 03:04:21,048 VALUE AND THINKING OF THE TYPES 3988 03:04:21,048 --> 03:04:22,617 OF INFORMATION AND MAYBE IT'S 3989 03:04:22,617 --> 03:04:24,719 SOMEWHERE AND MAY JUST NEED TO 3990 03:04:24,719 --> 03:04:25,853 BE PULLED TOGETHER SO OTHER 3991 03:04:25,853 --> 03:04:28,990 FOLKS CAN HELP DISSEMINATE. 3992 03:04:28,990 --> 03:04:29,624 THE THOUGHT OCCURRED THAT'S 3993 03:04:29,624 --> 03:04:34,395 SOMETHING I WASN'T AWARE OF 3994 03:04:34,395 --> 03:04:36,097 HAVING HAPPENED BEFORE. 3995 03:04:36,097 --> 03:04:37,632 >> THERE'S BEEN A LOT OF 3996 03:04:37,632 --> 03:04:38,366 DIFFERENT WORKSHOPS. 3997 03:04:38,366 --> 03:04:41,636 WE DID ONE ON REAL WORLD 3998 03:04:41,636 --> 03:04:43,337 EVIDENCE USING THAT IN PREGNANCY 3999 03:04:43,337 --> 03:04:46,040 AND LACTATION. 4000 03:04:46,040 --> 03:04:48,342 THERE'S RESOURCES THAT COULD BE 4001 03:04:48,342 --> 03:04:48,843 DISSEMINATED. 4002 03:04:48,843 --> 03:04:52,313 I'M TRYING TO GET TO THE 4003 03:04:52,313 --> 03:04:55,016 COMMUNICATION PIECE AND LEILA 4004 03:04:55,016 --> 03:04:57,485 YOU DEAL WITH THE LABEL WITH 4005 03:04:57,485 --> 03:04:59,120 INFORMATION AND BEYOND THE 4006 03:04:59,120 --> 03:05:03,090 LABEL, WE DON'T PUT OUT LIKE -- 4007 03:05:03,090 --> 03:05:06,293 THAT'S OUR COMMUNICATION PIECE 4008 03:05:06,293 --> 03:05:08,663 ABOUT THE MEDICATION. 4009 03:05:08,663 --> 03:05:11,198 >> DO YOU WANT TO ADD ANYTHING 4010 03:05:11,198 --> 03:05:20,741 OR NO? 4011 03:05:20,741 --> 03:05:23,744 >> AT THE RECENT PRETERM BIRTH 4012 03:05:23,744 --> 03:05:24,779 PUBLIC WORKSHOP THERE WERE 4013 03:05:24,779 --> 03:05:27,848 SESSIONS THAT INCLUDED PATIENTS. 4014 03:05:27,848 --> 03:05:31,986 WE SPECIFICALLY ASKED THEM WHAT 4015 03:05:31,986 --> 03:05:33,421 ARE YOU INTERESTED IN IN SEEING 4016 03:05:33,421 --> 03:05:36,824 IN TERMS OF DEVELOPMENT OF 4017 03:05:36,824 --> 03:05:40,528 PRETERM PRODUCTS TO PREVENT 4018 03:05:40,528 --> 03:05:41,662 REOCCURRENCE OF PRETERM BIRTH 4019 03:05:41,662 --> 03:05:43,864 AND IN TERMS OF WHAT IS 4020 03:05:43,864 --> 03:05:48,069 IMPORTANT TO YOU RELATED TO YOU 4021 03:05:48,069 --> 03:05:49,470 HAVING HAD PREVIOUS PRETERM 4022 03:05:49,470 --> 03:05:51,238 BIRTH AND HAVING A PRETERM BABY 4023 03:05:51,238 --> 03:05:54,041 AND WHAT DR. ARE THE OUTCOMES 4024 03:05:54,041 --> 03:05:55,176 YOU'RE INTERESTED IN BECAUSE FDA 4025 03:05:55,176 --> 03:05:56,877 IS INTERESTED IN HEARING FROM 4026 03:05:56,877 --> 03:05:59,180 YOU AS A PATIENT AND HAVING 4027 03:05:59,180 --> 03:06:01,682 EXPERIENCED THAT IN THE PAST SO 4028 03:06:01,682 --> 03:06:03,184 WE DEFINITELY DO TAKE THE 4029 03:06:03,184 --> 03:06:05,686 PATIENT VOICE AND WHAT THE 4030 03:06:05,686 --> 03:06:06,320 PATIENT IS INTERESTED IN INTO 4031 03:06:06,320 --> 03:06:07,388 CONSIDERATION. 4032 03:06:07,388 --> 03:06:11,258 >> AND JUST TO ADD ONE OTHER 4033 03:06:11,258 --> 03:06:14,028 THING, WE RECENTLY HAD A 4034 03:06:14,028 --> 03:06:15,796 REGULATORY SERIES OR OFFICE PUT 4035 03:06:15,796 --> 03:06:17,431 OUT AND WE WORKED WITH LEILA AS 4036 03:06:17,431 --> 03:06:21,202 YOU GROUP ON THIS AND HAD TWO 4037 03:06:21,202 --> 03:06:25,005 WEBINARS, ONE WAS FOR NHLING 4038 03:06:25,005 --> 03:06:25,573 PROVIDERS ON OPPORTUNITIES 4039 03:06:25,573 --> 03:06:29,643 ENGAGING IN RESEARCH ON 4040 03:06:29,643 --> 03:06:31,212 PREGNANCY AND LACTATION AND WE 4041 03:06:31,212 --> 03:06:35,182 HAVE THE PROGRAMMING WE PUT OUT 4042 03:06:35,182 --> 03:06:38,552 THERE. 4043 03:06:38,552 --> 03:06:41,822 >> THANKS FOR THOSE PIECES. 4044 03:06:41,822 --> 03:06:47,194 PAMELA I THINK YOU HAD A 4045 03:06:47,194 --> 03:06:48,295 QUESTION ONLINE. 4046 03:06:48,295 --> 03:06:51,198 >>>> THANKS FOR THOSE PIECES. 4047 03:06:51,198 --> 03:06:51,732 PAMELA I THINK YOU HAD A 4048 03:06:51,732 --> 03:06:52,099 QUESTION ONLINE. 4049 03:06:52,099 --> 03:06:52,333 >>THERE. 4050 03:06:52,333 --> 03:06:52,900 >> THANKS FOR THOSE PIECES. 4051 03:06:52,900 --> 03:06:53,434 PAMELA I THINK YOU HAD A 4052 03:06:53,434 --> 03:06:54,301 QUESTION ONLINE. 4053 03:06:54,301 --> 03:07:04,378 >> 4054 03:07:07,915 --> 03:07:11,819 >> THERE'S DRUG THERAPIES FOR 4055 03:07:11,819 --> 03:07:14,421 LACTATION SUCH AS MASTITIS AND 4056 03:07:14,421 --> 03:07:15,222 MILK SUPPLY CONCERNS. 4057 03:07:15,222 --> 03:07:17,525 I THINK THAT IS OFTEN 4058 03:07:17,525 --> 03:07:18,292 OVERLOOKED. 4059 03:07:18,292 --> 03:07:19,226 I WANTED TO BRING THAT UP. 4060 03:07:19,226 --> 03:07:23,898 THANK YOU. 4061 03:07:23,898 --> 03:07:26,901 >> IT'S ALWAYS IMPORTANT IT 4062 03:07:26,901 --> 03:07:30,304 REEMPHASIZE AND NOT FORGOTTEN 4063 03:07:30,304 --> 03:07:31,739 ABOUT THE CRITICAL NATURE. 4064 03:07:31,739 --> 03:07:33,307 I THINK WITH THE LAST 10 MINUTES 4065 03:07:33,307 --> 03:07:35,176 ONE AREA WE SHOULD CONTINUE TO 4066 03:07:35,176 --> 03:07:40,681 FOCUS ON A LITTLE BIT HERE TO 4067 03:07:40,681 --> 03:07:43,517 UNDERSTAND THE STATUS OF OUR 6C 4068 03:07:43,517 --> 03:07:45,953 AND 6D IN ENGAGING WITH HEALTH 4069 03:07:45,953 --> 03:07:48,656 CARE PROVIDERS TO DISCUSS 4070 03:07:48,656 --> 03:07:49,790 PARTICIPATION IN RESEARCH, WHY 4071 03:07:49,790 --> 03:07:52,493 RESEARCH IS IMPORTANT TO THE 4072 03:07:52,493 --> 03:07:58,132 CARE OF PATIENTS WHO ARE 4073 03:07:58,132 --> 03:08:00,301 LACTATING AND THEY'RE 4074 03:08:00,301 --> 03:08:05,439 INVOLVEMENT AND WHY █THE DATA 4075 03:08:05,439 --> 03:08:10,444 GENERATION IS IMPORTANT. 4076 03:08:10,444 --> 03:08:12,313 HOW DO WE FEEL WE'VE BEEN ABLE 4077 03:08:12,313 --> 03:08:18,519 TO ADDRESS THAT GAP? 4078 03:08:18,519 --> 03:08:21,689 >> I HAVE A COMMENT ON THE IDEA 4079 03:08:21,689 --> 03:08:26,660 OF HEALTH CARE PROVIDERS WHO 4080 03:08:26,660 --> 03:08:27,928 AREN'T CONDUCTING AND ENGAGEMENT 4081 03:08:27,928 --> 03:08:28,762 IN CLINICAL TRIALS. 4082 03:08:28,762 --> 03:08:32,032 AND ONE CHALLENGE WITH REGARD TO 4083 03:08:32,032 --> 03:08:33,868 TRAINING IS COMPENSATION PLANS. 4084 03:08:33,868 --> 03:08:36,437 WHEN CLINICIANS ARE REWARDED FOR 4085 03:08:36,437 --> 03:08:39,006 HIGH VOLUME PATIENT CARE, EVEN 4086 03:08:39,006 --> 03:08:41,842 IF THEY'RE ACADEMICALLY VERY 4087 03:08:41,842 --> 03:08:44,545 INTERESTED AND ENGAGING IN 4088 03:08:44,545 --> 03:08:46,814 CLINICAL TRIALS OR REGISTRIES BY 4089 03:08:46,814 --> 03:08:49,717 ENROLLING PATIENTS OR CONNECTING 4090 03:08:49,717 --> 03:08:52,653 TO P.I.s THERE'S LITTLE REWARD 4091 03:08:52,653 --> 03:08:54,288 FOR THAT AND IT'S NOT SOMETHING 4092 03:08:54,288 --> 03:08:57,925 WE CAN ADDRESS IN THIS CONTEXT 4093 03:08:57,925 --> 03:09:00,761 BUT A STRUCTURAL PROBLEM IN 4094 03:09:00,761 --> 03:09:02,496 HEALTH CARE WHEN CLINICIANS 4095 03:09:02,496 --> 03:09:03,230 REGARDLESS OF PRIVATE PRACTICE 4096 03:09:03,230 --> 03:09:05,466 OR ACADEMIC SETTING CAN FIT INTO 4097 03:09:05,466 --> 03:09:10,304 THE DAY THE ABILITY TO TALK 4098 03:09:10,304 --> 03:09:12,006 ABOUT THESE THINGS WITH 4099 03:09:12,006 --> 03:09:13,173 COLLEAGUES ENROLLING PATIENTS IN 4100 03:09:13,173 --> 03:09:15,209 TRIALS OR WITH PATIENTS. 4101 03:09:15,209 --> 03:09:19,113 THERE'S BIG GAPS THERE. 4102 03:09:19,113 --> 03:09:20,514 >> THANK YOU. 4103 03:09:20,514 --> 03:09:21,949 THE INCENTIVES PIECE IS ONE OF 4104 03:09:21,949 --> 03:09:23,784 THE RECOMMENDATIONS AND I THINK 4105 03:09:23,784 --> 03:09:24,618 THAT YOU'RE QUITE RIGHT THAT 4106 03:09:24,618 --> 03:09:27,221 PIECE IS CONTINUING TO BE 4107 03:09:27,221 --> 03:09:31,759 MISSING. 4108 03:09:31,759 --> 03:09:33,227 >> FROM PERSONAL EXPERIENCE 4109 03:09:33,227 --> 03:09:35,162 WITHIN AN ACADEMIC INSTITUTION 4110 03:09:35,162 --> 03:09:40,034 GETTING RESIDENTS, FELLOWS, 4111 03:09:40,034 --> 03:09:42,336 FACULTY TO ENGAGE PATIENTS IN 4112 03:09:42,336 --> 03:09:43,604 RESEARCH IS IMPOSSIBLE UNLESS 4113 03:09:43,604 --> 03:09:46,573 THEY HAVE AN IMPORTANT ASPECT IN 4114 03:09:46,573 --> 03:09:47,841 THE PROJECT AND EVEN THEN THEY 4115 03:09:47,841 --> 03:09:50,844 DON'T HAVE THE TIME OR DON'T 4116 03:09:50,844 --> 03:09:53,514 THINK ABOUT IT BECAUSE THEY HAVE 4117 03:09:53,514 --> 03:09:54,682 SO MANY OTHER THINGS GOING ON 4118 03:09:54,682 --> 03:09:58,152 AND OUR ABILITY TO BE IN CLINICS 4119 03:09:58,152 --> 03:10:00,087 IS ALSO A PROBLEM. 4120 03:10:00,087 --> 03:10:02,489 YOU CAN'T NECESSARILY PASS OUT 4121 03:10:02,489 --> 03:10:03,157 INFORMATION OR POST INFORMATION 4122 03:10:03,157 --> 03:10:08,595 IN A CLINIC TO ALLOW THEM TO -- 4123 03:10:08,595 --> 03:10:10,464 OR ALLOW THE PATIENTS TO BE 4124 03:10:10,464 --> 03:10:11,432 ENGAGED IN ASKING THOSE 4125 03:10:11,432 --> 03:10:14,601 QUESTIONS. 4126 03:10:14,601 --> 03:10:16,971 >> I WAS POINTING OUT I WAS 4127 03:10:16,971 --> 03:10:18,405 WRONG ON MY TIME. 4128 03:10:18,405 --> 03:10:19,573 WE'RE SUPPOSED TO BE ON LUNCH 4129 03:10:19,573 --> 03:10:20,841 BREAK ALREADY. 4130 03:10:20,841 --> 03:10:23,177 IS THERE ANYBODY ELSE WITH A 4131 03:10:23,177 --> 03:10:24,678 PRESSING PIECE THEY'D LIKE IT 4132 03:10:24,678 --> 03:10:28,382 ADD AS IT RELATE TO WHERE WE'RE 4133 03:10:28,382 --> 03:10:29,416 SEEING CURRENTLY THE 4134 03:10:29,416 --> 03:10:30,317 IMPLEMENTATION PLAN FOR 4135 03:10:30,317 --> 03:10:33,654 RECOMMENDATION 6. 4136 03:10:33,654 --> 03:10:35,189 >> ONE BRIEF SUGGESTION WHICH IS 4137 03:10:35,189 --> 03:10:40,894 THAT THERE'S A REGISTRY THE 4138 03:10:40,894 --> 03:10:42,162 ANTIRETROVIRAL PREGNANCY 4139 03:10:42,162 --> 03:10:43,897 REGISTRY GOING ON MANY AND MY 4140 03:10:43,897 --> 03:10:45,733 CLINIC CONTRIBUTES TO IT. 4141 03:10:45,733 --> 03:10:48,469 THEY'VE STARTED DOING A PILOT OF 4142 03:10:48,469 --> 03:10:51,405 PAYING PEOPLE TO PAYING 4143 03:10:51,405 --> 03:10:53,107 CLINICIANS TO UPLOAD DATA INTO 4144 03:10:53,107 --> 03:10:55,009 THE APR. 4145 03:10:55,009 --> 03:10:56,810 I HAVEN'T TOUCHED BASE WITH 4146 03:10:56,810 --> 03:10:58,645 THEIR LEADER YET TO SEE HOW THE 4147 03:10:58,645 --> 03:11:00,147 PILOT IS GOING BUT IT WOULD BE 4148 03:11:00,147 --> 03:11:02,149 INTERESTING TO HEAR RESULTS IN 4149 03:11:02,149 --> 03:11:03,684 THE FUTURE AND SEE IF IT HAS 4150 03:11:03,684 --> 03:11:04,918 SUCCESSFULLY RESULTED. 4151 03:11:04,918 --> 03:11:06,520 IT'S NOT THAT MUCH BUT PER 4152 03:11:06,520 --> 03:11:08,322 PATIENT IT ADDS UP AND IT WOULD 4153 03:11:08,322 --> 03:11:09,757 BE INTERESTING TO SEE IF THAT'S 4154 03:11:09,757 --> 03:11:12,793 BEEN A SUCCESSFUL WAY TO ENGAGE 4155 03:11:12,793 --> 03:11:15,162 CLINICIANS WHO MAY NOT OTHERWISE 4156 03:11:15,162 --> 03:11:17,031 BE INCLINED TO UPLOAD DATA. 4157 03:11:17,031 --> 03:11:17,364 >> THANK YOU. 4158 03:11:17,364 --> 03:11:24,972 TINA. 4159 03:11:24,972 --> 03:11:27,274 >> I THINK THEY ALSO WANT 4160 03:11:27,274 --> 03:11:27,975 INFORMATION BACK. 4161 03:11:27,975 --> 03:11:32,246 THAT'S ANOTHER FORM OF COMPENSATION, SAYING I'VE 4162 03:11:32,246 --> 03:11:36,917 PROVIDED THIS TO YOU AND WHAT WILL HELP ME TREAT PATIENTS IN THE FUTURE. 4163 03:11:36,917 --> 03:11:41,055 >> THAT FITS IN WITH WHAT IS 4164 03:11:41,055 --> 03:11:44,024 STILL NEEDED FOR 6D. 4165 03:11:44,024 --> 03:11:45,192 IS THERE A QUESTION? 4166 03:11:45,192 --> 03:11:50,564 I SEE THE SCREEN LIT UP? 4167 03:11:50,564 --> 03:11:51,832 >> NO, SORRY. 4168 03:11:51,832 --> 03:11:52,533 I'LL TRY TO GET IT OFF. 4169 03:11:52,533 --> 03:11:55,135 THANKS. 4170 03:11:55,135 --> 03:11:58,672 >> I THINK WITH THAT SAID THEN I 4171 03:11:58,672 --> 03:12:02,076 THINK THAT WRAPS UP OUR SESSION 2. 4172 03:12:02,076 --> 03:12:05,379 THERE'S BEEN INSPIRED, UNFUNDED 4173 03:12:05,379 --> 03:12:07,181 WORK THAT'S BEEN DONE, 4174 03:12:07,181 --> 03:12:09,917 PASSIONATE MOTIVATED PEOPLE WHO 4175 03:12:09,917 --> 03:12:12,219 HAVE TAKEN THE INITIATIVE TO FIX 4176 03:12:12,219 --> 03:12:13,987 ENORMOUS GAPS WITH WHAT THEY 4177 03:12:13,987 --> 03:12:16,190 HAVE AVAILABLE TO THEM BUT 4178 03:12:16,190 --> 03:12:18,158 CLEARLY THERE'S OPPORTUNITY FOR 4179 03:12:18,158 --> 03:12:19,593 ADDITIONAL WORK TO BE DONE AND 4180 03:12:19,593 --> 03:12:20,294 FUNDAMENTALLY WHAT NEEDS DO THAT 4181 03:12:20,294 --> 03:12:22,963 IS FUNDING, FUNDING, FUNDING. 4182 03:12:22,963 --> 03:12:26,533 I THINK WE HAVE AT LEFT THE 4183 03:12:26,533 --> 03:12:27,868 BACKGROUND WE NEED TO OUTLINE 4184 03:12:27,868 --> 03:12:29,970 WHERE WE'RE GOING TO NEED TO 4185 03:12:29,970 --> 03:12:32,039 DIRECT OUR REPORT IN REGARDS TO 4186 03:12:32,039 --> 03:12:33,373 RECOMMENDATIONS 5 AND 6. 4187 03:12:33,373 --> 03:12:35,642 I APPRECIATE ALL OF YOU STICKING 4188 03:12:35,642 --> 03:12:36,944 WITH US 10 MINUTES INTO YOUR 4189 03:12:36,944 --> 03:12:39,179 LUNCH BREAK AND THINK AT THIS 4190 03:12:39,179 --> 03:12:40,814 POINT I CAN HAVE EVERYONE 4191 03:12:40,814 --> 03:12:49,590 RELEASED TO THEIR PRE-ORDERED 4192 03:12:49,590 --> 03:12:49,823 LUNCHES? 4193 03:12:49,823 --> 03:12:51,225 WE'LL RETURN AT WE'RE TOLD WE 4194 03:12:51,225 --> 03:12:52,993 CAN TAKE ONE WHOLE HOUR SO WE'LL 4195 03:12:52,993 --> 03:12:54,328 HAVE YOU RETURN AT 1:25 EASTERN. 4196 03:12:54,328 --> 03:12:54,394 4197 03:12:55,796 --> 03:12:56,098 THANKS, EVERYONE. 4198 03:13:02,128 --> 03:13:05,398 >> WELCOME BACK TO THE AFTERNOON 4199 03:13:05,398 --> 03:13:05,632 SESSION. 4200 03:13:05,632 --> 03:13:09,936 SO IN SESSION III, WHAT OUR 4201 03:13:09,936 --> 03:13:12,005 COLLEAGUES FROM NICHD AND SUE 4202 03:13:12,005 --> 03:13:13,573 AND A WANTED TO MAKE SURE WE DID 4203 03:13:13,573 --> 03:13:15,141 WAS GO BACK TO THE 4204 03:13:15,141 --> 03:13:15,976 RECOMMENDATIONS WHERE WE'RE 4205 03:13:15,976 --> 03:13:16,977 AWAITING ADDITIONAL INPUT OR 4206 03:13:16,977 --> 03:13:18,445 WHERE WE WANT TO HAVE A 4207 03:13:18,445 --> 03:13:23,383 CONVERSATION WITH YOU ABOUT HOW 4208 03:13:23,383 --> 03:13:27,387 BEST TO HANDLE WHAT WE THINK 4209 03:13:27,387 --> 03:13:30,657 WILL BE NEEDED WE'LL DRAFT FOR 4210 03:13:30,657 --> 03:13:37,197 COUNCIL AND ULTIMATELY CONGRESS. 4211 03:13:37,197 --> 03:13:39,165 WE WANTED TO PROVIDE AN 4212 03:13:39,165 --> 03:13:40,433 OPPORTUNITY TO DISCUSS WHAT HAD 4213 03:13:40,433 --> 03:13:42,769 BEEN A PENDING UPDATE THAT IS 4214 03:13:42,769 --> 03:13:53,313 NOW AN UPDATE FROM OHRP AND CAN 4215 03:13:58,852 --> 03:14:02,555 WALK YOU THROUGH WHAT THE 4216 03:14:02,555 --> 03:14:12,165 RECOMMENDATIONS ARE IN A MOMENT. 4217 03:14:12,165 --> 03:14:16,703 WE NOTED FUNDING OR LEGISLATIVE 4218 03:14:16,703 --> 03:14:20,273 PROPOSALS AND WANTED TO DISCUSS 4219 03:14:20,273 --> 03:14:21,708 WITH YOU WHAT DIRECTION FOR 4220 03:14:21,708 --> 03:14:26,613 PURPOSES OF THE REPORT. 4221 03:14:26,613 --> 03:14:31,685 TO REMIND YOU WHERE HE WHERE HE 4222 03:14:31,685 --> 03:14:41,928 NEEDED INPUT PREGNANT AND LAC -- 4223 03:14:41,928 --> 03:14:43,163 LACTATING AND CONDUCT OF 4224 03:14:43,163 --> 03:14:48,468 RESEARCH FOR PREGNANT AND 4225 03:14:48,468 --> 03:14:49,336 LACTATING WOMEN AND 4226 03:14:49,336 --> 03:14:51,271 RECOMMENDATION 4A TO ADDRESS THE 4227 03:14:51,271 --> 03:14:54,107 REGULATORY BARRIERS FOR RESEARCH 4228 03:14:54,107 --> 03:14:56,543 IN WOMEN IN THE MODIFICATION OF 4229 03:14:56,543 --> 03:14:59,279 SUB PART B OF THE COMMON RULE 4230 03:14:59,279 --> 03:15:02,549 WITH THE TWO SUB COMPONENTS ON 4231 03:15:02,549 --> 03:15:04,617 MATERNAL CONCEPT WITHOUT THE 4232 03:15:04,617 --> 03:15:06,353 CONSENT OF THE PARTNER AND MINOR 4233 03:15:06,353 --> 03:15:11,825 INCREASE OVER MINIMAL RISK AND 4234 03:15:11,825 --> 03:15:17,464 RECOMMENDATION 10A IN THE 4235 03:15:17,464 --> 03:15:18,198 APPROACHES TO FACILITY PREGNANT 4236 03:15:18,198 --> 03:15:22,569 WOMEN AND LACTATING WOMEN IN 4237 03:15:22,569 --> 03:15:24,971 CLINICAL FOR THE JUSTIFICATION 4238 03:15:24,971 --> 03:15:26,539 OF EXCLUSION AND STUDY STUDY 4239 03:15:26,539 --> 03:15:28,108 DESIGN. 4240 03:15:28,108 --> 03:15:29,809 ALL OF YOU SHOULD HAVE RECEIVED 4241 03:15:29,809 --> 03:15:38,551 IN YOUR INBOX THE THREE-PAGE 4242 03:15:38,551 --> 03:15:49,029 SUMMARY OF OHRP AND PROVIDE 4243 03:15:53,500 --> 03:15:55,135 PERSPECTIVE ON WHAT YOU SAW IN 4244 03:15:55,135 --> 03:15:59,439 THE REPORT AND WHAT WE HEARD IS 4245 03:15:59,439 --> 03:16:01,674 THEY'RE AWARE THE 4246 03:16:01,674 --> 03:16:05,712 RECOMMENDATIONS ARE THERE AND 4247 03:16:05,712 --> 03:16:07,047 THERE'S NOT BEEN FORWARD 4248 03:16:07,047 --> 03:16:09,382 PROGRESS IN ENSURING THE PIECE 4249 03:16:09,382 --> 03:16:14,454 PROVIDED BUT THERE'S WORK BEHIND 4250 03:16:14,454 --> 03:16:21,294 THE SCENES TO TRY TO ADDRESS 4251 03:16:21,294 --> 03:16:23,329 THESE AND WANT TO IT UP TO 4252 03:16:23,329 --> 03:16:25,799 MEMBERS TO TO SEE IF YOU HAD 4253 03:16:25,799 --> 03:16:28,268 PIECES OR REFLECTIONS HOW TO 4254 03:16:28,268 --> 03:16:29,002 MAKE RECOMMENDATIONS TO MAKE 4255 03:16:29,002 --> 03:16:32,138 SURE THE PIECES MOVE FORWARD OR 4256 03:16:32,138 --> 03:16:33,973 NEED TO SUBJECTLY ADAPT 4257 03:16:33,973 --> 03:16:35,375 RECOMMENDATIONS TO HAVE THE 4258 03:16:35,375 --> 03:16:36,643 PIECES MOVE FORWARD. 4259 03:16:36,643 --> 03:16:39,079 HAPPY TO OPEN UP THE MICROPHONE 4260 03:16:39,079 --> 03:16:45,752 AND SEE SOME FACES THAT LOOK 4261 03:16:45,752 --> 03:16:46,486 LIKE THEY WANT TO MAKE COMMENTS. 4262 03:16:46,486 --> 03:16:56,796 KATHERINE. 4263 03:16:56,796 --> 03:17:01,267 >> I DON'T KNOW IT CHANGES MY 4264 03:17:01,267 --> 03:17:02,802 RECOMMENDATIONS WE SHOULD BE 4265 03:17:02,802 --> 03:17:05,271 MAKING BOUGHT IT CONFIRMED IT'S 4266 03:17:05,271 --> 03:17:08,408 AN ISSUE BUT I DID NOT GET THE 4267 03:17:08,408 --> 03:17:10,076 SENSE THERE WAS A LOT OF WORK 4268 03:17:10,076 --> 03:17:11,411 HAPPENING TO ADDRESS WHAT THE 4269 03:17:11,411 --> 03:17:15,882 RECOMMENDATION SHOULD SAY. 4270 03:17:15,882 --> 03:17:25,892 IN MY OPINION WE SHOULD UPDATE 4271 03:17:25,892 --> 03:17:27,694 GITANCE FOR X, Y AND Z AND 4272 03:17:27,694 --> 03:17:36,536 THAT'S DISAPPOINTING. 4273 03:17:36,536 --> 03:17:37,403 -- GUIDANCE. 4274 03:17:37,403 --> 03:17:40,673 >> I WOULD SAY BASED ON WHAT 4275 03:17:40,673 --> 03:17:41,975 KATIE JUST SAID IT'S A FOOTNOTE 4276 03:17:41,975 --> 03:17:51,885 IN OUR REPORT. 4277 03:17:51,885 --> 03:17:54,687 >> KG I BELIEVE WE'RE ABLE TO 4278 03:17:54,687 --> 03:17:55,922 INCLUDE THE WRITTEN COMMENT AS 4279 03:17:55,922 --> 03:17:58,691 AN APPENDIX AND FEEL IT SHOULD 4280 03:17:58,691 --> 03:18:01,561 BE INCLUDED IN THE APPENDIX? 4281 03:18:01,561 --> 03:18:02,762 THAT'S A PIECE WE COULD CHOOSE 4282 03:18:02,762 --> 03:18:12,872 TO DO. 4283 03:18:17,610 --> 03:18:21,047 >> I WAS INTERESTED IN THE PART 4284 03:18:21,047 --> 03:18:22,615 OF THE LETTER IF THEY WERE TO 4285 03:18:22,615 --> 03:18:23,883 MAKE CHANGES FOR THE REQUIREMENT 4286 03:18:23,883 --> 03:18:25,518 FOR CONSENT THAT THEY WOULD HAVE 4287 03:18:25,518 --> 03:18:30,690 TO MAKE SURE THERE'S NO PROBLEMS 4288 03:18:30,690 --> 03:18:36,396 WITH THAT. 4289 03:18:36,396 --> 03:18:39,732 THE CONVERSATIONS HAVEN'T 4290 03:18:39,732 --> 03:18:41,501 HAPPENED SINCE 2018 AND IT'S 4291 03:18:41,501 --> 03:18:48,208 GOOD TO KNOW THE STATUS OF THAT. 4292 03:18:48,208 --> 03:18:56,549 I WONDER THAT IF DEPENDING ON 4293 03:18:56,549 --> 03:18:59,419 THE ADMINISTRATION AND WHO 4294 03:18:59,419 --> 03:19:00,453 APPROVES CONDITIONS IF THAT 4295 03:19:00,453 --> 03:19:04,424 MAKES A DIFFERENCE IN WHICH CASE 4296 03:19:04,424 --> 03:19:07,060 TIME MAYBE RAPIDLY RUNNING OUT 4297 03:19:07,060 --> 03:19:09,963 IF THERE WERE A CHANGED 4298 03:19:09,963 --> 03:19:15,401 ADMINISTRATION BEFORE SUBJECT TO 4299 03:19:15,401 --> 03:19:21,074 CONGRESSIONAL APPROVAL. 4300 03:19:21,074 --> 03:19:26,646 >> THEY MAKE A MENTION WARE NOT 4301 03:19:26,646 --> 03:19:29,449 SURE WE CAN DO THIS SO MAYBE 4302 03:19:29,449 --> 03:19:31,985 WITH THE OFFICE OF THE SECRETARY 4303 03:19:31,985 --> 03:19:35,455 OF HHS AND ARE WE SENDING THE 4304 03:19:35,455 --> 03:19:36,589 RECOMMENDATIONS TO THE WRONG 4305 03:19:36,589 --> 03:19:37,890 PLACE BECAUSE THEY'RE BASICALLY 4306 03:19:37,890 --> 03:19:42,128 PASSING THE BUCK UP. 4307 03:19:42,128 --> 03:19:45,031 SHOULD WE RECOMMEND IT NEEDS TO 4308 03:19:45,031 --> 03:19:46,032 GO HIGHER IN HHS TO HAVE THE 4309 03:19:46,032 --> 03:19:54,474 CHANGES MADE? 4310 03:19:54,474 --> 03:19:55,608 >> IT'S AN IMPORTANT QUESTION ON 4311 03:19:55,608 --> 03:19:55,908 THE TABLE. 4312 03:19:55,908 --> 03:19:56,175 THOUGHTS? 4313 03:19:56,175 --> 03:19:59,312 >> YES. 4314 03:19:59,312 --> 03:20:01,014 >> RACHEL. 4315 03:20:01,014 --> 03:20:06,319 I THINK THE HIERARCHY THE HIGHER 4316 03:20:06,319 --> 03:20:08,554 LIKELIHOOD YOU'RE ENCOUNTERING 4317 03:20:08,554 --> 03:20:16,462 POLITICAL POIAPPOINTEES VERSUS 4318 03:20:16,462 --> 03:20:18,965 CAREER STAFF AND THEY'LL PAY THE 4319 03:20:18,965 --> 03:20:21,968 ATTENTION IT DESERVES BUT HAS 4320 03:20:21,968 --> 03:20:23,803 THE POTENTIAL TO BE CHALLENGING. 4321 03:20:23,803 --> 03:20:26,172 WHEN UPDATES HAPPENED PREVIOUSLY 4322 03:20:26,172 --> 03:20:28,174 TO THE COMMON RULE IT WAS UNDER 4323 03:20:28,174 --> 03:20:29,609 THE RADAR A LITTLE BIT AND THAT 4324 03:20:29,609 --> 03:20:32,312 WAS REALLY IMPORTANT AT THE TIME 4325 03:20:32,312 --> 03:20:33,079 TO HAVE THEM GO THROUGH. 4326 03:20:33,079 --> 03:20:40,086 THAT'S WHAT I RECALL. 4327 03:20:40,086 --> 03:20:43,556 YES, I AGREE. 4328 03:20:43,556 --> 03:20:44,691 I IMAGINE ENTHUSIASM AND SUPPORT 4329 03:20:44,691 --> 03:20:47,660 FOR THIS AND CONCERNED WHAT THIS 4330 03:20:47,660 --> 03:20:53,232 LOOKS LIKE UNDER A DIFFERENT 4331 03:20:53,232 --> 03:20:56,369 ADMINISTRATION. 4332 03:20:56,369 --> 03:20:58,204 >> OTHER THOUGHTS? 4333 03:20:58,204 --> 03:20:59,872 I DON'T WANT TO IGNOR FOLKS 4334 03:20:59,872 --> 03:21:02,542 ONLINE IF YOU HAVE COMMENTS OR 4335 03:21:02,542 --> 03:21:12,719 THOUGHTS. 4336 03:21:14,187 --> 03:21:16,122 BECKY. 4337 03:21:16,122 --> 03:21:17,557 >> BECKY WITH SMFM. 4338 03:21:17,557 --> 03:21:19,158 WE SHOULD BE CAREFUL IN HOW WE 4339 03:21:19,158 --> 03:21:19,392 PROCEED. 