WEBVTT

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The M . H . S . R . S . Is the

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Department of Defense's premiere

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scientific meeting . The 2022 meeting

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continues the upward trajectory

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consistently demonstrated since this

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joint meeting began in 2012 . The 2022

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registration numbers have beat those of

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2019 when we had 3500 attendees . If

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you were just in the registration line ,

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I saw it . You know , there's nearly

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4000 folks registered this year . A

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record 2,345 scientific abstracts were

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submitted in response to the annual

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call for abstracts . Their assessment

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by 696 subject matter experts spanning

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over 60 scientific topic areas have

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culminated in this week's program which

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will feature 450 scientific research

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presentations 1,284 poster

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presentations spread over three

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sessions . In addition for the first

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year ever , our exhibit space was sold

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out and we have a robust waiting list .

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Thank you all for being here . Your

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attendance and participation at this

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meeting exemplifies your commitment to

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medical research , development and

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acquisition and support of the mission

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of our nation's soldiers , sailors ,

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airmen , marines and guardians .

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At this time I would like to present

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our distinguished speakers for the

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first part of this morning's program .

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First Brigadier General Catherine

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Simonson , transitioning . Assistant

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Director Support . Defense Health

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Agency .

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Lieutenant General Ronald Bass Director ,

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Defense Health Agency . Doctor Jonathan

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Woodson . President uniformed Services ,

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University of the Health Sciences dr

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Terry Rouse , Acting Deputy Assistant

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Secretary for Defense for health

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readiness , policy and oversight . And

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mrs Charlene mullen . Acting Assistant

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Secretary of Defense for health Affairs .

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All right . That's a lot of clapping .

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Good . Our first speaker is MS Eileen

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mullen , Acting Assistant Secretary of

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Defense for health affairs . Good

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morning everyone . I saw the line out

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front . I'm glad you guys all made it

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in here from registration appreciate it .

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Everyone's got their coffee . All right .

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It is an honor to be here today . I

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have known many of you since the days

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when this event was known as a tech

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held at ST Pete beach . We wore flip

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flops and parrot shirts . We have

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definitely come a long way . This

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symposium is an important event and an

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in person event allows for so much

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better information exchange than what

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can be accomplished virtually . So I'm

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excited to be immersed in your

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presentations , panels and posters and

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so far I have 17 meetings and I think

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my schedule is still being filled up

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anyway . In my 10 , a lot of minutes I

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talk fast so I'm a shave off a few ,

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allowing the other panel members to

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have some time . I'm going to cover a

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few topics of keen interest to the MHS

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that is in your wheelhouse first . We

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are actually able to gather here today

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because of the foundational science and

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cutting edge research done by the

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military medical community that played

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such a huge part of the success of the

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covid vaccine development process .

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This research conducted over decades ,

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reminds us of the enduring and

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persistent importance of foundational

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and applied research . Just like with

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so many of our other national defense

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assets . When the nation called you

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responded , your work does not always

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get the attention and gratitude it

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deserves . So thank you . Second .

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I'm hoping that the five year effort of

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the military health system reform is

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wrapping up and will soon be in the

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rear view mirror . The responsibility

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for the delivery of health care to the

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majority of the MHS beneficiaries has

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shifted from the military departments

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to the Defense Health Agency by october

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a similar change will come closer to

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home for this community . The army will

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move the majority of its medical , our

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DNA and assets to D . H . A . D . H . A .

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Will gain authority direction and

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control over most of services , public

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health assets which has important

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implications for the R . And D .

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Community . I'll touch on that in a

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minute while this has been very busy

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time for us or really for general place

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and has not led us to take our eye off

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the ball of what's next . What are we

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working on thinking about and hoping to

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accomplish in the medical R . And D .

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Space . We are literally asking

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ourselves are we prepared for the next

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biological threat as the national

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Defense bio strategy outlines . We must

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be able to detect and report biological

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threats , analyze , share and integrate

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data to support early warning and

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support our nation's biodefense

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capabilities . The department Defense

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plays an integral role in all phases of

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national biodefense strategy and the

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military health system has an important

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role in each part of that , we're close

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to one complete ecosystem where when

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facing a novel biological threat we can

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rapidly identify characterize it . Use

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our proven R . And D . Infrastructure ,

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develop diagnostics and therapeutics

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and then rapidly field countermeasures

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and other products and providers in the

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field who can then provide feedback and

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improve those very countermeasures and

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products . The department is investing

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in this effort and I hope to see many

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of you doing the same . These critical

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investments , particular bio

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surveillance are biological radar ,

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have the attention of senior leaders

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within the department . They'll help us

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respond to the next biological threat

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faster and more capably . We should

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treat covid 19 not as a black swan

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event but as a wake up call the MHS

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reform and investments we're making now

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must leave us better prepared than ever

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before . What we do on the front end

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the research that we conduct and the

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countermeasures we develop will

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alleviate pressure on the back end ,

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reducing the stress on the force and on

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our health care providers . While the

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MHS did not come close to breaking

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during the pandemic , many of our

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civilian healthcare systems did . We

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can't allow that to happen today .

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We find our recruiting and retention

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systems are increasingly being tested .

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While we are not directly responsible

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for recruitment and retention and

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health affairs seems like responsible

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everything else though it rolls on our

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plate regardless . The services are

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spending a lot of effort to meet

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recruiting goals and it's our job to

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ensure that once the service members in

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we keep them healthy , resilient and

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ready for the next fight . Our young

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people have come in age in a post-9-11

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security conscious world with the wars

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in Iraq and Afghanistan , Afghanistan

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constantly on television facing massive

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climate change and they endured a

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worldwide pandemic during the most

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formative years of their lives . If

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you're a young millennial or part of

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generation Z , this is all you've known .

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So many of our young people are

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stressed and depressed and in need of

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support and it's our job starting with

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all of you to analyze hypothesize ,

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develop and field solutions that build

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that resilience and address those

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stressors . How do we mitigate those

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stressors and build the resilience that

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our young service members need And I

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want to make something clear . It's not

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that they're less resilient than

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previous generations . It's that

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they've dealt with more than previous

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generations . We need to recognize that

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particularly as many of them have been

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feel forced to present alternative

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selves on social media and our empathy

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efforts , Focus and attention will have

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dramatic implications for recruitment

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and retention . For that reason , I'm

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pleased that so many breakout sessions

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are addressing resiliency , stress and

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suicide prevention , The department

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faces additional recruiting challenges

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with a stronger comedy economy and

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fewer military age , men able to serve .

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The services are working hard to expand

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the recruitment of women in the

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military . Currently the women

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represent about 17% of the force . We

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need to refocus some of our research

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efforts on women because they will

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continue to make a larger and larger

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percentage of the force . We know there

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are many differences in disease and

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conditions between and gender ,

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including autoimmune diseases , cancer ,

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infectious diseases and obesity . We

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need to reinvest in research and

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particularly at women because it will

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make our women members more ready and

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therefore part of the medically ready

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force are women . Service members need

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to know that they are welcome and

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valued , which will have positive

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efforts and effects on retention and

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recruitment . And we can and will do

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this by putting money towards this

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important critical effort . Equity in

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general is a focus this

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administration's research agenda and

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this focus of D . EI flows from the

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president to the secretary to the

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undersecretary to this position . I

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asked that in your own research , you

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remember the value of this because of

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diversity of thought experience ,

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background race , gender creed and

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makes for stronger research , diverse

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teams are better teams that produce

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better research . Research shows that

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teams form up to 30% better in high

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diversity environments . Teams with

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members from a variety of backgrounds ,

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cultures and experience are more likely

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to solve problems and be innovative .

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Working with people who are different

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from us , challenges our brains to

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think more creatively and overcomes the

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conformity which stifles innovation . I

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will also ask you to keep in mind how

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the research you're doing supports the

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war fighter , also supports the whole

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of government research agenda . D . O .

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D . Is a big player in the R . And D .

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Space and the leader our research align

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with that research agenda and therefore

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american society . That's how enhance

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the department standing and justify the

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many dollars that we invest in your

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work , what we learn and share here .

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Ben . It's all , all of our citizens

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and countless ways you have a role to

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play in discovering solutions to food

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insecurity and the promotion of healthy

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nutrition , the emerging threat of

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anomalous health incidents . The Havana

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syndrome is capturing attention in the

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inter agency and therefore in the

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pentagon . Thank you for all Being here

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today . You're gonna hear from some of

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the other Mhm leaders . MHS leaders in

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more detail but I wanted to provide you

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some high living framing remarks so you

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can learn what I'm focused on . I'm

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looking forward to learning more about

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your accomplishments during the poster

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sessions and we're joining you for the

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award ceremonies later to honor your

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achievements . I know that we can

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continue to rely on the professionalism ,

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dedication and commitment of those who

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serve in the military medical research

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account many of you as friends and it's

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an honor to see in person the fruits of

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your labor . I've seen the hard work up

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close over these years . So again

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applaud your decision to apply your

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abundant talents to the service of our

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great military and nation . Thank you .