4340 03:21:19,392 --> 03:21:26,799 I THINK THERE'S THINGS WE CAN DO 4341 03:21:26,799 --> 03:21:28,701 AND NOTICE OF RULE MAKE PROCESS 4342 03:21:28,701 --> 03:21:31,404 AND EVEN IF THEY'RE NOT CHANGING 4343 03:21:31,404 --> 03:21:34,006 REGULATIONS I THINK IF WE CAN 4344 03:21:34,006 --> 03:21:37,443 PUSH THEM TO AT LEAST PUSH THEIR 4345 03:21:37,443 --> 03:21:40,012 PART TO EDUCATE IRBs WHAT THE 4346 03:21:40,012 --> 03:21:40,880 CURRENT REGULATIONS ARE AND 4347 03:21:40,880 --> 03:21:42,014 THERE ARE THINGS WE CAN DO 4348 03:21:42,014 --> 03:21:46,586 WITHOUT OPENING UP THE 4349 03:21:46,586 --> 03:21:46,886 REGULATIONS. 4350 03:21:46,886 --> 03:21:48,721 SO AS WE'RE THINK ABOUT OUR 4351 03:21:48,721 --> 03:21:49,989 REPORT MAYBE THAT'S THE WAY TO 4352 03:21:49,989 --> 03:21:53,659 THREAD THE NEEDLE GIVEN THE 4353 03:21:53,659 --> 03:21:58,765 UNCERTAINTY WITH THE 4354 03:21:58,765 --> 03:22:00,800 REGULATIONS. 4355 03:22:00,800 --> 03:22:04,370 >> YOU THINK MORE SO TO 4356 03:22:04,370 --> 03:22:06,472 REGULATION 10 HOW THEY CAN FOCUS 4357 03:22:06,472 --> 03:22:08,207 HOW TO GUIDE -- IT'S MORE 4358 03:22:08,207 --> 03:22:10,443 GUIDANCE OPPOSED TO RULE MAKING 4359 03:22:10,443 --> 03:22:12,311 SO MAINE MAYBE FOCUS OUR 4360 03:22:12,311 --> 03:22:15,148 ATTENTION ON THE GUIDANCE PIECE? 4361 03:22:15,148 --> 03:22:17,450 >> THAT'S SOMETHING I MIGHT 4362 03:22:17,450 --> 03:22:19,819 RECOMMEND IF OTHERS AGREE. 4363 03:22:19,819 --> 03:22:22,455 WHAT'S IN 1 IS SUPER IMPORTANT 4364 03:22:22,455 --> 03:22:24,223 BUT AGAIN WE PROBABLY SHOULD 4365 03:22:24,223 --> 03:22:34,467 HAVE STARTED IT TWO YEARS AGO. 4366 03:22:34,467 --> 03:22:39,305 >> THOUGH I SAID TO GO UP TO THE 4367 03:22:39,305 --> 03:22:41,207 SECRETARY I AGREE IT'S REALLY 4368 03:22:41,207 --> 03:22:43,943 NOT THE TIME AND I THINK THESE 4369 03:22:43,943 --> 03:22:46,546 ARE REALLY UNSATISFYING AND THE 4370 03:22:46,546 --> 03:22:48,714 GUIDANCE THEY POINT TO IS THE 4371 03:22:48,714 --> 03:22:52,251 LETTER FROM SACHRP WHICH IS VERY 4372 03:22:52,251 --> 03:22:52,518 BROAD. 4373 03:22:52,518 --> 03:22:56,556 IT'S NOT AT ALL -- IT MENTIONS 4374 03:22:56,556 --> 03:23:00,359 PREGNANT WOMEN AS ONE CATEGORIES 4375 03:23:00,359 --> 03:23:02,228 OF JUSTICE BUT IT'S NOT HELP FOR 4376 03:23:02,228 --> 03:23:06,332 IN WHAT WE'RE LOOKING FOR SO I 4377 03:23:06,332 --> 03:23:07,233 THINK GUIDANCE BECAUSE IT'S 4378 03:23:07,233 --> 03:23:09,502 SOMETHING OHRP CAN DO AND FOCUS 4379 03:23:09,502 --> 03:23:11,471 AND SAY WE APPRECIATE THE 4380 03:23:11,471 --> 03:23:13,139 SECRETARY'S ADVISORY COMMITTEE 4381 03:23:13,139 --> 03:23:15,741 HAS DONE THIS LETTER ON JUSTICE 4382 03:23:15,741 --> 03:23:17,009 GENERALLY BUT IT DOESN'T GO FAR 4383 03:23:17,009 --> 03:23:19,412 ENOUGH FOR THE PURPOSES WE'RE 4384 03:23:19,412 --> 03:23:29,655 TALKING ABOUT. 4385 03:23:29,922 --> 03:23:33,759 >> I'D LIKE TO ADD ONE ITEM AND 4386 03:23:33,759 --> 03:23:34,660 I REALIZE IT'S A LITTLE BIT TO 4387 03:23:34,660 --> 03:23:39,899 THE NIH INCLUSION POLICIES. 4388 03:23:39,899 --> 03:23:43,603 I'M FROM PEDIATRICS. 4389 03:23:43,603 --> 03:23:47,840 IN 1998 IS WHEN THE NIH FIRST 4390 03:23:47,840 --> 03:23:50,476 MANDATED GRANTS IN HUMAN SUBJECT 4391 03:23:50,476 --> 03:23:51,043 RESEARCH INCLUDING CLINICAL 4392 03:23:51,043 --> 03:23:53,446 TRIAL CAN COME IN WITH A SECTION 4393 03:23:53,446 --> 03:23:55,414 ADDRESSING PEDIATRIC INCLUSION 4394 03:23:55,414 --> 03:23:57,416 WHICH IS ANYBODY UNDER 21. 4395 03:23:57,416 --> 03:23:59,085 PEOPLE CAME IN WITH CHILDREN AT 4396 03:23:59,085 --> 03:24:01,220 THE AGE OF 19 AND 20 WHO COULD 4397 03:24:01,220 --> 03:24:03,923 CONSENT AND THAT SATISFIED THAT. 4398 03:24:03,923 --> 03:24:07,059 I THINK MAYBE SIX OR SEVEN YEARS 4399 03:24:07,059 --> 03:24:11,063 LATER THE NIH REVISED THE AGE 4400 03:24:11,063 --> 03:24:11,931 RANGE FOR WHAT THEY CONSIDERED 4401 03:24:11,931 --> 03:24:14,534 CHILDREN TO BE UNDER 18. 4402 03:24:14,534 --> 03:24:18,471 THAT AGE GROUP HAD TO BE 4403 03:24:18,471 --> 03:24:23,409 ADDRESSED IN NIH GRANT 4404 03:24:23,409 --> 03:24:24,977 APPLICATIONS INCLUDING A SECTION 4405 03:24:24,977 --> 03:24:26,512 DESCRIBING PEDIATRIC INCLUSION 4406 03:24:26,512 --> 03:24:27,380 OF CHILDREN AND THAT'S ADDRESSED 4407 03:24:27,380 --> 03:24:35,388 BY REVIEWERS AND GRANTS GET 4408 03:24:35,388 --> 03:24:37,490 CODED WHETHER THE INCLUSION IS 4409 03:24:37,490 --> 03:24:37,790 JUSTIFIED. 4410 03:24:37,790 --> 03:24:39,759 THERE'S BEEN A SERIES OF 4411 03:24:39,759 --> 03:24:41,360 WORKSHOPS IN THE LAST 10 YEARS 4412 03:24:41,360 --> 03:24:42,628 THAT ADDRESS INCLUSION ACROSS 4413 03:24:42,628 --> 03:24:43,596 THE LIFE SPAN. 4414 03:24:43,596 --> 03:24:47,333 RELATING TO PEDIATRICS I THINK 4415 03:24:47,333 --> 03:24:49,502 IN 2017, POLICY CHANGES THAT NOT 4416 03:24:49,502 --> 03:24:50,536 ONLY DO YOU HAVE TO ADDRESS 4417 03:24:50,536 --> 03:24:56,876 INCLUSION OF PEDIATRICS BUT NOW 4418 03:24:56,876 --> 03:25:00,246 THE AGE OF ALL PARTICIPANTS FROM 4419 03:25:00,246 --> 03:25:03,416 MINUTES TO YEARS NEEDS TO BE 4420 03:25:03,416 --> 03:25:05,952 FORD EACH PARTICIPANT IN AN NIH 4421 03:25:05,952 --> 03:25:06,819 CLINICAL TRIAL AND EFFECTIVE 4422 03:25:06,819 --> 03:25:09,655 2019 AND THAT DATA IS AVAILABLE 4423 03:25:09,655 --> 03:25:11,524 ON THE INCLUSION GOVERNANCE 4424 03:25:11,524 --> 03:25:13,960 WEBSITE FOR THE NIH. 4425 03:25:13,960 --> 03:25:16,295 AND INCLUDES ELDERS AS WELL 4426 03:25:16,295 --> 03:25:19,298 WHICH IS AN UNDER REPRESENTED 4427 03:25:19,298 --> 03:25:19,599 POPULATION. 4428 03:25:19,599 --> 03:25:22,435 THE NEW LANGUAGE AND 4429 03:25:22,435 --> 03:25:24,704 CLARIFICATION AROUND PEDIATRIC 4430 03:25:24,704 --> 03:25:26,539 INCLUSION, LIFE SPAN INCLUSION 4431 03:25:26,539 --> 03:25:29,141 INCLUDES ADDRESSING YOUR 4432 03:25:29,141 --> 03:25:31,377 DISTRIBUTION OF AGE WITHIN THE 4433 03:25:31,377 --> 03:25:32,144 CLINICAL TRIAL AND IS THAT 4434 03:25:32,144 --> 03:25:33,646 JUSTIFIED OR NOT. 4435 03:25:33,646 --> 03:25:35,281 RIGHT NOW NOTHING ADDRESSES THE 4436 03:25:35,281 --> 03:25:36,515 INCLUSION OF PREGNANT 4437 03:25:36,515 --> 03:25:38,384 INDIVIDUALS OR THE INCLUSION OF 4438 03:25:38,384 --> 03:25:40,219 LACTATING INDIVIDUALS IN 4439 03:25:40,219 --> 03:25:44,457 CLINICAL TRIALS. 4440 03:25:44,457 --> 03:25:49,595 I COULDN'T EVEN TELL YOU HOW THE 4441 03:25:49,595 --> 03:25:50,896 NIH ENTERPRISE IS DOING WITH 4442 03:25:50,896 --> 03:25:52,465 INCLUSION OF THOSE POPULATIONS. 4443 03:25:52,465 --> 03:25:54,166 AS WE TALK ABOUT CHANGING THE 4444 03:25:54,166 --> 03:25:55,768 LANGUAGE TO ENHANCE INCLUSION, 4445 03:25:55,768 --> 03:25:57,169 WE DON'T REALLY HAVE A GREAT WAY 4446 03:25:57,169 --> 03:25:59,538 TO TRACK THAT AT THE MOMENT. 4447 03:25:59,538 --> 03:26:01,440 WE ARE TAKING SOME APPROACHES 4448 03:26:01,440 --> 03:26:04,510 AND WORKING WITH THE NIH'S 4449 03:26:04,510 --> 03:26:05,277 OFFICE OF PORTFOLIO ANALYSIS TO 4450 03:26:05,277 --> 03:26:07,413 SEE WHAT AWAY CAN PULL OUT BUT 4451 03:26:07,413 --> 03:26:09,515 THAT'S INVOLVING SEARCH TERMS, 4452 03:26:09,515 --> 03:26:11,584 ETCETERA, THERE'S NO TRACKING 4453 03:26:11,584 --> 03:26:14,987 WHEREAS IF YOU ASK ME HOW MANY 4454 03:26:14,987 --> 03:26:18,658 4-MONTH-OLDS ARE RECRUITED IN 4455 03:26:18,658 --> 03:26:21,160 NIH TRIALS WE CAN PULL THAT 4456 03:26:21,160 --> 03:26:21,360 DATA. 4457 03:26:21,360 --> 03:26:23,763 I WANT TO POINT OUT THAT'S 4458 03:26:23,763 --> 03:26:25,598 CURRENTLY A GAP THAT THIS GROUP 4459 03:26:25,598 --> 03:26:29,268 MAY WANT TO CONSIDER AS IT 4460 03:26:29,268 --> 03:26:30,836 THINKS IF WE TAKE EFFORTS TO 4461 03:26:30,836 --> 03:26:32,104 IMPROVE INCLUSION OF PREGNANT 4462 03:26:32,104 --> 03:26:33,973 AND LACTATING PEOPLE IT'S 4463 03:26:33,973 --> 03:26:36,008 IMPORTANT TO TRACK PREGNANCY AND 4464 03:26:36,008 --> 03:26:37,410 LACTATION SEPARATELY FOR ALL THE 4465 03:26:37,410 --> 03:26:39,078 EFFORTS WE COUNTERLY DON'T HAVE 4466 03:26:39,078 --> 03:26:42,214 A GOOD WAY TO TRACK -- CURRENTLY 4467 03:26:42,214 --> 03:26:43,783 DON'T HAVE A GOOD WAY TO TRACK. 4468 03:26:43,783 --> 03:26:54,126 >> THANK YOU, AARON. 4469 03:27:04,203 --> 03:27:04,837 ANY MORE? 4470 03:27:04,837 --> 03:27:08,541 >> I WOULD ADD THIS TO THE 4471 03:27:08,541 --> 03:27:13,979 ABILITY TO TRACK TO ULTIMATELY 4472 03:27:13,979 --> 03:27:14,914 UNDERSTAND HOW WE'RE PROGRESSING 4473 03:27:14,914 --> 03:27:20,553 ON THIS AT THE NIH LEVEL IN 4474 03:27:20,553 --> 03:27:24,790 ADDITION TO THE GUISES WITHIN 4475 03:27:24,790 --> 03:27:26,225 HHS AND OTHER THING IN RESPONSE 4476 03:27:26,225 --> 03:27:31,297 TO THE LAST CONVERSATION WHICH I 4477 03:27:31,297 --> 03:27:41,841 AGREE WITH A PLUG FOR THE TIME 4478 03:27:45,945 --> 03:27:47,913 IS NOW AND THOUGH IT SEEMS 4479 03:27:47,913 --> 03:27:48,681 THERE'S EASY THINGS TO DO 4480 03:27:48,681 --> 03:27:50,783 THERE'S NUANCES AND IF WE DON'T 4481 03:27:50,783 --> 03:27:52,752 PUSH NOW TO HAVE IT DONE WE'RE 4482 03:27:52,752 --> 03:28:03,262 GOING TO LOSE THE OPPORTUNITY. 4483 03:28:07,299 --> 03:28:09,168 AND I SUGGEST AT THE VERY LEAST 4484 03:28:09,168 --> 03:28:12,138 WE DIRECT IT AT THE OFFICE OF 4485 03:28:12,138 --> 03:28:15,107 THE ASSISTANT SECRETARY TO BUMP 4486 03:28:15,107 --> 03:28:20,579 IT UP A LEVEL AND PROVIDE THAT 4487 03:28:20,579 --> 03:28:29,889 RECOMMENDATION. 4488 03:28:29,889 --> 03:28:31,157 >> SHARON. 4489 03:28:31,157 --> 03:28:34,493 >> WOULD IT HELP TO HAVE A 4490 03:28:34,493 --> 03:28:36,695 SNAPSHOT OF PREGNANCY OR 4491 03:28:36,695 --> 03:28:37,997 LACTATING INDIVIDUALS IN STUDIES 4492 03:28:37,997 --> 03:28:45,371 IN THE LAST FEW YEARS, WE HAVE A 4493 03:28:45,371 --> 03:28:46,806 NETWORK MUCH ARE REPRESENTATION. 4494 03:28:46,806 --> 03:28:50,209 WE ALL KNOW WITHIN OUR NETWORKS 4495 03:28:50,209 --> 03:28:53,846 HOW MANY PREGNANT AND LACTATING 4496 03:28:53,846 --> 03:28:55,181 INDIVIDUAL WE ENROLL IN THE LAST 4497 03:28:55,181 --> 03:28:56,916 FEW YEARS AND OF THE THREE OR 4498 03:28:56,916 --> 03:28:59,885 FOUR FOLLOWING NETWORKS, THIS 4499 03:28:59,885 --> 03:29:03,088 MANY PEOPLE ENROLLED TO GIVE NOT 4500 03:29:03,088 --> 03:29:06,692 A GREAT SNAP SHOT BUT A SCOPE OF 4501 03:29:06,692 --> 03:29:08,327 WE'RE NOT TALKING FIVE BUT 4502 03:29:08,327 --> 03:29:17,870 HUNDREDS AND THOUSANDS SO THE 4503 03:29:17,870 --> 03:29:21,507 WEIGHT OF WHY WE WANT TO KICK IT 4504 03:29:21,507 --> 03:29:24,777 UP A NOTCH IS THERE'S HUGE 4505 03:29:24,777 --> 03:29:26,645 PARTICIPANTS IN THE STUDY AND 4506 03:29:26,645 --> 03:29:27,746 YOU CAN GIVE RAW NUMBERS. 4507 03:29:27,746 --> 03:29:31,016 I KNOW FROM MY NETWORK HOW MANY 4508 03:29:31,016 --> 03:29:33,853 PREGNANT, LACTATING INDIVIDUALS 4509 03:29:33,853 --> 03:29:35,754 I ENROLLED IN THE LAST FEW 4510 03:29:35,754 --> 03:29:35,955 YEARS. 4511 03:29:35,955 --> 03:29:38,123 I CAN FIND IN ONE OR TWO 4512 03:29:38,123 --> 03:29:38,490 MINUTES. 4513 03:29:38,490 --> 03:29:40,125 I SUSPECT THE OTHER NETWORKS 4514 03:29:40,125 --> 03:29:43,395 AROUND THE TABLE CAN DO THE SAME 4515 03:29:43,395 --> 03:29:45,264 THING. 4516 03:29:45,264 --> 03:29:46,532 AT LEAST IT WILL GIVE A SPOKE OF 4517 03:29:46,532 --> 03:29:52,538 A NUMBER OPPOSED TO WE DON'T 4518 03:29:52,538 --> 03:30:02,681 HAVE IT. 4519 03:30:05,084 --> 03:30:07,319 >> IF WHAT I HERE FROM THE WORK 4520 03:30:07,319 --> 03:30:08,854 GROUP IS THERE'S CLEAR AGREEMENT 4521 03:30:08,854 --> 03:30:09,622 WE HAVE NOT MADE PROGRESS IN 4522 03:30:09,622 --> 03:30:14,526 THESE PIECES AND WE NEED TO 4523 03:30:14,526 --> 03:30:15,261 STRENGTHEN OUR CALL FOR 4524 03:30:15,261 --> 03:30:18,697 ATTENTION TO BE PAID TO THE 4525 03:30:18,697 --> 03:30:22,368 RECOMMENDATIONS PERHAPS AN 4526 03:30:22,368 --> 03:30:22,968 ESCALATION UNDERSTANDING THE 4527 03:30:22,968 --> 03:30:25,905 TIME THAT'S PASSED AND THERE'S 4528 03:30:25,905 --> 03:30:28,340 OPTIONS AS IT RELATES TO 4529 03:30:28,340 --> 03:30:30,743 GUIDANCE WITH HOW WE GATHER 4530 03:30:30,743 --> 03:30:32,444 INFORMATION ON RESEARCH TAKING 4531 03:30:32,444 --> 03:30:33,913 PLACE IN PREGNANT AND LACTATING 4532 03:30:33,913 --> 03:30:37,549 POPULATIONS TO BEGIN TO QUANTIFY 4533 03:30:37,549 --> 03:30:39,385 FOR DECISION MAKES WHAT THE 4534 03:30:39,385 --> 03:30:41,020 NEEDS ARE TO CONTINUE IN THIS 4535 03:30:41,020 --> 03:30:41,220 SPACE. 4536 03:30:41,220 --> 03:30:42,688 IS THAT WHAT I'M HEARING FROM 4537 03:30:42,688 --> 03:30:43,422 THE WORK GROUP? 4538 03:30:43,422 --> 03:30:44,189 IS THAT WHERE THE FOCUS SHOULD 4539 03:30:44,189 --> 03:30:54,266 BE? 4540 03:30:57,736 --> 03:30:59,271 WE'LL CAPTURE AND THAT IF YOU 4541 03:30:59,271 --> 03:31:01,473 FEEL WE HAVE NOT ADDRESSED IT TO 4542 03:31:01,473 --> 03:31:07,746 YOUR LIKING, PLEASE LET US KNOW. 4543 03:31:07,746 --> 03:31:11,417 >> I THINK WE CAN RECOGNIZE AND 4544 03:31:11,417 --> 03:31:14,553 I THINK PART OF THE CONCERNS IS 4545 03:31:14,553 --> 03:31:20,426 RULE MAKING IS A LONG INVOLVED 4546 03:31:20,426 --> 03:31:21,293 TORTUROUS PROCESS BUT IN THE 4547 03:31:21,293 --> 03:31:22,928 MEANTIME GUIDANCE COULD BE 4548 03:31:22,928 --> 03:31:23,162 QUICKER. 4549 03:31:23,162 --> 03:31:24,697 WE COULD ACKNOWLEDGE TWO PIECES 4550 03:31:24,697 --> 03:31:27,132 AND WE RECOGNIZE ONE IS A LONG 4551 03:31:27,132 --> 03:31:29,101 AND INVOLVED PROCESS AND 4552 03:31:29,101 --> 03:31:31,637 POSSIBLY ISN'T FEASIBLE BUT IT 4553 03:31:31,637 --> 03:31:34,473 DOESN'T MEAN NOTHING CAN HAPPEN 4554 03:31:34,473 --> 03:31:37,009 WITH TE GUIDANCE PIECE. 4555 03:31:37,009 --> 03:31:40,279 >> TO YOUR POINT IS GUIDANCE CAN 4556 03:31:40,279 --> 03:31:46,986 BE HELPFUL TO GET EXPERIENTIAL 4557 03:31:46,986 --> 03:31:48,120 POLICIES AND BETTER RULES. 4558 03:31:48,120 --> 03:31:48,387 VERY GOOD. 4559 03:31:48,387 --> 03:31:51,724 GOOD RECOMMENDATION. 4560 03:31:51,724 --> 03:31:54,827 WE'LL CONSIDER THEN THIS PIECE 4561 03:31:54,827 --> 03:31:57,796 ON THE REPORT FROM OHRH CLOSED 4562 03:31:57,796 --> 03:31:59,631 FOR PURPOSES OF DISCUSSION 4563 03:31:59,631 --> 03:31:59,832 TODAY. 4564 03:31:59,832 --> 03:32:01,900 SO THEN LET'S MOVE ON TO THE 4565 03:32:01,900 --> 03:32:03,402 PIECE WE WANTED TO TALK ABOUT 4566 03:32:03,402 --> 03:32:05,771 WHICH IS HOW TO ENSURE WE 4567 03:32:05,771 --> 03:32:07,306 PROPERLY CAPTURE WHAT WE'D LIKE 4568 03:32:07,306 --> 03:32:11,310 IT SEE AS IT RELATES TO 4569 03:32:11,310 --> 03:32:15,614 CONGRESSIONAL ACTION OR 8A AND 4570 03:32:15,614 --> 03:32:15,781 9B. 4571 03:32:15,781 --> 03:32:21,754 TO REMIND YOU, IF YOU CAN GO TO 4572 03:32:21,754 --> 03:32:32,231 THE NEXT SLIDE PLEASE. 4573 03:32:35,968 --> 03:32:40,606 FOR RECOMMENDATION 8 THERE WAS A 4574 03:32:40,606 --> 03:32:42,041 PRODUCTS IN PREGNANT AND 4575 03:32:42,041 --> 03:32:43,475 LACTATING WOMEN AND ONE OF THE 4576 03:32:43,475 --> 03:32:44,877 CALLS WAS TO PROVIDE SPECIFIC 4577 03:32:44,877 --> 03:32:45,577 FUNDING. 4578 03:32:45,577 --> 03:32:48,147 THAT ONE'S PRETTY EASY. 4579 03:32:48,147 --> 03:32:49,581 WE NEED CONGRESSIONAL ACTION TO 4580 03:32:49,581 --> 03:32:52,818 PROVIDE SPECIFIC FUNDING. 4581 03:32:52,818 --> 03:32:54,520 IF WE CAN GO TO RECOMMENDATION 9 4582 03:32:54,520 --> 03:32:57,423 ON THE NEXT SLIDE YOU'LL RECALL 4583 03:32:57,423 --> 03:33:00,592 A RECOMMENDATION TO CONSIDER 4584 03:33:00,592 --> 03:33:04,730 PROGRAMS THAT ARE IN PLACE IS TO 4585 03:33:04,730 --> 03:33:06,065 HELP DRIVE DISCOVERY AND 4586 03:33:06,065 --> 03:33:07,399 PRODUCTS FOR PREGNANT AND 4587 03:33:07,399 --> 03:33:10,602 LACTATING WOMEN AND THERE WAS A 4588 03:33:10,602 --> 03:33:11,403 SPECIFIC REFERENCE TO 4589 03:33:11,403 --> 03:33:14,339 CONSIDERATION OF A BARDA LIKE 4590 03:33:14,339 --> 03:33:16,141 MODEL IN THE AND THE NIH MODEL 4591 03:33:16,141 --> 03:33:18,277 THAT TAKES DEVELOPMENT UP TO 4592 03:33:18,277 --> 03:33:18,844 THESE THREE. 4593 03:33:18,844 --> 03:33:20,412 THESE ARE THE TWO PIECES WE 4594 03:33:20,412 --> 03:33:22,047 WANTED TO GET YOUR INPUT ON AND 4595 03:33:22,047 --> 03:33:25,117 HOW YOU WOULD LIKE FOR US TO 4596 03:33:25,117 --> 03:33:27,519 HANDLE THEM IN THE DRAFT OF THE 4597 03:33:27,519 --> 03:33:29,488 REPORT TO COUNCIL AND CONGRESS 4598 03:33:29,488 --> 03:33:31,123 TO ENSURE WE'RE PUTTING FORWARD 4599 03:33:31,123 --> 03:33:31,657 THE PROPER CALL FOR THEIR 4600 03:33:31,657 --> 03:33:41,800 ACTION. 4601 03:33:57,182 --> 03:34:05,057 >> WE NEED MORE FUNDING. 4602 03:34:05,057 --> 03:34:06,825 >> THAT'S GOING TO BE A 4603 03:34:06,825 --> 03:34:08,026 FUNDAMENTAL THEME IN THE 4604 03:34:08,026 --> 03:34:08,927 DOCUMENT BUT SPECIFIC TO -- IS 4605 03:34:08,927 --> 03:34:11,130 THERE A CALL FROM THIS WORK 4606 03:34:11,130 --> 03:34:14,166 GROUP THEN FOR A PROGRAM TO 4607 03:34:14,166 --> 03:34:15,167 DEVELOP -- BE DEVELOPED TO MODEL 4608 03:34:15,167 --> 03:34:18,871 THIS PROGRAM THAT IS ADEQUATELY 4609 03:34:18,871 --> 03:34:20,205 FUNDED AND IS FUNDED FOR -- 4610 03:34:20,205 --> 03:34:21,707 >> THAT WOULD BE MY 4611 03:34:21,707 --> 03:34:23,408 RECOMMENDATION IS TO HAVE A 4612 03:34:23,408 --> 03:34:33,886 SPECIFIC CALL OUT FOR THAT. 4613 03:34:39,858 --> 03:34:41,793 >> I AGREE AND WE'VE HAD SUCCESS 4614 03:34:41,793 --> 03:34:44,196 WITH EFFORTS ON THAT PART. 4615 03:34:44,196 --> 03:34:46,098 I DON'T KNOW IF ACOG OR OTHER 4616 03:34:46,098 --> 03:34:48,033 GROUPS WOULD WANT TO TAKE THAT 4617 03:34:48,033 --> 03:34:49,601 ON BUT ONE OF THE AAP DOESN'T 4618 03:34:49,601 --> 03:34:56,708 LIKE LOBBYING AROUND THE APPCA. 4619 03:34:56,708 --> 03:34:59,978 >> THE SHORT ANSWER IS, YES. 4620 03:34:59,978 --> 03:35:02,181 AND ACTUALLY IT WAS AND I'M 4621 03:35:02,181 --> 03:35:03,549 LOOKING AT KATIE BECAUSE I 4622 03:35:03,549 --> 03:35:05,284 REMEMBER OUR FIRST CONVENING 4623 03:35:05,284 --> 03:35:10,122 BEFORE OUR COALITION HAD A NAME 4624 03:35:10,122 --> 03:35:12,925 OF THE MATERNAL THERAPEUTICS 4625 03:35:12,925 --> 03:35:14,893 THIS IS WHAT WE TALKED ABOUT AT 4626 03:35:14,893 --> 03:35:19,398 OUR FIRST MEETING OVER A DECADE 4627 03:35:19,398 --> 03:35:29,274 AGO NOW. 4628 03:35:29,274 --> 03:35:30,442 ALL THE WORK DONE AND 4629 03:35:30,442 --> 03:35:32,144 CONVERSATIONS ENABLED US TO GET 4630 03:35:32,144 --> 03:35:35,380 TO THIS PLACE WHERE WE FEEL WITH 4631 03:35:35,380 --> 03:35:38,250 MORE AUTHORITY WE CAN SPEAK TO 4632 03:35:38,250 --> 03:35:39,685 AND WAVE DONE THE GROUND WORK TO 4633 03:35:39,685 --> 03:35:40,219 SPUR THIS. 4634 03:35:40,219 --> 03:35:47,759 AT THE TIME THE CHALLENGE WAS 4635 03:35:47,759 --> 03:35:50,829 YES, WE'VE SEEN IT'S SUCCESSFUL 4636 03:35:50,829 --> 03:35:55,334 BUT WE NEEDED AND WANTED THE 4637 03:35:55,334 --> 03:35:56,602 CONVERSATION TO HAPPEN FIRST TO 4638 03:35:56,602 --> 03:36:07,012 FEEL LIKE WE HAD MORE BEHIND US. 4639 03:36:07,012 --> 03:36:10,983 AND A ROUNDABOUT WAY OF SAYING 4640 03:36:10,983 --> 03:36:15,087 WE'RE INTERESTED IN ADVOCATING 4641 03:36:15,087 --> 03:36:16,655 FOR THIS AND IT TOOK THE 4642 03:36:16,655 --> 03:36:18,056 PEDIATRIC COMMUNITY A LONG TIME 4643 03:36:18,056 --> 03:36:18,957 TO GET THIS DONE. 4644 03:36:18,957 --> 03:36:21,893 I'M NOT ANTICIPATING IT WILL BE 4645 03:36:21,893 --> 03:36:23,795 A QUICK WIN BUT I THINK IT 4646 03:36:23,795 --> 03:36:31,737 SHOULD BE CLEARLY RECOMMENDED. 4647 03:36:31,737 --> 03:36:35,407 CLEAR AND SPECIFIC ADDED TO THE 4648 03:36:35,407 --> 03:36:39,511 REQUIREMENTS AND IT NEEDS TO BE 4649 03:36:39,511 --> 03:36:41,380 SPECIFIC AND LACTATION. 4650 03:36:41,380 --> 03:36:43,382 IT NEEDS SPECIFIC FUNDING FOR 4651 03:36:43,382 --> 03:36:44,816 THAT BECAUSE THAT'S WHERE WE 4652 03:36:44,816 --> 03:36:47,185 DON'T WANT -- WE DO NOT WANT 4653 03:36:47,185 --> 03:36:48,487 THERE TO BE COMPETING INTEREST. 4654 03:36:48,487 --> 03:36:58,630 THERE'S NOT ENOUGH TO GO AROUND. 4655 03:36:58,630 --> 03:37:09,141 >> IT SHOULD BE ITS OWN THING 4656 03:37:11,376 --> 03:37:11,977 AUTHORIZED RESEARCH 4657 03:37:11,977 --> 03:37:13,645 PRIORITIZATION FUND AND WE 4658 03:37:13,645 --> 03:37:14,579 SHOULD CALL ON CONGRESS TO TAKE 4659 03:37:14,579 --> 03:37:24,823 ACTION ON IT. 4660 03:37:27,392 --> 03:37:29,294 >> CRAFTING THE RECOMMENDATION 4661 03:37:29,294 --> 03:37:32,597 TO ENSURE IT DOESN'T JUST FALL 4662 03:37:32,597 --> 03:37:34,299 ON NICHD BUT FUNDING ACROSS 4663 03:37:34,299 --> 03:37:36,401 INSTITUTES THAT ARE IMPACTED OR 4664 03:37:36,401 --> 03:37:41,239 DO RESEARCH IN PREGNANT AND 4665 03:37:41,239 --> 03:37:42,441 LACTATING PEOPLE AND NICHD 4666 03:37:42,441 --> 03:37:43,041 SHOULD BE THE PIGGY BANK FOR 4667 03:37:43,041 --> 03:37:44,376 THAT. 4668 03:37:44,376 --> 03:37:46,378 >> I THINK BEFORE I GO TO THE 4669 03:37:46,378 --> 03:37:48,280 NEXT ITEM I THINK THAT'S A GOOD 4670 03:37:48,280 --> 03:37:52,918 COMMENT BECAUSE WE HEARD IN THE 4671 03:37:52,918 --> 03:37:54,453 LAST MEETING THE WORK THAT'S 4672 03:37:54,453 --> 03:37:58,590 ALREADY DONE TO PRIORITIZE WHERE 4673 03:37:58,590 --> 03:38:01,493 THERE'S NEED AND WE CAN LEVERAGE 4674 03:38:01,493 --> 03:38:03,328 THE WORK YOU HAVE NICELY 4675 03:38:03,328 --> 03:38:05,564 PRESENTED CAMILLE AND AARON FOR 4676 03:38:05,564 --> 03:38:06,198 PURPOSES OF MAKING THAT POINT 4677 03:38:06,198 --> 03:38:16,375 RESONATE. 4678 03:38:24,983 --> 03:38:26,251 >> I DON'T THINK I'VE MISSED 4679 03:38:26,251 --> 03:38:34,526 ANYONE SO I THINK WE'VE GOT THE 4680 03:38:34,526 --> 03:38:43,301 GOOD CONTEXT FOR WILL 8 ON 4681 03:38:43,301 --> 03:38:47,439 CONGRESSIONAL ACTION AND LET'S 4682 03:38:47,439 --> 03:38:50,075 TRANSITION TO 9. 4683 03:38:50,075 --> 03:38:56,281 THOUGHTS? 4684 03:38:56,281 --> 03:38:57,749 IN CONSIDERING THE PIPELINE THE 4685 03:38:57,749 --> 03:38:59,684 CONVERSATION FOR FUNDING NEEDS 4686 03:38:59,684 --> 03:39:01,219 TO BE BASIC AND TRANSLATIONAL 4687 03:39:01,219 --> 03:39:04,289 AND THINGS IN THE CLINICAL SPACE 4688 03:39:04,289 --> 03:39:05,757 LIKE IN VITRO TOOLS AND 4689 03:39:05,757 --> 03:39:08,260 COMPUTATIONAL TOOLS AND 4690 03:39:08,260 --> 03:39:09,060 UNDERSTANDING OF BASIC 4691 03:39:09,060 --> 03:39:10,695 METABOLISM TO UNDERSTAND 4692 03:39:10,695 --> 03:39:11,563 TRANSFER OF PHARMACEUTICALS 4693 03:39:11,563 --> 03:39:13,999 ACROSS THE PLACENTA OR THROUGH 4694 03:39:13,999 --> 03:39:20,605 THE MAMMARY GLAND INTO THE 4695 03:39:20,605 --> 03:39:21,940 BREAST MILK. 4696 03:39:21,940 --> 03:39:23,175 THERE'S A LOT OF DEVELOPMENT 4697 03:39:23,175 --> 03:39:26,578 THAT COULD HAPPEN AND INTEREST 4698 03:39:26,578 --> 03:39:30,615 FROM EPA FOR MODELS AND THERE'S 4699 03:39:30,615 --> 03:39:31,883 A LOT OF GAPS AND I JUST WANT TO 4700 03:39:31,883 --> 03:39:37,689 PUT IN THE PLUG BECAUSE THE MORE 4701 03:39:37,689 --> 03:39:41,726 WE KCAN TEST THE CHEMICALS THE 4702 03:39:41,726 --> 03:39:44,262 MORE WE CAN RELEASE THEM IN MORE 4703 03:39:44,262 --> 03:39:44,729 CLINICAL TRIALS. 4704 03:39:44,729 --> 03:39:45,831 >> THANK YOU, ALISON. 4705 03:39:45,831 --> 03:39:56,208 COMMENTS FROM OTHERS? 4706 03:39:56,208 --> 03:39:58,343 >> I AGREE. 4707 03:39:58,343 --> 03:40:03,682 I THINK THAT'S A HUGE 4708 03:40:03,682 --> 03:40:06,785 OPPORTUNITY TO PUSH THAT BACK TO 4709 03:40:06,785 --> 03:40:09,087 THE PHARMA INDUSTRY TO DEVELOP 4710 03:40:09,087 --> 03:40:11,990 THOSE ASSAYS AND GENERATE THE 4711 03:40:11,990 --> 03:40:14,493 DATA THAT COULD FILL IN GAPS 4712 03:40:14,493 --> 03:40:17,395 EVEN PRIOR TO GETTING DRUG 4713 03:40:17,395 --> 03:40:18,530 APPROVAL BECAUSE UNFORTUNATELY 4714 03:40:18,530 --> 03:40:20,131 WHAT WE'RE TALKING ABOUT TODAY 4715 03:40:20,131 --> 03:40:24,402 IS POST APPROVAL STUDIES. 4716 03:40:24,402 --> 03:40:25,637 THAT COMES MANY MANY YEARS AFTER 4717 03:40:25,637 --> 03:40:29,074 A DRUG'S APPROVED AND BEING 4718 03:40:29,074 --> 03:40:29,274 USED. 4719 03:40:29,274 --> 03:40:31,343 SO I KNOW AT ONE POINT IN TIME 4720 03:40:31,343 --> 03:40:36,781 WE TALKED ABOUT SOME TYPE OF 4721 03:40:36,781 --> 03:40:39,384 INCENTIVE PROGRAM FOR ANYBODY 4722 03:40:39,384 --> 03:40:42,320 BUT AS IT WOULD MAYBE APPLY TO 4723 03:40:42,320 --> 03:40:44,589 PHARMA LIKE WHAT WE DID FOR THE 4724 03:40:44,589 --> 03:40:45,690 JUVENILE SPACE. 4725 03:40:45,690 --> 03:40:49,594 YOU PUT UP AN INCENTIVE, PHARMA 4726 03:40:49,594 --> 03:40:51,396 IS GOING TO COME AND FILL IN THE 4727 03:40:51,396 --> 03:41:01,940 DATA GAPS CURRENTLY UNAVAILABLE. 4728 03:41:02,274 --> 03:41:04,876 >> THINK YOU'RE TALKING ABOUT 4729 03:41:04,876 --> 03:41:07,479 THE INCENTIVE PROGRAM NOT THE 4730 03:41:07,479 --> 03:41:07,679 DDCA. 4731 03:41:07,679 --> 03:41:13,818 >> NO, JUST BACK WHEN JUVENILE 4732 03:41:13,818 --> 03:41:15,987 TOX WAS NOT MAINSTREAM. 4733 03:41:15,987 --> 03:41:17,455 WHEN THE INCENTIVE CAME FOR 4734 03:41:17,455 --> 03:41:21,092 PHARMA TO DO THAT AND NOW DOING 4735 03:41:21,092 --> 03:41:22,260 JUVENILE TOX FOR MOST OF OUR 4736 03:41:22,260 --> 03:41:23,695 PROGRAMS AND I THINK THERE'S AN 4737 03:41:23,695 --> 03:41:25,797 INCENTIVE FOR GENERATING THE 4738 03:41:25,797 --> 03:41:28,099 DATA FOR PREGNANT AND LACTATING 4739 03:41:28,099 --> 03:41:29,334 WOMEN THAT PROBABLY THE BIG 4740 03:41:29,334 --> 03:41:31,403 PHARMA WOULD STEP UP AND START 4741 03:41:31,403 --> 03:41:33,905 TO DO THAT WORK AND DONE PRIOR 4742 03:41:33,905 --> 03:41:34,906 TO DRUG APPROVALS. 4743 03:41:34,906 --> 03:41:37,609 >> LET ME ASK A QUESTION AND 4744 03:41:37,609 --> 03:41:38,777 TONY THIS ISN'T DIRECTED TO YOU 4745 03:41:38,777 --> 03:41:39,878 BUT THE GROUP. 4746 03:41:39,878 --> 03:41:41,346 THE LANGUAGE OF THE 4747 03:41:41,346 --> 03:41:42,280 RECOMMENDATION THE SUB PART WAS 4748 03:41:42,280 --> 03:41:47,352 CONSIDER. 4749 03:41:47,352 --> 03:41:50,855 DO WE WANT TO SEEK TO REVISE 4750 03:41:50,855 --> 03:41:52,657 THAT WITH STRONGER LANGUAGE SUCH 4751 03:41:52,657 --> 03:41:58,830 AS "CREATE" INSTEAD OF 4752 03:41:58,830 --> 03:42:00,932 "CONSIDER"? 4753 03:42:00,932 --> 03:42:01,633 >> LET'S DO IT. 4754 03:42:01,633 --> 03:42:03,335 TO RACHEL'S POINT THE 4755 03:42:03,335 --> 03:42:07,172 CONVERSATION TO THIS POINT HAS 4756 03:42:07,172 --> 03:42:10,775 BEEN CAREFUL INTENTIONALLY 4757 03:42:10,775 --> 03:42:12,711 BECAUSE WE WANT TO MAKE SURE THE 4758 03:42:12,711 --> 03:42:14,312 RECOMMENDATIONS ARE APPROPRIATE 4759 03:42:14,312 --> 03:42:18,550 AND COMPLEMENTARY POT WORK -- 4760 03:42:18,550 --> 03:42:20,585 TO THE WORK BEING DONE AND TO 4761 03:42:20,585 --> 03:42:22,287 LOOKING BACK TO WHAT GOT THIS 4762 03:42:22,287 --> 03:42:24,022 GROUP TO IS THIS POINT AND 4763 03:42:24,022 --> 03:42:25,457 OTHERS THE STRONGEST LANGUAGE WE 4764 03:42:25,457 --> 03:42:28,493 CAN USE IS WILL BE THE MOST 4765 03:42:28,493 --> 03:42:30,028 USEFUL FOR EVERYONE AND GET US 4766 03:42:30,028 --> 03:42:32,597 THE FURTHEST IN TERMS OF CLOSING 4767 03:42:32,597 --> 03:42:36,267 THE DATA GAP. 4768 03:42:36,267 --> 03:42:37,802 >> OTHERS? 4769 03:42:37,802 --> 03:42:38,536 LOOKS LIKE THERE WAS A LOT OF 4770 03:42:38,536 --> 03:42:40,372 HEAD NODDING IN AGREEMENT SO 4771 03:42:40,372 --> 03:42:41,773 I'LL TAKE THAT AS AGREEMENT. 4772 03:42:41,773 --> 03:42:43,375 THE OTHER PIECE I'LL THROW OUT 4773 03:42:43,375 --> 03:42:45,043 THERE TOO IS SHOULD WE ALSO 4774 03:42:45,043 --> 03:42:47,145 BUILD IN A SUB PART SPECIFICALLY 4775 03:42:47,145 --> 03:42:49,381 CALLING OUT HOW TO FACILITATE 4776 03:42:49,381 --> 03:42:51,716 ALL THESE NON-CLINICAL PIECES 4777 03:42:51,716 --> 03:42:55,387 WHICH YOU'RE RIGHT ARE ESSENTIAL 4778 03:42:55,387 --> 03:43:01,359 TO GET TO TRANSLATION. 4779 03:43:01,359 --> 03:43:04,796 >> RIGHT NOW IT'S LUMPED INTO 4780 03:43:04,796 --> 03:43:06,464 ONE SENTENCE BUT SPECIFIC 4781 03:43:06,464 --> 03:43:07,932 LANGUAGE AROUND THE EARLY 4782 03:43:07,932 --> 03:43:10,068 NON-CLINICAL COULD BE GOING ON 4783 03:43:10,068 --> 03:43:13,638 WITH CLINICAL TRIALS BUT SOME OF 4784 03:43:13,638 --> 03:43:15,740 THAT BASIC RESEARCH COMPONENT 4785 03:43:15,740 --> 03:43:19,411 NEEDS TO BE BROUGHT FORWARD I 4786 03:43:19,411 --> 03:43:23,548 THINK. 4787 03:43:23,548 --> 03:43:28,186 >> OTHER COMMENTS. 4788 03:43:28,186 --> 03:43:32,791 OTHER THOUGHTS? 4789 03:43:32,791 --> 03:43:35,093 I DON'T SEE HANDS ONLINE AND 4790 03:43:35,093 --> 03:43:35,527 VERY GOOD. 4791 03:43:35,527 --> 03:43:41,666 THANK YOU SO MUCH FOR HELPING 4792 03:43:41,666 --> 03:43:44,335 THE CONTEXT FOR WHAT WILL BE THE 4793 03:43:44,335 --> 03:43:47,639 REPORT AND MODIFICATIONS TO EVEN 4794 03:43:47,639 --> 03:43:49,507 STRENGTHEN SOME OF THE 4795 03:43:49,507 --> 03:43:50,608 RECOMMENDATIONS THERE TO SEE 4796 03:43:50,608 --> 03:43:53,144 THEM MOVE TO FRUITION. 4797 03:43:53,144 --> 03:43:54,913 WE ARE AHEAD OF SCHEDULE AND WE 4798 03:43:54,913 --> 03:43:57,115 HAVE A BREAK COMING UP. 4799 03:43:57,115 --> 03:44:07,659 HOW DOES NICHD WANT TO PROCEED? 4800 03:44:30,215 --> 03:44:31,816 SO, WE'RE GOING TO MOVE A REVIEW 4801 03:44:31,816 --> 03:44:34,419 TO MAKE SURE WE DON'T HAVE ANY 4802 03:44:34,419 --> 03:44:37,689 OPEN ITEMS FROM THIS MORNING'S 4803 03:44:37,689 --> 03:44:38,356 DISCUSSION AND TRANSITION THINGS 4804 03:44:38,356 --> 03:44:40,625 TO YOU FOR THAT ACTION. 4805 03:44:40,625 --> 03:44:44,596 >> SO, THIS MORNING WE DISCUSSED 4806 03:44:44,596 --> 03:44:46,765 RECOMMENDATIONS 3, 5 AND 6. 4807 03:44:46,765 --> 03:44:50,568 I FEEL THE CONVERSATION WAS 4808 03:44:50,568 --> 03:44:53,304 REASONABLY COMPREHENSIVE BUT ARE 4809 03:44:53,304 --> 03:44:54,606 THERE ANY ADDITIONAL THOUGHTS, 4810 03:44:54,606 --> 03:44:58,143 COMMENTS THAT HAVE NOT BEEN 4811 03:44:58,143 --> 03:44:59,144 VOICED YOU THOUGHT ABOUT DURING 4812 03:44:59,144 --> 03:45:00,879 LUNCH AND MAKE SURE WE HAVE 4813 03:45:00,879 --> 03:45:11,289 CAPTURED IN THE REPORT? 4814 03:45:18,263 --> 03:45:20,298 WE STARTED WITH RECOMMENDATION 3 4815 03:45:20,298 --> 03:45:23,201 AND LET ME JUST -- AND THAT HAD 4816 03:45:23,201 --> 03:45:24,435 TO DO WITH EXPANDING THE 4817 03:45:24,435 --> 03:45:26,204 WORKFORCE OF CLINICIANS AND 4818 03:45:26,204 --> 03:45:28,907 RESEARCH INVESTIGATORS WITH 4819 03:45:28,907 --> 03:45:38,550 EXPERTISE IN OB -- OBSTETRIC 4820 03:45:38,550 --> 03:45:41,386 AND SALARY BASED ISSUES AND 4821 03:45:41,386 --> 03:45:44,189 INCREASING OPPORTUNITIES FOR 4822 03:45:44,189 --> 03:45:45,089 AWARENESS, INCREASING SUPPORT 4823 03:45:45,089 --> 03:45:47,525 FOR MENTORS, CONNECTING MENTORS 4824 03:45:47,525 --> 03:45:49,794 AND TRAINEES TO ESTABLISHING 4825 03:45:49,794 --> 03:45:51,462 NETWORKING EXPERIENCES OR 4826 03:45:51,462 --> 03:45:53,798 OPPORTUNITIES. 4827 03:45:53,798 --> 03:45:55,233 EXPANDING EDUCATIONAL 4828 03:45:55,233 --> 03:45:57,869 REQUIREMENTS AND WE'VE CAPTURED 4829 03:45:57,869 --> 03:46:06,311 A LOT OF THOUGHTS AROUND THAT. 4830 03:46:06,311 --> 03:46:10,215 >> I FELT WE SKIPPED A LITTLE 4831 03:46:10,215 --> 03:46:12,951 QUICKLY OVER 6AC. 4832 03:46:12,951 --> 03:46:18,957 WE DID A AND B AND THINK WE 4833 03:46:18,957 --> 03:46:22,460 SKIPPED ON 6B. 4834 03:46:22,460 --> 03:46:25,630 I THINK CREATE OPPORTUNITIES 4835 03:46:25,630 --> 03:46:28,433 SOUNDS THEORETICAL. 4836 03:46:28,433 --> 03:46:30,702 WHETHER THERE ARE CONCRETE IDEAS 4837 03:46:30,702 --> 03:46:32,570 ON SPEAKING OUT AND BRINGING IT 4838 03:46:32,570 --> 03:46:35,406 BACK TO WE'RE NOT TALKING ABOUT 4839 03:46:35,406 --> 03:46:42,380 REACHING OUT TO THE OB-GYNs OR 4840 03:46:42,380 --> 03:46:48,753 PEDS INS -- IN THIS AND SEND 4841 03:46:48,753 --> 03:46:49,187 THEM BACK. 4842 03:46:49,187 --> 03:46:50,588 IF THERE'S ANYTHING CONCRETE FOR 4843 03:46:50,588 --> 03:47:01,099 THOSE WHO SPOKE THIS MORNING. 4844 03:47:10,174 --> 03:47:10,408 4845 03:47:10,408 --> 03:47:13,244 >> ARE YOU SAYING TIE IT TO 4846 03:47:13,244 --> 03:47:13,811 CURRICULA? 4847 03:47:13,811 --> 03:47:19,951 >> YES, IT DOESN'T MATTER IF 4848 03:47:19,951 --> 03:47:20,785 YOU'RE AN ONCOLOGIST ON 4849 03:47:20,785 --> 03:47:22,153 DERMATOLOGIST AND DEALING WITH 4850 03:47:22,153 --> 03:47:25,523 MEDICATIONS IN SPECIAL 4851 03:47:25,523 --> 03:47:26,324 POPULATION US DON'T NORMALLY 4852 03:47:26,324 --> 03:47:31,195 THINK OF WHEN YOU THINK OF YOUR 4853 03:47:31,195 --> 03:47:32,897 PROFESSION AND YOU ONLY CAPTURE 4854 03:47:32,897 --> 03:47:34,332 NEW PROFESSIONALS THAT WAY SO 4855 03:47:34,332 --> 03:47:38,136 YOU NEED IT PART OF THE 4856 03:47:38,136 --> 03:47:39,837 CONTINUING AS IT SAYS HERE. 4857 03:47:39,837 --> 03:47:42,373 >> I'LL ASK YOU TO REFRAME THAT 4858 03:47:42,373 --> 03:47:43,408 JUST A LITTLE BIT SINCE WE'RE 4859 03:47:43,408 --> 03:47:45,209 NOT TALKING ABOUT MAKING 4860 03:47:45,209 --> 03:47:47,412 RECOMMENDATIONS TO THE EXTEND 4861 03:47:47,412 --> 03:47:48,780 WE'RE EVALUATING PROGRESS ON 4862 03:47:48,780 --> 03:47:49,147 IMPLEMENTATION. 4863 03:47:49,147 --> 03:47:51,649 SO AS I THINK ABOUT WHAT YOU'RE 4864 03:47:51,649 --> 03:47:54,519 SAYING I HEAR YOU SAYING THERE'S 4865 03:47:54,519 --> 03:47:59,390 ADDITIONAL PARTIES THAT NEED TO 4866 03:47:59,390 --> 03:48:03,861 BE BROUGHT IN THE CONVERSATION. 4867 03:48:03,861 --> 03:48:05,163 >> MAYBE BE MORE SPECIFIC AND 4868 03:48:05,163 --> 03:48:11,402 CALL OUT WE NEED TO TALK TO 4869 03:48:11,402 --> 03:48:12,337 PSYCHIATRISTS BECAUSE RIGHT NOW 4870 03:48:12,337 --> 03:48:14,572 IT BROADLY STATES MEDICAL 4871 03:48:14,572 --> 03:48:17,942 NURSING PHARMACISTS AND OTHER 4872 03:48:17,942 --> 03:48:18,609 HEALTH CARE PROVIDERS AND MAYBE 4873 03:48:18,609 --> 03:48:21,779 BEING MORE SPECIFIC AND CALL OUT 4874 03:48:21,779 --> 03:48:24,282 THE BROAD APPROACH IS NEEDED IN 4875 03:48:24,282 --> 03:48:25,383 ORDER TO REACH EVERYBODY WHO 4876 03:48:25,383 --> 03:48:26,818 SHOULD KNOW ABOUT IT. 4877 03:48:26,818 --> 03:48:28,186 >> I'M GOING CHALLENGE THE GROUP 4878 03:48:28,186 --> 03:48:30,321 TO THINK ABOUT THIS A LITTLE 4879 03:48:30,321 --> 03:48:30,888 BIT. 4880 03:48:30,888 --> 03:48:34,892 IF WE'RE SAYING IT HASN'T BEEN 4881 03:48:34,892 --> 03:48:35,793 EFFECTIVELY DONE AND WE SHOULD 4882 03:48:35,793 --> 03:48:36,728 BE CALLING ON THE PEOPLE, WHO 4883 03:48:36,728 --> 03:48:37,729 ARE THE PEOPLE? 4884 03:48:37,729 --> 03:48:39,130 WHO ARE WE INDICATING IN THE 4885 03:48:39,130 --> 03:48:44,836 REPORT NEEDS TO STEP UP AND TAKE 4886 03:48:44,836 --> 03:48:47,438 OWNERSHIP OF THIS PARTICULAR 4887 03:48:47,438 --> 03:48:55,213 RECOMMENDATION? 4888 03:48:55,213 --> 03:48:57,615 >> PROFESSIONAL ORGANIZATIONS? 4889 03:48:57,615 --> 03:49:00,918 >> OKAY. 4890 03:49:00,918 --> 03:49:04,322 WHO ELSE? 4891 03:49:04,322 --> 03:49:06,724 >> EVERY PROFESSION HASSIS THIS 4892 03:49:06,724 --> 03:49:08,860 PROFESSIONAL SOCIETY AND HAVEN'T 4893 03:49:08,860 --> 03:49:10,161 CONCEPTUALIZED HOW TO 4894 03:49:10,161 --> 03:49:11,462 OPERATIONALIZE THIS PROFESSION 4895 03:49:11,462 --> 03:49:12,997 BUT THINK OF EVERY PROFESSIONAL 4896 03:49:12,997 --> 03:49:14,699 SOCIETY FOR HAVE RESPONSIBILITY 4897 03:49:14,699 --> 03:49:16,401 FOR THERE ARE CONTINUING 4898 03:49:16,401 --> 03:49:16,934 CERTIFICATION PROCESSES 4899 03:49:16,934 --> 03:49:18,836 INCLUDING IN THE TOPIC. 4900 03:49:18,836 --> 03:49:20,371 IF YOU'RE DOING YOUR ANNUAL 4901 03:49:20,371 --> 03:49:21,372 MAINTENANCE AND CERTIFICATION AS 4902 03:49:21,372 --> 03:49:25,610 AN INTERNIST OR DERMATOLOGIST, 4903 03:49:25,610 --> 03:49:28,946 ORTHOPEDISTS, WHATEVER, THEIR 4904 03:49:28,946 --> 03:49:31,382 SOCIETY SHOULD REQUIRE X NUMBER 4905 03:49:31,382 --> 03:49:33,451 OF HOURS PER YEAR AND 4906 03:49:33,451 --> 03:49:35,186 INCORPORATES THESE TOPICS. 4907 03:49:35,186 --> 03:49:37,221 I THINK THE PROBLEM -- THE 4908 03:49:37,221 --> 03:49:38,589 CHALLENGE IS WHERE IS THE TEETH 4909 03:49:38,589 --> 03:49:40,158 IN IT? 4910 03:49:40,158 --> 03:49:43,194 WHO MAKES THAT SOCIETY MANDATE 4911 03:49:43,194 --> 03:49:44,862 FOR THEIR MEMBERS. 4912 03:49:44,862 --> 03:49:48,466 AND I WILL SAY THERE'S A 4913 03:49:48,466 --> 03:49:50,568 DIFFERENCE BETWEEN PROFESSIONAL 4914 03:49:50,568 --> 03:49:52,236 SOCIETIES AND CERTIFICATIONS. 4915 03:49:52,236 --> 03:49:58,342 WE JUST HAVE TO THINK ABOUT THE 4916 03:49:58,342 --> 03:49:59,811 COLLABORATIONS THEREIN. 4917 03:49:59,811 --> 03:50:01,913 AS IT THE PROFESSIONAL SOCIETIES 4918 03:50:01,913 --> 03:50:03,381 THAT HELPFUL FILL THE 4919 03:50:03,381 --> 03:50:13,891 REQUIREMENTS FOR THE M.O.C.s. 4920 03:50:25,470 --> 03:50:27,405 >> IT'S HARD TO IMAGINE A 4921 03:50:27,405 --> 03:50:29,540 SPECIALTY IT WOULDN'T BE 4922 03:50:29,540 --> 03:50:30,074 RELEVANT FOR. 4923 03:50:30,074 --> 03:50:31,375 MAYBE GERIATRICS. 4924 03:50:31,375 --> 03:50:35,746 MAYBE NOT. 4925 03:50:35,746 --> 03:50:40,485 >> WE STARTED TO 3 AND JUMPED TO 4926 03:50:40,485 --> 03:50:43,387 6 OR ANYTHING IN 5 OR BACK TO 3 4927 03:50:43,387 --> 03:50:44,021 THAT MERITS ADDITIONAL COMMENT 4928 03:50:44,021 --> 03:50:54,298 THERE THE GROUP? 4929 03:50:57,735 --> 03:51:02,640 >> ALISON HURLEY EPA, FOR 5B WAS 4930 03:51:02,640 --> 03:51:10,047 IN GAGE -- ENGAGE STAKEHOLDERS 4931 03:51:10,047 --> 03:51:11,716 AND PUBLIC AND GLOBAL PARTNERS. 4932 03:51:11,716 --> 03:51:13,050 I'M NOT SURE WE TOUCHED ON THE 4933 03:51:13,050 --> 03:51:13,851 GLOBAL PARTNERS TODAY. 4934 03:51:13,851 --> 03:51:16,320 I KNOW THERE WERE STATEMENTS 4935 03:51:16,320 --> 03:51:18,856 MADE ABOUT COLLABORATIONS AROUND 4936 03:51:18,856 --> 03:51:22,693 COVID AND ZIKA AND SURE IT 4937 03:51:22,693 --> 03:51:24,962 INCLUDES GLOBAL PARTNERSHIPS IN 4938 03:51:24,962 --> 03:51:27,832 CERTAIN RESPECTS AND WONDER IF 4939 03:51:27,832 --> 03:51:29,934 THOSE ENGAGED IN THE STAKEHOLDER 4940 03:51:29,934 --> 03:51:31,402 COMMUNICATION CAN COMMENT ON THE 4941 03:51:31,402 --> 03:51:32,870 GLOBAL ASPECTS AND WHETHER YOU 4942 03:51:32,870 --> 03:51:39,877 SEE DEFICIENCIES THERE. 4943 03:51:39,877 --> 03:51:43,915 >> I THINK WHAT YOU'RE ASKING 4944 03:51:43,915 --> 03:51:45,983 ALISON IN TERMS OF DISSEMINATION 4945 03:51:45,983 --> 03:51:49,287 OF INFORMATION TO CONSUMERS AND 4946 03:51:49,287 --> 03:51:51,556 PROVIDERS, THERE'S MAYBE A 4947 03:51:51,556 --> 03:51:52,590 PARTNERSHIP WITH THE EUROPEAN 4948 03:51:52,590 --> 03:51:53,457 NETWORK OF INFORMATION SERVICES 4949 03:51:53,457 --> 03:51:56,027 THAT DO THE SAME THING AS WHAT 4950 03:51:56,027 --> 03:51:56,994 WE DO. 4951 03:51:56,994 --> 03:51:59,964 THAT'S A GLOBAL SCALE AND THINK 4952 03:51:59,964 --> 03:52:01,165 IT INVOLVES 33 OTHER COUNTRIES 4953 03:52:01,165 --> 03:52:08,206 AND THAT'S ONE ASPECT OF IT. 4954 03:52:08,206 --> 03:52:11,042 >> I WOULD SAY DURING THE 4955 03:52:11,042 --> 03:52:13,678 EXAMPLES, ZIKA AND COVID WE 4956 03:52:13,678 --> 03:52:18,716 WORKED WITH W.H.O. AND OTHER 4957 03:52:18,716 --> 03:52:20,985 REGIONAL GROUPS OF GLOBAL GROUPS 4958 03:52:20,985 --> 03:52:26,591 BUT THERE'S BEEN PARTICULARLY 4959 03:52:26,591 --> 03:52:31,662 DURING COVID THE INCONSISTENCY 4960 03:52:31,662 --> 03:52:33,097 IN GLOBAL RECOMMENDATIONS AND 4961 03:52:33,097 --> 03:52:34,265 CHALLENGES SO THERE'S 4962 03:52:34,265 --> 03:52:34,799 OPPORTUNITIES THERE. 4963 03:52:34,799 --> 03:52:36,934 >> WE COULD MAKE SURE THE REPORT 4964 03:52:36,934 --> 03:52:38,336 CALLED THAT OUT. 4965 03:52:38,336 --> 03:52:39,203 SHARON, YOU HAVE SOMETHING TO 4966 03:52:39,203 --> 03:52:39,537 CONTRIBUTE. 4967 03:52:39,537 --> 03:52:43,107 >> I CAN SAY WHAT WE'VE DONE IN 4968 03:52:43,107 --> 03:52:46,777 THE HIV WORLD IS SET UP MEETINGS 4969 03:52:46,777 --> 03:52:47,778 WITH GLOBAL PARTNERS. 4970 03:52:47,778 --> 03:52:51,449 WE HAVE ROUTINE MEETINGS WITH 4971 03:52:51,449 --> 03:52:52,483 W.H.O. AND OUR COLLEAGUES THE 4972 03:52:52,483 --> 03:52:56,587 EUROPEAN EQUIVALENT OF WHAT WE 4973 03:52:56,587 --> 03:52:58,489 DO ON THE HIV SIDE TO DEVELOP 4974 03:52:58,489 --> 03:53:00,524 GUIDELINES ABOUT TESTING AND 4975 03:53:00,524 --> 03:53:01,325 ENROLLMENT OF CLINICAL TRIALS 4976 03:53:01,325 --> 03:53:02,526 AND SOME ARE AVAILABLE. 4977 03:53:02,526 --> 03:53:07,064 WE JUST HAD A MEETING TO DISCUSS 4978 03:53:07,064 --> 03:53:08,666 ENROLLMENT OF TB PATIENTS, 4979 03:53:08,666 --> 03:53:11,269 PREGNANT AND LACTATING INFANTS, 4980 03:53:11,269 --> 03:53:12,603 CHILDREN, ETCETERA AND THOSE 4981 03:53:12,603 --> 03:53:16,207 GADE LINES WERE PUBLISHED -- 4982 03:53:16,207 --> 03:53:18,042 LINES WERE PUBLISHED LAST MONTH. 4983 03:53:18,042 --> 03:53:19,877 WE FIND IT MORE HELPFUL TO SET 4984 03:53:19,877 --> 03:53:21,912 UP THE MEETINGS, DEVELOP THE 4985 03:53:21,912 --> 03:53:23,447 AGENDA AND MEET SO THAT WE KIND 4986 03:53:23,447 --> 03:53:26,550 OF KNOW WHAT THE OTHER ONE'S 4987 03:53:26,550 --> 03:53:27,718 TALKING ABOUT AND THE GUIDELINES 4988 03:53:27,718 --> 03:53:30,254 ARE OUT THERE AND READY WHENEVER 4989 03:53:30,254 --> 03:53:31,789 WE HAVE THE NEXT MEDICAL EVENT 4990 03:53:31,789 --> 03:53:32,857 OR ZIKA, WHATEVER YOU WANT TO 4991 03:53:32,857 --> 03:53:33,557 CALL IT. 4992 03:53:33,557 --> 03:53:35,092 IF YOU NEED I CAN SEND YOU TO 4993 03:53:35,092 --> 03:53:36,560 THE LINK OF THE GUIDELINES WE 4994 03:53:36,560 --> 03:53:40,398 JUST PUBLISHED IN FEBRUARY AND 4995 03:53:40,398 --> 03:53:42,533 THOSE ARE NICE START AND TALK 4996 03:53:42,533 --> 03:53:43,901 ABOUT THE POPULATION AND HAVE 4997 03:53:43,901 --> 03:53:49,307 ALL THE STAKEHOLDERS IN THEM. 4998 03:53:49,307 --> 03:53:50,541 I WAN TUT THE LINK IN THE CHAT 4999 03:53:50,541 --> 03:53:59,950 IF YOU WOULD LIKE. 5000 03:53:59,950 --> 03:54:04,121 >> IT'S A GOOD EXAMPLE, THANK 5001 03:54:04,121 --> 03:54:05,122 YOU. 5002 03:54:05,122 --> 03:54:08,926 IT WOULD BE FOR PRE-APPROVAL 5003 03:54:08,926 --> 03:54:10,461 TYPE RESEARCH AND YOU HAVE THE 5004 03:54:10,461 --> 03:54:15,766 ISSUE OF DIFFERENT REGULATORS OF 5005 03:54:15,766 --> 03:54:17,034 A DIFFERENT LABEL, DIFFERENT 5006 03:54:17,034 --> 03:54:19,337 INFORMATION AND LABELS THAT MAY 5007 03:54:19,337 --> 03:54:21,205 COMPLICATE THAT TYPE OF 5008 03:54:21,205 --> 03:54:23,741 COMMUNICATION SO THERE WOULD BE 5009 03:54:23,741 --> 03:54:25,810 SOME EFFORT THAT WOULD BE PUT 5010 03:54:25,810 --> 03:54:30,114 INTO WANTING TO HAVE A 5011 03:54:30,114 --> 03:54:30,748 HARMONIZED COMMUNICATION OR 5012 03:54:30,748 --> 03:54:33,951 SOMEHOW GETTING THE MESSAGE OUT 5013 03:54:33,951 --> 03:54:35,252 THAT WOULD MAKE SENSE IF YOU'RE 5014 03:54:35,252 --> 03:54:44,762 LOOKING AT GLOBAL PARTNERSHIPS. 5015 03:54:44,762 --> 03:54:46,931 >> ANY THOUGHTS AS THE PUBLIC 5016 03:54:46,931 --> 03:54:50,768 AWARENESS CAMPAIGNS, EDUCATION, 5017 03:54:50,768 --> 03:54:55,573 DEVELOPING AND IMPLEMENTING 5018 03:54:55,573 --> 03:55:02,113 STRATEGY HAVE NOT BEEN CAPTURED? 5019 03:55:02,113 --> 03:55:04,548 >> I DON'T KNOW OFFHAND IF ANY 5020 03:55:04,548 --> 03:55:05,282 OF THE OTHER RECOMMENDATIONS 5021 03:55:05,282 --> 03:55:05,950 CALLED OUT GLOBAL LIKE IT DOES 5022 03:55:05,950 --> 03:55:12,223 HERE. 5023 03:55:12,223 --> 03:55:16,527 AND WHERE I DO THINK THE GLOBAL 5024 03:55:16,527 --> 03:55:21,432 THREAD NEEDS TO BE PULLED IS IN 5025 03:55:21,432 --> 03:55:22,767 THE PRIORITIZATION OF SOME OF 5026 03:55:22,767 --> 03:55:23,467 THE RESEARCH SPECIFIC TO 5027 03:55:23,467 --> 03:55:25,603 PREGNANT AND LACTATING WOMEN 5028 03:55:25,603 --> 03:55:27,605 BECAUSE THAT DOES TEND TO BE 5029 03:55:27,605 --> 03:55:31,308 WHERE THE GLOBAL MUSCLE AND 5030 03:55:31,308 --> 03:55:35,112 BRAIN TRUST CAN HELP MOVE THAT 5031 03:55:35,112 --> 03:55:37,548 FORWARD SO IT'S LESS FOR THIS 5032 03:55:37,548 --> 03:55:39,250 RECOMMENDATION AND I'M NOT SAVVY 5033 03:55:39,250 --> 03:55:41,952 ABOUT WHETHER OR NOT THIS GLOBAL 5034 03:55:41,952 --> 03:55:43,921 PIECE IS MENTIONED ELSEWHERE. 5035 03:55:43,921 --> 03:55:49,894 >> I MIGHT ASK CAMILLE ON THE 5036 03:55:49,894 --> 03:55:50,528 PRIORITIZATION PROFESSION AND 5037 03:55:50,528 --> 03:55:52,763 WHETHER YOU'RE GET INPUT FROM 5038 03:55:52,763 --> 03:55:54,799 OUTSIDE THE U.S. OR IS MOST 5039 03:55:54,799 --> 03:56:00,971 COMING FROM IN THE U.S.? 5040 03:56:00,971 --> 03:56:10,080 >> I'D HAVE TO AND MOST ARE 5041 03:56:10,080 --> 03:56:11,081 U.S. BASED I WOULD SAY. 5042 03:56:11,081 --> 03:56:12,516 I'D HAVE TO DOUBLE CHECK. 5043 03:56:12,516 --> 03:56:15,486 I CAN COMMENT IN A FEW MOMENTS. 5044 03:56:15,486 --> 03:56:18,656 >> ASSUME THAT'S WHAT YOU'RE 5045 03:56:18,656 --> 03:56:23,894 GETTING AT, MEDICATIONS RELEVANT 5046 03:56:23,894 --> 03:56:26,464 TO PREGNANT AND LACTATING WOMEN 5047 03:56:26,464 --> 03:56:27,398 WHERE THERE'S SPECIFIC 5048 03:56:27,398 --> 03:56:27,898 MORBIDITIES. 