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And don't forget to get boosted . Thank

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you .

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Our next speaker is dr terry Roush ,

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acting deputy assistant Secretary of

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Defense for health readiness , policy

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and oversight . Good morning . I

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appreciate the opportunity to share

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some thoughts with you . And I want to

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thank you for your dedication and

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commitment to the military health

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system , our national security uh

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and your research to advance military

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medicine for the public good .

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Now the things that keep you up at

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night , hard problems

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understanding life , How to save a

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life and extremists . We are

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approaching the 29 year anniversary of

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the Battle of Mogadishu . While combat

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casualty care has made considerable

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progress . We all know the old saying ,

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the more things change , the more they

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stay the same , uncontrolled hemorrhage

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remains the leading cause of

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preventable death on the battlefield .

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And most of this occurs in the pre

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hospital setting . Before you get to a

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surgeon Across 16 years of conflict

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in Iraq and Afghanistan advancements in

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the military trauma system principally

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improvements and methods to control

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bleeding , replace blood and reduce

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time to treatment , increase the

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survival of battle casualties . The

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sooner you get to the casualty and

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treat the better the outcomes despite

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an increased complexity of battle of

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battle casualties or injuries . Your

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research into him . A static devices

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and materials as well as resuscitation

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fluids now provide us a greater

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opportunity to save a life

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like in the scene from Black Hawk down ,

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your research and innovation , advanced

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the practice of military medicine to

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achieve the highest survival rates on

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the battlefield in the history of

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warfare , we have woven science

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technology and wisdom into real

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time combat casualty care . But wait ,

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let's note that our experiences in

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and research reflects several decades

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of combat casualty care in low

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intensity counterinsurgencies from

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Somalia to Iraq and Afghanistan .

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Those problems in combat casualty care

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change significantly now that

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we have shifted our strategy from the

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global war on terrorism to a focus on

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china and Russia .

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Such peer to peer focus means we

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prepare for high intensity multi domain

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warfare . This warfare means diminished

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air superiority , increased enemy

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capability , contested communications ,

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artificially intelligent battle systems

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and more lethal weapons that

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significantly limit our freedom of

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action . The volume and complexity of

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casualties resulting from advanced

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weapons and the emerging operational

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environment will overwhelm our ability

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to provide battlefield care . There is

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no golden hour but rather prolonged

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casualty care . There is not one

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casualty as in black down but 5 10

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20 or more which will need to be

15:30.010 --> 15:32.680
managed over a prolonged period of time

15:32.950 --> 15:36.140
in a very unforgiving operational

15:36.140 --> 15:38.100
environment . What science and

15:38.100 --> 15:40.970
technology do we need to empower the

15:40.970 --> 15:44.590
combat medic or surgeon to save lives

15:44.590 --> 15:47.110
on the future battlefield . What

15:47.110 --> 15:49.270
experience and training do we need to

15:49.270 --> 15:52.240
provide to the medical force to keep

15:52.240 --> 15:55.870
them clinically relevant and prepared

15:55.880 --> 15:58.380
to perform on the future battlefield .

15:59.270 --> 16:02.800
I ask you to think deeply about these

16:02.800 --> 16:06.770
challenges and combat casualty care . I

16:06.770 --> 16:08.780
always like to come back to a

16:08.780 --> 16:11.070
particular writing by bob scales the

16:11.070 --> 16:13.840
human dimensions in a close fight , it

16:13.840 --> 16:16.120
captures a need to understand the

16:16.120 --> 16:18.650
individual warfighter , the team in the

16:18.650 --> 16:22.060
context of warfare and military life .

16:22.070 --> 16:24.410
This is about a night in combat , a

16:24.410 --> 16:27.150
routine , boring night , patrol and

16:27.150 --> 16:29.850
ambush and now the fight for their

16:29.850 --> 16:32.930
lives . Their fight is a very human one ,

16:32.940 --> 16:36.630
a test of skill and a will to win . And

16:36.630 --> 16:40.320
as scales points out , put yourself in

16:40.320 --> 16:43.270
that patrol and imagine how the

16:43.270 --> 16:45.200
psychological and physiological

16:45.200 --> 16:47.600
strength of these men might be

16:47.600 --> 16:50.920
amplified by better understanding the

16:50.920 --> 16:54.240
human dimensions that make soldiers and

16:54.240 --> 16:57.180
leaders into superbly competent small

16:57.180 --> 17:00.010
units . I think these human dimensions

17:00.010 --> 17:03.230
and combat apply across hundreds if not

17:03.240 --> 17:05.790
thousands of years in the history of

17:05.790 --> 17:09.480
warfare . Yet we struggle to understand

17:09.480 --> 17:11.760
these fundamental human attributes when

17:11.760 --> 17:14.790
engaged in war and furthermore the

17:14.790 --> 17:17.350
consequences of war on the human

17:17.350 --> 17:20.150
dimension and the adjustments needed

17:20.160 --> 17:23.270
back home to make a warfighter whole .

17:23.270 --> 17:27.140
Again , our future success on and off

17:27.140 --> 17:29.280
the battlefield depends on your

17:29.290 --> 17:32.880
enthusiasm and your intellectual power

17:32.890 --> 17:35.057
to innovate and collaborate . You have

17:35.057 --> 17:37.870
a wonderful opportunity this week to

17:37.870 --> 17:40.630
engage in the simple , pure joy of

17:40.640 --> 17:44.560
finding things out . Uh , the week you

17:44.560 --> 17:47.370
spend here is an extension of your

17:47.370 --> 17:50.490
laboratory and workplace . This week

17:50.490 --> 17:53.400
you have the opportunity to collaborate

17:53.410 --> 17:55.880
with other scientists from other

17:55.880 --> 17:57.436
disciplines and , and , and

17:57.436 --> 18:01.360
institutions and form new ideas and

18:01.360 --> 18:04.630
designs for research . This opportunity

18:04.630 --> 18:07.320
occurs during presentations

18:09.170 --> 18:12.370
at poster sessions , at the breaks ,

18:12.370 --> 18:15.130
during breakfast , lunch dinner and

18:15.140 --> 18:17.900
after the daily sessions . When you can

18:17.900 --> 18:21.420
just kick back and talk science ,

18:22.280 --> 18:26.230
please think deeply on our problems .

18:26.240 --> 18:29.050
Help us through with your

18:29.050 --> 18:31.730
enthusiasm , innovation and

18:31.730 --> 18:35.120
collaboration . Give us the competitive

18:35.120 --> 18:38.020
edge on the battlefield . Thanks and

18:38.020 --> 18:39.298
enjoy the conference .

18:47.910 --> 18:50.770
Our next speaker is dr Jonathan Woodson ,

18:50.780 --> 18:53.050
President uniformed Services University

18:53.050 --> 18:54.439
of the Health Sciences .

19:00.000 --> 19:02.056
Well , good morning . I haven't said

19:02.056 --> 19:04.000
anything , so thank you for that .

19:04.000 --> 19:07.120
Applause I wanna thank miss mullen and

19:07.130 --> 19:10.580
dr Rowsch , the organizers of the M . H .

19:10.580 --> 19:13.710
S . R . S uh , for allowing me to come

19:13.710 --> 19:15.710
and address you this morning . It's

19:15.710 --> 19:17.766
been a while , but it's kind of like

19:17.766 --> 19:19.932
returning to the scene of the crime if

19:19.932 --> 19:22.460
you will . Uh many of you know me from

19:22.470 --> 19:26.320
prior symposia um it is one of my

19:26.320 --> 19:28.740
favorite uh and it's been just great

19:28.750 --> 19:31.080
bumping into old friends and colleagues

19:31.080 --> 19:34.070
as I wandered the halls yesterday .

19:35.010 --> 19:37.177
So it's really wonderful to be back in

19:37.177 --> 19:39.177
the MHS and I feel honored to speak

19:39.177 --> 19:41.343
with you today as the new president of

19:41.343 --> 19:43.454
the uniformed Services University and

19:43.454 --> 19:45.677
you know , as I considered the theme of

19:45.677 --> 19:48.220
this meeting , optimizing readiness ,

19:48.230 --> 19:51.090
the power of military medical research .