5049 03:56:27,898 --> 03:56:30,134 >> YES AND ONE THING I'M 5050 03:56:30,134 --> 03:56:31,402 SPECIFICALLY THINKING ABOUT AND 5051 03:56:31,402 --> 03:56:33,037 CAMILLE I CAN FORWARD THE PAPER 5052 03:56:33,037 --> 03:56:35,406 IS THE PRIORITIZATION OF NOVEL 5053 03:56:35,406 --> 03:56:38,676 DRUG DISCOVERY THAT'S NEEDED AND 5054 03:56:38,676 --> 03:56:40,878 SOMETIMES THAT'S OFF PATENT OR 5055 03:56:40,878 --> 03:56:42,279 OFF LABEL INDICATIONS AND 5056 03:56:42,279 --> 03:56:43,981 SOMETIMES DEVELOPMENT OF NEW 5057 03:56:43,981 --> 03:56:46,784 NOVEL DRUG DISCOVERY BUT THAT'S 5058 03:56:46,784 --> 03:56:48,118 WHERE THERE'S BEEN SOME GLOBAL 5059 03:56:48,118 --> 03:56:52,189 THINKING AROUND MEDICAL 5060 03:56:52,189 --> 03:56:53,190 COMPLICATIONS AND WHAT'S NEEDED. 5061 03:56:53,190 --> 03:56:54,625 >> I WANTED TO WEIGH IN. 5062 03:56:54,625 --> 03:56:58,195 I THINK IT'S GOOD TO GO BACK AND 5063 03:56:58,195 --> 03:56:59,396 MAYBE LEVEL SET WHERE THE 5064 03:56:59,396 --> 03:57:00,764 RECOMMENDATIONS CAME FROM. 5065 03:57:00,764 --> 03:57:05,169 IF I'M RECALLING PROPERLY AND 5066 03:57:05,169 --> 03:57:06,837 THERE'S OTHER PRGLAC TASK 5067 03:57:06,837 --> 03:57:07,905 MEMBERS IN THE ROOM THIS HAD A 5068 03:57:07,905 --> 03:57:10,140 CALL OUT TO GLOBAL BECAUSE THE 5069 03:57:10,140 --> 03:57:11,408 INTENTION WITH THE 5070 03:57:11,408 --> 03:57:12,710 RECOMMENDATION IS WHY IT'S 5071 03:57:12,710 --> 03:57:15,412 IMPORTANT TO DO RESEARCH IN 5072 03:57:15,412 --> 03:57:19,650 PREGNANT AND LACTATING 5073 03:57:19,650 --> 03:57:20,384 POPULATIONS BUT MORE OF A 5074 03:57:20,384 --> 03:57:23,821 GENERAL CALL OUT AND A TOPIC 5075 03:57:23,821 --> 03:57:25,189 WHEN YOU THINK ABOUT THIS BEING 5076 03:57:25,189 --> 03:57:26,590 A SET OF RECOMMENDATIONS TO THE 5077 03:57:26,590 --> 03:57:29,193 U.S. CONGRESS AND WHAT THEY CAN 5078 03:57:29,193 --> 03:57:31,061 IMPLEMENT WITHIN THE 5079 03:57:31,061 --> 03:57:33,998 U.S. STRUCTURE, THIS CAN EASILY 5080 03:57:33,998 --> 03:57:35,399 PARTNER ACROSS OTHER 5081 03:57:35,399 --> 03:57:36,166 JURISDICTIONS AND YOU'RE NOT 5082 03:57:36,166 --> 03:57:38,502 SEEING THE GLOBAL LANGUAGE IN 5083 03:57:38,502 --> 03:57:39,470 THE OTHER RECOMMENDATIONS 5084 03:57:39,470 --> 03:57:41,005 BECAUSE MANY CALL FOR SPECIFIC 5085 03:57:41,005 --> 03:57:43,407 FUNDING COMING FROM 5086 03:57:43,407 --> 03:57:50,214 U.S. SOURCES. 5087 03:57:50,214 --> 03:57:55,052 >> THERE ARE EFFORTS ON A GLOBAL 5088 03:57:55,052 --> 03:57:56,654 SCALE AND THERE'S AN E-21 WHICH 5089 03:57:56,654 --> 03:58:00,324 IS LOOKING AT CREATING SOME 5090 03:58:00,324 --> 03:58:01,225 FRAMEWORK AROUND GATHERING 5091 03:58:01,225 --> 03:58:03,460 INFORMATION AND THAT PRECLINICAL 5092 03:58:03,460 --> 03:58:04,094 SPACE. 5093 03:58:04,094 --> 03:58:05,262 THESE THINGS TAKE TIME BUT THERE 5094 03:58:05,262 --> 03:58:07,398 ARE EFFORTS GOING ON IN THE 5095 03:58:07,398 --> 03:58:14,672 SPACE. 5096 03:58:14,672 --> 03:58:16,674 >> IF THERE'S NO OTHER COMMENTS 5097 03:58:16,674 --> 03:58:17,575 RELATED TO THIS MORNING'S 5098 03:58:17,575 --> 03:58:19,710 SESSIONS WE CAN MOVE ON TO THE 5099 03:58:19,710 --> 03:58:21,111 REPORT PREPARATION FOR TAKE A 5100 03:58:21,111 --> 03:58:21,645 SMALL BREAK. 5101 03:58:21,645 --> 03:58:28,052 WA -- WHY DON'T WE TAKE A 5102 03:58:28,052 --> 03:58:31,388 10-MINUTE BREAK AND RECONVENE AT 5103 03:58:31,388 --> 03:58:31,589 2:20. 5104 03:58:31,589 --> 03:58:35,168 THANKS. 5105 03:58:38,091 --> 03:58:40,627 WE'RE GOING TO TRANSITION INTO 5106 03:58:40,627 --> 03:58:42,162 PROVIDING MORE DETAIL AND 5107 03:58:42,162 --> 03:58:46,132 INFORMATION ABOUT THE FINAL 5108 03:58:46,132 --> 03:58:47,200 REPORT AS IT WILL BE DEVELOPED 5109 03:58:47,200 --> 03:58:49,169 BY THIS GROUP. 5110 03:58:49,169 --> 03:58:51,771 WE HAVE A REPORT DEVELOPMENT 5111 03:58:51,771 --> 03:58:55,375 DISCUSSION SLIDE BUT I THINK I 5112 03:58:55,375 --> 03:58:56,309 MAY ASK US TO GO TWO SLIDES 5113 03:58:56,309 --> 03:59:06,586 FORWARD, PLEASE. 5114 03:59:18,064 --> 03:59:20,733 I WANT TO REMIND US WHAT THE 5115 03:59:20,733 --> 03:59:22,836 WORKING GROUP IS HERE TO DO. 5116 03:59:22,836 --> 03:59:26,105 AS PART OF THE RECOMMENDATIONS 5117 03:59:26,105 --> 03:59:27,273 LAID OUT IN PRGLAC WAS 5118 03:59:27,273 --> 03:59:28,541 RECOMMENDATION 5 TO ESTABLISH AN 5119 03:59:28,541 --> 03:59:29,409 ADVISORY COMMITTEE IN THIS CASE 5120 03:59:29,409 --> 03:59:33,680 A WORKING GROUP TO MONITOR AND 5121 03:59:33,680 --> 03:59:36,649 REPORT ON IMPLEMENTATION SO 5122 03:59:36,649 --> 03:59:37,584 IMPLEMENTATION OF THE 5123 03:59:37,584 --> 03:59:39,886 RECOMMENDATIONS AND GUIDANCES 5124 03:59:39,886 --> 03:59:40,954 AND REGULATIONS, ETCETERA. 5125 03:59:40,954 --> 03:59:45,725 YOU CAN SEE FURTHER IN THE 5126 03:59:45,725 --> 03:59:46,626 LANGUAGE WHAT THEY'RE ASKING TO 5127 03:59:46,626 --> 03:59:49,496 DO IS ONCE THE CHARTER EXPIRES, 5128 03:59:49,496 --> 03:59:51,598 ANOTHER COMMITTEE SHOULD BE 5129 03:59:51,598 --> 03:59:54,167 ENGAGED WITH A SIMILAR RANGE OF 5130 03:59:54,167 --> 03:59:54,868 EXPERTISE EVERYBODY IN THE ROOM 5131 03:59:54,868 --> 03:59:58,705 AND JOINING US ON THE CALL TO 5132 03:59:58,705 --> 04:00:01,708 ENSURE THE STEPS RECOMMENDED BY 5133 04:00:01,708 --> 04:00:02,842 PRGLAC ARE IMPLEMENTED AND 5134 04:00:02,842 --> 04:00:06,646 PROGRESS IS MONITORED. 5135 04:00:06,646 --> 04:00:07,580 WE HAVE EXCELLENT DIALOGUE WHERE 5136 04:00:07,580 --> 04:00:08,681 OPPORTUNITIES ARE AND HOW TO 5137 04:00:08,681 --> 04:00:12,418 ADDRESS SOME OF THE GAPS AND -- 5138 04:00:12,418 --> 04:00:16,222 I'M NOT GOING TO CALL THEM 5139 04:00:16,222 --> 04:00:17,323 FAILINGS BUT INABILITY TO 5140 04:00:17,323 --> 04:00:19,325 PERHAPS MOVE FORWARD IN THE WAY 5141 04:00:19,325 --> 04:00:19,659 ENVISIONED. 5142 04:00:19,659 --> 04:00:21,728 WHY THOSE HAVE HAPPENED AND HOW 5143 04:00:21,728 --> 04:00:25,598 WE MIGHT WORK AROUND THEM BUT I 5144 04:00:25,598 --> 04:00:26,533 WAN 5145 04:00:26,533 --> 04:00:29,269 WANTED YOU TO HAVE THIS LANGUAGE 5146 04:00:29,269 --> 04:00:33,106 IN MIND AS WE DISCUSS THE REPORT 5147 04:00:33,106 --> 04:00:41,047 PREPARATION LOOKS LIKE AND 5148 04:00:41,047 --> 04:00:42,181 FINALIZE AND COHESION IN THE 5149 04:00:42,181 --> 04:00:42,615 REPORT. 5150 04:00:42,615 --> 04:00:43,583 I'LL AND IT TO OUR COLLEAGUES AT 5151 04:00:43,583 --> 04:00:53,693 NICHD. 5152 04:00:59,566 --> 04:01:01,100 >> FIRST I WANTED TO TAKE ABOUT 5153 04:01:01,100 --> 04:01:02,669 BEST PRACTICES IN DEVELOPMENT 5154 04:01:02,669 --> 04:01:04,537 AND KEEPING IN MIND WHO OUR 5155 04:01:04,537 --> 04:01:08,708 AUDIENCE IS. 5156 04:01:08,708 --> 04:01:17,483 THIS IS BOTH A REPORT FOR THE 5157 04:01:17,483 --> 04:01:18,918 PUBLIC AND CONGRESS AND IT WILL 5158 04:01:18,918 --> 04:01:21,054 BE IMPORTANT IN GUIDING US AND 5159 04:01:21,054 --> 04:01:24,857 FOR THE PURPOSES OF THIS REPORT, 5160 04:01:24,857 --> 04:01:27,126 WITH A LITTLE RELY ON THE TEXT 5161 04:01:27,126 --> 04:01:31,598 TO HELP WITH THE NUANCE WHERE 5162 04:01:31,598 --> 04:01:38,871 OTHER CLASSIFICATION SCHEMAS 5163 04:01:38,871 --> 04:01:40,540 OVER THE LAST MEETINGS MAY NOT 5164 04:01:40,540 --> 04:01:42,542 BE THE BEST WAY AND PROVIDE THE 5165 04:01:42,542 --> 04:01:45,011 NUANCE THAT WE NEED FOR PUBLIC 5166 04:01:45,011 --> 04:01:48,214 AND CONGRESS TO UNDERSTAND HOW 5167 04:01:48,214 --> 04:01:49,616 WE'RE FEELING WITH THE 5168 04:01:49,616 --> 04:01:50,049 IMPLEMENTATION. 5169 04:01:50,049 --> 04:01:53,286 ALSO IN A GROUP THIS BIG THERE 5170 04:01:53,286 --> 04:01:55,188 ARE INEVITABLY GOING TO BE 5171 04:01:55,188 --> 04:01:56,856 DISAGREEMENTS OR LACK OF 5172 04:01:56,856 --> 04:01:57,156 CONCURRENCE. 5173 04:01:57,156 --> 04:01:58,992 WE HAVE WAYS TO HANDLE THIS 5174 04:01:58,992 --> 04:02:00,393 WITHIN THE REPORT. 5175 04:02:00,393 --> 04:02:07,800 IF YOU READ THE ORIGINAL REPORT 5176 04:02:07,800 --> 04:02:09,702 YOU'LL NOTICE FOOTNOTES WHERE 5177 04:02:09,702 --> 04:02:10,970 THERE WAS AGREEMENT FROM THE 5178 04:02:10,970 --> 04:02:13,606 ORIGINAL MEMBERS AND WANT TO 5179 04:02:13,606 --> 04:02:16,342 OFFER THE SAME PROCEDURE FOR 5180 04:02:16,342 --> 04:02:17,477 THIS REPORT AS WELL. 5181 04:02:17,477 --> 04:02:19,879 AS YOU'RE READING THE REPORT YOU 5182 04:02:19,879 --> 04:02:21,648 CAN REVIEW YOU'LL REVIEW IN A 5183 04:02:21,648 --> 04:02:24,917 COUPLE WEEKS, IF THERE'S PLACES 5184 04:02:24,917 --> 04:02:28,421 YOU DISAGREE AND WANT THAT NOTED 5185 04:02:28,421 --> 04:02:30,156 PUT THAT BACK TO US SO WE CAN 5186 04:02:30,156 --> 04:02:32,859 ENSURE TO PUT THAT IN THE FOOT 5187 04:02:32,859 --> 04:02:35,561 NOTE AND WE MEAN IN THE PIECE A 5188 04:02:35,561 --> 04:02:36,696 MAJOR DISAGREEMENT ABOUT WHAT WE 5189 04:02:36,696 --> 04:02:38,931 PUT IN THE REPORT. 5190 04:02:38,931 --> 04:02:44,437 AND THEN JUST KEEPING IN MIND 5191 04:02:44,437 --> 04:02:48,241 THE SCOPE OF THE REPORT THAT 5192 04:02:48,241 --> 04:02:51,644 WE'RE MEANT TO MONITOR PROGRESS 5193 04:02:51,644 --> 04:02:54,347 AND COMMENT ON BARRIERS TO 5194 04:02:54,347 --> 04:02:57,684 IMPLEMENTATION OR WAYS IT'S 5195 04:02:57,684 --> 04:02:58,785 FALLEN SHORT AND POTENTIALLY 5196 04:02:58,785 --> 04:03:01,587 MAKE COMMENTS ABOUT REVISION TO 5197 04:03:01,587 --> 04:03:03,022 THE ORIGINAL RECOMMENDATIONS AS 5198 04:03:03,022 --> 04:03:06,125 NECESSARY BUT WE ARE NOT MAKING 5199 04:03:06,125 --> 04:03:07,560 NEW RECOMMENDATIONS ABOUT HOW TO 5200 04:03:07,560 --> 04:03:09,529 INCLUDE PREGNANT AND LACTATING 5201 04:03:09,529 --> 04:03:12,965 FOLKS IN CLINICAL TRIALS AND 5202 04:03:12,965 --> 04:03:14,100 RESEARCH. 5203 04:03:14,100 --> 04:03:15,501 KEEPING IN MIND THE PURPOSES OF 5204 04:03:15,501 --> 04:03:16,302 THE GROUP AND SCOPING THAT 5205 04:03:16,302 --> 04:03:19,772 APPROPRIATELY IN THE REPORT. 5206 04:03:19,772 --> 04:03:21,507 ALSO I'LL STOP THERE TO SEE IF 5207 04:03:21,507 --> 04:03:23,242 THERE'S QUESTIONS ABOUT THAT. 5208 04:03:23,242 --> 04:03:26,345 >> I DID WANT TO RAISE ONE 5209 04:03:26,345 --> 04:03:26,579 COMMENT. 5210 04:03:26,579 --> 04:03:28,014 A COMMENT RAISED TO ME IN THE 5211 04:03:28,014 --> 04:03:30,850 BREAK AND A GOOD ONE FROM 5212 04:03:30,850 --> 04:03:31,984 COLLEAGUES IN THE WORK GROUP AND 5213 04:03:31,984 --> 04:03:37,256 GOVERNMENT ENTITIES NOT ABLE TO 5214 04:03:37,256 --> 04:03:38,691 WRITE POLICY OR ADVOCACY OR HAVE 5215 04:03:38,691 --> 04:03:40,660 A POSITION AND HOW IS THAT TO BE 5216 04:03:40,660 --> 04:03:42,361 HANDLED IN THE REPORT? 5217 04:03:42,361 --> 04:03:43,963 >> WE TALKED ABOUT THAT. 5218 04:03:43,963 --> 04:03:45,264 I THINK WE CAN TALK ABOUT THE 5219 04:03:45,264 --> 04:03:48,668 BEST WAY TO HANDLE THAT AS WE'RE 5220 04:03:48,668 --> 04:03:49,802 DEVELOPING BUT THAT WILL ALSO 5221 04:03:49,802 --> 04:03:54,307 INCLUDE A DISCLAIMER OR FOOTNOTE 5222 04:03:54,307 --> 04:03:56,342 THAT SAYS SOMETHING ALONG THOSE 5223 04:03:56,342 --> 04:03:57,009 LINES THERE ARE FEDERAL PEOPLE 5224 04:03:57,009 --> 04:03:57,910 WHO CONTRIBUTED TO THE REPORT 5225 04:03:57,910 --> 04:04:00,413 AND WE'RE LIMITED IN OUR ABILITY 5226 04:04:00,413 --> 04:04:10,623 TO COMMENT. 5227 04:04:11,023 --> 04:04:12,692 >> IF WE ADVANCE TO THE REPORT 5228 04:04:12,692 --> 04:04:14,393 DEVELOPMENT OUTLINE. 5229 04:04:14,393 --> 04:04:16,395 CHRISTINA, DO YOU WANT TO TAKE 5230 04:04:16,395 --> 04:04:18,364 THIS? 5231 04:04:18,364 --> 04:04:20,266 >> SO THE DOCUMENT ITSELF WILL 5232 04:04:20,266 --> 04:04:22,068 HAVE FOUR COMPONENTS TO IT. 5233 04:04:22,068 --> 04:04:24,403 THERE'LL BE AN OVERVIEW AND 5234 04:04:24,403 --> 04:04:25,605 INTRODUCTION WHICH IS GOING TO 5235 04:04:25,605 --> 04:04:27,340 HIGHLIGHT QUITE A BIT OF THE 5236 04:04:27,340 --> 04:04:30,610 BACKGROUND INFORMATION INCLUDING 5237 04:04:30,610 --> 04:04:32,478 THE ORIGINAL PURPOSE OF THE 5238 04:04:32,478 --> 04:04:35,381 PRGLAC, WORKING GROUP ITSELF. 5239 04:04:35,381 --> 04:04:36,749 WHAT TOOK PLACE IN THE CONTEXT 5240 04:04:36,749 --> 04:04:38,618 OF OUR MEETING AND GATHERING 5241 04:04:38,618 --> 04:04:40,553 PROCESS WE USED TO MAKE THE 5242 04:04:40,553 --> 04:04:41,420 REPORT. 5243 04:04:41,420 --> 04:04:42,822 IT WILL BE PRETTY 5244 04:04:42,822 --> 04:04:43,823 STRAIGHTFORWARD AND PROBABLY A 5245 04:04:43,823 --> 04:04:45,825 BIT OF A REPEAT OF WHAT YOU 5246 04:04:45,825 --> 04:04:48,494 HEARD IN THE LAST MEETINGS. 5247 04:04:48,494 --> 04:04:49,829 SECTION 2 WILL BE WHERE WE NEED 5248 04:04:49,829 --> 04:04:51,697 TO YOU FOCUS INTENSELY BECAUSE 5249 04:04:51,697 --> 04:04:53,366 IT'S WHERE WE'RE GOING TO BE 5250 04:04:53,366 --> 04:04:55,234 PROVIDING UPDATES ON THE 5251 04:04:55,234 --> 04:04:57,236 IMPLEMENTATION PLAN ITSELF AND 5252 04:04:57,236 --> 04:04:57,937 WRITTEN WHERE EACH 5253 04:04:57,937 --> 04:04:58,905 RECOMMENDATION WILL HAVE ITS OWN 5254 04:04:58,905 --> 04:05:02,575 SUBSECTION. 5255 04:05:02,575 --> 04:05:03,743 THERE'LL BE CLASSIFICATIONS. 5256 04:05:03,743 --> 04:05:06,012 WE'VE STRUGGLED A LOT WITH HOW 5257 04:05:06,012 --> 04:05:07,914 TO HANDLE THIS BUT IN GENERAL IT 5258 04:05:07,914 --> 04:05:10,049 WILL SAY EITHER A RECOMMENDATION 5259 04:05:10,049 --> 04:05:12,018 IS DONE OR COMPLETED. 5260 04:05:12,018 --> 04:05:13,853 IT'S IN PROGRESS WHICH MOST THEM 5261 04:05:13,853 --> 04:05:15,454 ARE GOING TO BE INNER RANGE OF 5262 04:05:15,454 --> 04:05:18,958 IN PROGRESS AND WE KNOW THAT AND 5263 04:05:18,958 --> 04:05:20,526 THAT'S WHY EMMA HAS NICELY 5264 04:05:20,526 --> 04:05:23,930 SPOKEN TO THE FACT THAT WE NEED 5265 04:05:23,930 --> 04:05:27,767 THE TEXT TO CONTEXTUALIZE AND 5266 04:05:27,767 --> 04:05:29,001 NUANCE OF HOW PROGRESSED WE ARE 5267 04:05:29,001 --> 04:05:35,875 AND SOME NOT STARTED OR MAY NEED 5268 04:05:35,875 --> 04:05:36,542 ADDITIONAL CONGRESSIONAL ACTION 5269 04:05:36,542 --> 04:05:37,610 AND INCLUDE SPECIFIC 5270 04:05:37,610 --> 04:05:40,079 CONSIDERATIONS AND WHERE WE MAY 5271 04:05:40,079 --> 04:05:41,714 HAVE SOME RECOMMENDATIONS ABOUT 5272 04:05:41,714 --> 04:05:43,583 HOW TO STRENGTHEN AND SEE ACTION 5273 04:05:43,583 --> 04:05:46,152 RELATED TO THOSE 5274 04:05:46,152 --> 04:05:46,986 RECOMMENDATIONS, THOSE WOULD BE 5275 04:05:46,986 --> 04:05:49,088 ONE OF THE PLACES TO SEE THAT 5276 04:05:49,088 --> 04:05:49,722 WITHIN THE REPORT. 5277 04:05:49,722 --> 04:05:52,525 SECTION 3 WILL BE A SECTION THAT 5278 04:05:52,525 --> 04:05:57,496 PROVIDES OVER ARCHING THEMES. 5279 04:05:57,496 --> 04:05:59,899 SO IN OUR REVIEW WHEN WE WENT 5280 04:05:59,899 --> 04:06:02,735 THROUGH REVIEW OF THE STATUSES 5281 04:06:02,735 --> 04:06:05,338 TO DATE SOME THING THAT 5282 04:06:05,338 --> 04:06:08,140 DISTILLED TO THE TOP WHICH 5283 04:06:08,140 --> 04:06:09,175 IMPACT ALL THE RECOMMENDATIONS 5284 04:06:09,175 --> 04:06:10,610 OR SPACE IN GENERAL AND WE'LL 5285 04:06:10,610 --> 04:06:13,279 SPEND TIME DEVELOPING THESE OVER 5286 04:06:13,279 --> 04:06:14,347 ARCHING THEMES IN THE REST OF 5287 04:06:14,347 --> 04:06:16,415 THE SESSION TODAY AND THEN 5288 04:06:16,415 --> 04:06:24,891 THERE'LL A CONCLUSION. 5289 04:06:24,891 --> 04:06:27,126 SO THE OVER ARCHING THEMES -- DO 5290 04:06:27,126 --> 04:06:33,332 YOU WANT TO GO HERE FIRST? 5291 04:06:33,332 --> 04:06:36,736 LET'S GO TO THE TIME LINE SO YOU 5292 04:06:36,736 --> 04:06:38,337 HAVE AN INFORMATION OF THE WORK 5293 04:06:38,337 --> 04:06:40,406 IN FRONT OF YOU AND THEN TO 5294 04:06:40,406 --> 04:06:50,249 THEMES. 5295 04:06:50,249 --> 04:06:52,385 >> WE'VE LAID OUT THE TIME LINE. 5296 04:06:52,385 --> 04:06:54,253 NOTE SOME DATES MAY CHANGE BUT I 5297 04:06:54,253 --> 04:06:56,122 DID WANT -- WE ARE WORKING ON A 5298 04:06:56,122 --> 04:06:58,624 TITLE TIME LINE SO I DO WANT TO 5299 04:06:58,624 --> 04:07:00,426 CALL YOUR ATTENTION TO IN 5300 04:07:00,426 --> 04:07:02,929 PARTICULAR A COUPLE UPDATES. 5301 04:07:02,929 --> 04:07:04,897 SO AFTER THIS MEETING, MY 5302 04:07:04,897 --> 04:07:06,799 COLLEAGUES AT NICHD AND I WILL 5303 04:07:06,799 --> 04:07:08,935 GET TO WORK WITH THE HELP OF A 5304 04:07:08,935 --> 04:07:12,405 SCIENCE WRITER IN PULLING 5305 04:07:12,405 --> 04:07:13,572 TOGETHER THE REPORT. 5306 04:07:13,572 --> 04:07:15,441 WE'LL TAKE ABOUT FIVE WEEKS TO 5307 04:07:15,441 --> 04:07:17,443 DO THIS OR ABOUT FOUR WEEKS TO 5308 04:07:17,443 --> 04:07:21,247 DO THIS AND THEN GIVE THE 5309 04:07:21,247 --> 04:07:22,949 CO-CHAIRS AN OPPORTUNITY TO 5310 04:07:22,949 --> 04:07:24,016 REVIEW BEFORE SENDING IT TO ALL 5311 04:07:24,016 --> 04:07:24,650 OF YOU. 5312 04:07:24,650 --> 04:07:32,124 OUR TARGET IS MAY 13 THROUGH 24, 5313 04:07:32,124 --> 04:07:33,526 ABOUT 10 DAYS YOU'LL HAVE TO 5314 04:07:33,526 --> 04:07:36,762 REVIEW THE REPORT AND THE TIME 5315 04:07:36,762 --> 04:07:39,165 LINE IS A LITTLE TIGHT BECAUSE 5316 04:07:39,165 --> 04:07:42,768 WE HAVE A DEADLINE WHICH IS OUR 5317 04:07:42,768 --> 04:07:45,037 FINAL REPRESENTATION TO COUNCIL, 5318 04:07:45,037 --> 04:07:46,505 JUNE 3. 5319 04:07:46,505 --> 04:07:51,544 AND THIS IS OPEN TO THE PUBLIC 5320 04:07:51,544 --> 04:07:53,379 SO YOU'RE ALL WELCOME TO COME TO 5321 04:07:53,379 --> 04:07:55,581 THE PRESENTATION AND HEAR THE 5322 04:07:55,581 --> 04:07:58,884 FINAL COUNCIL PRESENTATION. 5323 04:07:58,884 --> 04:08:01,620 BUT THEN OUR PLAN IS TO HAVE A 5324 04:08:01,620 --> 04:08:02,388 FINAL REPORT SUBMITTED TO 5325 04:08:02,388 --> 04:08:04,423 COUNCIL BY THE END OF JUNE THAT 5326 04:08:04,423 --> 04:08:07,593 INCORPORATES A LITTLE BIT OF 5327 04:08:07,593 --> 04:08:09,195 FEEDBACK THOUGH THAT SHOULD NOT 5328 04:08:09,195 --> 04:08:11,163 BE SENSITIVE AND THEN A VERY 5329 04:08:11,163 --> 04:08:13,566 FINAL PRODUCT DONE BY THE END OF 5330 04:08:13,566 --> 04:08:14,867 JULY. 5331 04:08:14,867 --> 04:08:18,704 SO THIS IS A VERY TIGHT TIME 5332 04:08:18,704 --> 04:08:18,904 LINE. 5333 04:08:18,904 --> 04:08:21,907 AND I'M HOPING YOU CAN ALL STICK 5334 04:08:21,907 --> 04:08:24,844 TO THIS MAY 13 TO 24th DATE AND 5335 04:08:24,844 --> 04:08:25,978 SUBMIT YOUR COMMENTS IN THAT 5336 04:08:25,978 --> 04:08:28,414 PERIOD SO WE HAVE TIME TO 5337 04:08:28,414 --> 04:08:29,582 INCORPORATE THEM BEFORE WE 5338 04:08:29,582 --> 04:08:31,584 DEVELOP OUR COUNCIL 5339 04:08:31,584 --> 04:08:31,951 PRESENTATION. 5340 04:08:31,951 --> 04:08:35,654 >> PLEASE PUT IT ON YOUR 5341 04:08:35,654 --> 04:08:36,689 CALENDAR NOW, PLAN TO RECEIVE 5342 04:08:36,689 --> 04:08:37,356 THE DOCUMENT. 5343 04:08:37,356 --> 04:08:38,924 WE NEED EVERYBODY'S FEEDBACK. 5344 04:08:38,924 --> 04:08:41,193 WE HAD A QUESTION OFFLINE ABOUT 5345 04:08:41,193 --> 04:08:43,596 THE TIME LINE ITSELF. 5346 04:08:43,596 --> 04:08:45,564 DO YOU WANT TO SHARE YOUR 5347 04:08:45,564 --> 04:08:46,399 QUESTION ABOUT WHAT COMES AFTER 5348 04:08:46,399 --> 04:08:50,436 THE REPORT TO CONGRESS? 5349 04:08:50,436 --> 04:08:56,409 >> YES, THANK YOU, I FORGOT. 5350 04:08:56,409 --> 04:09:02,581 I WAS CURIOUS TO LEARN AFTER THE 5351 04:09:02,581 --> 04:09:05,918 FINAL REPORT IS SUBMITTED IF 5352 04:09:05,918 --> 04:09:08,954 THERE'S AN OPPORTUNITY FOR THE 5353 04:09:08,954 --> 04:09:10,523 AD HOC GROUP TO REVIEW THE WORK 5354 04:09:10,523 --> 04:09:13,325 AND REFLECT ON OPPORTUNITIES FOR 5355 04:09:13,325 --> 04:09:16,996 ONGOING ENGAGEMENT AND THEN 5356 04:09:16,996 --> 04:09:17,696 SECONDARILY, DISTINCT FROM THAT 5357 04:09:17,696 --> 04:09:20,332 I WAS CURIOUS IF THERE WAS AN 5358 04:09:20,332 --> 04:09:20,833 OPPORTUNITY FOR PUBLIC 5359 04:09:20,833 --> 04:09:22,134 COMMENTARY. 5360 04:09:22,134 --> 04:09:24,703 I KNOW THE TIME LINE IS VERY 5361 04:09:24,703 --> 04:09:26,405 TIGHT SO I CAN UNDERSTAND IT 5362 04:09:26,405 --> 04:09:28,007 DIDN'T ALLOW FOR BUT I WAS 5363 04:09:28,007 --> 04:09:28,507 CURIOUS TO ASK. 5364 04:09:28,507 --> 04:09:32,845 THANK YOU SO MUCH. 5365 04:09:32,845 --> 04:09:34,780 >> I CAN ANSWER THE QUESTION 5366 04:09:34,780 --> 04:09:35,915 ABOUT PUBLIC COMMENTARY. 5367 04:09:35,915 --> 04:09:39,952 THIS IS A WORKING GROUP OF WHAT 5368 04:09:39,952 --> 04:09:43,589 WE CALL A FEDERAL ADVISORY ACT 5369 04:09:43,589 --> 04:09:43,923 COMMITTEE. 5370 04:09:43,923 --> 04:09:46,325 AS A FEDERAL GOVERNMENT AGENCY 5371 04:09:46,325 --> 04:09:47,793 THERE ARE CERTAIN RULES THAT WE 5372 04:09:47,793 --> 04:09:55,601 HAVE TO FOLLOW WHEN IT COMES TO 5373 04:09:55,601 --> 04:09:56,735 NON FEDERAL PEOPLE GIVING THE 5374 04:09:56,735 --> 04:09:58,104 FEDERAL GOVERNMENT ADVICE. 5375 04:09:58,104 --> 04:10:01,273 AS THIS IS A WORKING GROUP OF 5376 04:10:01,273 --> 04:10:02,541 THE COMMITTEE THEY'RE THE ONLY 5377 04:10:02,541 --> 04:10:04,110 ONES THAT CAN FORMALLY GIVE 5378 04:10:04,110 --> 04:10:06,979 ADVICE TO THE GOVERNMENT IN A 5379 04:10:06,979 --> 04:10:07,947 FORMALIZED WAY. 5380 04:10:07,947 --> 04:10:09,648 YOU'LL SEE WE'RE PRESENTING THIS 5381 04:10:09,648 --> 04:10:12,418 UP TO THE FULL COUNCIL IN JUNE 5382 04:10:12,418 --> 04:10:15,054 AND THE FULL COUNCIL WILL BE THE 5383 04:10:15,054 --> 04:10:20,392 ONE APPROVING THE 5384 04:10:20,392 --> 04:10:20,759 RECOMMENDATION. 5385 04:10:20,759 --> 04:10:23,195 I THINK THAT WE WOULD NOT BE 5386 04:10:23,195 --> 04:10:25,731 ABLE TO PUT THIS REPORT OUT FOR 5387 04:10:25,731 --> 04:10:27,833 PUBLIC COMMENT FOR THAT REASON. 5388 04:10:27,833 --> 04:10:29,535 WE CAN CERTAINLY DISCUSS 5389 04:10:29,535 --> 04:10:30,870 INTERNALLY IF THERE ARE OTHER 5390 04:10:30,870 --> 04:10:34,507 WAYS WHERE WE CAN GET FEEDBACK 5391 04:10:34,507 --> 04:10:35,074 FROM THE PUBLIC. 5392 04:10:35,074 --> 04:10:44,917 NOT FOR THE PARTICULAR REPORT. 5393 04:10:44,917 --> 04:10:46,252 >> AFTER THE REPORT GETS 5394 04:10:46,252 --> 04:10:49,488 SUBMITTED TO CONGRESS, IS THERE 5395 04:10:49,488 --> 04:10:52,424 AN OUTREACH STRATEGY TO GET THE 5396 04:10:52,424 --> 04:10:55,127 REPORT OUT TO THE PUBLIC OTHER 5397 04:10:55,127 --> 04:11:00,399 THAN POSTING IT ON THE NIH OR 5398 04:11:00,399 --> 04:11:01,433 NICHD WEBSITE? 5399 04:11:01,433 --> 04:11:03,702 >> THAT'S SOMETHING WE CAN TALK 5400 04:11:03,702 --> 04:11:05,538 WITH FOLKS ABOUT IF YOU GUYS ARE 5401 04:11:05,538 --> 04:11:07,706 INTERESTED IN THAT. 5402 04:11:07,706 --> 04:11:09,808 WE WERE GOING TO FLUSH IT OUT ON 5403 04:11:09,808 --> 04:11:10,943 OUR WEBSITE AND SOCIAL MEDIA BUT 5404 04:11:10,943 --> 04:11:12,444 IF OTHER GROUPS ARE INTERESTED 5405 04:11:12,444 --> 04:11:15,648 IN HELPING TO AMPLIFY THAT, WE 5406 04:11:15,648 --> 04:11:20,786 WOULD WELCOME THAT AND MAYBE 5407 04:11:20,786 --> 04:11:24,190 WORK WITH YOU ALL ON JOINT MEDIA 5408 04:11:24,190 --> 04:11:25,724 POST OR OTHER THINGS. 