19:51.100 --> 19:54.720
Several points came to mind that were

19:54.720 --> 19:56.610
influenced in part by some of the

19:56.610 --> 19:58.850
different roles or hats I've worn

19:58.850 --> 20:01.840
within the NHS , as an army surgeon ,

20:01.850 --> 20:05.430
as the prior Asd as most recently as

20:05.440 --> 20:07.760
Commander of Reserve Army Medical

20:07.760 --> 20:11.340
Command , but also having learned from

20:11.340 --> 20:13.507
running an interdisciplinary institute

20:13.507 --> 20:15.673
focused on health systems innovation .

20:16.970 --> 20:18.914
As DR Rose said , we learned a lot

20:18.914 --> 20:21.270
during the wars in Iraq and Afghanistan .

20:21.280 --> 20:23.650
Uh , those theaters of operation were

20:23.650 --> 20:26.720
unique and posed many challenges to be

20:26.720 --> 20:29.420
sure in the provision of medical care ,

20:30.160 --> 20:31.938
many of which were successfully

20:31.938 --> 20:33.882
addressed in achieving the highest

20:33.882 --> 20:36.104
casualty survival rates in history . As

20:36.104 --> 20:39.250
previously noted . However , our role

20:39.250 --> 20:41.150
as military medical leaders and

20:41.150 --> 20:43.900
researchers is not to pat ourselves on

20:43.900 --> 20:47.880
the back uh and call it a day . It is

20:47.880 --> 20:50.400
instead that we must continuously

20:50.400 --> 20:52.344
improve and constantly look to the

20:52.344 --> 20:56.070
future battle space , you know , In his

20:56.070 --> 20:57.959
first significant policy speech ,

20:57.959 --> 21:00.181
Defense Secretary Lloyd Austin said the

21:00.181 --> 21:02.440
United States needs to prepare for

21:02.440 --> 21:04.920
potential future conflict , bearing

21:04.920 --> 21:08.210
little resemblance to the old wars that

21:08.210 --> 21:11.250
have long consumed the pentagon . He

21:11.250 --> 21:12.861
called for the harnessing of

21:12.861 --> 21:14.960
technological advances and better

21:14.960 --> 21:16.930
integrating military operations

21:16.930 --> 21:20.300
globally . To one understand faster to

21:20.300 --> 21:23.240
decide faster and three act faster .

21:24.650 --> 21:27.200
The way we fight the next major war is

21:27.200 --> 21:29.440
going to look very different from how

21:29.440 --> 21:31.496
we have fought , fought the previous

21:31.496 --> 21:35.460
wars . So our , our task in the MHS are

21:35.460 --> 21:38.380
clear , but the solutions are not .

21:39.440 --> 21:42.460
So how does the MHS understand

21:42.460 --> 21:45.900
faster , decide faster and act

21:45.900 --> 21:48.920
faster to improve the readiness to save

21:48.920 --> 21:51.310
lives in the battle space where we must

21:51.310 --> 21:54.730
deliver lifesaving care longer and

21:54.730 --> 21:57.250
under austere and contested contested

21:57.250 --> 22:00.410
conditions . As dR Rowsch noted ,

22:01.380 --> 22:03.213
Using the knowledge we gain from

22:03.213 --> 22:04.880
military medical research , I

22:04.880 --> 22:06.880
envisioned for critical needs as we

22:06.880 --> 22:08.991
consider our readiness for peter peer

22:08.991 --> 22:11.820
conflict . The first is integration .

22:11.830 --> 22:13.790
We need to tightly integrate joint

22:13.790 --> 22:15.568
medical systems . This includes

22:15.568 --> 22:17.850
seamless transition from the frontline

22:17.850 --> 22:20.650
medic point of injury all the way back

22:20.650 --> 22:23.540
to roles four and five . We need to

22:23.540 --> 22:25.210
integrate the long the latest

22:25.210 --> 22:27.266
technologies to ensure knowledgeable

22:27.266 --> 22:30.040
hand off of our wounded warriors as

22:30.040 --> 22:31.818
they move through the different

22:31.818 --> 22:34.500
echelons of care such that the

22:34.500 --> 22:37.150
continuum of care is really continuous .

22:38.000 --> 22:40.111
Each successful level understands the

22:40.111 --> 22:42.250
care the service member has received

22:42.250 --> 22:44.690
along the way , but more importantly

22:44.690 --> 22:46.579
anticipates the care that will be

22:46.579 --> 22:49.040
needed through the use of advanced

22:49.050 --> 22:52.610
sensors . Second adaptation ,

22:52.680 --> 22:55.050
we must arm our care providers with the

22:55.050 --> 22:57.160
latest technology to provide optimal

22:57.160 --> 23:00.520
care of our wounded warriors technology

23:00.520 --> 23:04.020
that ups the game for every provider ,

23:04.030 --> 23:06.252
thereby building greater capability and

23:06.252 --> 23:09.220
capacity within the M . H . S . This

23:09.220 --> 23:11.053
includes predictive and decision

23:11.053 --> 23:13.640
support tools and smart devices that

23:13.640 --> 23:17.030
are light mobile , ruggedized and are

23:17.040 --> 23:18.984
integrated to communicate securely

23:18.984 --> 23:22.110
across the continuum . Third

23:22.120 --> 23:25.130
education , we need to train our next

23:25.130 --> 23:27.074
generation of care providers to be

23:27.074 --> 23:29.230
agile and adaptable by leveraging

23:29.230 --> 23:32.050
digital learning platforms . We can do

23:32.050 --> 23:34.350
this by utilizing advanced simulation ,

23:34.360 --> 23:36.900
immersive VR and other tools while

23:36.900 --> 23:38.844
leveraging more realistic training

23:38.844 --> 23:41.370
opportunities and environments . No

23:41.370 --> 23:45.080
more death by power Point and fourth

23:45.090 --> 23:47.590
increasing collaboration . It's what

23:47.590 --> 23:49.757
you do here today and what you will do

23:49.757 --> 23:51.979
this week . We in D . O . D . Cannot do

23:51.979 --> 23:54.190
it alone . We cannot build all of the

23:54.190 --> 23:57.090
necessary platforms we need to leverage

23:57.100 --> 23:59.890
in the future battlespace . Hence we

23:59.890 --> 24:02.040
will need to build and foster mil to

24:02.040 --> 24:04.300
mil and military sieve collaborations

24:04.310 --> 24:06.640
while continuing to work with our other

24:06.640 --> 24:08.973
government partners , H . H . S . And V .

24:08.973 --> 24:11.380
A . As well as academic organizations

24:11.390 --> 24:13.557
that embrace the work that D . O . D .

24:13.557 --> 24:16.740
Is doing for my experience leading a

24:16.740 --> 24:18.640
university wide interdisciplinary

24:18.640 --> 24:20.650
research institute . I learned the

24:20.650 --> 24:22.780
power and necessity of cross

24:22.780 --> 24:25.010
fertilization between disciplines

24:25.020 --> 24:26.670
engineers . Working in an

24:26.680 --> 24:29.160
interdisciplinary interdisciplinary lab

24:29.160 --> 24:31.420
at boston University harnessed the

24:31.420 --> 24:33.940
intersections of genomics , molecular

24:33.940 --> 24:36.560
biology , computational biology ,

24:36.570 --> 24:38.370
machine learning , electrical

24:38.380 --> 24:41.160
engineering to develop biosensors and

24:41.160 --> 24:43.510
wearable devices by harnessing the

24:43.510 --> 24:46.050
genetics and biochemistry of microbes .

24:46.060 --> 24:48.870
Yes , the cell has now become the

24:48.870 --> 24:51.280
platform for engineering sensors ,

24:51.290 --> 24:53.980
lightweight centers , portable sensors

24:54.580 --> 24:56.890
using the enormous potential of diverse

24:56.900 --> 24:59.900
sensing proteins . It's a new day .

25:00.950 --> 25:03.250
So we need to work with all of you here

25:03.250 --> 25:05.390
in attendance and many who are not .

25:05.400 --> 25:07.640
Your partnership helps us to innovate

25:07.650 --> 25:10.700
at speed and the scale of relevance .

25:11.340 --> 25:13.400
The underlying theme of these four

25:13.400 --> 25:15.070
readiness goals is digital

25:15.070 --> 25:18.520
transformation . Our future is digital

25:18.530 --> 25:20.910
science and medicine is going digital .