5409 04:11:25,724 --> 04:11:27,626 >> THE COALITION OF ADVANCED 5410 04:11:27,626 --> 04:11:29,028 MATERNAL THERAPEUTICS IS HAPPY 5411 04:11:29,028 --> 04:11:31,430 TO WRITE WITH THAT. 5412 04:11:31,430 --> 04:11:32,831 WE CAN WRITE EYE NEWS LETTER 5413 04:11:32,831 --> 04:11:36,402 BLOG OR POST AND THINGS AND PUSH 5414 04:11:36,402 --> 04:11:38,337 OUT AND SUPPORT YOU ALL IN THAT 5415 04:11:38,337 --> 04:11:44,843 EFFORT AND OTHER EFFORTS TOO. 5416 04:11:44,843 --> 04:11:48,948 >> THIS WORKING GROUP SUN SETS 5417 04:11:48,948 --> 04:11:50,783 AFTER THE REPORT IS GIVEN AND 5418 04:11:50,783 --> 04:11:52,318 ARE THERE OPPORTUNITIES TO 5419 04:11:52,318 --> 04:11:55,487 SUGGEST THERE WOULD BE 5420 04:11:55,487 --> 04:11:56,388 RE-EVALUATION OF THE 5421 04:11:56,388 --> 04:11:56,755 IMPLEMENTATION? 5422 04:11:56,755 --> 04:11:58,891 >> THANK YOU, TINA FOR THAT 5423 04:11:58,891 --> 04:11:59,358 QUESTION. 5424 04:11:59,358 --> 04:12:00,559 I DID NOT PLAN BUT IT'S BEEN 5425 04:12:00,559 --> 04:12:05,264 RAISED BY A BUNCH OF PEOPLE. 5426 04:12:05,264 --> 04:12:07,132 THIS -- THINK ABOUT THE TIMING 5427 04:12:07,132 --> 04:12:08,234 OF THIS WORK GROUP. 5428 04:12:08,234 --> 04:12:10,703 SOME OF THESE THINGS WERE 5429 04:12:10,703 --> 04:12:13,772 ACTUALLY STARTED PROBABLY IN 5430 04:12:13,772 --> 04:12:18,477 PARALLEL 2 OR WITH THE ORIGINAL 5431 04:12:18,477 --> 04:12:19,645 PRGLAC REPORT IN MIND. 5432 04:12:19,645 --> 04:12:22,181 SO SOME OF THESE RECOMMENDATIONS 5433 04:12:22,181 --> 04:12:24,316 HAVE NOT BEEN ABLE TO MAKE 5434 04:12:24,316 --> 04:12:25,184 PROGRESS YET. 5435 04:12:25,184 --> 04:12:26,652 IT WOULD BE HELPFUL. 5436 04:12:26,652 --> 04:12:29,321 MANY PEOPLE SAID IT WOULD BE 5437 04:12:29,321 --> 04:12:31,724 HELPFUL ALSO GET PERHAPS OR NOT 5438 04:12:31,724 --> 04:12:34,560 GET BUT TO PLACE A REQUEST THERE 5439 04:12:34,560 --> 04:12:37,596 BE ANOTHER REVIEW TO UNDERSTAND 5440 04:12:37,596 --> 04:12:38,831 IMPLEMENTATION AND OTHER TIME 5441 04:12:38,831 --> 04:12:39,198 POINTS. 5442 04:12:39,198 --> 04:12:41,433 SO WITH THIS PIECE WE NEED TO 5443 04:12:41,433 --> 04:12:42,801 DEFER TO OUR NICHD COLLEAGUES TO 5444 04:12:42,801 --> 04:12:44,803 UNDERSTAND ABOUT MAKING THAT ONE 5445 04:12:44,803 --> 04:12:46,372 OF THE FORMAL RECOMMENDATIONS WE 5446 04:12:46,372 --> 04:12:51,510 MAKE AS A THEME BECAUSE WE 5447 04:12:51,510 --> 04:12:52,511 BELIEVE IT'S EARLY IN THE 5448 04:12:52,511 --> 04:12:54,647 IMPLEMENTATION PROCESS THERE MAY 5449 04:12:54,647 --> 04:12:55,581 BE ANOTHER ASSESSMENT OF 5450 04:12:55,581 --> 04:12:56,415 IMPLEMENTATION IF YOU WOULD LIKE 5451 04:12:56,415 --> 04:13:00,719 TO WEIGH IN ON THAT. 5452 04:13:00,719 --> 04:13:02,988 >> I THINK IT'S SOMETHING WE CAN 5453 04:13:02,988 --> 04:13:04,423 DISCUSS PUTTING FORWARD. 5454 04:13:04,423 --> 04:13:09,695 THAT MAKES SENSE. 5455 04:13:09,695 --> 04:13:11,597 ESPECIALLY WE MIGHT WANT TO 5456 04:13:11,597 --> 04:13:13,132 INCLUDE WHAT WE THINK OR WHAT 5457 04:13:13,132 --> 04:13:14,800 YOU ALL THINK THE APPROPRIATE 5458 04:13:14,800 --> 04:13:15,501 TIME FRAME. 5459 04:13:15,501 --> 04:13:16,802 SIT RIGHT AFTER THE REPORT? 5460 04:13:16,802 --> 04:13:20,506 DO WE NEED ANOTHER YEAR TO PASS? 5461 04:13:20,506 --> 04:13:22,775 WHAT FOLKS THINKS MAY BE A GOOD 5462 04:13:22,775 --> 04:13:25,611 TIME TO REVISIT IF THERE'S BEEN 5463 04:13:25,611 --> 04:13:26,879 ADDITIONAL PROGRESS MADE IS JUST 5464 04:13:26,879 --> 04:13:28,480 A FEW MONTHS AFTER THE REPORT 5465 04:13:28,480 --> 04:13:29,048 ENOUGH TIME? 5466 04:13:29,048 --> 04:13:31,617 I DON'T KNOW THE ANSWER BUT I 5467 04:13:31,617 --> 04:13:32,618 THINK THAT MAY BE SOMETHING 5468 04:13:32,618 --> 04:13:36,855 WORTH INCLUDING. 5469 04:13:36,855 --> 04:13:39,291 >> I THINK TO SOME EXTENT THE 5470 04:13:39,291 --> 04:13:41,327 TIME LINE TO COME BACK DEPENDS 5471 04:13:41,327 --> 04:13:44,396 ON WHAT TIME OVERARCHING THEMES 5472 04:13:44,396 --> 04:13:46,799 WE FEEL ARE MOST PRESSING. 5473 04:13:46,799 --> 04:13:48,367 IF IT'S OKAY I'D LIKE TO REVISIT 5474 04:13:48,367 --> 04:13:54,673 THAT POINT AFTER THE DISCOURSE. 5475 04:13:54,673 --> 04:13:56,742 BUT I HAVE THE RECOMMENDATION WE 5476 04:13:56,742 --> 04:13:57,876 HAVE REVISIT WITH IMPLEMENTATION 5477 04:13:57,876 --> 04:14:00,546 AT SOME POINT. 5478 04:14:00,546 --> 04:14:04,817 >> THANK YOU. 5479 04:14:04,817 --> 04:14:08,120 I WAS GOING TO SUGGEST IT BE 5480 04:14:08,120 --> 04:14:10,022 WRITTEN ALMOST AS A PROGRESS 5481 04:14:10,022 --> 04:14:12,291 REPORT BECAUSE SOME OF THESE 5482 04:14:12,291 --> 04:14:16,462 ITEMS ARE WHALES, IF YOU WILL. 5483 04:14:16,462 --> 04:14:21,500 THEY'RE NOT AC ACTIONABLE AND TO 5484 04:14:21,500 --> 04:14:23,902 USE WORDS LIKE PROGRESS REPORT 5485 04:14:23,902 --> 04:14:26,205 AND DYNAMIC ITEMS IN THE REPORT 5486 04:14:26,205 --> 04:14:28,941 BECAUSE IT WILL TAKE TIME TO 5487 04:14:28,941 --> 04:14:32,411 ACHIEVE PROGRESS LET ALONE 5488 04:14:32,411 --> 04:14:33,879 FINALITY AND ACHIEVEMENT IN SOME 5489 04:14:33,879 --> 04:14:35,714 RECOMMENDATIONS AND TO THINK OF 5490 04:14:35,714 --> 04:14:40,419 THEM AS WE GO THROUGH THEM IN 5491 04:14:40,419 --> 04:14:42,554 TERMS OF WHAT IS ACHIEVABLE IN A 5492 04:14:42,554 --> 04:14:43,255 SMALLER PERIOD OF TIME BUT SOME 5493 04:14:43,255 --> 04:14:47,359 ARE NOT. 5494 04:14:47,359 --> 04:14:49,428 >> THE COALITION CONTINUES TO 5495 04:14:49,428 --> 04:14:52,398 ADVOCATE FOR THE GROUP TO 5496 04:14:52,398 --> 04:14:55,234 CONTINUE IN THE YEAR'S 5497 04:14:55,234 --> 04:14:55,501 FOLLOWING. 5498 04:14:55,501 --> 04:14:58,070 IT WOULD BE HELPFUL FOR FOLKS ON 5499 04:14:58,070 --> 04:14:59,571 THE COMMITTEE TO THINK THROUGH 5500 04:14:59,571 --> 04:15:09,148 THERE'S FOLKS WE DIDN'T HEAR 5501 04:15:09,148 --> 04:15:09,415 FROM. 5502 04:15:09,415 --> 04:15:13,585 I THINK WE ARE TALKED THROUGH A 5503 04:15:13,585 --> 04:15:16,955 PANEL OF FOLKS AND BEYOND 5504 04:15:16,955 --> 04:15:18,390 PROGRESS TOWARDS THE 5505 04:15:18,390 --> 04:15:19,057 RECOMMENDATION THERE ARE UNIQUE 5506 04:15:19,057 --> 04:15:21,794 THINGS TO YOUR POINT, WHO DOES 5507 04:15:21,794 --> 04:15:22,861 THAT BELONG TO? 5508 04:15:22,861 --> 04:15:24,296 IT BELONGS TO MANY PEOPLE AND 5509 04:15:24,296 --> 04:15:26,799 CAN WE USE THIS GROUP IF IT DOES 5510 04:15:26,799 --> 04:15:29,935 HAVE FUNDING TO CONTINUE IN THAT 5511 04:15:29,935 --> 04:15:38,444 WAY, IF THAT MAKES SENSE. 5512 04:15:38,444 --> 04:15:40,979 >> IT'S HELPFUL IN DEFINING THE 5513 04:15:40,979 --> 04:15:41,346 SCOPE. 5514 04:15:41,346 --> 04:15:44,283 IF IT WERE TO CONTINUE. 5515 04:15:44,283 --> 04:15:46,685 SO FAR THE PROGRESS HAS BEEN 5516 04:15:46,685 --> 04:15:47,453 TRACKING IMPLEMENTATION AND IF 5517 04:15:47,453 --> 04:15:50,022 THE GROUP FEELS IT COULD 5518 04:15:50,022 --> 04:15:52,157 CONTINUE TO TRACK IMPLEMENTATION 5519 04:15:52,157 --> 04:15:56,128 AND TO HELP MOVE SOME OF THEM 5520 04:15:56,128 --> 04:15:58,263 FORWARD OPPOSED TO CHECKING ON 5521 04:15:58,263 --> 04:16:02,201 THE PROGRESS AND DEFINING THAT 5522 04:16:02,201 --> 04:16:02,768 SCOPE MAY BE POSSIBLE. 5523 04:16:02,768 --> 04:16:04,336 I DIDN'T INTRODUCE MYSELF. 5524 04:16:04,336 --> 04:16:06,071 I'M DIRECTOR OF LEGISLATION AND 5525 04:16:06,071 --> 04:16:07,606 PUBLIC POLICY AND ETHICS AT 5526 04:16:07,606 --> 04:16:17,716 NICHD. 5527 04:16:27,860 --> 04:16:28,927 >> DOES THAT ANSWER THE 5528 04:16:28,927 --> 04:16:29,228 INFORMATION? 5529 04:16:29,228 --> 04:16:29,628 >> YES. 5530 04:16:29,628 --> 04:16:30,229 >> WONDERFUL. 5531 04:16:30,229 --> 04:16:32,397 >> I WILL MAKE SURE THERE'S ONE 5532 04:16:32,397 --> 04:16:34,633 CENTRAL LOCATION THAT HAS ALL 5533 04:16:34,633 --> 04:16:38,570 THE MEETING SLIDES AND 5534 04:16:38,570 --> 04:16:39,605 SUMMARIES. 5535 04:16:39,605 --> 04:16:42,140 THE OTHER SUPPLEMENTAL MATERIAL 5536 04:16:42,140 --> 04:16:43,575 AND ONE PLACE FOR YOU BY THE 5537 04:16:43,575 --> 04:16:45,277 TIME WE SEND THE REPORT TO 5538 04:16:45,277 --> 04:16:45,511 REVIEW. 5539 04:16:45,511 --> 04:16:46,945 YOU'LL HAVE ACCESS TO ALL THAT 5540 04:16:46,945 --> 04:16:55,954 AS YOU REVIEW. 5541 04:16:55,954 --> 04:16:57,222 >> ANY OTHER ADMINISTRATIVE 5542 04:16:57,222 --> 04:16:59,224 QUERIES ABOUT THE REPORT 5543 04:16:59,224 --> 04:17:00,092 DEVELOPMENT BEFORE WE SPEND THE 5544 04:17:00,092 --> 04:17:04,429 REMAINDER OF OUR TIME ON THE 5545 04:17:04,429 --> 04:17:06,932 OVER ARCHING THEMES? 5546 04:17:06,932 --> 04:17:08,333 SEEING NONE IN THE ROOM AND 5547 04:17:08,333 --> 04:17:08,667 ONLINE. 5548 04:17:08,667 --> 04:17:12,738 I THINK WHAT WE'LL DO IS GO BACK 5549 04:17:12,738 --> 04:17:18,710 A SLIDE TO THESE. 5550 04:17:18,710 --> 04:17:24,416 WE SAT DOWN EARLIER THIS WE CAN 5551 04:17:24,416 --> 04:17:27,352 A 5552 04:17:27,352 --> 04:17:31,356 AND PURPOSELY HIT ON HIGH-LEVEL 5553 04:17:31,356 --> 04:17:32,357 THINGS AND TRIGGER A 5554 04:17:32,357 --> 04:17:32,858 CONVERSATION. 5555 04:17:32,858 --> 04:17:34,626 WE FELT IT WAS IMPORTANT WHEN WE 5556 04:17:34,626 --> 04:17:36,395 ARE DEVELOPING THE REPORT WE'RE 5557 04:17:36,395 --> 04:17:38,330 UNDERSTANDING THE ESSENCE AND 5558 04:17:38,330 --> 04:17:40,399 FLAVOR ON YOUR RESPECTIVES ON 5559 04:17:40,399 --> 04:17:42,200 WHAT WILL CRITICAL PIECES TO 5560 04:17:42,200 --> 04:17:44,336 MOVE FORWARD AND HOPE WE'LL BE 5561 04:17:44,336 --> 04:17:46,738 ABLE TO FOCUS ON CRITICAL 5562 04:17:46,738 --> 04:17:48,407 KEEPINGS BUT OTHER COMPONENTS 5563 04:17:48,407 --> 04:17:51,677 THAT LIKELY YOU'RE GOING HAVE 5564 04:17:51,677 --> 04:17:52,444 INSIGHTS INTO. 5565 04:17:52,444 --> 04:17:54,980 SO THE FEW WE LANDED ON THAT WE 5566 04:17:54,980 --> 04:17:56,281 WANT TO START THE CONVERSATION 5567 04:17:56,281 --> 04:17:58,584 WITH WERE THE FACT THAT WE'VE 5568 04:17:58,584 --> 04:18:02,854 HEARD LOUD AND CLEAR IN OUR 5569 04:18:02,854 --> 04:18:05,057 PRESENTATIONS THAT THERE'S 5570 04:18:05,057 --> 04:18:05,791 DIFFERENCE NOT ONLY IN THE 5571 04:18:05,791 --> 04:18:08,427 IMPLEMENTATION PLAN 5572 04:18:08,427 --> 04:18:11,063 RECOMMENDATIONS THEMSELVES FOR 5573 04:18:11,063 --> 04:18:13,298 PREGNANCY AND LACTATION AND 5574 04:18:13,298 --> 04:18:14,866 DIFFERENCES IN THE CHALLENGE IN 5575 04:18:14,866 --> 04:18:16,168 PUTTING FORWARD THE 5576 04:18:16,168 --> 04:18:17,569 RECOMMENDATIONS AND WANT TO MAKE 5577 04:18:17,569 --> 04:18:20,405 SURE VERY MUCH IN THE DOCUMENT 5578 04:18:20,405 --> 04:18:28,814 WE CLEARLY ZWSH BET DISTINGUISH 5579 04:18:28,814 --> 04:18:29,715 THE TWO AND THAT'S THE FIRST 5580 04:18:29,715 --> 04:18:31,583 OVER ARCHING THEME WE WANT TO 5581 04:18:31,583 --> 04:18:35,020 LAY OUT THIS IS NOT ALL ONE 5582 04:18:35,020 --> 04:18:35,320 POPULATION. 5583 04:18:35,320 --> 04:18:35,954 THERE ARE TWO DISTINCT 5584 04:18:35,954 --> 04:18:37,556 POPULATIONS AND WE NEED TO MAKE 5585 04:18:37,556 --> 04:18:38,357 SURE WE'RE ADDRESSING BOTH OF 5586 04:18:38,357 --> 04:18:38,924 THEIR NEEDS. 5587 04:18:38,924 --> 04:18:42,494 THE SECOND PIECE IS WE ALSO KNOW 5588 04:18:42,494 --> 04:18:44,329 THAT THERE ARE RECOMMENDATIONS 5589 04:18:44,329 --> 04:18:48,400 THAT REQUIRE A LOT OF 5590 04:18:48,400 --> 04:18:50,702 STAKEHOLDERS TO COME TO THE 5591 04:18:50,702 --> 04:18:52,871 TABLE AND THE OWNERSHIP OVER WHO 5592 04:18:52,871 --> 04:18:57,109 IS TO BE THE LEADER OR CONVENER 5593 04:18:57,109 --> 04:18:57,542 SNOLT CLEAR IN THE 5594 04:18:57,542 --> 04:18:57,909 RECOMMENDATIONS. 5595 04:18:57,909 --> 04:19:02,080 WE CAN WITHIN THE REPORT TRY TO 5596 04:19:02,080 --> 04:19:04,383 ASSIGN OWNERSHIP BUT WE PREFER 5597 04:19:04,383 --> 04:19:05,984 TO HAVE THE STAKEHOLDERS COME 5598 04:19:05,984 --> 04:19:07,853 TOGETHER AND IDENTIFY THEY ALL 5599 04:19:07,853 --> 04:19:09,554 HAVE AN IMPORTANT ROLE TO PLAY 5600 04:19:09,554 --> 04:19:12,391 AND IT WILL HELP PROGRESS THIS 5601 04:19:12,391 --> 04:19:14,760 FORWARD AT AN EVEN FASTER PACE. 5602 04:19:14,760 --> 04:19:17,162 THE OTHER PIECE THAT'S A PART OF 5603 04:19:17,162 --> 04:19:19,598 THAT IT'S CLEAR THOUGH WE 5604 04:19:19,598 --> 04:19:24,703 LARGELY HEARD FROM OUR PUBLIC 5605 04:19:24,703 --> 04:19:25,470 COLLEAGUES, THERE ARE PRIVATE 5606 04:19:25,470 --> 04:19:28,273 COMPANIES THAT ALSO NEED TO 5607 04:19:28,273 --> 04:19:28,974 ENGAGE IN THIS. 5608 04:19:28,974 --> 04:19:30,242 THERE'S A LOT OF PRIVATE 5609 04:19:30,242 --> 04:19:31,810 ENTITIES THAT NEED TO ENGAGE AND 5610 04:19:31,810 --> 04:19:34,479 HOW DO WE ENSURE THE MESSAGE IS 5611 04:19:34,479 --> 04:19:37,783 OUT AND THERE'S WAYS TO DO SO IN 5612 04:19:37,783 --> 04:19:39,651 FORUM BEST FACILITATE THE ACTION 5613 04:19:39,651 --> 04:19:41,053 AND WE KNOW THERE'S A COUPLE 5614 04:19:41,053 --> 04:19:43,188 THINGS THAT ARE NOT LIKELY TO 5615 04:19:43,188 --> 04:19:44,523 MOVE FORWARD UNLESS THERE IS 5616 04:19:44,523 --> 04:19:49,761 RESOURCE PLACED ON THEM AND THAT 5617 04:19:49,761 --> 04:19:51,029 REQUIRES CONGRESS TO ACT. 5618 04:19:51,029 --> 04:19:52,464 THAT'S WHERE WE WANT TO START 5619 04:19:52,464 --> 04:19:54,066 AND KNOW IT'S NOT EVERYTHING BUT 5620 04:19:54,066 --> 04:19:57,002 OUR HOPE IS WE CAN HEAR FROM 5621 04:19:57,002 --> 04:19:58,136 EVERYONE THIS AFTERNOON. 5622 04:19:58,136 --> 04:20:00,405 YOU MAY SEE THEE KEY THEMES AND 5623 04:20:00,405 --> 04:20:01,973 THAT'S FINE. 5624 04:20:01,973 --> 04:20:04,309 WE'RE GOING TO PLAN TO GO AROUND 5625 04:20:04,309 --> 04:20:06,945 THE ROOM AND HAVE EVERYONE 5626 04:20:06,945 --> 04:20:07,145 SPEAK. 5627 04:20:07,145 --> 04:20:09,347 BECAUSE YOU MIGHT ALSO HAVE 5628 04:20:09,347 --> 04:20:10,382 ADDITIONAL THEMES YOU THINK ARE 5629 04:20:10,382 --> 04:20:11,683 MORE IMPORTANT AND SHOULD BE 5630 04:20:11,683 --> 04:20:13,618 PRIORITIZED ABOVE WHAT'S HERE. 5631 04:20:13,618 --> 04:20:15,320 AND THIS IT GIVES EVERYONE A 5632 04:20:15,320 --> 04:20:16,354 CHANCE TO HAVE THEIR SAY AS WELL 5633 04:20:16,354 --> 04:20:17,456 FOR THE REPORT. 5634 04:20:17,456 --> 04:20:19,591 I'LL STOP THERE AND SUE, I'LL 5635 04:20:19,591 --> 04:20:25,063 LEAD YOU TO FACILITATING. 5636 04:20:25,063 --> 04:20:26,198 >> SURE. 5637 04:20:26,198 --> 04:20:32,404 AND AGAIN WE SAT DOWN AND PUT 5638 04:20:32,404 --> 04:20:34,439 PEN TO PAPER AND WHAT WE HEARD 5639 04:20:34,439 --> 04:20:35,807 YOU SAYING IN THE FIRST TWO 5640 04:20:35,807 --> 04:20:36,408 MEETINGS. 5641 04:20:36,408 --> 04:20:37,309 WE'RE NOT GOING PUT ANYBODY ON 5642 04:20:37,309 --> 04:20:39,544 THE SPOT BUT WE WANT YOU TO 5643 04:20:39,544 --> 04:20:41,613 EITHER MAKE SURE YOU GOT THE 5644 04:20:41,613 --> 04:20:43,515 PLATFORM TO VOICE THOSE THINGS 5645 04:20:43,515 --> 04:20:47,486 YOU FEEL NEED TO REALLY BE 5646 04:20:47,486 --> 04:20:49,187 CAPTURED HERE OR TO UNDERSCORE 5647 04:20:49,187 --> 04:20:51,022 WHAT YOU'RE SEEING HERE AS WELL. 5648 04:20:51,022 --> 04:20:52,891 I'M GOING TO START ON MY RIGHT 5649 04:20:52,891 --> 04:20:55,160 AND AGAIN, I DON'T WANT TO PUT 5650 04:20:55,160 --> 04:20:56,294 ANYBODY ON THE SPOT BUT WE'LL 5651 04:20:56,294 --> 04:21:06,571 START WITH KARA. 5652 04:21:07,472 --> 04:21:11,209 LYNN, SORRY. 5653 04:21:11,209 --> 04:21:12,944 >> I THINK THESE THEMES ARE 5654 04:21:12,944 --> 04:21:13,612 APPROPRIATE. 5655 04:21:13,612 --> 04:21:19,551 I'M NOT SO SURE ABOUT THE BULLET 5656 04:21:19,551 --> 04:21:30,095 OF DIFFERENCES BETWEEN LACTATION 5657 04:21:34,499 --> 04:21:36,735 AND PREGNANCY AND THEY'RE MORE 5658 04:21:36,735 --> 04:21:39,104 SIMILAR THAN THEY ARE DIFFERENT. 5659 04:21:39,104 --> 04:21:44,409 I HATE TO BUCKET OUR THEMES OR 5660 04:21:44,409 --> 04:21:47,512 HAVE OUR IDENTIFICATION OF 5661 04:21:47,512 --> 04:21:52,350 PROGRESS BE SEEN AS EITHER/OR 5662 04:21:52,350 --> 04:21:53,785 PITTING THEM AGAINST EACH OTHER 5663 04:21:53,785 --> 04:21:58,790 BUT A COHESIVE CONCEPT ACROSS 5664 04:21:58,790 --> 04:22:01,193 THE SPECTRUM OF REPRODUCTIVE AND 5665 04:22:01,193 --> 04:22:07,599 EMPHASIZING THE DIFFERENCES 5666 04:22:07,599 --> 04:22:10,168 COULD DO A LITTLE HARM AND 5667 04:22:10,168 --> 04:22:12,103 MAKING ONE LOOK LIKE MAKE MORE 5668 04:22:12,103 --> 04:22:13,638 PROGRESS THAN OTHERS BUT NOT 5669 04:22:13,638 --> 04:22:15,207 SURE WE NEED TO DISTINGUISH THEM 5670 04:22:15,207 --> 04:22:16,074 SO CLEARLY. 5671 04:22:16,074 --> 04:22:19,211 I AGREE WITH CONCEPTS BULLETS 2, 5672 04:22:19,211 --> 04:22:20,345 3 AND 4. 5673 04:22:20,345 --> 04:22:22,347 I THINK THE ADDITIONAL RESOURCES 5674 04:22:22,347 --> 04:22:24,316 CONCEPT AND CONGRESSIONAL ACTION 5675 04:22:24,316 --> 04:22:31,590 ALMOST IN A WAY SEEMS LIKE THE 5676 04:22:31,590 --> 04:22:33,725 OVER ARCHING THEME. 5677 04:22:33,725 --> 04:22:35,694 CAN'T DO THIS WITHOUT RESOURCES 5678 04:22:35,694 --> 04:22:36,728 AND THE BIG BUBBLE IS 5679 04:22:36,728 --> 04:22:37,596 CONGRESSIONAL ACTION AND 5680 04:22:37,596 --> 04:22:43,001 RESOURCES IN SOME WAYS AND THE 5681 04:22:43,001 --> 04:22:45,804 WAYS IN WHICH THE OTHER CONCEPTS 5682 04:22:45,804 --> 04:22:48,940 AND STAKEHOLDERS AND SUCH ARE 5683 04:22:48,940 --> 04:22:52,410 DEPENDENT ON RESOURCES TO CARRY 5684 04:22:52,410 --> 04:22:56,181 OUT THE OTHER GOALS. 5685 04:22:56,181 --> 04:22:58,216 >> I APPRECIATE THE DIFFERENCE 5686 04:22:58,216 --> 04:23:00,185 IN PERSPECTIVE AND GIVING US 5687 04:23:00,185 --> 04:23:01,119 SOMETHING TO THINK ABOUT IN HOW 5688 04:23:01,119 --> 04:23:11,396 IT'S PRESENTED. 5689 04:23:15,333 --> 04:23:17,435 >> A LOT OF PEOPLE FELT THE 5690 04:23:17,435 --> 04:23:18,570 FOCUS WAS JUST ON PREGNANCY AND 5691 04:23:18,570 --> 04:23:25,343 WHY THERE'S BEEN MORE OF A 5692 04:23:25,343 --> 04:23:32,417 DEMARCATION AND FROM A CLINICAL 5693 04:23:32,417 --> 04:23:35,287 TRIAL THERE'S DIFFERENCES AND 5694 04:23:35,287 --> 04:23:36,421 SOME FELT THE POPULATIONS 5695 04:23:36,421 --> 04:23:36,988 WEREN'T REPRESENTED. 5696 04:23:36,988 --> 04:23:38,890 I WOULD SAY WE NEED TO OUTLINE 5697 04:23:38,890 --> 04:23:43,261 THE LIMITATIONS OF THE REPORT. 5698 04:23:43,261 --> 04:23:44,996 MOST THE PEOPLE SPEAKING WERE 5699 04:23:44,996 --> 04:23:47,666 PUBLIC. 5700 04:23:47,666 --> 04:23:50,435 I THINK TODAY WE HAD MORE 5701 04:23:50,435 --> 04:23:51,803 VARIETY IN THE TERMS OF 5702 04:23:51,803 --> 04:23:53,905 NON-FEDERAL PEOPLE SPEAK BUT IN 5703 04:23:53,905 --> 04:24:00,412 TERMS OF ACHIEVING GOALS IT'S 5704 04:24:00,412 --> 04:24:10,956 MULTI-TAKE -- MULTI-STAKEHOLDER 5705 04:24:12,924 --> 04:24:18,897 RULE AND NEED TO BE AWARE OF THE 5706 04:24:18,897 --> 04:24:19,164 POTENTIAL. 5707 04:24:19,164 --> 04:24:25,303 >> I WOULD ALSO AGREE 5708 04:24:25,303 --> 04:24:27,572 DISTINGUISHING BETWEEN PATIENT 5709 04:24:27,572 --> 04:24:28,773 AND PREGNANCY BECAUSE IT'S NOT 5710 04:24:28,773 --> 04:24:31,609 BECAUSE OF CLINICAL TRIALS AND 5711 04:24:31,609 --> 04:24:33,878 THE TOPICS OF THEM. 5712 04:24:33,878 --> 04:24:35,080 OTHERS SEEM APPROPRIATE TO ME 5713 04:24:35,080 --> 04:24:45,557 AND WOULD LIKE MORE FUNDING. 5714 04:24:48,426 --> 04:24:53,431 >> THANK YOU. 5715 04:24:53,431 --> 04:24:55,600 >> SO I GUESS THIS IS THE 5716 04:24:55,600 --> 04:24:56,768 NUMBNUM 5717 04:24:56,768 --> 04:25:01,339 NUMBERS AND SPLITTERS ARGUMENT. 5718 04:25:01,339 --> 04:25:05,043 I'M A PERSON WHO NEEDS TO DIGEST 5719 04:25:05,043 --> 04:25:06,878 BUT DISTINGUISHING BOTH 5720 04:25:06,878 --> 04:25:08,413 CATEGORIES ARE NEEDED BECAUSE 5721 04:25:08,413 --> 04:25:13,518 THEY'RE HISTORICALLY UNDER 5722 04:25:13,518 --> 04:25:21,960 REPRESENTED POPULATIONS AND THE 5723 04:25:21,960 --> 04:25:23,828 DISTINCTIONS AND MY THOUGHT IS 5724 04:25:23,828 --> 04:25:25,864 TO GO WITH DISTINCTIONS AND THE 5725 04:25:25,864 --> 04:25:27,966 ISSUE OF OWNERSHIP AND YOU MADE 5726 04:25:27,966 --> 04:25:29,834 THE POINT OF KEEPING IT 5727 04:25:29,834 --> 04:25:31,102 AMBIGUOUS SO PEOPLE WOULD RISE 5728 04:25:31,102 --> 04:25:32,404 TO THE OCCASION TO ADDRESS IT 5729 04:25:32,404 --> 04:25:34,239 BUT I WORRY ABOUT ACCOUNTABILITY 5730 04:25:34,239 --> 04:25:36,408 THEN AND THE LACK OF 5731 04:25:36,408 --> 04:25:37,075 ACCOUNTABILITY WITH SOMEBODY OR 5732 04:25:37,075 --> 04:25:45,984 SOME ENTITY. 5733 04:25:45,984 --> 04:25:48,253 MAY BE WE NEED TO DISTINGUISH 5734 04:25:48,253 --> 04:25:49,988 BUT IT'S GOING TO BE TOO AND OAK 5735 04:25:49,988 --> 04:25:53,091 TO PASS THE BUCK AND WE'LL BE 5736 04:25:53,091 --> 04:25:56,661 HERE IN THE FUTURE GOING WELL, I 5737 04:25:56,661 --> 04:25:58,496 THOUGHT THAT WAS YOU? 5738 04:25:58,496 --> 04:25:59,497 I THOUGHT THAT WAS YOU? 5739 04:25:59,497 --> 04:26:01,599 IN GENERAL I THINK THESE ARE 5740 04:26:01,599 --> 04:26:02,133 FINE. 5741 04:26:02,133 --> 04:26:04,436 I KNOW ONE OF MY EARLY COMMENTS 5742 04:26:04,436 --> 04:26:10,241 I SHARED IN E-MAIL WAS THE COVID 5743 04:26:10,241 --> 04:26:13,745 PANDEMIC WAS UNINTENTIONALLY A 5744 04:26:13,745 --> 04:26:15,880 BEAUTIFUL CASE STUDY IN HOW 5745 04:26:15,880 --> 04:26:17,749 HORRIBLY WE HAVE NOT ARRIVED AT 5746 04:26:17,749 --> 04:26:26,658 ANY OF THESE RECOMMENDATIONS. 5747 04:26:26,658 --> 04:26:28,393 IN THIS WORK I'M MORE SENSITIVE 5748 04:26:28,393 --> 04:26:31,596 TO THE DETAILED STEPS TO GET US 5749 04:26:31,596 --> 04:26:34,399 TO NIRVANA AND I ALMOST WONDERED 5750 04:26:34,399 --> 04:26:37,202 IF THERE'S AN OPPORTUNITY TO 5751 04:26:37,202 --> 04:26:43,141 POINT OUT HOW GROSSLY WE FAILED 5752 04:26:43,141 --> 04:26:44,409 IN INCLUDING PREGNANT AND 5753 04:26:44,409 --> 04:26:46,010 LACTATING PATIENTS IN THOSE 5754 04:26:46,010 --> 04:26:46,277 STUDIES. 5755 04:26:46,277 --> 04:26:48,413 I KNOW THERE ARE ONE OR TWO 5756 04:26:48,413 --> 04:26:53,017 EXCEPTIONS BUT BY AND LARGE I 5757 04:26:53,017 --> 04:26:54,686 THINK THAT'S A REAL LIFE CASE 5758 04:26:54,686 --> 04:26:55,587 STUDY OF HOW MUCH WE FAILED IN 5759 04:26:55,587 --> 04:26:59,657 THE AREA. 5760 04:26:59,657 --> 04:27:00,358 >> THANK YOU. 5761 04:27:00,358 --> 04:27:02,360 I WAS GOING TO MAKE ONE COMMENT 5762 04:27:02,360 --> 04:27:07,332 AND MAKE SURE WHEN WE'RE TALKING 5763 04:27:07,332 --> 04:27:08,399 ABOUT THE FIRST BULLET FOR 5764 04:27:08,399 --> 04:27:11,069 SEPARATING THEM FOR THE SAKE OF 5765 04:27:11,069 --> 04:27:14,372 SEPARATING THEM AND MORE TO IT 5766 04:27:14,372 --> 04:27:16,608 STRAIGHT THERE'S UNIQUE 5767 04:27:16,608 --> 04:27:19,611 CHALLENGES BY THE PREGNANCY 5768 04:27:19,611 --> 04:27:24,382 COMMUNITY AND VICE VERSA AND 5769 04:27:24,382 --> 04:27:26,151 MAKING SURE IT'S CLEARLY 5770 04:27:26,151 --> 04:27:27,118 COMMUNICATE AND THE RESOURCES 5771 04:27:27,118 --> 04:27:28,520 MAY BE SLIGHTLY DIFFERENT AND 5772 04:27:28,520 --> 04:27:30,188 THE EXISTING POOL OF INDIVIDUALS 5773 04:27:30,188 --> 04:27:32,390 ABLE TO ANSWER THE QUESTIONS MAY 5774 04:27:32,390 --> 04:27:32,924 BE DIFFERENT. 