25:20.920 --> 25:23.270
It is transforming how we live , work

25:23.270 --> 25:26.180
and play as we go through this fourth

25:26.190 --> 25:29.710
industrial revolution as USU

25:29.710 --> 25:31.821
president . I see my role as ensuring

25:31.821 --> 25:33.766
we develop future strategic health

25:33.766 --> 25:36.290
leaders needed for the MHS for tomorrow

25:36.300 --> 25:38.730
who start their medical careers in a

25:38.730 --> 25:40.397
joint environment and who are

25:40.397 --> 25:42.500
comfortable innovating and working

25:42.500 --> 25:46.020
within multidisciplinary teams . I also

25:46.020 --> 25:48.260
see us you as a critical translational

25:48.260 --> 25:51.640
hub for the MHS and greatly value the

25:51.640 --> 25:53.751
work we do with our colleagues in the

25:53.751 --> 25:56.600
military treatment facilities . We have

25:56.600 --> 25:59.050
a critical mission together and through

25:59.050 --> 26:00.717
partnership , we can meet the

26:00.717 --> 26:03.260
challenges of advancing care for the

26:03.260 --> 26:06.270
9.6 million beneficiaries . MHS is

26:06.270 --> 26:09.060
responsible to care for from the from

26:09.060 --> 26:11.230
the youngest newborn to the oldest

26:11.230 --> 26:13.360
retiree of veteran and all of the

26:13.360 --> 26:16.130
active duty soldiers , sailors , Airmen ,

26:16.130 --> 26:18.680
Marines , Coast Guardsmen and Guardians .

26:18.690 --> 26:21.080
On point . Yes , I did say guardians .

26:21.080 --> 26:24.710
So I'm up to date . UsU researchers are

26:24.710 --> 26:26.543
dedicated to contributing health

26:26.543 --> 26:28.488
solutions , partnering with sister

26:28.488 --> 26:31.340
military labs , academia and industry

26:31.340 --> 26:33.396
to reach the key goals I've outlined

26:33.396 --> 26:36.080
above . I look forward to nurturing

26:36.080 --> 26:38.550
those partnerships and most importantly ,

26:38.560 --> 26:40.616
to ensuring we meet the needs of the

26:40.616 --> 26:43.870
warfighter now and in the future . I

26:43.870 --> 26:45.870
hope all of you enjoy the symposium

26:45.870 --> 26:48.220
this week and connect with each other

26:48.230 --> 26:51.470
to spur new advancements . Thank you so

26:51.470 --> 26:53.414
much for your time and attention .

27:01.830 --> 27:04.420
Our next speaker is Lieutenant General

27:04.430 --> 27:06.440
Ronald place , Director , Defense

27:06.440 --> 27:07.370
Health Agency .

27:13.670 --> 27:15.726
Well , good morning everyone now , I

27:15.726 --> 27:17.892
realize like the other speakers , I've

27:17.892 --> 27:19.948
got about 10 minutes and I'll try to

27:19.948 --> 27:22.003
use those 10 minutes pretty wisely .

27:22.350 --> 27:24.517
I'm literally in the closing months of

27:24.517 --> 27:28.130
my 37 year military career , 37 years .

27:28.140 --> 27:29.807
That included internships and

27:29.807 --> 27:31.696
residencies . Lots of time in the

27:31.696 --> 27:33.529
operating room , deployed , ford

27:33.529 --> 27:35.251
surgical teams , in command of

27:35.251 --> 27:37.084
hospitals , executive leadership

27:37.084 --> 27:39.770
positions in the army and finally in

27:39.770 --> 27:41.992
the joint community within the national

27:41.992 --> 27:44.103
capital region and now at the defense

27:44.103 --> 27:47.140
Health Agency . So my intent really is

27:47.140 --> 27:50.110
to reflect briefly on my experiences

27:50.120 --> 27:52.590
what I think that means for our

27:52.590 --> 27:54.880
research agenda in military medicine

27:55.630 --> 27:57.741
for military and government civilians

27:57.741 --> 28:01.050
leading this system and private sector

28:01.050 --> 28:03.620
researchers and vendors who contribute

28:03.630 --> 28:06.480
to our shared scientific advancement .

28:07.520 --> 28:09.742
What I'm not gonna do is spend any time

28:09.742 --> 28:11.687
today talking about organizational

28:11.687 --> 28:13.798
charts or who reports to whom or what

28:13.798 --> 28:15.820
this year's NBA may or may not say

28:15.820 --> 28:17.987
about R and D . That's for another day

28:17.987 --> 28:19.931
or perhaps maybe later today . But

28:19.931 --> 28:23.420
other speakers , this health system is

28:23.420 --> 28:27.160
unique . It's challenging . It's

28:27.160 --> 28:29.380
exhilarating and it's sometimes

28:29.380 --> 28:33.260
frustrating , but most of all it is

28:33.270 --> 28:36.420
indispensable . There's no other system

28:36.420 --> 28:38.930
like it in the world , not amongst our

28:38.930 --> 28:41.650
NATO allies and certainly not amongst

28:41.660 --> 28:44.220
our potential adversaries . Now , it's

28:44.220 --> 28:46.442
grown in some areas and shrunk and some

28:46.442 --> 28:48.387
others . It's expanded in terms of

28:48.387 --> 28:50.553
partnerships with the private sector .

28:50.553 --> 28:52.609
It touches on every aspect of health

28:52.609 --> 28:54.740
care . In all of the complexities of

28:54.740 --> 28:57.820
the United States health system . Its

28:57.820 --> 29:00.140
relevance not just to the Department of

29:00.140 --> 29:02.140
Defense , but to leaders throughout

29:02.140 --> 29:04.740
government and its citizens has only

29:04.740 --> 29:06.851
grown or perhaps become more apparent

29:06.851 --> 29:09.070
over the last several years . The

29:09.070 --> 29:11.292
people that you've heard from today and

29:11.292 --> 29:13.348
who you'll hear from throughout this

29:13.348 --> 29:15.570
conference are entrusted with improving

29:15.570 --> 29:17.514
and preserving this system doesn't

29:17.514 --> 29:19.720
happen by itself and future success is

29:19.720 --> 29:22.320
never preordained or irreversible but

29:22.320 --> 29:25.010
requires constant vigilance and close

29:25.020 --> 29:27.131
attention to details balanced against

29:27.131 --> 29:29.242
the big picture . Now , I spent a lot

29:29.242 --> 29:31.242
of time with other senior leaders ,

29:31.242 --> 29:33.464
looking at some of those details and at

29:33.464 --> 29:35.687
a range of performance measures such as

29:35.687 --> 29:38.860
our cloak outcomes any good . How's our

29:38.860 --> 29:41.330
performance on safety , our patients

29:41.330 --> 29:43.970
satisfied with their care , why our

29:43.970 --> 29:47.130
costs going up , What's happening to

29:47.130 --> 29:49.350
our productivity ? You get the idea .

29:50.120 --> 29:52.231
But at the end of the day our leaders

29:52.231 --> 29:54.940
must know a few simple things . 1st are

29:54.940 --> 29:58.350
we literally ready for almost anything .

29:59.350 --> 30:02.450
Second are we performing well right

30:02.450 --> 30:06.210
now in our core mission ? And third

30:06.930 --> 30:09.180
are we getting better ? The first

30:09.180 --> 30:11.236
question on writing this is that the

30:11.236 --> 30:13.291
heart of why we even have a research

30:13.291 --> 30:15.347
agenda and a research portfolio that

30:15.347 --> 30:17.180
sits apart from other government

30:17.180 --> 30:19.458
missions and other government agencies .

30:19.458 --> 30:21.347
In fact , that's why we have this

30:21.347 --> 30:23.458
conference . I'm not gonna stand here

30:23.458 --> 30:25.180
and recite the various program

30:25.180 --> 30:27.291
priorities of combat casualty care or

30:27.291 --> 30:29.124
infectious disease , operational

30:29.124 --> 30:30.958
medicine , medical simulation or

30:30.958 --> 30:33.013
seabourn defense . But even a casual

30:33.013 --> 30:35.013
reader of the news understands that

30:35.013 --> 30:37.620
each of these program areas has urgent

30:37.630 --> 30:40.360
and compelling requirements that we in

30:40.360 --> 30:42.193
the D . O . D . Must be ready to

30:42.193 --> 30:44.660
address how we get ready , how we

30:44.660 --> 30:46.860
perform well how we constantly get

30:46.870 --> 30:50.090
better , starts here with the people in

30:50.090 --> 30:53.970
this very room over my career , both

30:53.970 --> 30:56.380
in military hospitals as a surgeon and

30:56.380 --> 30:58.547
in the executive roles that's followed

30:58.547 --> 31:00.436
have been called and visited by a

31:00.436 --> 31:02.324
number of vendors , researchers ,

31:02.324 --> 31:05.760
business developers , you name it .