5775 04:27:32,924 --> 04:27:36,127 THAT'S WHERE THE IDEA BEHIND 5776 04:27:36,127 --> 04:27:37,962 THAT THEME BUT I'M HEARING WHAT 5777 04:27:37,962 --> 04:27:39,831 WE'RE SAYING AND CAPTURING THAT 5778 04:27:39,831 --> 04:27:42,800 AND THESE WILL IMPORTANT 5779 04:27:42,800 --> 04:27:49,440 CONVERSATIONS TO HAVE. 5780 04:27:49,440 --> 04:27:50,341 >> THANK YOU. 5781 04:27:50,341 --> 04:27:53,444 I THINK YOU'RE RIGHT IN 5782 04:27:53,444 --> 04:27:54,712 PRESENTING IT IN REAL WORLD 5783 04:27:54,712 --> 04:27:56,147 LIVED EXPERIENCE. 5784 04:27:56,147 --> 04:27:58,850 WE CAN TALK HOW THAT CAN BE 5785 04:27:58,850 --> 04:28:00,685 INTRODUCED IN THE BACKGROUND 5786 04:28:00,685 --> 04:28:01,986 SESSION AND GROUND THIS IN 5787 04:28:01,986 --> 04:28:04,822 REALITY TODAY AND PARTICULAR 5788 04:28:04,822 --> 04:28:06,057 SINCE THE PRGLAC TASK FORCE WAS 5789 04:28:06,057 --> 04:28:07,592 ESTABLISHED PRIOR TO THE 5790 04:28:07,592 --> 04:28:07,859 PANDEMIC. 5791 04:28:07,859 --> 04:28:12,630 THAT IS HAPPENING IN REAL TIME 5792 04:28:12,630 --> 04:28:13,665 WITH AN IMPLEMENTATION PLAN 5793 04:28:13,665 --> 04:28:16,768 WHICH REINFORCES WHY IT'S SO 5794 04:28:16,768 --> 04:28:23,708 ESSENTIAL TO GET RIGHT AND PUT 5795 04:28:23,708 --> 04:28:25,610 DEDICATED RESOURCE ON TO SEE A 5796 04:28:25,610 --> 04:28:26,978 CHANGE. 5797 04:28:26,978 --> 04:28:28,546 >> KATIE. 5798 04:28:28,546 --> 04:28:31,216 >> I THINK THAT'S RIGHT, 5799 04:28:31,216 --> 04:28:31,516 CHRISTINA. 5800 04:28:31,516 --> 04:28:33,551 IN THE CONTEXT OF WHERE WE ARE 5801 04:28:33,551 --> 04:28:39,224 TODAY VERSUS WHERE WE WERE WHEN 5802 04:28:39,224 --> 04:28:41,192 WE STARTED WHICH WAS FORWARD 5803 04:28:41,192 --> 04:28:42,560 THINKING AND SAYING WE KNEW THIS 5804 04:28:42,560 --> 04:28:43,895 WAS GOING HAPPEN. 5805 04:28:43,895 --> 04:28:45,029 I THINK THAT WILL BE REALLY 5806 04:28:45,029 --> 04:28:47,632 IMPORTANT TO TIE IT BACK TO WHY 5807 04:28:47,632 --> 04:28:49,200 WHY WE NEED TO CONTINUE TO DO 5808 04:28:49,200 --> 04:28:51,736 THE WORK. 5809 04:28:51,736 --> 04:28:52,904 FROM MY PERSPECTIVE AND THANK 5810 04:28:52,904 --> 04:28:55,039 YOU FOR THE CONVERSATIONS 5811 04:28:55,039 --> 04:28:57,942 BECAUSE THEY WERE PROMINENT IN 5812 04:28:57,942 --> 04:28:58,843 THE INITIAL PRGLAC TASK FORCE 5813 04:28:58,843 --> 04:29:00,278 MEETINGS OF WHY WE THESE TO MAKE 5814 04:29:00,278 --> 04:29:04,415 SURE WE DO CALL OUT THE 5815 04:29:04,415 --> 04:29:06,117 DIFFERENCES OR THOSE 5816 04:29:06,117 --> 04:29:07,252 DISTINCTIONS BECAUSE FRANKLY 5817 04:29:07,252 --> 04:29:08,219 RESEARCH INTEGRATION AND ALL 5818 04:29:08,219 --> 04:29:11,055 THAT IS GOING TO BE IN DIFFERENT 5819 04:29:11,055 --> 04:29:12,790 PLACES FOR PREGNANCY VERSUS 5820 04:29:12,790 --> 04:29:13,324 LACTATION. 5821 04:29:13,324 --> 04:29:15,927 I THINK THE BIGGEST THING FOR ME 5822 04:29:15,927 --> 04:29:21,399 IS WITH RESPECT TO THE OWNER 5823 04:29:21,399 --> 04:29:27,705 SHIP QUESTION AND BEING CLEAR 5824 04:29:27,705 --> 04:29:28,773 FROM SPECIFIC FOLKS OR GROUPS IN 5825 04:29:28,773 --> 04:29:31,442 THE ROOM OR NOT IN THE ROOM 5826 04:29:31,442 --> 04:29:37,582 SAYING THEY'RE WILLING TO TAKE 5827 04:29:37,582 --> 04:29:43,254 CERTAIN THINGS ON AND TYPES OF 5828 04:29:43,254 --> 04:29:43,955 GROUPS AND THE INDUSTRY 5829 04:29:43,955 --> 04:29:45,056 PERSPECTIVE BECAUSE IT'S A HUGE 5830 04:29:45,056 --> 04:29:46,891 PART THAT'S A REALITY WE NEED TO 5831 04:29:46,891 --> 04:29:48,359 MAKE SURE ALL OF THOSE 5832 04:29:48,359 --> 04:29:54,465 STAKEHOLDERS ARE ENGAGED IN. 5833 04:29:54,465 --> 04:29:55,199 IN THE REPORT ONCE THIS GOES 5834 04:29:55,199 --> 04:29:57,935 THROUGH THE PROCESS TO HAVE THE 5835 04:29:57,935 --> 04:30:00,405 LISTINGS OF ORGANIZATIONS OR 5836 04:30:00,405 --> 04:30:02,707 TYPES OF ORGANIZATIONS, THAT 5837 04:30:02,707 --> 04:30:05,810 THEN MAKES IT EASIER FOR THOSE 5838 04:30:05,810 --> 04:30:11,082 WILLING TO ASSIST TO DO A LITTLE 5839 04:30:11,082 --> 04:30:16,054 BIT OF GROUND WORK TO ASSIST AND 5840 04:30:16,054 --> 04:30:20,258 PICKING UP WHERE WE CAN MAKE 5841 04:30:20,258 --> 04:30:24,495 DIRECTIVES TO CONGRESS OR 5842 04:30:24,495 --> 04:30:25,163 FEDERAL AGENCIES. 5843 04:30:25,163 --> 04:30:26,731 >> ANITA. 5844 04:30:26,731 --> 04:30:37,275 >> SO TWO THOUGHTS FROM ME, ONE 5845 04:30:37,608 --> 04:30:40,411 BEING EQUITY NOT IN THE ORIGINAL 5846 04:30:40,411 --> 04:30:43,915 RECOMMENDATION AND THINK THEY 5847 04:30:43,915 --> 04:30:50,621 FIT WELL UNDER THE EQUITY PART. 5848 04:30:50,621 --> 04:30:52,390 I THINK IT'S GETTING MORE AND 5849 04:30:52,390 --> 04:30:54,325 MORE SHOWCASED. 5850 04:30:54,325 --> 04:30:55,460 THOUGH I APPRECIATE THE 5851 04:30:55,460 --> 04:30:57,428 CONGRESSIONAL AGENCY AND FUNDING 5852 04:30:57,428 --> 04:30:59,430 BEING EVERYTHING, ON THE OTHER 5853 04:30:59,430 --> 04:31:01,366 HAND, THE SCIENTIFIC DISCUSSION 5854 04:31:01,366 --> 04:31:04,969 IS SEPARATE FROM THAT SO MY VOTE 5855 04:31:04,969 --> 04:31:09,540 WOULD BE TO KEEP THAT SEPARATE. 5856 04:31:09,540 --> 04:31:11,109 THE SCIENCE IS ONE TRAIN OF 5857 04:31:11,109 --> 04:31:14,078 THOUGHT AND THE FUNDING IS ASIDE 5858 04:31:14,078 --> 04:31:16,214 PATH IN MY MIND. 5859 04:31:16,214 --> 04:31:19,584 THOSE ARE MY TWO THOUGHTS. 5860 04:31:19,584 --> 04:31:27,024 >> SARA. 5861 04:31:27,024 --> 04:31:34,999 >> SARAH QUINEY. 5862 04:31:34,999 --> 04:31:37,402 AND WHEN STAKEHOLDERS DON'T HAVE 5863 04:31:37,402 --> 04:31:39,837 THE FUNDING IT'S AN ISSUE AS 5864 04:31:39,837 --> 04:31:40,405 WELL. 5865 04:31:40,405 --> 04:31:45,977 ONE THING I'M SEEING AS WE'RE 5866 04:31:45,977 --> 04:31:53,217 READING THE GOALS IS WHAT DOES 5867 04:31:53,217 --> 04:31:59,891 SUCCESS LOOK LIKE? 5868 04:31:59,891 --> 04:32:01,626 WE'RE MAKING INCREMENTAL STEPS 5869 04:32:01,626 --> 04:32:04,429 BUT CONSIDER IS NOT A GOOD TERM 5870 04:32:04,429 --> 04:32:06,731 BECAUSE IT'S YEAH, I CAN THINK 5871 04:32:06,731 --> 04:32:08,566 ABOUT IT BUT THE ANSWER COULD BE 5872 04:32:08,566 --> 04:32:11,536 I CONSIDERED IT AND IT'S DONE. 5873 04:32:11,536 --> 04:32:13,404 BUT WHAT IS THE SUCCESS HERE AND 5874 04:32:13,404 --> 04:32:19,377 I THINK IN SOME CASES YES, WE'VE 5875 04:32:19,377 --> 04:32:22,680 ACHIEVE THE GOALS BUT IS THAT 5876 04:32:22,680 --> 04:32:25,483 ENOUGH OR IS THERE CONTINUING 5877 04:32:25,483 --> 04:32:28,753 SUCCESS AND IT'S NOT ENOUGH TO 5878 04:32:28,753 --> 04:32:36,394 ACHIEVE A GOAL BUT KEEP IT IN 5879 04:32:36,394 --> 04:32:40,531 THE FOREFRONT TOO. 5880 04:32:40,531 --> 04:32:51,042 >> WHAT I WAS HOPING TO UNDER 5881 04:33:00,551 --> 04:33:02,620 SCORE FOR ME IN TERMS OF GAPS I 5882 04:33:02,620 --> 04:33:04,288 THOUGHT SHOULD BE HIGHLIGHTED 5883 04:33:04,288 --> 04:33:05,623 FROM THE REPORT LIKE THE WHO 5884 04:33:05,623 --> 04:33:10,695 BUCKET AND HOW BUCKET. 5885 04:33:10,695 --> 04:33:16,300 THE WHO MEANING TO HIGHLIGHT 5886 04:33:16,300 --> 04:33:18,669 VOICES WE HAVEN'T HEARD FROM YET 5887 04:33:18,669 --> 04:33:22,507 LIKE PHARMACY PARTNERS AND SOME 5888 04:33:22,507 --> 04:33:23,808 SOCIETIES WOULD BE USEFUL AND 5889 04:33:23,808 --> 04:33:24,642 BEHAVIORAL SCIENTISTS AND 5890 04:33:24,642 --> 04:33:31,616 COMMUNITY VOICES. 5891 04:33:31,616 --> 04:33:38,723 IN TERMS OF THE HOW, LEADING THE 5892 04:33:38,723 --> 04:33:41,425 CONGRESSIONAL ACTING TRAINING TO 5893 04:33:41,425 --> 04:33:46,664 SPENDING AND THERE'S REPORTS 5894 04:33:46,664 --> 04:33:49,834 THAT TALK ABOUT PRODUCED TIME 5895 04:33:49,834 --> 04:33:52,403 MORE AVAILABLE TO PEOPLE AND YOU 5896 04:33:52,403 --> 04:33:55,606 CAN ONLY SQUEEZE SOMETHING SO 5897 04:33:55,606 --> 04:33:55,806 MUCH. 5898 04:33:55,806 --> 04:33:57,375 THATS THAT MATTERED TO ME. 5899 04:33:57,375 --> 04:33:59,644 AND ONE THING THEY WANTED TO -- 5900 04:33:59,644 --> 04:34:02,480 I THINK I'LL BE REFLECTING ON IS 5901 04:34:02,480 --> 04:34:04,782 TO THINK ABOUT THIS AS AN 5902 04:34:04,782 --> 04:34:06,717 OPPORTUNITY FOR RICHNESS RATHER 5903 04:34:06,717 --> 04:34:08,619 THAN REFLECTING SO MUCH ON THE 5904 04:34:08,619 --> 04:34:12,323 PLACES WE'VE STRUGGLED SO FAR 5905 04:34:12,323 --> 04:34:15,560 WHICH TO ECHO YOU IS WHAT WOULD 5906 04:34:15,560 --> 04:34:16,527 MY DREAM BE? 5907 04:34:16,527 --> 04:34:18,729 IF THE GROUP CAN MAKE SOMETHING 5908 04:34:18,729 --> 04:34:25,136 MAGICAL HAPPEN AND STRIKE AN 5909 04:34:25,136 --> 04:34:28,806 IMPACT I LIKE WE COULD IS FOR 5910 04:34:28,806 --> 04:34:32,209 THIS SPACE TO CONVENE MULTIPLE 5911 04:34:32,209 --> 04:34:33,611 STAKEHOLDERS AND IN THE FUTURE 5912 04:34:33,611 --> 04:34:36,414 SOME OF THE INTERCONNECTED WITH 5913 04:34:36,414 --> 04:34:38,449 THAT STRUGGLED IN THE LAST YEARS 5914 04:34:38,449 --> 04:34:39,317 COULD BE SOMETHING THE GROUP 5915 04:34:39,317 --> 04:34:43,554 COULD ASK FOR AS A REGULAR 5916 04:34:43,554 --> 04:34:45,990 MEETING OR CHECK-IN PROGRESS. 5917 04:34:45,990 --> 04:34:48,192 I'LL BE REFLECTING MORE ON WHAT 5918 04:34:48,192 --> 04:34:55,499 NIRVANA WOULD LOOK LIKE. 5919 04:34:55,499 --> 04:34:59,136 >> I AGREE IN GOING AFTER SO 5920 04:34:59,136 --> 04:35:00,404 MANY SMART COMMENTS. 5921 04:35:00,404 --> 04:35:07,044 I'M A SPLITTER ON ITEM 1 AND 5922 04:35:07,044 --> 04:35:07,745 TALKING ABOUT PREGNANCY AND MAKE 5923 04:35:07,745 --> 04:35:09,313 SURE WE'RE ADDRESSING THE 5924 04:35:09,313 --> 04:35:12,750 BARRIERS AND CHALLENGES AND 5925 04:35:12,750 --> 04:35:13,117 SUCCESSES THERE. 5926 04:35:13,117 --> 04:35:18,422 I AGREE WITH WHAT WAS SAID ABOUT 5927 04:35:18,422 --> 04:35:21,726 AND WORRIED ABOUT NOT ASSIGNING 5928 04:35:21,726 --> 04:35:23,260 OWNERSHIP THING WHEN IT'S 5929 04:35:23,260 --> 04:35:25,262 UNCLEAR OR WHO IS RESPONSIBLE 5930 04:35:25,262 --> 04:35:30,901 FOR WHAT THOUGH I DON'T KNOW I 5931 04:35:30,901 --> 04:35:32,770 HAVE AN ANSWER TO HOW THE 5932 04:35:32,770 --> 04:35:34,071 ACCOUNTABILITY IS ASSIGNED BUT 5933 04:35:34,071 --> 04:35:36,941 IF THIS GROUP OR ANOTHER GROUP 5934 04:35:36,941 --> 04:35:39,777 CONTINUES TO MEET, IS IT A 5935 04:35:39,777 --> 04:35:40,911 MATTER OF GETTING THE 5936 04:35:40,911 --> 04:35:42,446 STAKEHOLDERS RESPONSIBLE FOR THE 5937 04:35:42,446 --> 04:35:44,715 PIECES AT THE TABLE TO THINK OF 5938 04:35:44,715 --> 04:35:46,350 HOW TO MOVE FORWARD 5939 04:35:46,350 --> 04:35:49,720 IMPLEMENTATION GOING AND I WORRY 5940 04:35:49,720 --> 04:35:53,391 WHEN THERE'S GENERAL COMMENTS 5941 04:35:53,391 --> 04:35:55,126 ABOUT STAKEHOLDER X WHAT'S THE 5942 04:35:55,126 --> 04:35:56,427 INCENTIVE AND IS THERE A WAY TO 5943 04:35:56,427 --> 04:36:00,398 BRING THEM TO THE TABLE AS A 5944 04:36:00,398 --> 04:36:00,931 MEANS. 5945 04:36:00,931 --> 04:36:04,802 I DON'T KNOW -- MAYBE SIMILAR TO 5946 04:36:04,802 --> 04:36:06,203 ABOUT WHAT DOES SUCCESS LOOK 5947 04:36:06,203 --> 04:36:06,404 LIKE? 5948 04:36:06,404 --> 04:36:08,606 I KNOW WE'RE NOT SUPPOSED TO ADD 5949 04:36:08,606 --> 04:36:09,607 AN ADDITIONAL RECOMMENDATION BUT 5950 04:36:09,607 --> 04:36:11,442 STRIKES ME WANTING TO GATHER 5951 04:36:11,442 --> 04:36:13,044 INFORMATION ALONG THE WAY WHEN 5952 04:36:13,044 --> 04:36:18,816 THESE THINGS ARE DONE, IS IT 5953 04:36:18,816 --> 04:36:19,583 WORKING? 5954 04:36:19,583 --> 04:36:25,322 WHEN YOU ENGAGE PROFESSIONALS 5955 04:36:25,322 --> 04:36:27,692 AND TALK ABOUT RESEARCH AND DO 5956 04:36:27,692 --> 04:36:29,827 WE NEED MORE ENROLLING. 5957 04:36:29,827 --> 04:36:32,196 IS THERE SOME WAY TO BUILD IN 5958 04:36:32,196 --> 04:36:33,998 THERE SHOULD BE CONSTANT 5959 04:36:33,998 --> 04:36:37,601 MEASUREMENT OF WHETHER THE 5960 04:36:37,601 --> 04:36:39,503 RECOMMENDATIONS ARE ACHIEVING 5961 04:36:39,503 --> 04:36:41,338 WHAT WE WANT THEM TO ACHIEVE AND 5962 04:36:41,338 --> 04:36:47,011 I WAS THINKING IF IT'S WORTH AND 5963 04:36:47,011 --> 04:36:49,146 MAYBE THIS IS OBVIOUS BUT SOME 5964 04:36:49,146 --> 04:36:50,581 OF THESE ARE LARGE 5965 04:36:50,581 --> 04:36:50,948 RECOMMENDATIONS. 5966 04:36:50,948 --> 04:36:54,452 THEY'LL TAKE YEARS TO BE 5967 04:36:54,452 --> 04:36:55,419 SUCCESSFUL AND OTHERS A SHORTER 5968 04:36:55,419 --> 04:37:02,660 TIME FRAME. 5969 04:37:02,660 --> 04:37:06,530 I'D WANT TO SEE THAT 5970 04:37:06,530 --> 04:37:07,932 ACKNOWLEDGED IN HOW 5971 04:37:07,932 --> 04:37:09,800 IMPLEMENTATION IS GOING AND HOW 5972 04:37:09,800 --> 04:37:11,168 LITTLE PROGRESS MADE AND HOW 5973 04:37:11,168 --> 04:37:13,270 MUCH MADE AND WE RECOGNIZE IT'S 5974 04:37:13,270 --> 04:37:16,040 A 10 OR 15 YEAR GOAL AND OUGHT 5975 04:37:16,040 --> 04:37:18,175 TO HAVE BEEN ABLE TO BE DONE IN 5976 04:37:18,175 --> 04:37:20,211 SIX MONTHS OR SOMETHING LIKE 5977 04:37:20,211 --> 04:37:20,411 THAT. 5978 04:37:20,411 --> 04:37:29,053 >> THANK YOU, KJ. 5979 04:37:29,053 --> 04:37:39,497 >> KJ WITH MARCH OF DIMES. 5980 04:37:44,468 --> 04:37:52,009 THIS IS A TOOL. 5981 04:37:52,009 --> 04:37:55,412 TO THE DEGREE WE CAN APPLY 5982 04:37:55,412 --> 04:37:56,046 OWNERSHIP TO THE RECOMMENDATIONS 5983 04:37:56,046 --> 04:38:04,255 THE BETTER. 5984 04:38:04,255 --> 04:38:10,928 IT GETS CONGRESSIONAL ACTION AND 5985 04:38:10,928 --> 04:38:13,063 I THINK WE'LL HAVE TO TALK ABOUT 5986 04:38:13,063 --> 04:38:17,201 WHAT IS LOW HANGING FRUIT VERSUS 5987 04:38:17,201 --> 04:38:20,738 THE LONG-TERM ACTION ITEMS. 5988 04:38:20,738 --> 04:38:23,207 THAT'S GOING TO BE IMPORTANT TO 5989 04:38:23,207 --> 04:38:23,908 CONGRESS? 5990 04:38:23,908 --> 04:38:26,076 >> AND KEEPING EVERYBODY ON 5991 04:38:26,076 --> 04:38:27,845 THEIR TOES AND PARTNERS ONLINE 5992 04:38:27,845 --> 04:38:28,045 FIRST. 5993 04:38:28,045 --> 04:38:37,955 KEVIN? 5994 04:38:37,955 --> 04:38:39,957 >> THE ONLY ADDITIONAL COMMENT 5995 04:38:39,957 --> 04:38:42,259 TO WHAT'S BEEN SAID SO FAR IS 5996 04:38:42,259 --> 04:38:44,361 THE MULTIPLE STAKEHOLDERS AND 5997 04:38:44,361 --> 04:38:46,597 PARTNERS AND GETTING BACK TO THE 5998 04:38:46,597 --> 04:38:51,902 FUNDING ISSUE LOOKING BEYOND 5999 04:38:51,902 --> 04:38:55,773 NICHD AND ALMOST ALL THE 6000 04:38:55,773 --> 04:38:57,007 INSTITUTES HAVE A STAKE IN 6001 04:38:57,007 --> 04:38:58,309 PREGNANCY AND LACTATION AND 6002 04:38:58,309 --> 04:39:01,245 LOOKING TO EXPAND OUR 6003 04:39:01,245 --> 04:39:02,046 PARTNERSHIPS ACROSS INSTITUTES. 6004 04:39:02,046 --> 04:39:05,583 >> THANK YOU, KEVIN. 6005 04:39:05,583 --> 04:39:05,816 SHARON. 6006 04:39:05,816 --> 04:39:08,252 >> I KEEP GETTING BACK TO THE 6007 04:39:08,252 --> 04:39:10,654 ACADEMIC VERSUS NON-ACADEMIC 6008 04:39:10,654 --> 04:39:10,888 CENTERS. 6009 04:39:10,888 --> 04:39:11,989 I WANT TO SAY IS THERE A 6010 04:39:11,989 --> 04:39:21,031 SEPARATE PLAN FOR BOTH OF THEM 6011 04:39:21,031 --> 04:39:22,366 BRING THEM UP TO SPEED AND PUT 6012 04:39:22,366 --> 04:39:26,136 THAT IN A REPORT AND IN AN 6013 04:39:26,136 --> 04:39:27,872 ACTION ITEM FOR ACADEMIC CENTERS 6014 04:39:27,872 --> 04:39:29,506 AND HOW ARE WE GOING TO BE 6015 04:39:29,506 --> 04:39:30,040 EDUCATE AND MOVE THE PLAN 6016 04:39:30,040 --> 04:39:32,676 FORWARD. 6017 04:39:32,676 --> 04:39:33,978 THEN YOU CAN GO BACK TO CONGRESS 6018 04:39:33,978 --> 04:39:36,280 AND SAY THE RESOURCES FOR THIS 6019 04:39:36,280 --> 04:39:38,282 ARE GOING TO BE X AND THE 6020 04:39:38,282 --> 04:39:41,518 RESOURCES FOR THIS, Y AND HERE'S 6021 04:39:41,518 --> 04:39:43,587 THE TRAJECTORY FOR BOTH AND 6022 04:39:43,587 --> 04:39:51,629 THEY'RE DIFFERENT. 6023 04:39:51,629 --> 04:39:52,963 >> MANY IMPORTANT POINTS HAVE 6024 04:39:52,963 --> 04:39:53,764 BEEN BROUGHT UP. 6025 04:39:53,764 --> 04:40:00,404 I'LL GO THROUGH MY LIST. 6026 04:40:00,404 --> 04:40:06,010 I AGREE WITH POINTS SO FAR AND 6027 04:40:06,010 --> 04:40:07,978 AGREE WE SHOULD LOOK AT THE 6028 04:40:07,978 --> 04:40:10,381 RECOMMENDATIONS IN TERMS OF THE 6029 04:40:10,381 --> 04:40:12,416 CONTINUUM AND TRANSLATIONAL AND 6030 04:40:12,416 --> 04:40:13,951 CLINICAL RESEARCH WHERE 6031 04:40:13,951 --> 04:40:14,518 APPROPRIATE. 6032 04:40:14,518 --> 04:40:16,520 WANT TO MAKE SURE THAT'S 6033 04:40:16,520 --> 04:40:16,820 HIGHLIGHTED. 6034 04:40:16,820 --> 04:40:18,322 I WAS CAUTIOUS SO FOLKS HAVE 6035 04:40:18,322 --> 04:40:20,391 BEEN RAISING THE POINT THIS IS A 6036 04:40:20,391 --> 04:40:21,659 PROGRESS REPORT BUT I THINK WE 6037 04:40:21,659 --> 04:40:23,928 NEED TO BE CAREFUL ABOUT THE 6038 04:40:23,928 --> 04:40:24,929 LANGUAGE BECAUSE WE DON'T WANT 6039 04:40:24,929 --> 04:40:27,765 TO GIVE THE IMPRESSION 6040 04:40:27,765 --> 04:40:31,001 EVERYTHING IS IN PROGRESS OR 6041 04:40:31,001 --> 04:40:32,169 GIVE CREDIT FOR THINGS NOT IN 6042 04:40:32,169 --> 04:40:33,671 PROGRESS OR FUNDED AND NEED TO 6043 04:40:33,671 --> 04:40:37,408 BE CLEAR ABOUT THE THINGS IN RED 6044 04:40:37,408 --> 04:40:40,844 NOT BECAUSE OF THE TIME LAPSED 6045 04:40:40,844 --> 04:40:41,712 BUT BECAUSE THERE'S NO 6046 04:40:41,712 --> 04:40:43,414 INVESTMENT THERE AND AGREE WITH 6047 04:40:43,414 --> 04:40:45,215 SOME POINTS THAT TO THE EXTENT 6048 04:40:45,215 --> 04:40:47,384 WE CAN WE SHOULD BE FLAGGING 6049 04:40:47,384 --> 04:40:48,686 SOME PRIORITIES. 6050 04:40:48,686 --> 04:40:51,622 FOR THOSE THINGS YELLOW OR IN 6051 04:40:51,622 --> 04:40:52,256 PROGRESS, LET'S CONTINUE TO 6052 04:40:52,256 --> 04:40:54,358 SUPPORT THAT AND FOR THOSE IN 6053 04:40:54,358 --> 04:40:55,759 RED, WHAT ARE THINGS WE SHOULD 6054 04:40:55,759 --> 04:40:57,895 BE WORKING ON IN THE INTERIM. 6055 04:40:57,895 --> 04:40:59,730 >> THANK YOU. 6056 04:40:59,730 --> 04:41:01,298 I GOT MY HAND SLAPPED 6057 04:41:01,298 --> 04:41:01,865 APPROPRIATELY SO. 6058 04:41:01,865 --> 04:41:03,300 PAM, I COULDN'T SEE YOU ON 6059 04:41:03,300 --> 04:41:07,972 SCREEN BUT I KNOW YOU'RE THERE. 6060 04:41:07,972 --> 04:41:18,382 SORRY I OVERLOOKED YOU. 6061 04:41:35,265 --> 04:41:36,567 >> I SUPPORT AND UNDERSTAND THE 6062 04:41:36,567 --> 04:41:41,605 CONCERNS BROUGHT UP BEFORE BUT I 6063 04:41:41,605 --> 04:41:50,381 DO THINK IT'S IMPORTANT THAT WE 6064 04:41:50,381 --> 04:41:54,251 ZWSH THAT POINT AND THE OTHER 6065 04:41:54,251 --> 04:41:56,086 THING -- DISTINGUISH THAT POINT 6066 04:41:56,086 --> 04:41:58,489 AND THE OTHER THING IS REMOVING 6067 04:41:58,489 --> 04:42:04,194 SOME OF THE SILOS BECAUSE I 6068 04:42:04,194 --> 04:42:05,462 STILL THINK WE'RE NOT GETTING 6069 04:42:05,462 --> 04:42:08,198 THE INFORMATION OUT UNIFORMLY. 6070 04:42:08,198 --> 04:42:09,566 IT'S STILL AN ISSUE. 6071 04:42:09,566 --> 04:42:09,900 >> THANK YOU. 6072 04:42:09,900 --> 04:42:14,004 JANET. 6073 04:42:14,004 --> 04:42:15,839 >> BEFORE JANET SPEAKS, CAN I 6074 04:42:15,839 --> 04:42:16,874 ASK A QUESTION? 6075 04:42:16,874 --> 04:42:18,275 I THINK YOU'RE LOOKING AT 6076 04:42:18,275 --> 04:42:19,610 SOMETHING DIFFERENT THAN WHAT WE 6077 04:42:19,610 --> 04:42:20,677 SEE ONLINE. 6078 04:42:20,677 --> 04:42:22,079 I HEARD SOMEONE TALKING ABOUT 6079 04:42:22,079 --> 04:42:26,617 RED AND YELLOW AND GREEN AND ALL 6080 04:42:26,617 --> 04:42:27,618 WE SEE IS THE REPORT DISCUSSION 6081 04:42:27,618 --> 04:42:27,918 SLIDE. 6082 04:42:27,918 --> 04:42:29,186 >> YOU'RE SEEING WHAT WE'RE 6083 04:42:29,186 --> 04:42:30,187 SEEING. 6084 04:42:30,187 --> 04:42:32,322 I THINKS IT WAS REFERENCE TO 6085 04:42:32,322 --> 04:42:33,457 WHAT WE'RE SEEING EARLIER. 6086 04:42:33,457 --> 04:42:36,326 >> GOT IT. 6087 04:42:36,326 --> 04:42:38,595 JUST MAKING SURE. 6088 04:42:38,595 --> 04:42:39,630 >> I SAID SOME FEELINGS BEFORE 6089 04:42:39,630 --> 04:42:47,237 WE STARTED ON THIS. 6090 04:42:47,237 --> 04:42:48,839 THERE'S A CAVEAT OF 6091 04:42:48,839 --> 04:42:50,941 UNDERSTANDING WHAT POINTS CAN BE 6092 04:42:50,941 --> 04:42:53,644 CHECKED ALONG AS HAVING MADE 6093 04:42:53,644 --> 04:42:55,079 GOOD PROGRESS SERVICE SOME WHICH 6094 04:42:55,079 --> 04:42:57,047 ARE ACHIEVABLE AND REQUIRE OTHER 6095 04:42:57,047 --> 04:42:57,915 FUNDING ETCETERA. 6096 04:42:57,915 --> 04:43:06,356 I DID WANT TO BRING BACK A 6097 04:43:06,356 --> 04:43:11,161 PHRASE FROM THE ORIGINAL REPORT 6098 04:43:11,161 --> 04:43:12,696 FROM PRGLAC AS A THEME I'D LOVE 6099 04:43:12,696 --> 04:43:18,535 TO SEE AT THE TO THE REPORT AND 6100 04:43:18,535 --> 04:43:19,169 THAT'S PREGNANT AND LACTATING 6101 04:43:19,169 --> 04:43:20,671 PERSONS SHOULD BE PROTECTED 6102 04:43:20,671 --> 04:43:21,805 THROUGH RESEARCH NOT FROM 6103 04:43:21,805 --> 04:43:22,239 RESEARCH. 6104 04:43:22,239 --> 04:43:24,108 AND LET US KEEP THAT AT OUR 6105 04:43:24,108 --> 04:43:27,211 FOREFRONT AGAIN BECAUSE THINK 6106 04:43:27,211 --> 04:43:31,882 THAT WAS JUST THE TOP LINE GOAL 6107 04:43:31,882 --> 04:43:33,617 THAT WE SHOULD CONTINUE ALONG 6108 04:43:33,617 --> 04:43:34,284 BECAUSE IT ENCOMPASSES SO MANY 6109 04:43:34,284 --> 04:43:38,188 THAEMZ. 6110 04:43:38,188 --> 04:43:39,156 -- THEMES. 6111 04:43:39,156 --> 04:43:43,060 IN TERMS OF ONGOING DISCUSSION 6112 04:43:43,060 --> 04:43:45,829 OF LACTATION AND PREGNANCY I'D 6113 04:43:45,829 --> 04:43:49,266 LIKE TO BRING IN THE WORD, 6114 04:43:49,266 --> 04:43:49,533 EVIDENCE. 6115 04:43:49,533 --> 04:43:55,072 NOT ONLY TO DO THE STUDIES IN SO 6116 04:43:55,072 --> 04:43:56,874 PEOPLE BUT THERE'S SO MUCH LESS 6117 04:43:56,874 --> 04:43:57,841 EVIDENCE FOR LACTATION AND 6118 04:43:57,841 --> 04:44:00,410 SAFETY FOR WOMEN TAKING THEIR 6119 04:44:00,410 --> 04:44:05,382 MEDICATIONS WHEN THEY'RE 6120 04:44:05,382 --> 04:44:07,784 LACTATING PEOPLE AND I LIKE THE 6121 04:44:07,784 --> 04:44:10,420 IDEA THEY'RE SEPARATE WITH THE 6122 04:44:10,420 --> 04:44:18,595 IDEA AT THE END WE CAN PULL THEM 6123 04:44:18,595 --> 04:44:20,531 TOGETHER BECAUSE THERE'S 6124 04:44:20,531 --> 04:44:21,965 SUFFICIENT EVIDENCE AND KEEPING 6125 04:44:21,965 --> 04:44:24,935 SCIENTIFIC EVIDENCE AT THE 6126 04:44:24,935 --> 04:44:30,941 FOREFRONT IN TERMS QUANTIFYING 6127 04:44:30,941 --> 04:44:31,975 PROGRESS. 6128 04:44:31,975 --> 04:44:33,343 OWNERSHIP OF RECOMMENDATIONS? 6129 04:44:33,343 --> 04:44:36,413 I LOVE THE IDEA OF BRINGING 6130 04:44:36,413 --> 04:44:38,882 FORWARD SUGGESTIONS. 6131 04:44:38,882 --> 04:44:42,452 I DON'T THINK WE SHOULD HOLD 6132 04:44:42,452 --> 04:44:43,053 PEOPLE ACCOUNTABLE AND 6133 04:44:43,053 --> 04:44:45,022 RESPONSIBLE BUT IF WE DON'T MAKE 6134 04:44:45,022 --> 04:44:46,657 SUGGESTIONS I DON'T KNOW THEY'LL 6135 04:44:46,657 --> 04:44:51,128 RAISE THEIR HAND AND I DON'T 6136 04:44:51,128 --> 04:44:55,532 MEAN MAKING AN EXHAUSTIVE LIST 6137 04:44:55,532 --> 04:44:56,400 OF STAKEHOLDERS. 6138 04:44:56,400 --> 04:45:01,738 I THINK WE CAN DO THAT. 6139 04:45:01,738 --> 04:45:05,909 AND THE REST IS OKAY. 6140 04:45:05,909 --> 04:45:10,180 >> I DO AGREE WITH THESE. 6141 04:45:10,180 --> 04:45:13,584 I WANT TO KEEP GOING. 6142 04:45:13,584 --> 04:45:17,287 I VIEW 2 AND 3 AS 6143 04:45:17,287 --> 04:45:19,957 INTERCONNECTED. 6144 04:45:19,957 --> 04:45:28,999 ALMOST ONE BULLET AND 6145 04:45:28,999 --> 04:45:30,033 REFLECTING BACK WHAT YOU'RE 6146 04:45:30,033 --> 04:45:35,072 TRYING TO SAY AND I COULD BE 6147 04:45:35,072 --> 04:45:37,140 WRONG IS THAT PROGRESS HAS BEEN 6148 04:45:37,140 --> 04:45:37,808 DIFFICULT BECAUSE THE OWNERSHIP 6149 04:45:37,808 --> 04:45:43,213 IS UNCLEAR. 6150 04:45:43,213 --> 04:45:47,417 AND THEREFORE A SUBSET BULLET IS 6151 04:45:47,417 --> 04:45:51,221 PROGRESS NEED TO BE MADE ON 6152 04:45:51,221 --> 04:45:52,389 IDENTIFYING THE MULTIPLE 6153 04:45:52,389 --> 04:45:58,528 STAKEHOLDERS INVOLVED. 6154 04:45:58,528 --> 04:46:08,872 >> ELENA FROM ORWH. 6155 04:46:17,080 --> 04:46:19,583 >> I AGREE THEY'RE DIVERGENT 6156 04:46:19,583 --> 04:46:23,287 THEMES AND THERE'S PHYSICAL AND 6157 04:46:23,287 --> 04:46:24,688 PHYSIOLOGICAL CHANGES GOING ON 6158 04:46:24,688 --> 04:46:30,727 IN THE BODY AND IF WE DO THESE 6159 04:46:30,727 --> 04:46:33,630 IT WILL BE MORE EFFICIENT FOR 6160 04:46:33,630 --> 04:46:38,735 DEVELOPMENT OF NEW MEDICATION 6161 04:46:38,735 --> 04:46:42,739 AND I THINK OWNERSHIP AND 6162 04:46:42,739 --> 04:46:44,308 RECOMMENDATION IS ALWAYS HARD TO 6163 04:46:44,308 --> 04:46:48,412 TELL BUT AS A FEDERAL AGENCY IT 6164 04:46:48,412 --> 04:46:53,717 SHOULD BE GUIDANCE THAT WE 6165 04:46:53,717 --> 04:46:56,953 DEVELOP AND HELP STAKEHOLDERS 6166 04:46:56,953 --> 04:47:03,126 AND WITHOUT GUIDANCE IT'S HARD 6167 04:47:03,126 --> 04:47:06,263 TO RECEIVE AND ANALYZE 6168 04:47:06,263 --> 04:47:08,398 SCIENTIFIC DATA AND WHAT WE CAN 6169 04:47:08,398 --> 04:47:14,638 DO WITH THIS AND WHO WILL BE 6170 04:47:14,638 --> 04:47:16,907 RESPONSIBLE AND HOW THEY'LL BE 6171 04:47:16,907 --> 04:47:17,207 COMFORTABLE. 6172 04:47:17,207 --> 04:47:26,717 WE ALWAYS KNOW WE HAVE A LOT OF 6173 04:47:26,717 --> 04:47:28,185 EFFORTS TO COLLABORATE THROUGH 6174 04:47:28,185 --> 04:47:31,688 NIH WIDE AND THIS IS HELPFUL. 6175 04:47:31,688 --> 04:47:34,524 WE HAVE A LOT OF EXPERIENCE TO 6176 04:47:34,524 --> 04:47:35,158 WORK TOGETHER DIFFERENT I.C.s 6177 04:47:35,158 --> 04:47:45,369 AND OFFICES. 6178 04:47:55,645 --> 04:47:58,315 I WANT TO SEE WHAT WAS DONE AND 6179 04:47:58,315 --> 04:48:07,023 NOT DONE AS DESCRIBED AND 6180 04:48:07,023 --> 04:48:13,330 ANALYZE 6181 04:48:13,330 --> 04:48:19,603 >> THOSE WILL SHOW UP IN THE 6182 04:48:19,603 --> 04:48:26,143 SUBSECTIONS AND RECOMMENDATIONS. 6183 04:48:26,143 --> 04:48:27,844 MAYBE SOME PLACES ARE DOING SOME 6184 04:48:27,844 --> 04:48:29,312 THINGS BUT WE DON'T KNOW ABOUT 6185 04:48:29,312 --> 04:48:32,716 THAT AND IT'S VERY HARD FOR US 6186 04:48:32,716 --> 04:48:34,951 AND PHARMACEUTICAL COMPANY WORK 6187 04:48:34,951 --> 04:48:40,090 WE DON'T KNOW THEIR EFFORTS. 6188 04:48:40,090 --> 04:48:43,593 WE NEED TO BE MORE CLOSE AND 6189 04:48:43,593 --> 04:48:48,398 EXCHANGE INFORMATION TO KEEP 6190 04:48:48,398 --> 04:48:49,566 THIS TOGETHER. 6191 04:48:49,566 --> 04:48:49,900 THANK YOU. 6192 04:48:49,900 --> 04:48:53,870 >> MY BRAIN IS TRYING TO PROCESS 6193 04:48:53,870 --> 04:48:55,038 NAMES AND WHO WAS ON THE 6194 04:48:55,038 --> 04:48:55,605 COMMITTEE. 6195 04:48:55,605 --> 04:48:56,406 RACHEL, I'M SORRY. 6196 04:48:56,406 --> 04:49:03,246 >> THANK YOU. 6197 04:49:03,246 --> 04:49:04,581 I WAS TRYING TO THINK OF WHAT 6198 04:49:04,581 --> 04:49:05,816 NEW INFORMATION WE HAVE IT ADD 6199 04:49:05,816 --> 04:49:08,585 AT THIS POINT AND THINKING OF 6200 04:49:08,585 --> 04:49:10,520 THE WORD PROGRESS AND MAYBE 6201 04:49:10,520 --> 04:49:10,754 STATUS. 6202 04:49:10,754 --> 04:49:12,956 I'LL LET THE DRAFTERS DECIDE 6203 04:49:12,956 --> 04:49:14,658 WHAT THE BEST POINT IS THERE BUT 6204 04:49:14,658 --> 04:49:20,797 WHEN LOOKING AT THE STATUS OF 6205 04:49:20,797 --> 04:49:23,733 RECOMMENDATIONS AND THAT'S HOW I 6206 04:49:23,733 --> 04:49:26,203 WAS THINK ABOUT IT AND 6207 04:49:26,203 --> 04:49:27,170 APPRECIATED THE COMMENTS AROUND 6208 04:49:27,170 --> 04:49:28,738 THE REALITY OF TODAY AND 6209 04:49:28,738 --> 04:49:32,409 THINKING MORE WHAT IS DIFFERENT. 6210 04:49:32,409 --> 04:49:33,143 THERE'S A LOT OF DIFFERENT 6211 04:49:33,143 --> 04:49:35,011 BETWEEN 2018 AND NOW WHEN THE 6212 04:49:35,011 --> 04:49:36,580 RECOMMENDATIONS FIRST CAME OUT 6213 04:49:36,580 --> 04:49:38,281 AND THINKING ABOUT THE AUDIENCE 6214 04:49:38,281 --> 04:49:40,383 OF THIS REPORT IS ULTIMATELY 6215 04:49:40,383 --> 04:49:42,085 GOING TO BE CONGRESS. 6216 04:49:42,085 --> 04:49:44,221 BACK IN 2018 WE WERE STILL 6217 04:49:44,221 --> 04:49:46,089 HAVING TO CONVINCE MEMBERS OF 6218 04:49:46,089 --> 04:49:47,791 CONGRESS MATERNAL MORTALITY WAS 6219 04:49:47,791 --> 04:49:48,792 A PROBLEM AND SOMETHING TO BE 6220 04:49:48,792 --> 04:49:50,794 PAID ATTENTION TO. 6221 04:49:50,794 --> 04:49:53,230 AND WE'RE IN A VERY DIFFERENT 6222 04:49:53,230 --> 04:49:56,032 PLACE NOW WHICH THANKS TO THE 6223 04:49:56,032 --> 04:49:57,601 FOLKS IN THE ROOM WHO HAVE DONE 6224 04:49:57,601 --> 04:50:01,004 THE WORK TO SHOW WHY IT'S A 6225 04:50:01,004 --> 04:50:01,238 PROBLEM. 6226 04:50:01,238 --> 04:50:04,074 AND THE RATES REMAIN HIGH AND 6227 04:50:04,074 --> 04:50:05,876 THERE ARE RACIAL AND ETHNIC 6228 04:50:05,876 --> 04:50:08,245 INEQUITIES AND OUTCOME TO BRING 6229 04:50:08,245 --> 04:50:09,112 UP THE OTHER ISSUE. 6230 04:50:09,112 --> 04:50:13,083 I THINK THAT WILL ALSO BE AN 6231 04:50:13,083 --> 04:50:14,651 IMPORTANT AND COMPELLING FRAMING 6232 04:50:14,651 --> 04:50:16,786 FOR COMMERCIAL AUDIENCE HOW THIS 6233 04:50:16,786 --> 04:50:20,824 RELATES TO IMPROVING MATERNAL 6234 04:50:20,824 --> 04:50:22,359 HEALTH AND THE CONNECTION TO 6235 04:50:22,359 --> 04:50:22,893 ADVERSE MATERNAL HEALTH 6236 04:50:22,893 --> 04:50:30,000 OUTCOMES. 6237 04:50:30,000 --> 04:50:34,037 A VOICE THAT WASN'T HERE TODAY 6238 04:50:34,037 --> 04:50:38,408 IS ATA CHARO'S AND I'M SURE WE 6239 04:50:38,408 --> 04:50:39,242 WOULD HAVE HAD INTERESTING 6240 04:50:39,242 --> 04:50:42,312 THINGS TO ADD BUT I REMEMBER IN 6241 04:50:42,312 --> 04:50:44,347 AN EARLY MEETING SHE HAD A LOT 6242 04:50:44,347 --> 04:50:47,217 TO SAY ABOUT LIABILITY AND WHEN 6243 04:50:47,217 --> 04:50:49,653 I WAS SEEING THE MULTIPLE 6244 04:50:49,653 --> 04:50:52,222 STAKEHOLDERS, PUBLIC AND PRIVATE 6245 04:50:52,222 --> 04:50:57,961 THAT CAME TO MIND. 6246 04:50:57,961 --> 04:50:59,596 CHALLENGING THE PERCEPTION WE 6247 04:50:59,596 --> 04:51:01,064 CAN'T DO THIS BECAUSE OF 6248 04:51:01,064 --> 04:51:06,469 LIABILITY AND PUSHING US PAST 6249 04:51:06,469 --> 04:51:12,108 THAT PERCEPTION OR URGING THE 6250 04:51:12,108 --> 04:51:14,144 PRIVATE SECTOR TO PUSH PAST THAT 6251 04:51:14,144 --> 04:51:16,379 AND I AGREE WITH THE THEMES AND 6252 04:51:16,379 --> 04:51:19,616 THINK THERE'S A LOT POTENTIALLY 6253 04:51:19,616 --> 04:51:30,093 THERE RELATED TO THE STATUS. 6254 04:51:32,662 --> 04:51:36,399 >> CAMILLE. 6255 04:51:36,399 --> 04:51:39,269 >> I AGREE WITH MANY THEMES AND 6256 04:51:39,269 --> 04:51:44,941 ONE DIFFERENT WAY TO THINK ABOUT 6257 04:51:44,941 --> 04:51:49,512 ITEM THEMES 2 AND 3 IS 6258 04:51:49,512 --> 04:51:52,115 COMMENTING ON THE IDEA OF 6259 04:51:52,115 --> 04:51:55,819 PARTNERSHIPS AND THE IMPORTANCE 6260 04:51:55,819 --> 04:52:00,190 OF PARTNERSHIP IN ADVANCING THE 6261 04:52:00,190 --> 04:52:00,924 RECOMMENDATIONS AMONG THE 6262 04:52:00,924 --> 04:52:07,631 MULTIPLE STAKEHOLDERS AND HOW 6263 04:52:07,631 --> 04:52:09,733 THAT IS BEEN EFFECTIVE THUS FAR 6264 04:52:09,733 --> 04:52:13,403 AND STILL THESE TO BE EFFECTIVE. 6265 04:52:13,403 --> 04:52:14,137 THAT'S ONE THOUGHT. 6266 04:52:14,137 --> 04:52:15,238 >> TONY. 6267 04:52:15,238 --> 04:52:18,241 >> I'M WITH NOVARTIS PHARMA. 6268 04:52:18,241 --> 04:52:20,644 I AGREE WITH PRETTY MUCH ALL THE 6269 04:52:20,644 --> 04:52:22,946 COMMENTS MADE SO FAR. 6270 04:52:22,946 --> 04:52:25,482 WITH RESPECT TO THE FIRST 6271 04:52:25,482 --> 04:52:27,784 BULLET, I'M A SPLITTER TODAY AND 6272 04:52:27,784 --> 04:52:30,186 WE HAVE TO SPLIT OUT BETWEEN 6273 04:52:30,186 --> 04:52:30,887 LACTATION AND PREGNANCY. 6274 04:52:30,887 --> 04:52:33,156 WITH REGARDS TO THE ADDITIONAL 6275 04:52:33,156 --> 04:52:35,025 RESOURCES, I THINK MOST PEOPLE 6276 04:52:35,025 --> 04:52:36,860 FEEL THAT'S MONEY FOR MOST 6277 04:52:36,860 --> 04:52:38,862 THINGS BUT I'D LIKE TO MAYBE 6278 04:52:38,862 --> 04:52:43,299 EXPAND THAT TO NOT JUST MONEY 6279 04:52:43,299 --> 04:52:45,135 BUT MAYBE OTHER PARTNERS 6280 04:52:45,135 --> 04:52:45,835 ESPECIALLY INDUSTRY. 6281 04:52:45,835 --> 04:52:47,404 I THINK REACHING OUT TO INDUSTRY 6282 04:52:47,404 --> 04:52:49,406 AS A PARTNER COULD HELP FILL 6283 04:52:49,406 --> 04:52:56,413 SOME GAPS OUT THERE. 6284 04:52:56,413 --> 04:52:58,214 NOT ONLY BASIC SCIENCES BUT 6285 04:52:58,214 --> 04:53:00,417 CLINICAL RESEARCH AS WELL. 6286 04:53:00,417 --> 04:53:02,018 >> ALISON. 6287 04:53:02,018 --> 04:53:07,757 >> ALISON COWAN WITH A 6288 04:53:07,757 --> 04:53:11,428 DIAGNOSTICS COMPANY AND OB-GYN 6289 04:53:11,428 --> 04:53:13,263 AND SAT THROUGH THESE MEETINGS 6290 04:53:13,263 --> 04:53:15,598 MORE SO WITH MY PRACTICING 6291 04:53:15,598 --> 04:53:18,034 OB-GYN HAT ON AND IT'S BEEN A 6292 04:53:18,034 --> 04:53:18,968 FASCINATING EXPERIENCE. 6293 04:53:18,968 --> 04:53:20,670 I DON'T HAVE A LOT OF NEW 6294 04:53:20,670 --> 04:53:22,372 RECOMMENDATIONS TO ADD BUT 6295 04:53:22,372 --> 04:53:24,374 REFLECTING ON RACHEL'S COMMENTS 6296 04:53:24,374 --> 04:53:25,208 PARTICULARLY SURROUNDING HOW THE 6297 04:53:25,208 --> 04:53:28,545 RECOGNITION OF MATERNAL 6298 04:53:28,545 --> 04:53:31,214 MORTALITY HAS REALLY EVOLVED 6299 04:53:31,214 --> 04:53:34,617 SINCE 2018, ONE OF THE REASONS 6300 04:53:34,617 --> 04:53:35,885 IT'S SUCCESSFULLY GAINED 6301 04:53:35,885 --> 04:53:37,153 ATTENTION LONG OVERDUE IS 6302 04:53:37,153 --> 04:53:39,723 BECAUSE WE HAVE MOVED TOWARDS A 6303 04:53:39,723 --> 04:53:41,291 BETTER OBJECTIVE MEASUREMENT 6304 04:53:41,291 --> 04:53:43,693 THOUGH MANY MUCH YOU IN THE ROOM 6305 04:53:43,693 --> 04:53:45,862 READ THE RECENT PAPER QUITE 6306 04:53:45,862 --> 04:53:46,262 CONTROVERSIAL. 6307 04:53:46,262 --> 04:53:48,832 WE HAVE A LONG WAYS TO GO THERE. 6308 04:53:48,832 --> 04:53:51,101 WE STILL ALSO ONLY HAD SIX 6309 04:53:51,101 --> 04:53:54,504 STATES OUT OF 50 THAT ARE 6310 04:53:54,504 --> 04:53:55,705 REPORTING ON RACIAL INEQUITIES 6311 04:53:55,705 --> 04:53:59,642 IN THEIR MMRCs. 6312 04:53:59,642 --> 04:54:01,611 A LOT OF PROGRESS YET TO BE 6313 04:54:01,611 --> 04:54:01,811 MADE. 6314 04:54:01,811 --> 04:54:09,018 I SAY THAT TO EMPHASIZE WHEREVER 6315 04:54:09,018 --> 04:54:11,454 POSSIBLE WE CANNOT IMPROVE WHAT 6316 04:54:11,454 --> 04:54:14,057 WE DON'T MEASURE AND AS 6317 04:54:14,057 --> 04:54:16,259 MENTIONED IN DR. POLLACK'S 6318 04:54:16,259 --> 04:54:17,594 QUESTIONS HE CAN TRACK HOW MANY 6319 04:54:17,594 --> 04:54:19,829 4 MONTH OLDS BUT NOT SO MUCH 6320 04:54:19,829 --> 04:54:20,830 PREGNANCY AND LACTATION. 6321 04:54:20,830 --> 04:54:23,233 WE NEED TO DOUBLE CLICK ON 6322 04:54:23,233 --> 04:54:24,567 IMPROVING THAT AS A KEY 6323 04:54:24,567 --> 04:54:34,744 PRIORITY. 6324 04:54:50,460 --> 04:54:52,695 >> AN AGREE WITH WHAT ALLISON 6325 04:54:52,695 --> 04:54:54,831 SAID AND IF I REMEMBER IN THE 6326 04:54:54,831 --> 04:54:59,502 ORIGINAL MEETINGS, DIANNE SPATS 6327 04:54:59,502 --> 04:55:01,004 WOULD RAISE HER HAND EVERY 10 6328 04:55:01,004 --> 04:55:02,772 MINUTES AND SAY WHAT ABOUT 6329 04:55:02,772 --> 04:55:03,039 LACTATION. 6330 04:55:03,039 --> 04:55:05,909 IT WAS ACTUALLY SECOND FIDDLE IN 6331 04:55:05,909 --> 04:55:09,479 TERMS OF IT BEING A PRIORITY. 6332 04:55:09,479 --> 04:55:12,415 THAT'S A REASON TO KEEP IT 6333 04:55:12,415 --> 04:55:13,650 SEPARATE AND MAKE SURE IT GETS 6334 04:55:13,650 --> 04:55:14,450 IT'S OWN LANE. 6335 04:55:14,450 --> 04:55:19,656 THERE'S ALSO A REASON BECAUSE 6336 04:55:19,656 --> 04:55:30,133 OFTEN PEOPLE APPLY DATA ON 6337 04:55:30,567 --> 04:55:31,568 SAFETY PREGNANCY AND LACTATION 6338 04:55:31,568 --> 04:55:33,403 AND WE DON'T WANT TO LOSE THE 6339 04:55:33,403 --> 04:55:34,404 FACT THERE'S SYNERGIES WHEN 6340 04:55:34,404 --> 04:55:39,542 RESEARCH IS DONE OR 6341 04:55:39,542 --> 04:55:48,484 COMMUNICATION IS DONE MEDICATION 6342 04:55:48,484 --> 04:55:51,721 AND THERAPEUTICS AND 90% WILL BE 6343 04:55:51,721 --> 04:55:53,189 LACTATING AND THEY CAN BE TIED 6344 04:55:53,189 --> 04:55:56,059 TOGETHER IN AN EFFICIENCY WAY 6345 04:55:56,059 --> 04:55:57,393 THAT DOESN'T LOSE -- MAKE THESE 6346 04:55:57,393 --> 04:55:58,728 TWO SEPARATE ENTITIES AND LOSE 6347 04:55:58,728 --> 04:56:06,836 THE OPPORTUNITY TO LOOK AT BOTH 6348 04:56:06,836 --> 04:56:08,538 IN THE SAME SETTING SO WE SHOULD 6349 04:56:08,538 --> 04:56:12,041 DO BOTH AND THE RECOMMENDATIONS 6350 04:56:12,041 --> 04:56:13,743 AGREED, IT'S HARD TO KNOW WHO IS 6351 04:56:13,743 --> 04:56:16,312 RESPONSIBLE BUT IF WE CAN SAY 6352 04:56:16,312 --> 04:56:21,584 SOMETHING IN THE REPORT THAT IS 6353 04:56:21,584 --> 04:56:23,553 A PROCESS RECOMMENDATION WHICH 6354 04:56:23,553 --> 04:56:25,421 IS TO SAY AND CAMILLE I THINK 6355 04:56:25,421 --> 04:56:28,391 REFERRED TO THIS, IT BEHOOVES IN 6356 04:56:28,391 --> 04:56:29,692 IMPLEMENTATION ASSIGNING 6357 04:56:29,692 --> 04:56:32,095 OWNERSHIP BUT ASSIGNING 6358 04:56:32,095 --> 04:56:36,399 OWNERSHIP TO MULTIPLE 6359 04:56:36,399 --> 04:56:37,600 STAKEHOLDERS. 6360 04:56:37,600 --> 04:56:42,906 MAYBE NIH AND ADVOCACY GROUCH 6361 04:56:42,906 --> 04:56:45,108 AND SOME OTHER GROUP BUT MORE 6362 04:56:45,108 --> 04:56:46,876 THAN ONE GROUP TAKES OWNERSHIP 6363 04:56:46,876 --> 04:56:51,281 AND WORK TOGETHER AND THAT WILL 6364 04:56:51,281 --> 04:56:52,115 LEND TO BETTER SUCCESS AND 6365 04:56:52,115 --> 04:56:52,482 IMPLEMENTATION. 6366 04:56:52,482 --> 04:56:58,121 >> BECKY. 6367 04:56:58,121 --> 04:57:00,189 >> I LIKE TO GO LAST SO I'LL 6368 04:57:00,189 --> 04:57:04,394 JUST GO CO-SIGNING. 6369 04:57:04,394 --> 04:57:07,330 I APPRECIATE KJ'S FOCUS ON THE 6370 04:57:07,330 --> 04:57:10,400 SHORT VERSUS LONG-TERM AND 6371 04:57:10,400 --> 04:57:13,503 DELINEATING THOSE 10-YEAR GOALS 6372 04:57:13,503 --> 04:57:14,904 VERSUS THE THINGS THAT YOU COULD 6373 04:57:14,904 --> 04:57:15,772 HAVE DONE ALREADY. 6374 04:57:15,772 --> 04:57:22,211 I DON'T KNOW IF WE WANT TO CALL 6375 04:57:22,211 --> 04:57:25,615 IT OUT IN THE REPORT MAYBE WHAT 6376 04:57:25,615 --> 04:57:26,049 NEEDS CONGRESSIONAL 6377 04:57:26,049 --> 04:57:26,983 AUTHORIZATION VERSUS THE THINGS 6378 04:57:26,983 --> 04:57:29,552 THAT COULD BE DONE WITHOUT THAT. 6379 04:57:29,552 --> 04:57:33,690 PERHAPS MORE MONEY AND I THINK 6380 04:57:33,690 --> 04:57:37,827 THERE'S MOST THE THINGS IN THIS 6381 04:57:37,827 --> 04:57:40,263 DON'T NEED EXPLICIT NEW 6382 04:57:40,263 --> 04:57:41,097 AUTHORIZATION AND IF THEY DO 6383 04:57:41,097 --> 04:57:46,469 IT'S IMPORTANT TO CALL THAT OUT. 6384 04:57:46,469 --> 04:57:48,805 I WANTED TO CO-SIGN KEVIN'S 6385 04:57:48,805 --> 04:57:54,310 POINT ABOUT MAKING SURE IT'S 6386 04:57:54,310 --> 04:57:55,712 BEYOND NICHD, BEYOND NIH. 6387 04:57:55,712 --> 04:57:57,447 WHENEVER WE'VE HAD CONVERSATIONS 6388 04:57:57,447 --> 04:58:01,250 OUTSIDE OF NIH AND OUTSIDE OF 6389 04:58:01,250 --> 04:58:03,119 NICHD, FOLKS ARE LIKE THAT'S 6390 04:58:03,119 --> 04:58:07,523 NICHD'S THING, GO TALK TO THEM. 6391 04:58:07,523 --> 04:58:12,962 SO MAKING THE POINT THIS IS NOT 6392 04:58:12,962 --> 04:58:14,330 JUST ONE INSTITUTE OR AGENCY'S 6393 04:58:14,330 --> 04:58:16,499 PROBLEM BUT SOMETHING TO LOOK AT 6394 04:58:16,499 --> 04:58:17,133 HOLISTICALLY. 6395 04:58:17,133 --> 04:58:20,403 >> SO THIS HAS BEEN REALLY RICH 6396 04:58:20,403 --> 04:58:20,703 DISCUSSION. 6397 04:58:20,703 --> 04:58:22,605 AND WHAT WE DON'T WANT TO MISS 6398 04:58:22,605 --> 04:58:24,307 OUT ON IS THE EXPERTISE WE HAVE 6399 04:58:24,307 --> 04:58:24,907 IN THE ROOM OUTSIDE OF THE 6400 04:58:24,907 --> 04:58:27,577 WORKING GROUP. 6401 04:58:27,577 --> 04:58:29,412 I'LL INVITE OTHER FOLKS IN THE 6402 04:58:29,412 --> 04:58:39,956 ROOM THAT MAY WANT TO WEIGH IN. 6403 04:58:40,289 --> 04:58:43,259 >> WHEN ELENA TALKED ABOUT 6404 04:58:43,259 --> 04:58:47,196 PHYSIOLOGY I'M NOT SURE HOW TO 6405 04:58:47,196 --> 04:58:50,600 HANDLE THIS AND COGNIZANT OF 6406 04:58:50,600 --> 04:58:52,402 SCOPE CREEP BUT DRAW ATTENTION 6407 04:58:52,402 --> 04:58:55,438 TO THE POSTPARTUM PERIOD 6408 04:58:55,438 --> 04:58:57,273 IRREGARDLESS OF NURSING OR 6409 04:58:57,273 --> 04:59:00,009 LACTATION BECAUSE IT'S A 6410 04:59:00,009 --> 04:59:01,611 CRITICAL TIME WHERE MATERNAL 6411 04:59:01,611 --> 04:59:02,845 MORBIDITY DEPENDS ON WHEN ONE 6412 04:59:02,845 --> 04:59:06,115 DEFINES THE TIME FRAME IS 6413 04:59:06,115 --> 04:59:06,382 INCREASED. 6414 04:59:06,382 --> 04:59:08,584 THERE ARE A LOT OF CONDITIONS 6415 04:59:08,584 --> 04:59:11,654 POSTPART OF UM PERIOD THAT 6416 04:59:11,654 --> 04:59:13,222 NEED -- POSTPARTUM TREATMENT AND 6417 04:59:13,222 --> 04:59:19,128 HOW MEDICATION ACTING AND 6418 04:59:19,128 --> 04:59:19,862 IRRARC 6419 04:59:19,862 --> 04:59:20,897 IRREGARDLESS ONE IS CONCERNED 6420 04:59:20,897 --> 04:59:23,166 ABOUT THE TRANSFER AND A LOT OF 6421 04:59:23,166 --> 04:59:24,934 THE CHANGES THAT OCCUR DURING 6422 04:59:24,934 --> 04:59:26,502 PREGNANCY ARE NOW REVERSING 6423 04:59:26,502 --> 04:59:28,337 GOING BACK TO THE PREVIOUS STATE 6424 04:59:28,337 --> 04:59:30,306 BUT NEW PHYSIOLOGICAL STATE AND 6425 04:59:30,306 --> 04:59:31,607 WE DON'T HAVE A FULL 6426 04:59:31,607 --> 04:59:36,979 UNDERSTANDING OF THE CHANGES. 6427 04:59:36,979 --> 04:59:37,647 ADDITIONALLY TREATMENT OF 6428 04:59:37,647 --> 04:59:39,282 POSTPARTUM HEMORRHAGE AND 6429 04:59:39,282 --> 04:59:42,218 DEPRESSION IS SOMETHING ELSE TO 6430 04:59:42,218 --> 04:59:43,252 CONSIDER AND COGNIZANT OF 6431 04:59:43,252 --> 04:59:44,787 POTENTIAL SCOPE CREEP BUT I 6432 04:59:44,787 --> 04:59:47,523 DON'T THINK WE'RE GOING HAVE IN 6433 04:59:47,523 --> 04:59:48,791 15 YEARS THE POSTPARTUM 6434 04:59:48,791 --> 04:59:49,625 INITIATIVE. 6435 04:59:49,625 --> 04:59:55,598 I THINK THIS IS AN OPPORTUNITY 6436 04:59:55,598 --> 04:59:58,634 AND MAYBE PERHAPS IT'S MORE 6437 04:59:58,634 --> 05:00:01,337 CONDITIONAL BUT WANT TO DRAW 6438 05:00:01,337 --> 05:00:03,439 THAT ATTENTION TO THE WORKING 6439 05:00:03,439 --> 05:00:03,639 GROUP. 6440 05:00:03,639 --> 05:00:04,474 >> DOES ANYONE ELSE HAVE 6441 05:00:04,474 --> 05:00:05,875 COMMENTS THEY WANT DO SHARE. 6442 05:00:05,875 --> 05:00:14,817 >> I'M SNEAKING IN. 6443 05:00:14,817 --> 05:00:15,952 I LITERALLY SNUCK IN. 6444 05:00:15,952 --> 05:00:20,323 I'M THE DEPUTY DIRECTOR OF NICHD 6445 05:00:20,323 --> 05:00:23,126 AND I HAD A LOT MORE TIME 6446 05:00:23,126 --> 05:00:24,494 BLOCKED TODAY TO BE OVER HERE 6447 05:00:24,494 --> 05:00:28,030 BUT AS YOU ALL MAY KNOW WE GOT A 6448 05:00:28,030 --> 05:00:29,899 BUDGET YESTERDAY BUT WE ARE ALSO 6449 05:00:29,899 --> 05:00:31,968 PENDING A POTENTIAL SHUT DOWN 6450 05:00:31,968 --> 05:00:33,870 TOMORROW. 6451 05:00:33,870 --> 05:00:35,805 SO THE NEAT THING WE'VE BEEN 6452 05:00:35,805 --> 05:00:37,707 DOING TODAY IS FIGURING OUT WHAT 6453 05:00:37,707 --> 05:00:40,843 MONEY WE MAY HAVE AND WHO WE'RE 6454 05:00:40,843 --> 05:00:41,811 PULLING BACK FROM TRAVEL 6455 05:00:41,811 --> 05:00:42,378 SIMULTANEOUSLY. 6456 05:00:42,378 --> 05:00:44,280 I WANT TO APOLOGIZE FOR NOT 6457 05:00:44,280 --> 05:00:46,949 BEING HERE MORE TODAY. 6458 05:00:46,949 --> 05:00:48,885 THIS IS AN INCREDIBLY IMPORTANT 6459 05:00:48,885 --> 05:00:51,621 DISCUSSION FOR US AND YOUR 6460 05:00:51,621 --> 05:00:52,388 DEDICATION AND FORTITUDE IN 6461 05:00:52,388 --> 05:00:55,324 BEING HERE AND EVERYBODY IN THE 6462 05:00:55,324 --> 05:00:56,926 ROOM WE APPRECIATE AND THANK YOU 6463 05:00:56,926 --> 05:00:59,729 CHRISTINA AND SUSAN FOR YOUR 6464 05:00:59,729 --> 05:01:00,396 LEADERSHIP OF THE GROUP BECAUSE 6465 05:01:00,396 --> 05:01:04,167 FROM EVERYTHING I HAVE HEARD 6466 05:01:04,167 --> 05:01:05,601 FROM THE DISCUSSIONS HAS BEEN 6467 05:01:05,601 --> 05:01:06,135 PIVOTAL. 6468 05:01:06,135 --> 05:01:08,271 WE WANT TO THANK YOU AND ALSO 6469 05:01:08,271 --> 05:01:11,974 THANK ALL THE STAFF THAT HAVE 6470 05:01:11,974 --> 05:01:13,609 BEEN SUPPORTING THIS WHILE 6471 05:01:13,609 --> 05:01:14,177 SIMULTANEOUSLY SUPPORTING 6472 05:01:14,177 --> 05:01:15,678 EVERYTHING I SAID ABOUT THE 6473 05:01:15,678 --> 05:01:16,412 BUDGET AND LEGISLATION AND 6474 05:01:16,412 --> 05:01:24,187 TECHNICAL AND ALL THE THINGS. 6475 05:01:24,187 --> 05:01:29,659 NATASHA AND LAURA HAVE DONE A 6476 05:01:29,659 --> 05:01:35,565 GREAT JOB AND THE LAST POINT, 6477 05:01:35,565 --> 05:01:39,735 REBECCA, WE HAVE THE LARGEST 6478 05:01:39,735 --> 05:01:41,704 MATERNAL HEALTH PORTFOLIO AND 6479 05:01:41,704 --> 05:01:43,105 THE LARGEST FUNDER OF LACTATION 6480 05:01:43,105 --> 05:01:43,472 RESEARCH. 6481 05:01:43,472 --> 05:01:45,107 HAVING THAT SAID NOW HAVING 6482 05:01:45,107 --> 05:01:50,246 WORKED ON MATERNAL HEALTH ALMOST 6483 05:01:50,246 --> 05:01:52,415 FIVE YEARS NOW, WE WORK A LOT 6484 05:01:52,415 --> 05:01:55,351 WITH OUR SISTER I.C.s AND WHEN 6485 05:01:55,351 --> 05:01:58,020 ELENA WAS SPEAKING WE WORK 6486 05:01:58,020 --> 05:02:00,389 DIRECTLY WITH ORWH AND THE WORK 6487 05:02:00,389 --> 05:02:02,225 ON DEPRESSION HAS MOVED THE 6488 05:02:02,225 --> 05:02:06,162 TRIALS FORWARD. 