31:06.370 --> 31:09.760
So what have I learned and what should

31:09.760 --> 31:12.100
I share with you ? I think it's three

31:12.100 --> 31:15.120
things first . Whether you're in

31:15.120 --> 31:17.520
uniform or government civilian or in

31:17.520 --> 31:19.800
the private sector as an entrepreneur ,

31:19.800 --> 31:22.020
lab level researcher , I'll posit that

31:22.030 --> 31:25.190
every single one of you is really busy .

31:26.290 --> 31:28.920
Life has only gotten more complex . Our

31:28.920 --> 31:31.040
work times and our down times are

31:31.040 --> 31:34.270
bleeding into each other more and more

31:34.280 --> 31:36.391
and more . I don't have a solution to

31:36.391 --> 31:38.380
that problem . But I do have some

31:38.380 --> 31:41.040
advice If you're bringing solutions to

31:41.040 --> 31:43.740
the table and you're asking very busy

31:43.740 --> 31:46.680
and sometimes distracted people for 30

31:46.680 --> 31:48.940
minutes or 60 minutes or half a day ,

31:48.950 --> 31:52.700
you need to be prepared absolutely

31:52.700 --> 31:54.311
crystal clear in what you're

31:54.311 --> 31:57.250
discovering or what you're promising or

31:57.250 --> 31:59.540
what you're promoting . Crystal clear

31:59.540 --> 32:02.190
in your timelines . Crystal clear on

32:02.190 --> 32:04.550
what your expectations are . From that

32:04.550 --> 32:06.720
meeting , I know it's hard to rise

32:06.720 --> 32:08.810
above the daily noise levels in our

32:08.810 --> 32:10.477
environment in medicine or in

32:10.477 --> 32:12.810
government , especially in Washington D .

32:12.810 --> 32:16.120
C . But securing a meeting isn't a

32:16.120 --> 32:19.170
measure of success advancing our

32:19.170 --> 32:20.948
understanding of the scientific

32:20.948 --> 32:23.800
knowledge you've gained or hope to gain

32:23.810 --> 32:26.230
so we can improve care , improve

32:26.230 --> 32:29.290
readiness , improve the quality of life .

32:29.300 --> 32:32.550
These are the metrics that matter .

32:33.550 --> 32:35.272
I've spoken to a lot of former

32:35.272 --> 32:37.272
government officials , military and

32:37.272 --> 32:39.272
civilian and their number who say I

32:39.272 --> 32:41.328
should have carved out more time for

32:41.328 --> 32:43.217
interactions with industry in the

32:43.217 --> 32:45.383
private sector and maybe I'll say that

32:45.383 --> 32:47.661
too . But I'm speaking from experience ,

32:47.930 --> 32:51.040
time is an incredibly precious

32:51.040 --> 32:53.840
commodity for every single one of us .

32:55.010 --> 32:57.177
Do you really need to see an executive

32:57.177 --> 32:59.288
in the organization or is it somebody

32:59.288 --> 33:02.760
else ? And do you know what he or she

33:02.760 --> 33:05.810
can possibly do to assist you ? So be

33:05.810 --> 33:09.480
prepared . Be concise but

33:09.490 --> 33:13.470
persevere second . Not

33:13.480 --> 33:15.480
every interaction should be about a

33:15.480 --> 33:17.369
grant or a contract or some other

33:17.369 --> 33:19.536
business transaction . All of a sudden

33:19.536 --> 33:21.758
the business of getting smarter gaining

33:21.758 --> 33:23.869
knowledge and understanding the world

33:23.869 --> 33:26.091
around us as medical professionals from

33:26.091 --> 33:28.313
all disciplines were obliged to stay on

33:28.313 --> 33:30.369
top of the most current science . No

33:30.369 --> 33:32.690
doubt it could be overwhelming . I know

33:32.690 --> 33:34.634
that's one of the benefits of this

33:34.634 --> 33:36.579
symposium to share that what we in

33:36.579 --> 33:38.301
government are looking for our

33:38.301 --> 33:40.468
requirements and for you to share what

33:40.468 --> 33:42.746
you're learning and what you can offer .

33:42.746 --> 33:44.801
We have to share information between

33:44.801 --> 33:46.968
annual conferences . In fact , I think

33:46.968 --> 33:49.079
the last few years have shown us that

33:49.079 --> 33:51.190
annual conferences aren't necessarily

33:51.190 --> 33:53.079
annual . A short note , an update

33:53.079 --> 33:55.134
something that can be shared broadly

33:55.134 --> 33:57.390
with others on what we've learned that

33:57.390 --> 33:59.279
includes when our shared research

33:59.279 --> 34:01.501
doesn't produce the outcomes that we're

34:01.501 --> 34:03.612
hoping for . This is a risky business

34:03.612 --> 34:06.510
that we're in failures occur . But part

34:06.510 --> 34:08.510
of getting smarter is learning from

34:08.510 --> 34:10.566
failure . I know that some review in

34:10.566 --> 34:12.677
your chairs thinking nice sentiment .

34:12.677 --> 34:14.566
But governments getting harder to

34:14.566 --> 34:16.621
penetrate . It's harder to come into

34:16.621 --> 34:16.080
your buildings . It's harder to

34:16.080 --> 34:18.191
schedule meetings with leaders . That

34:18.191 --> 34:20.770
may be true and not just due to covid ,

34:21.340 --> 34:25.260
but for lots of other reasons , but if

34:25.260 --> 34:27.430
you have useful information to share

34:27.440 --> 34:30.380
work , just as hard to share it and as

34:30.380 --> 34:34.340
broadly as you possibly can . And third ,

34:34.350 --> 34:36.920
it's been said about diplomacy , but

34:36.920 --> 34:38.809
it's also true about medicine and

34:38.809 --> 34:41.800
Medical research Trust is the coin of

34:41.800 --> 34:44.220
the realm As a guy in the business for

34:44.220 --> 34:47.280
37 years . Trusted relationships matter

34:47.290 --> 34:50.200
both as individuals and as institutions .

34:50.200 --> 34:53.370
We remember those who misled us who cut

34:53.370 --> 34:56.830
corners , who shaved the truth and

34:56.830 --> 34:59.310
perhaps more remember those who were

34:59.320 --> 35:01.680
always straight with us , who told us

35:01.680 --> 35:03.847
the same speed when things went poorly

35:03.847 --> 35:06.250
as when they went well when milestones

35:06.250 --> 35:08.950
were missed or when budgets were blown .

35:10.060 --> 35:12.227
But the government officials with whom

35:12.227 --> 35:14.282
you interact have a long term view ,

35:14.282 --> 35:16.850
all of us are protective , very

35:16.860 --> 35:19.570
protective of our institutions and our

35:19.570 --> 35:21.792
reputations . I don't offer this to you

35:21.792 --> 35:24.080
as a warning but rather as lessons I've

35:24.080 --> 35:26.136
learned from so many of you who have

35:26.136 --> 35:28.960
set the example . I'm grateful to so

35:28.960 --> 35:31.610
many in this room because of you . I

35:31.610 --> 35:33.554
became a better surgeon , A better

35:33.554 --> 35:35.940
leader , Perhaps even a better person

35:35.950 --> 35:37.783
through my interactions with the

35:37.783 --> 35:39.894
research community . I've watched and

35:39.894 --> 35:41.506
learned from you through the

35:41.506 --> 35:43.970
painstaking process of clinical trials

35:43.980 --> 35:46.202
that didn't always lead to a solution .

35:46.770 --> 35:48.992
How many of you handled . Setbacks with

35:48.992 --> 35:51.880
the same grace and humility with which

35:51.880 --> 35:55.030
you achieve success . I began my

35:55.030 --> 35:56.919
comments with a reflection on the

35:56.919 --> 35:59.310
indispensability of the military health

35:59.310 --> 36:02.590
system . We have challenges . No doubt

36:02.600 --> 36:04.489
whether it's maintaining clinical

36:04.489 --> 36:06.656
currency in a period when we're seeing

36:06.656 --> 36:08.767
fewer clinical patients or challenges

36:08.767 --> 36:10.544
in maintaining graduate medical

36:10.544 --> 36:12.489
education programs or even a basic

36:12.489 --> 36:14.711
recruiting . We keep this indispensable

36:14.711 --> 36:16.600
system going with the belief that

36:16.600 --> 36:18.711
science , that innovation can help us

36:18.711 --> 36:21.370
find a way with new people to lead us

36:21.380 --> 36:24.220
and trusted partners to guide us . I'm

36:24.220 --> 36:26.442
eternally grateful for what you've done

36:26.442 --> 36:28.930
to save lives to prevent illness , to

36:28.930 --> 36:31.097
assist us with the more rapid recovery

36:31.097 --> 36:33.560
of those who need our assistance . I

36:33.560 --> 36:36.290
won't lie . I'm truly gonna miss this

36:36.290 --> 36:39.110
mission and you the people . It's been

36:39.110 --> 36:41.277
the honor of my lifetime to have spent

36:41.277 --> 36:43.277
it with so many of you . Thanks for

36:43.277 --> 36:45.221
what you continue to do to advance

36:45.221 --> 36:47.332
military medicine . I wish you a very

36:47.332 --> 36:49.388
successful symposium . May God bless

36:49.388 --> 36:51.610
all of us gathered here today . May God

36:51.610 --> 36:53.721
bless our service members deployed in

36:53.721 --> 36:55.777
harm's way . May God bless America .

37:06.740 --> 37:09.190
Our next speaker is Brigadier General

37:09.200 --> 37:11.680
Catherine Simonson . Assistant Director .

37:11.680 --> 37:14.360
Support , Defense health Agency .

37:20.480 --> 37:23.580
Good morning . I'm delighted to be here

37:23.590 --> 37:26.620
to share the stage with Miss mullen dr

37:26.620 --> 37:29.810
rao's Lieutenant general place and uh

37:29.820 --> 37:32.920
Lieutenant Major General Retired

37:32.930 --> 37:35.620
Woodson . Uh Two of whom were my have

37:35.620 --> 37:38.730
been my bosses in the past and um I

37:38.740 --> 37:42.170
hold their council dear . The theme um

37:42.170 --> 37:45.530
seems to be um change . Um I was asked

37:45.530 --> 37:48.900
to talk about optimization and the

37:48.910 --> 37:51.188
changes that are taking place at D . H .

37:51.188 --> 37:53.580
A . Within Research and Engineering and

37:53.580 --> 37:56.320
how we are pulling together all of our

37:56.330 --> 37:59.510
departments to um support

37:59.520 --> 38:03.130
research and um trans transition and

38:03.130 --> 38:05.610
transformation are all a part of that .

38:05.610 --> 38:07.630
But I will talk about mostly change

38:07.630 --> 38:10.780
today . Um I'll take a few minutes to

38:10.780 --> 38:13.058
highlight the changes within D . H . A .

38:13.058 --> 38:15.720
And that impact research but also

38:15.730 --> 38:18.670
impact how we operate . First the

38:18.670 --> 38:21.090
change in A . D . S . So the

38:21.090 --> 38:23.710
reorganization of the D . H . A . From

38:23.710 --> 38:26.630
within um has taken place several times

38:26.640 --> 38:30.170
and this latest change sets up the

38:30.170 --> 38:33.580
organization for growth and support of

38:33.580 --> 38:36.780
research across the enterprise . The or

38:36.790 --> 38:38.901
the organization of A . D . A . D . S

38:38.901 --> 38:41.480
is better able to support the research

38:41.480 --> 38:45.240
lifecycle . We've had changes to D . H .

38:45.240 --> 38:47.184
A . R . And D . Directorate my own

38:47.184 --> 38:49.960
directorate reorganization of functions

38:49.970 --> 38:53.610
to support growth . We've had changes

38:53.610 --> 38:56.450
into the enterprise research portfolio

38:56.450 --> 39:00.210
management to drive alignment and

39:00.210 --> 39:02.350
changes to enterprise clinical

39:02.360 --> 39:05.830
investigations to focus more on all

39:05.830 --> 39:08.600
components of medical care , medicine ,

39:08.600 --> 39:11.240
nursing of course research research

39:11.240 --> 39:13.530
into nutrition allied health sciences

39:13.540 --> 39:17.200
and specialties . And finally to

39:17.200 --> 39:19.740
change support because change is really

39:19.740 --> 39:23.410
hard and in order to accelerate the

39:23.410 --> 39:26.020
speed of practice optimization and

39:26.020 --> 39:29.300
change with the new healthcare systems

39:29.310 --> 39:31.310
research and implementation science

39:31.310 --> 39:34.850
branches to support change since we

39:34.850 --> 39:36.961
were last year together and it's been

39:36.961 --> 39:39.072
numerous years since I've been here .

39:39.072 --> 39:41.072
So since the last time you were all

39:41.072 --> 39:43.080
together um A D . S . Has changed

39:43.090 --> 39:45.312
building on policy and program elements

39:45.320 --> 39:47.590
to support S and T through the

39:47.600 --> 39:49.620
acquisition portfolio management in

39:49.620 --> 39:52.160
hole and through life cycle management

39:52.170 --> 39:54.910
oversight . I'm currently in the

39:54.910 --> 39:57.310
process of transitioning as the new um

39:57.320 --> 39:59.570
as the acting D . H . A . Assistant

39:59.570 --> 40:01.570
Director for support . That's a big

40:01.570 --> 40:04.520
change um and will officially assume

40:04.520 --> 40:07.270
the role from DR Butler october 1st

40:07.280 --> 40:11.140
2022 Dr Butler is retiring after an

40:11.140 --> 40:13.140
illustrious career and I'm going to

40:13.140 --> 40:16.870
miss him . Um and we he's been here

40:16.870 --> 40:20.500
since the T M . A . From T M . A . To D .

40:20.500 --> 40:23.660
H . A . And we wish him all the best

40:23.670 --> 40:25.590
and I'd like to have a round of

40:25.590 --> 40:28.040
applause for Dr Butler .

40:37.430 --> 40:39.597
So change within our own directorate .

40:39.597 --> 40:41.670
Dr sean , bigger staff . The current

40:41.680 --> 40:44.110
deputy will be will be stepping up once

40:44.110 --> 40:47.030
again in transition and acting as the

40:47.040 --> 40:49.480
dad for research and engineering and

40:49.480 --> 40:51.702
all the A . D . Support organizations ,

40:51.702 --> 40:55.330
research , acquisitions , contracting ,

40:55.340 --> 40:58.340
med system programs office as well as

40:58.340 --> 41:01.410
public health . Our medics training and

41:01.410 --> 41:04.400
med log support the main efforts of A .

41:04.400 --> 41:06.670
D . S . And those two main efforts are

41:06.670 --> 41:09.440
too to support the center of gravity ,

41:10.280 --> 41:12.850
healthcare and medical readiness of the

41:12.850 --> 41:16.400
force supported by science

41:16.410 --> 41:19.320
and second and in equal measure to

41:19.320 --> 41:21.620
support our combat support agency role .

41:21.630 --> 41:25.340
Our effort with research efforts um to

41:25.350 --> 41:27.810
optimize operational medicine from the

41:27.810 --> 41:30.040
battlefield to the bedside . This slide

41:30.040 --> 41:32.096
provides an overview of research and

41:32.096 --> 41:34.151
engineering directorate and how it's

41:34.151 --> 41:36.250
currently structured . There's two

41:36.250 --> 41:38.210
divisions the research portfolio

41:38.210 --> 41:40.210
management and the research support

41:40.210 --> 41:42.432
divisions . They are represented in the

41:42.432 --> 41:44.760
circles in the center uh and their

41:44.760 --> 41:46.816
major functions and programs . So in

41:46.816 --> 41:49.520
portfolio management in a nutshell ,

41:49.530 --> 41:52.030
RND will manage the enterprise research

41:52.030 --> 41:54.400
portfolios at the strategic level .

41:55.460 --> 41:58.360
This has been happening all along so

41:58.370 --> 42:00.950
it's nothing new however , we are

42:00.960 --> 42:03.070
iterating to improve the oversight ,

42:03.080 --> 42:05.520
accountability and transparency and

42:05.530 --> 42:07.419
transparency of the R . D . Teeny

42:07.419 --> 42:11.050
investments providing PM leaders with

42:11.050 --> 42:14.130
the authority and the responsibility

42:14.140 --> 42:15.918
and the accountability to guide

42:15.918 --> 42:19.470
portfolios . R . N . P . D . Um has

42:19.470 --> 42:21.920
built a governance system uh that

42:21.920 --> 42:25.020
aligns medical priorities from joint

42:25.030 --> 42:26.780
and service requirements .

42:26.790 --> 42:29.040
Congressional and Assistant director .

42:29.050 --> 42:31.150
Assistant Secretary of Defense of

42:31.150 --> 42:33.770
Health Affairs directives for the

42:33.770 --> 42:36.410
funding priorities . And we have

42:36.410 --> 42:40.310
started to audit yes , audit how

42:40.310 --> 42:43.190
we have aligned these priorities . So

42:43.190 --> 42:46.630
in the research support circle um we

42:46.630 --> 42:49.670
have grown this organization to be able

42:49.670 --> 42:51.860
to support research knowing that our

42:51.860 --> 42:54.340
partners in the services will bring the

42:54.340 --> 42:56.920
bulk of that support into the agency to

42:56.920 --> 42:59.142
support the research efforts across the

42:59.142 --> 43:02.090
enterprise Arne we will manage M . T .