6489 05:02:06,162 --> 05:02:09,065 WE WORK CLOSELY WITH HEART, LUNG 6490 05:02:09,065 --> 05:02:10,166 AND BLOOD AND NIDDK. 6491 05:02:10,166 --> 05:02:13,603 TO THE EXTENT YOU TAKE THE 6492 05:02:13,603 --> 05:02:17,106 MESSAGES TO THE OTHER I.C.s AND 6493 05:02:17,106 --> 05:02:18,874 IMPORTANCE OF PREGNANCY AND I 6494 05:02:18,874 --> 05:02:20,409 THINK WE HAVE A GREAT CHAMPION 6495 05:02:20,409 --> 05:02:25,081 AT NAID NOW. 6496 05:02:25,081 --> 05:02:26,849 SHE HAS BEEN TREMENDOUS TO WORK 6497 05:02:26,849 --> 05:02:31,621 WITH TO START UP. 6498 05:02:31,621 --> 05:02:33,489 I THINK YOU'RE SEEING A CHANGING 6499 05:02:33,489 --> 05:02:36,158 FACE WITH WOMEN IN LEADERSHIP 6500 05:02:36,158 --> 05:02:38,361 AND HAVE MORE RECEPTIVITY WHICH 6501 05:02:38,361 --> 05:02:39,729 IS A GREAT CHANGE HERE AND 6502 05:02:39,729 --> 05:02:41,864 WITHIN THE NEW NIH DIRECTOR 6503 05:02:41,864 --> 05:02:42,898 BEING A WOMAN A LOT MORE 6504 05:02:42,898 --> 05:02:45,268 INFORMATION OF WHAT THE ISSUES 6505 05:02:45,268 --> 05:02:48,271 ARE AND WHAT WE CAN DO. 6506 05:02:48,271 --> 05:02:49,805 SO DON'T SHY AWAY FROM REACHING 6507 05:02:49,805 --> 05:02:50,273 OUT. 6508 05:02:50,273 --> 05:02:53,109 WE DON'T HAVE TO OWN ALL OF IT 6509 05:02:53,109 --> 05:02:55,511 BECAUSE WE DON'T OWN ALL THE 6510 05:02:55,511 --> 05:02:57,346 CONDITIONS AND IT'S GREAT TO 6511 05:02:57,346 --> 05:02:59,215 WATCH US GET OTHER CHAMPIONS FOR 6512 05:02:59,215 --> 05:03:01,350 THIS CRASS THE NIH. 6513 05:03:01,350 --> 05:03:06,489 WE ALSO WORK CLOSELY WITH HHS 6514 05:03:06,489 --> 05:03:09,659 AND MANY ISSUES AND KNOW WE'RE 6515 05:03:09,659 --> 05:03:11,427 ADVOCATING WHERE WE CAN WITH 6516 05:03:11,427 --> 05:03:13,629 OTHER AGENCIES GET CONTROL AND 6517 05:03:13,629 --> 05:03:15,331 ADVOCATE AND OUR BUILDING CLOSE 6518 05:03:15,331 --> 05:03:17,466 RELATIONSHIPS TO TRY TO MAKE 6519 05:03:17,466 --> 05:03:18,834 SURE THE ISSUES ARE AT THE 6520 05:03:18,834 --> 05:03:19,135 FOREFRONT. 6521 05:03:19,135 --> 05:03:19,935 I WANTED TO COME AND SAY THANK 6522 05:03:19,935 --> 05:03:26,509 YOU. 6523 05:03:26,509 --> 05:03:27,810 AND WE HAVE A 4:00 MEETING ON 6524 05:03:27,810 --> 05:03:29,512 WHO WE NEED TO PULL OFF TRAVEL 6525 05:03:29,512 --> 05:03:32,815 OR MAY BE ABLE TO TRAVEL IF THE 6526 05:03:32,815 --> 05:03:34,784 BUDGET PASSES BY X TIME. 6527 05:03:34,784 --> 05:03:37,620 THIS IS THE FUN PART OF BEING A 6528 05:03:37,620 --> 05:03:40,489 GOVERNMENT SERVANT PEOPLE, DON'T 6529 05:03:40,489 --> 05:03:42,291 BE JEALOUS. 6530 05:03:42,291 --> 05:03:45,061 I WANTED TO MAKE SURE I CAME 6531 05:03:45,061 --> 05:03:46,162 OVER AND SAY HELLO. 6532 05:03:46,162 --> 05:03:48,698 THANK YOU FOR THE TIME. 6533 05:03:48,698 --> 05:03:50,399 >> SO I'LL ENCOURAGE OUR WORKING 6534 05:03:50,399 --> 05:03:52,134 GROUP TO LOOK AT THE REPORT 6535 05:03:52,134 --> 05:03:54,103 CAREFULLY AS IT'S DRAFTED. 6536 05:03:54,103 --> 05:03:57,540 THE THEMES NOT RELEVANT TO A 6537 05:03:57,540 --> 05:03:58,808 SPECIFIC RECOMMENDATION WILL 6538 05:03:58,808 --> 05:04:00,509 WIND UP IN AN OVERARCHING THEMES 6539 05:04:00,509 --> 05:04:01,143 AREA. 6540 05:04:01,143 --> 05:04:03,212 SOME THINGS WE TALK ABOUT TODAY 6541 05:04:03,212 --> 05:04:04,246 MAY WIND UP UNDER SPECIFIC 6542 05:04:04,246 --> 05:04:05,915 RECOMMENDATION AND WON'T BE LOST 6543 05:04:05,915 --> 05:04:08,617 BUT CAPTURED WHERE IT'S RELEVANT 6544 05:04:08,617 --> 05:04:09,752 FOR THEM TO BE. 6545 05:04:09,752 --> 05:04:12,421 CHRISTINA DO YOU HAVE ANYTHING 6546 05:04:12,421 --> 05:04:16,592 ELSE TO ADD? 6547 05:04:16,592 --> 05:04:20,563 >> I JUST WANTED TO SAY YOU SAW 6548 05:04:20,563 --> 05:04:30,506 ME TAKING FURIOUS COMMENTS AND 6549 05:04:30,506 --> 05:04:31,774 YOUR COMMENTS ARE CENTRAL TO THE 6550 05:04:31,774 --> 05:04:36,245 REPORT AND I REINFORCED ONE 6551 05:04:36,245 --> 05:04:37,513 PIECE SOMEONE SAID THE OWNERSHIP 6552 05:04:37,513 --> 05:04:42,451 OF COURSE BUT THE IMPORTANCE OF 6553 05:04:42,451 --> 05:04:46,155 PARTNERSHIP AND IT'S TO GO 6554 05:04:46,155 --> 05:04:49,291 BEYOND ONE AND PARTNERSHIP MEANS 6555 05:04:49,291 --> 05:04:51,160 SO MANY THINGS WITH SO MANY 6556 05:04:51,160 --> 05:04:53,329 PEOPLE AND I WANT YOU TO LOOK 6557 05:04:53,329 --> 05:04:59,802 AROUND THE ROOM AN IT'S CLEAR 6558 05:04:59,802 --> 05:05:02,405 THERE IS A MOVEMENT THIS IS 6559 05:05:02,405 --> 05:05:04,473 PROGRESS HAVING US AT THE TABLE 6560 05:05:04,473 --> 05:05:08,210 AND SHARED OBJECTIVE AND 6561 05:05:08,210 --> 05:05:10,179 TRANSLATE THAT TO A REPORT TO 6562 05:05:10,179 --> 05:05:11,046 CONGRESS TO UNDERSTAND WHAT 6563 05:05:11,046 --> 05:05:13,315 KEEPS THE MOVEMENT GOING FORWARD 6564 05:05:13,315 --> 05:05:15,184 AND FOMENTING CHANGE. 6565 05:05:15,184 --> 05:05:16,786 I WANT TO THANK YOU GUYS ALL FOR 6566 05:05:16,786 --> 05:05:17,753 THE LAST HOUR BECAUSE I THINK 6567 05:05:17,753 --> 05:05:19,054 THIS WAS ESSENTIAL TO MAKING 6568 05:05:19,054 --> 05:05:19,688 SURE WE'VE GOT THE CONTEXT 6569 05:05:19,688 --> 05:05:27,563 RIGHT. 6570 05:05:27,563 --> 05:05:30,099 >> BECAUSE OF THE ROUND ROBIN 6571 05:05:30,099 --> 05:05:32,435 NATURE OF THE FINAL COMMENTS I 6572 05:05:32,435 --> 05:05:34,670 DON'T KNOW IF ANYONE ELSE MADE 6573 05:05:34,670 --> 05:05:36,405 COMMENTS AND I WANTED TO SAY 6574 05:05:36,405 --> 05:05:37,673 SOMETHING BUT MAYBE NOT ADD ON 6575 05:05:37,673 --> 05:05:39,241 BUT A DIFFERENT IDEA AND CAN I 6576 05:05:39,241 --> 05:05:43,746 SHARE THAT NOW REAL QUICK? 6577 05:05:43,746 --> 05:05:47,183 IT MAY HAVE BEEN RACHEL. 6578 05:05:47,183 --> 05:05:48,317 SOMEBODY SAID HOW IN THE FIRST 6579 05:05:48,317 --> 05:05:49,919 MEETING THERE WHERE THERE WAS 6580 05:05:49,919 --> 05:05:52,288 RELIABILITY I DON'T KNOW IF IT'S 6581 05:05:52,288 --> 05:05:53,289 AN ATTORNEY OR PATIENT. 6582 05:05:53,289 --> 05:06:02,231 I REALIZED I'VE DONE MY PEOPLE A 6583 05:06:02,231 --> 05:06:04,433 DISSERVICE AND DOING THE 6584 05:06:04,433 --> 05:06:07,670 ADVOCACY WORK LONG ENOUGH I LOST 6585 05:06:07,670 --> 05:06:09,505 MY NAIVE PATIENT PERSPECTIVE BUT 6586 05:06:09,505 --> 05:06:15,244 BECAUSE OF THE WORK I DO I'M 6587 05:06:15,244 --> 05:06:18,314 ALWAYS TALKING TO SURVIVORS AND 6588 05:06:18,314 --> 05:06:20,049 FAMILY MEMBERS NOT SURVIVORS. 6589 05:06:20,049 --> 05:06:24,420 I'LL PUT MY HAT BACK ON THAT 6590 05:06:24,420 --> 05:06:25,621 SAYS WHAT THE WHOLE 6591 05:06:25,621 --> 05:06:31,093 INITIATIVE -- HOW IT MIGHT 6592 05:06:31,093 --> 05:06:33,395 RESONATE TO A VARIETY OF NAIVE 6593 05:06:33,395 --> 05:06:33,829 PATIENTS. 6594 05:06:33,829 --> 05:06:39,668 I DO THINK IN OUR SUMMARY THERE 6595 05:06:39,668 --> 05:06:42,338 NEEDS TO BE A STATEMENT OR 6596 05:06:42,338 --> 05:06:44,406 PARAGRAPH TRULY WRITTEN NOT IN 6597 05:06:44,406 --> 05:06:46,609 THE TECHNICAL LANGUAGE OF 6598 05:06:46,609 --> 05:06:48,043 TODAY'S SESSION. 6599 05:06:48,043 --> 05:06:49,378 THIS IS TECHNICAL INFORMATION 6600 05:06:49,378 --> 05:06:51,947 WE'RE COVERING AND A NAIVE 6601 05:06:51,947 --> 05:06:53,816 PERSON WOULD LOOK AT THIS AND 6602 05:06:53,816 --> 05:06:55,584 SAY, WAIT A MINUTE ARE WE 6603 05:06:55,584 --> 05:06:57,653 PUTTING MY BABY AT RISK BECAUSE 6604 05:06:57,653 --> 05:06:58,687 LET ME REMIND YOU WE WOULD STILL 6605 05:06:58,687 --> 05:07:01,991 FALL IN FRONT OF A TRAIN FOR OUR 6606 05:07:01,991 --> 05:07:04,393 UNBORN CHILDREN. 6607 05:07:04,393 --> 05:07:06,228 THAT'S A REALITY FOR MANY 6608 05:07:06,228 --> 05:07:06,462 PEOPLE. 6609 05:07:06,462 --> 05:07:11,734 THAT'S SERVING AS THE BACKGROUND 6610 05:07:11,734 --> 05:07:16,338 TO ALL OF THIS DISCUSSION 6611 05:07:16,338 --> 05:07:19,308 THERE'S WAYS TO DO THIS SAFELY 6612 05:07:19,308 --> 05:07:20,609 AND WAYS SCIENCE HAS ADVANCED TO 6613 05:07:20,609 --> 05:07:24,413 THE POINT WE CAN DO THINGS TO 6614 05:07:24,413 --> 05:07:25,247 PROTECT AND ANSWER THOSE 6615 05:07:25,247 --> 05:07:32,688 PROTECTION QUESTIONS. 6616 05:07:32,688 --> 05:07:34,823 AND A LAY LANGUAGE KIND OF WAY 6617 05:07:34,823 --> 05:07:36,392 IN THE REPORT THAT ADDRESSES 6618 05:07:36,392 --> 05:07:36,592 THAT. 6619 05:07:36,592 --> 05:07:38,127 NOT JUST THE HISTORIC REASONS 6620 05:07:38,127 --> 05:07:41,830 WHY PREGNANCY RESEARCH HAS 6621 05:07:41,830 --> 05:07:44,934 FALTERED BUT WHY WE'RE NOW AT A 6622 05:07:44,934 --> 05:07:47,469 PLACE TO REINVIGORATE IT IN A 6623 05:07:47,469 --> 05:07:49,605 SAFE WAY THAT PROTECTS BOTH 6624 05:07:49,605 --> 05:07:59,782 PATIENTS. 6625 05:08:07,189 --> 05:08:11,660 >> IF WE EXPRESS ALTERNATIVES 6626 05:08:11,660 --> 05:08:12,695 AND THE REGISTRY WHERE YOU'RE 6627 05:08:12,695 --> 05:08:15,230 NOT LOOKING AT A GROUP OF 6628 05:08:15,230 --> 05:08:16,899 DISEASES AND DRUGS TAKEN FOR IT, 6629 05:08:16,899 --> 05:08:21,403 I THINK IT HELPS IN MAKING THE 6630 05:08:21,403 --> 05:08:23,472 POINT OF PROVIDING ALTERNATIVES 6631 05:08:23,472 --> 05:08:32,414 AND IT'S NOT ALL OR NOTHING. 6632 05:08:32,414 --> 05:08:33,849 >> THANK YOU FOR OPENING TOPICS. 6633 05:08:33,849 --> 05:08:36,719 YOU HAVE ME CONVINCED OF 6634 05:08:36,719 --> 05:08:39,655 LACTATION AND PREGNANCY 6635 05:08:39,655 --> 05:08:40,389 POTENTIALLY BEING SEPARATE. 6636 05:08:40,389 --> 05:08:43,926 HOWEVER, I WANT TO REFLECT ON 6637 05:08:43,926 --> 05:08:45,294 SOMETHING AARON AND TINA BROUGHT 6638 05:08:45,294 --> 05:08:49,598 UP ON THE CONCEPT OF A CONTINUUM 6639 05:08:49,598 --> 05:08:52,267 AND POSTPARTUM HEALTH WHICH IS 6640 05:08:52,267 --> 05:08:53,702 SOMETHING I THINK ABOUT AS AN 6641 05:08:53,702 --> 05:08:56,105 SMFM IS THE PROBLEM OF WOMEN AS 6642 05:08:56,105 --> 05:09:01,310 VESSELS ONLY BE STUDIED FOR SAKE 6643 05:09:01,310 --> 05:09:03,412 OF THE CHILD AND I THINK MANY 6644 05:09:03,412 --> 05:09:04,980 DISLIKE THAT PROBLEM WHERE THE 6645 05:09:04,980 --> 05:09:06,115 PERSON IS ONLY CONSIDERED 6646 05:09:06,115 --> 05:09:08,817 VALUABLE FOR HER ROLE AS A 6647 05:09:08,817 --> 05:09:11,954 GESTATOR OR FEEDER OF AN INFANT. 6648 05:09:11,954 --> 05:09:15,090 I WANT TO BE THOUGHTFUL WHEN WE 6649 05:09:15,090 --> 05:09:18,360 DIVED OUT PREGNANCY AND 6650 05:09:18,360 --> 05:09:19,628 LACTATION AS PRIORITIES AND 6651 05:09:19,628 --> 05:09:21,096 AVOIDING THAT ISSUE AND NOT 6652 05:09:21,096 --> 05:09:25,467 MAKING IT SEEM LIKE LACTATION 6653 05:09:25,467 --> 05:09:26,902 RESEARCH IS IMPORTANT ONLY 6654 05:09:26,902 --> 05:09:29,004 BECAUSE SHE'S A FEEDER OF AN 6655 05:09:29,004 --> 05:09:30,773 INFANT AND RESEARCH IN THE 6656 05:09:30,773 --> 05:09:32,741 LACTATING PERSON CAN BE 6657 05:09:32,741 --> 05:09:34,276 IMPORTANT FOR THEIR HEALTH AS 6658 05:09:34,276 --> 05:09:34,643 WELL. 6659 05:09:34,643 --> 05:09:37,012 I THINK THERE'S AN IMPORTANT 6660 05:09:37,012 --> 05:09:39,548 NUANCE THERE THAT MAYBE HASN'T 6661 05:09:39,548 --> 05:09:40,549 BEEN TOTALLY ADDRESSED YES 6662 05:09:40,549 --> 05:09:44,386 BECAUSE WE'VE BEEN FOLK OF -- 6663 05:09:44,386 --> 05:09:45,821 FOCUSSED ON THE CONCEPT OF 6664 05:09:45,821 --> 05:09:47,389 THERAPEUTICS AND MEDICATION. 6665 05:09:47,389 --> 05:09:49,091 THERE'S OTHER AREAS FOR CLINICAL 6666 05:09:49,091 --> 05:09:50,092 TRIALS THAT AREN'T JUST DRUGS 6667 05:09:50,092 --> 05:09:55,597 THAT FOCUS ON THE PEOPLE WHO MAY 6668 05:09:55,597 --> 05:10:05,741 BE LACTATING. 6669 05:10:05,741 --> 05:10:09,178 AND WOMEN ARE IMPORTANT TOO NOT 6670 05:10:09,178 --> 05:10:10,279 JUST FETUSES. 6671 05:10:10,279 --> 05:10:20,656 >> IT'S A GREAT POINT. 6672 05:10:23,692 --> 05:10:25,060 >> WHEN THERE'S COMPLICATIONS 6673 05:10:25,060 --> 05:10:26,795 THAT COULD BE EXTENDED 6674 05:10:26,795 --> 05:10:29,898 CONSEQUENCES TO MATERNAL HEALTH 6675 05:10:29,898 --> 05:10:31,600 THROUGHOUT THEIR LIFE SO YES, 6676 05:10:31,600 --> 05:10:35,170 THEY'RE NOT JUST VESSELS FOR 6677 05:10:35,170 --> 05:10:35,437 PREGNANCY. 6678 05:10:35,437 --> 05:10:38,574 >> AND WHEN PEOPLE BRING IN THE 6679 05:10:38,574 --> 05:10:42,811 MEDICAL CONDITIONS THEY'VE BEEN 6680 05:10:42,811 --> 05:10:52,588 LIVING WITH. 6681 05:10:52,588 --> 05:10:58,494 I WAS CURIOUS ABOUT CURIOUS IF 6682 05:10:58,494 --> 05:11:00,195 LEARNING IF THERE'S A TIME LINE 6683 05:11:00,195 --> 05:11:04,433 FOR NATIONAL ACADEMIES HOW TORY 6684 05:11:04,433 --> 05:11:07,136 LEASE THE REPORT AND HOW TO NOT 6685 05:11:07,136 --> 05:11:09,104 CONFUSE THE LAY PERSON OR PUBLIC 6686 05:11:09,104 --> 05:11:10,706 WHAT THE TWO DIFFERENT GROUPS 6687 05:11:10,706 --> 05:11:12,407 ARE DOING AND MAKE IT CLEAR WHAT 6688 05:11:12,407 --> 05:11:22,651 WE ARE ABOUT. 6689 05:11:25,420 --> 05:11:27,523 AFTER HEARING EVERYONE SHARE 6690 05:11:27,523 --> 05:11:29,658 THEIR THEMES THAT THAT SEEMS TO 6691 05:11:29,658 --> 05:11:31,894 RESOUND I FEEL YEAR SAY 6692 05:11:31,894 --> 05:11:34,163 REASONABLE TIME BUT I'M HAPPY TO 6693 05:11:34,163 --> 05:11:34,963 BE CORRECTED IF WE NEED LONGER 6694 05:11:34,963 --> 05:11:42,137 OR SHORTER. 6695 05:11:42,137 --> 05:11:43,739 >> WE'LL HAVE A BRIEFING AFTER 6696 05:11:43,739 --> 05:11:44,973 THE REPORT IS RELEASED. 6697 05:11:44,973 --> 05:11:47,709 SO THE REPORT WILL BE PUBLIC BY 6698 05:11:47,709 --> 05:11:49,611 THE TIME WE HAVE THAT BRIEFING 6699 05:11:49,611 --> 05:11:54,516 APRIL 16. 6700 05:11:54,516 --> 05:11:56,819 OUR INTENTION IS TO BRING THAT 6701 05:11:56,819 --> 05:11:58,153 INTO THE REPORT. 6702 05:11:58,153 --> 05:11:59,922 WE'RE GRATEFUL TO THEM THEY WERE 6703 05:11:59,922 --> 05:12:02,891 ABLE TO SCHEDULE THAT IN A TWHA 6704 05:12:02,891 --> 05:12:06,762 WORKED WELL WITH OUR REVIEW TIME 6705 05:12:06,762 --> 05:12:07,029 LINE. 6706 05:12:07,029 --> 05:12:08,597 I'VE GOTTEN A COUPLE QUESTIONS 6707 05:12:08,597 --> 05:12:10,199 FROM FOLKS WHO DIDN'T MAKE IT 6708 05:12:10,199 --> 05:12:11,867 AND WE'RE FIGURING OUT HOW TO 6709 05:12:11,867 --> 05:12:12,601 GET RECORDING IF YOU CAN'T MAKE 6710 05:12:12,601 --> 05:12:20,242 IT LIVE. 6711 05:12:20,242 --> 05:12:22,978 >> WE HAVE RECOMMENDATION 7 6712 05:12:22,978 --> 05:12:27,916 WHICH WOULD BE CONTINGENT ON THE 6713 05:12:27,916 --> 05:12:30,619 CONSETENT OF THE REPORT. 6714 05:12:30,619 --> 05:12:32,287 >> THERE'S A NATIONAL ACADEMIES 6715 05:12:32,287 --> 05:12:34,756 GROUP MEETING ON LACTATION AS 6716 05:12:34,756 --> 05:12:36,458 WELL THAT'S COMING UP. 6717 05:12:36,458 --> 05:12:38,026 IT'S ABOUT INITIATION OF 6718 05:12:38,026 --> 05:12:39,294 BREASTFEEDING THAT MAY BE 6719 05:12:39,294 --> 05:12:39,728 RELEVANT. 6720 05:12:39,728 --> 05:12:40,629 I DON'T KNOW HOW SOON IT WILL BE 6721 05:12:40,629 --> 05:12:50,806 COMPLETED. 6722 05:12:52,207 --> 05:12:55,611 >> ANY OTHERS WHO WANTED TO 6723 05:12:55,611 --> 05:13:03,051 PROVIDE ANY COMMENT? 6724 05:13:03,051 --> 05:13:04,052 SEEING NONE -- 6725 05:13:04,052 --> 05:13:09,491 >> IT'S MORE OF A QUESTION WITH 6726 05:13:09,491 --> 05:13:18,967 THE FINAL REPORT. 6727 05:13:18,967 --> 05:13:21,270 I WONDER IF YOU CAN DESCRIBE THE 6728 05:13:21,270 --> 05:13:23,672 REPORT AND A RECOMMENDATION AND 6729 05:13:23,672 --> 05:13:24,373 UPDATE? 6730 05:13:24,373 --> 05:13:25,807 WILL I LOOK AT BOTH REPORTS 6731 05:13:25,807 --> 05:13:26,174 TOGETHER? 6732 05:13:26,174 --> 05:13:28,243 DO YOU SEE WHAT I'M SAYING? 6733 05:13:28,243 --> 05:13:29,945 I DON'T KNOW. 6734 05:13:29,945 --> 05:13:39,888 HOW ARE WE LAYING THIS OUT? 6735 05:13:39,888 --> 05:13:41,590 IT'S TO HAVE A RECOMMEND AND 6736 05:13:41,590 --> 05:13:42,024 UPDATE. 6737 05:13:42,024 --> 05:13:45,027 WE'LL HAVE THE ORIGINAL TEXT 6738 05:13:45,027 --> 05:13:50,465 FROM THE ORIGINAL PRGLAC REPORT 6739 05:13:50,465 --> 05:13:59,875 AND UPDATE. 6740 05:13:59,875 --> 05:14:02,344 >> IF IT'S THE GENERAL CONSENSUS 6741 05:14:02,344 --> 05:14:04,246 OF THE GROUP THE PROGRESS IS X 6742 05:14:04,246 --> 05:14:06,648 AND THERE'LL BE DISSENT CLEARLY 6743 05:14:06,648 --> 05:14:08,350 SPELLED OUT AND WE'LL USE THE 6744 05:14:08,350 --> 05:14:11,620 TEXT TO MAKE SURE WE DISCUSS THE 6745 05:14:11,620 --> 05:14:13,622 NUANCES, CAVEATS SO FOLKS ARE 6746 05:14:13,622 --> 05:14:16,391 CLEAR ABOUT WHAT WE'RE TRYING TO 6747 05:14:16,391 --> 05:14:17,159 SAY. 6748 05:14:17,159 --> 05:14:20,028 THE ONLY THING I WILL ADD TO 6749 05:14:20,028 --> 05:14:22,564 THAT IS YOUR POINT SAY VERY 6750 05:14:22,564 --> 05:14:28,603 IMPORTANT ONE AND WORK ON 6751 05:14:28,603 --> 05:14:30,672 MULTIPLE CONSENSUS DOCUMENT AND 6752 05:14:30,672 --> 05:14:32,507 WE'LL DO OUR BEST TO ENSURE IT'S 6753 05:14:32,507 --> 05:14:36,411 CLEAR AND IT'S A DOCUMENT THAT 6754 05:14:36,411 --> 05:14:37,646 HAS FOUNDATIONAL COMPANION 6755 05:14:37,646 --> 05:14:38,780 DOCUMENT TO UNDERSTAND SOME OF 6756 05:14:38,780 --> 05:14:40,048 THE NUANCE YOU NEED TO BE 6757 05:14:40,048 --> 05:14:40,615 FAMILIAR WITH THOSE. 6758 05:14:40,615 --> 05:14:42,617 BUT I DON'T THINK IT WOULD MAKE 6759 05:14:42,617 --> 05:14:45,087 A LOT OF SENSE FOR US TO REPEAT 6760 05:14:45,087 --> 05:14:51,293 THEM BECAUSE THEN THEY'LL GET 6761 05:14:51,293 --> 05:14:51,560 [LAUGHTER] 6762 05:14:51,560 --> 05:14:54,896 ON WHAT THE KEY MESSAGES ARE. 6763 05:14:54,896 --> 05:14:57,332 -- LOST ON WHAT THE KEY MESSAGE. 6764 05:14:57,332 --> 05:14:57,966 >> ANY FINAL THOUGHTS FROM THE 6765 05:14:57,966 --> 05:15:01,370 GROUP? 6766 05:15:01,370 --> 05:15:03,238 ALL RIGHT. 6767 05:15:03,238 --> 05:15:07,342 SO BRAVO. 6768 05:15:07,342 --> 05:15:09,044 WE'RE AHEAD OF SCHEDULE BUT WE 6769 05:15:09,044 --> 05:15:10,479 ALSO SKIPPED A BREAK SO THAT OUT 6770 05:15:10,479 --> 05:15:10,679 WELL. 6771 05:15:10,679 --> 05:15:12,781 IN CONCLUSION, THERE'S THE CALL 6772 05:15:12,781 --> 05:15:14,750 SCHEDULED FOR APRIL 16 AND WE 6773 05:15:14,750 --> 05:15:19,588 WILL GET THE UPDATE ON THE NIAMS 6774 05:15:19,588 --> 05:15:21,289 REPORT FOR THE WORKING GROUP AS 6775 05:15:21,289 --> 05:15:23,859 WAS OUTLINED ALL OF YOU THE 6776 05:15:23,859 --> 05:15:30,265 REPORT TO COUNCIL IS JUNE 3. 6777 05:15:30,265 --> 05:15:32,134 IT'S OPEN AND YOU CAN DIAL IN 6778 05:15:32,134 --> 05:15:33,935 AND HEAR THE REPORT ITSELF AND 6779 05:15:33,935 --> 05:15:35,370 THE DOCUMENT WILL BE FINALIZED 6780 05:15:35,370 --> 05:15:39,374 POST THE PRESENTATION OF COUNCIL 6781 05:15:39,374 --> 05:15:42,611 WE'LL HAVE AN OPPORTUNITY TO 6782 05:15:42,611 --> 05:15:44,179 MAKE REVISIONS AS A RESULT OF 6783 05:15:44,179 --> 05:15:46,048 THE PRESENTATION AND I WANT TO 6784 05:15:46,048 --> 05:15:49,618 ON BEHALF OF SUE AND MYSELF AND 6785 05:15:49,618 --> 05:15:52,020 THE WORKING GROUP PLEASE HELP ME 6786 05:15:52,020 --> 05:15:56,391 IN THANK EMMA AND LAURA AND 6787 05:15:56,391 --> 05:15:58,560 NATASHA BECAUSE THEY'VE BEEN OUR 6788 05:15:58,560 --> 05:15:59,361 SAGE GUIDES WHICH WE WOULD NOT 6789 05:15:59,361 --> 05:16:00,262 BE HERE WITHOUT. 6790 05:16:00,262 --> 05:16:04,666 THANK YOU VERY MUCH. 6791 05:16:04,666 --> 05:16:10,572 I ALSO WANT TO THANK ALL OF YOU 6792 05:16:10,572 --> 05:16:16,411 WHO PRESENTED YOU'VE BEEN 6793 05:16:16,411 --> 05:16:18,313 WONDERFUL BECAUSE WE'VE ASKED 6794 05:16:18,313 --> 05:16:19,581 YOU FOR STATUS AND FACILITATE 6795 05:16:19,581 --> 05:16:21,450 WORK AND HAVE A REPORT 6796 05:16:21,450 --> 05:16:24,419 MEANINGFUL TO CONTINUE THE WORK 6797 05:16:24,419 --> 05:16:26,455 AND FACILITATED AND IT'S LOVELY 6798 05:16:26,455 --> 05:16:28,824 TO SEE YOU ALL IN PERSON. 6799 05:16:28,824 --> 05:16:32,160 WE I THINK WE WORKED NICELY 6800 05:16:32,160 --> 05:16:32,427 VIRTUALLY. 6801 05:16:32,427 --> 05:16:34,296 THIS IS A REALLY TOUGH TASK TO 6802 05:16:34,296 --> 05:16:37,499 BE IN A WORKING GROUP REVIEWING 6803 05:16:37,499 --> 05:16:38,800 STATUS WHEN WE KNOW THERE'S MORE 6804 05:16:38,800 --> 05:16:41,069 GOING ON BUT HAVE A SHORT PERIOD 6805 05:16:41,069 --> 05:16:42,504 OF TIME TO BRING THINGS TOGETHER 6806 05:16:42,504 --> 05:16:43,638 SO THANK YOU FOR YOUR 6807 05:16:43,638 --> 05:16:45,207 WILLINGNESS IN A SHORT PERIOD OF 6808 05:16:45,207 --> 05:16:47,909 TIME TO PUT ALL THIS EFFORT IN 6809 05:16:47,909 --> 05:16:49,478 AND MAKE SURE WE HAVE SOMETHING 6810 05:16:49,478 --> 05:16:54,282 MEANINGFUL COMING OUT OF THE 6811 05:16:54,282 --> 05:16:57,586 BACK END AND THE HARD WORK OF 6812 05:16:57,586 --> 05:16:58,286 THE DOCUMENT TO COME. 6813 05:16:58,286 --> 05:17:03,959 I LOOK FORWARD TO OUR CONTINUED 6814 05:17:03,959 --> 05:17:04,292 COLLABORATION. 6815 05:17:04,292 --> 05:17:06,862 REACH OUT IF YOU HAVE QUESTIONS. 6816 05:17:06,862 --> 05:17:08,396 EMMA ALWAYS RESPONSES WITH THE 6817 05:17:08,396 --> 05:17:12,400 FIVE NAMES IN THE CC SO PLEASE 6818 05:17:12,400 --> 05:17:15,537 DO REACH OUT TO THE GROUP AND 6819 05:17:15,537 --> 05:17:17,339 NATASHA AND LAURA AND SUE AND 6820 05:17:17,339 --> 05:17:18,473 MYSELF IF YOU HAVE ANY QUESTIONS 6821 05:17:18,473 --> 05:17:20,809 AT ALL AND THANK YOU. 6822 05:17:20,809 --> 05:17:24,179 >> FINAL LOGISTIC COMMENTS FROM 6823 05:17:24,179 --> 05:17:24,379 EMMA. 6824 05:17:24,379 --> 05:17:31,286 >> I APSALM YOU -- ASSUME YOU 6825 05:17:31,286 --> 05:17:33,321 ALL WANT TO GO HOME SO IF YOU 6826 05:17:33,321 --> 05:17:34,823 NEED -- YOU'RE ACTUALLY GOING TO 6827 05:17:34,823 --> 05:17:36,958 THE SAME PLACE THE METRO. 6828 05:17:36,958 --> 05:17:39,394 AND YOU CAN THERE PICK UP THE 6829 05:17:39,394 --> 05:17:44,399 METRO AND/OR A CAB OR REFER TO 6830 05:17:44,399 --> 05:17:45,800 YOUR VARIOUS DESTINATIONS POST 6831 05:17:45,800 --> 05:17:49,638 THIS MEETING BUT THAT ALSO 6832 05:17:49,638 --> 05:17:52,307 REMINDS ME ALSO NEED TO THANK 6833 05:17:52,307 --> 05:17:55,644 LESLY AND OTHER COLLEAGUES FOR 6834 05:17:55,644 --> 05:17:59,848 MAKING SURE PEOPLE GOT HERE. 6835 05:17:59,848 --> 05:18:00,615 I APPRECIATE YOU, LESLY, THANK 6836 05:18:00,615 --> 05:18:02,284 YOU. 6837 05:18:02,284 --> 05:18:06,555 IF YOU HAVE ANY OTHER LOGISTICAL 6838 05:18:06,555 --> 05:18:07,589 QUESTIONS WE'RE HERE TO ANSWER 6839 05:18:07,589 --> 05:18:08,690 THEM AND APPRECIATE ALL THE 6840 05:18:08,690 --> 05:18:09,891 EFFORTS YOU ALL MADE TO GET HERE 6841 05:18:09,891 --> 05:18:10,091 TODAY. 6842 05:18:10,091 --> 05:18:20,268 THANK YOU.