43:02.090 --> 43:04.720
F . Enterprise research protections and

43:04.720 --> 43:06.990
clinical investigation activities .

43:07.000 --> 43:09.520
They are s optimizes healthcare

43:09.520 --> 43:11.576
delivery through the military health

43:11.576 --> 43:13.464
systems research . We're gonna be

43:13.464 --> 43:15.810
looking at ourselves and how we operate

43:15.820 --> 43:19.270
and implementation science programs as

43:19.270 --> 43:21.103
a larger part of the D . H . A .

43:21.103 --> 43:23.670
Reorganization . Are any reorganized

43:23.680 --> 43:26.750
internally this past year to create an

43:26.750 --> 43:30.200
organizational model that can sustain

43:30.210 --> 43:34.160
our expansion of missions and scope

43:34.170 --> 43:36.950
to make us more agile to iterate that

43:36.960 --> 43:40.160
optimization quicker . And as more

43:40.160 --> 43:42.510
military health military research

43:42.510 --> 43:44.454
organizations transitions into the

43:44.454 --> 43:47.930
agency including M . R . D . C . Later

43:47.930 --> 43:51.370
this year um We hope to be able to

43:51.380 --> 43:54.570
bring those together and um foster that

43:54.570 --> 43:57.550
collaboration . So our major investment

43:57.560 --> 44:01.130
areas have not changed . Um are areas

44:01.130 --> 44:03.463
include the combat combat casualty care ,

44:03.463 --> 44:05.352
military operational medicine and

44:05.352 --> 44:08.150
infectious disease bio surveillance and

44:08.160 --> 44:11.950
and other um subordinate uh

44:11.960 --> 44:14.910
specific areas to these three top top

44:14.920 --> 44:17.720
areas advancing results from these

44:17.720 --> 44:21.220
major areas uh include solutions to

44:21.220 --> 44:23.380
prevent control and treat infectious

44:23.380 --> 44:26.340
diseases , to improve trauma care and

44:26.340 --> 44:28.680
survival , enhanced psychological

44:28.680 --> 44:31.930
health and especially resilience and to

44:31.940 --> 44:33.940
optimize cognitive and physical

44:33.940 --> 44:36.420
performance of our war fighters . And

44:36.420 --> 44:38.364
as mentioned , engagement with the

44:38.364 --> 44:41.920
joint staff and others in providing

44:41.920 --> 44:44.750
fidelity to the requirements priorities

44:44.760 --> 44:47.540
um will translate into a more precise

44:47.540 --> 44:50.490
targeting for our research and industry

44:50.490 --> 44:53.060
partners to go after with their efforts .

44:53.250 --> 44:55.710
The MHS is undergoing a revolutionary

44:55.710 --> 44:57.740
transformation um including the

44:57.740 --> 44:59.962
establishment of A . D . H . A research

44:59.962 --> 45:02.920
and development organization um

45:02.930 --> 45:05.041
subordinate to D . H . A . Which will

45:05.041 --> 45:06.850
combine all all aspects of

45:06.860 --> 45:10.510
collaboration across all services . Um

45:10.520 --> 45:14.170
to accelerate our research in the

45:14.170 --> 45:16.890
areas that we just discussed . These

45:16.890 --> 45:18.890
are transferring medical research ,

45:18.890 --> 45:20.446
acquisition and sustainment

45:20.446 --> 45:22.557
capabilities from medical departments

45:22.557 --> 45:25.610
and other entities into the D . H . A .

45:26.430 --> 45:28.980
Of note . Um research acquisition and

45:28.980 --> 45:30.813
sustainment transition structure

45:30.813 --> 45:32.980
organization . The transition entitled

45:32.980 --> 45:35.480
um entities will be moving lift and

45:35.480 --> 45:38.570
shift so um you should be working with

45:38.570 --> 45:41.210
the same um great organizations that

45:41.210 --> 45:43.543
you currently work within the D . A . D .

45:43.543 --> 45:45.321
Under the D . H . A . Assistant

45:45.321 --> 45:47.810
Director for support . The transition

45:47.810 --> 45:49.643
will occur in two phases and all

45:49.643 --> 45:51.699
transition organizations listed will

45:51.699 --> 45:54.150
transfer um At the end of this fiscal

45:54.150 --> 45:56.790
year , organizations that are

45:56.790 --> 45:58.846
transitioning is to direct reporting

45:58.846 --> 46:01.970
units are listed in the white box . So

46:01.970 --> 46:04.040
in conclusion our focus is on the

46:04.040 --> 46:06.850
future in in the planning efforts we

46:06.850 --> 46:08.980
developed and adhere to a few

46:08.990 --> 46:12.070
overarching and guiding principles and

46:12.070 --> 46:16.050
these principles include the D . H . S .

46:16.060 --> 46:19.440
Assistant for support um the the the

46:19.440 --> 46:22.550
dad research and engineering and the

46:22.560 --> 46:24.227
Deputy Assistant director for

46:24.227 --> 46:26.200
acquisition and support will work

46:26.200 --> 46:28.860
together to ensure a seamless

46:28.860 --> 46:30.860
integration of the R . D . A . Life

46:30.860 --> 46:33.490
cycle , working in collaboration with

46:33.500 --> 46:36.500
execution elements of the enterprise .

46:36.510 --> 46:39.110
Getting it right and keeping it right .

46:39.880 --> 46:42.700
The RND portfolio management managers

46:42.700 --> 46:44.811
and their support staffs will develop

46:44.811 --> 46:46.710
and oversee investment strategies

46:46.720 --> 46:48.609
aligned to joint requirements and

46:48.609 --> 46:51.180
priorities and that are any research ,

46:51.180 --> 46:54.310
support , ensures effective transition

46:54.320 --> 46:56.870
implementation , optimization of

46:56.870 --> 46:58.648
knowledge products and clinical

46:58.648 --> 47:00.814
operational medical communities across

47:00.814 --> 47:04.010
the MHS . So in conclusion our research

47:04.010 --> 47:07.140
and development acquisition enterprise

47:07.150 --> 47:09.250
uh supports the delivery of ready

47:09.250 --> 47:12.970
reliable care and we in support

47:12.980 --> 47:15.450
in support of resilience , health and

47:15.450 --> 47:18.970
welfare of our of our war fighters and

47:18.970 --> 47:22.030
their families across the globe . Thank

47:22.030 --> 47:22.530
you .

47:27.410 --> 47:29.354
Thank you to all the distinguished

47:29.354 --> 47:31.521
speakers . Good morning . I am Colonel

47:31.521 --> 47:33.743
Stuart Tiner and I'll be moderating the

47:33.743 --> 47:35.688
question and answer portion of the

47:35.688 --> 47:37.688
program . It's not often that these

47:37.688 --> 47:39.799
distinguished leaders of the military

47:39.799 --> 47:41.910
Health Systems research community are

47:41.910 --> 47:44.021
present together on one stage to take

47:44.021 --> 47:46.077
full advantage of this . I'd like to

47:46.077 --> 47:48.132
direct some questions to each one of

47:48.132 --> 47:50.243
them . The first question is for Miss

47:50.243 --> 47:53.030
mullen Ma'am . I know the department is

47:53.030 --> 47:54.919
working to improve its biodefense

47:54.919 --> 47:56.919
posture in the wake of the COVID-19

47:56.919 --> 47:59.610
pandemic . When public health and R .

47:59.610 --> 48:01.443
And D . Are fully stood up under

48:01.443 --> 48:03.460
control of the D . H . A . What

48:03.460 --> 48:05.627
capabilities do you think the military

48:05.627 --> 48:07.682
health system will possess that ? It

48:07.682 --> 48:09.460
didn't have at the start of the

48:09.460 --> 48:11.930
pandemic . And what's the value add to

48:11.930 --> 48:15.830
the warfighter . Um Thank you . Um uh

48:15.840 --> 48:18.320
Terry Roush and his group and many

48:18.320 --> 48:20.487
people in the department has spent the

48:20.487 --> 48:22.653
last year in what we've been developed

48:22.653 --> 48:24.764
the first ever the biodefense posture

48:24.764 --> 48:27.070
review . It has been a very long and

48:27.080 --> 48:29.890
arduous effort . Um working with both

48:29.890 --> 48:33.620
policy um acquisition and sustainment

48:33.630 --> 48:35.741
and other parts of the department for

48:35.741 --> 48:37.852
the entire year all the way reporting

48:37.852 --> 48:39.741
up to the deputy Deputy Secretary

48:39.741 --> 48:41.852
Defense Catherine Hicks , what's come

48:41.852 --> 48:44.019
out of this ? And I think in the major

48:44.019 --> 48:46.074
piece that terry has that we've been

48:46.074 --> 48:48.186
very focused on has been both the bio

48:48.186 --> 48:50.241
surveillance and ensuring infectious

48:50.241 --> 48:52.352
disease um portfolio remains the same

48:52.352 --> 48:54.241
and expanded in both both for the

48:54.241 --> 48:56.408
department is really looking for us to

48:56.408 --> 48:58.519
lead in both of those efforts . And I

48:58.519 --> 49:00.686
think having the public health and D .

49:00.686 --> 49:02.686
H . A . Come under one area will be

49:02.686 --> 49:04.741
integrated and I think we'll go much

49:04.741 --> 49:07.074
more smoothly and collaboratively go on .

49:07.074 --> 49:09.060
But it's been a major focus and uh

49:09.070 --> 49:11.700
regularly terry and I and everybody

49:11.700 --> 49:13.930
else here on the stage is reporting up

49:13.940 --> 49:15.980
all the way up to the sec def . So

49:15.980 --> 49:18.036
we're very excited about this and we

49:18.036 --> 49:20.036
expect to see some extra dollars in

49:20.036 --> 49:23.300
this portfolio . Um So hopefully all of

49:23.300 --> 49:27.040
you will see part of that too . Thank

49:27.040 --> 49:30.000
you . The next question is for dr ouch

49:30.010 --> 49:32.280
dr Rauscher , what collaboration and

49:32.280 --> 49:34.470
medical research occurs between the

49:34.470 --> 49:37.120
Department of Defense , the V . A . And

49:37.120 --> 49:40.110
the NIH . Um

49:40.640 --> 49:43.260
Thanks you for that for that question .

49:43.600 --> 49:47.310
Um So there

49:47.320 --> 49:50.090
is a very robust collaboration

49:50.670 --> 49:54.570
um with D . O . D . The V . A .

49:54.570 --> 49:58.350
And um and NIH and different portfolios

49:58.350 --> 50:02.080
going back probably more than more than

50:02.080 --> 50:05.990
10 years ago where we we the

50:05.990 --> 50:09.060
D . O . D . And the V . A . Uh put

50:09.060 --> 50:11.850
together uh major

50:11.860 --> 50:15.310
research consortium . So one for T . B .

50:15.310 --> 50:17.477
I , traumatic brain injury , the other

50:17.477 --> 50:21.300
for PTSD uh They were five

50:21.300 --> 50:25.170
year period of performance cooperative

50:25.170 --> 50:27.910
agreements we put in so much money ,

50:27.920 --> 50:31.460
the V . A . Put in so much money awards

50:31.460 --> 50:34.810
were made . Um You know , that was one

50:34.810 --> 50:37.390
example of collaboration . Another

50:37.390 --> 50:40.800
example of collaboration is um

50:41.760 --> 50:45.360
when we transitioned Army stars into

50:45.360 --> 50:48.770
stars LS . Um and

50:48.780 --> 50:52.560
we developed a collaboration with

50:52.570 --> 50:55.840
uh NIH and the V . A . And and the V .

50:55.840 --> 50:59.000
A . Uh to address

50:59.010 --> 51:02.540
risk factors and service members that

51:02.540 --> 51:06.320
generate suicide ideation um

51:06.330 --> 51:10.040
as a target for intervention

51:10.050 --> 51:14.040
of those high risk um individuals .

51:14.050 --> 51:17.320
And today we have um um you know ,

51:17.320 --> 51:20.060
collaborative agreements with the V . A .

51:20.070 --> 51:23.810
Um and and NIH that

51:23.820 --> 51:27.040
continue in the longitudinal

51:27.050 --> 51:30.940
um um in the in a longitudinal

51:30.940 --> 51:34.180
study of traumatic brain injury , we

51:34.180 --> 51:37.260
have a major consortium since we've

51:37.270 --> 51:40.090
kicked off the N . C . A . A football

51:40.100 --> 51:42.700
season . We have a major consortium

51:42.710 --> 51:46.400
with with all of them um with following

51:46.400 --> 51:50.010
head injury and and and recovery and

51:50.010 --> 51:53.830
return to play . Um um

51:53.840 --> 51:57.310
and I might mind remind everybody that

51:57.320 --> 51:59.620
um as a part of the N . C . A . A

51:59.630 --> 52:02.240
military academies are part of that

52:02.240 --> 52:05.040
organization . So we have a very robust ,

52:05.050 --> 52:07.272
I can go on and on , but I'm I'm out of

52:07.272 --> 52:08.940
time . We have a very robust

52:08.940 --> 52:11.750
collaboration . Thanks thanks sir .

52:12.790 --> 52:15.200
Third question is for Dr Woodson . So

52:15.200 --> 52:17.410
Doctor Woodson , in a previous article

52:17.410 --> 52:19.632
that you wrote for the Harvard business

52:19.632 --> 52:21.688
review , you stated that decades ago

52:21.688 --> 52:23.854
pilots learned to fly by instruments .

52:23.854 --> 52:26.200
Doctors need to do the same . You noted

52:26.200 --> 52:27.922
that education and health care

52:27.922 --> 52:29.940
professions has not kept pace . You

52:29.940 --> 52:31.773
just mentioned in your talk this

52:31.773 --> 52:33.607
morning about the 4th Industrial

52:33.607 --> 52:35.551
Revolution and the role of digital

52:35.551 --> 52:37.773
systems in that . So what do you see as

52:37.773 --> 52:39.662
the ways digital health should be

52:39.662 --> 52:41.940
incorporated in medical and healthcare ?

52:41.940 --> 52:44.510
Education programs ? Yeah , thanks very

52:44.510 --> 52:46.510
much for that question . You know ,

52:46.920 --> 52:48.920
after I left government service , I

52:48.920 --> 52:51.031
went back into the private sector and

52:51.031 --> 52:53.000
resumed my professorship at boston

52:53.000 --> 52:56.770
University um and got back there and uh

52:56.780 --> 52:59.970
was kind of startled by the fact that

52:59.980 --> 53:02.040
not , I had a lot had changed in

53:02.050 --> 53:04.530
particularly medical education , boston

53:04.530 --> 53:07.160
University is an excellent school but

53:07.160 --> 53:10.250
mirrored if you will many other um

53:10.260 --> 53:14.030
schools um not a lot had changed . And

53:14.030 --> 53:17.130
the article that I wrote um

53:17.140 --> 53:19.270
because I was teaching health sector

53:19.270 --> 53:23.090
leadership at at the school of Business

53:23.100 --> 53:25.680
as well , was meant to reflect on the

53:25.680 --> 53:28.060
fact that other industries had moved

53:28.070 --> 53:31.190
far beyond what medicine had done in

53:31.190 --> 53:33.930
terms of how it educates and how it

53:33.930 --> 53:36.263
actually does its work . So for example ,

53:36.263 --> 53:38.610
in the military , if you look The F- 35

53:38.620 --> 53:42.220
fighter um there is this great

53:42.230 --> 53:44.570
helmet and set of sensors that

53:44.570 --> 53:46.870
integrates the human capability with

53:46.870 --> 53:49.037
the aircraft so that their situational

53:49.037 --> 53:51.148
awareness , we have nothing like that

53:51.148 --> 53:53.580
in medicine and as a result I think

53:53.580 --> 53:55.950
care is suffering . So over the course

53:55.950 --> 53:58.520
of decades what has happened is that

53:58.520 --> 54:01.100
we've dealt with the increasing fund of

54:01.100 --> 54:03.600
knowledge by sub specializing . So

54:03.600 --> 54:06.560
we're a mile deep and an inch wide .

54:06.570 --> 54:08.681
Now in the military , we can't afford

54:08.681 --> 54:10.903
to be that way because when we deployed

54:10.903 --> 54:13.390
we have fewer uh human resources to

54:13.390 --> 54:16.070
deliver care . So we've got to create

54:16.080 --> 54:19.850
tools that allow , as I said before ,

54:19.860 --> 54:22.490
up to the capability of every provider

54:22.490 --> 54:25.190
to deliver care . And so the article

54:25.190 --> 54:28.010
really reflects on the issue that as

54:28.010 --> 54:30.540
part of our research portfolio , we

54:30.540 --> 54:34.130
have got to engage in an aggressive um

54:34.140 --> 54:37.560
uh effort uh to create these

54:37.570 --> 54:40.110
decision support tools . The funding

54:40.110 --> 54:43.080
knowledge in medicine is increasing

54:43.090 --> 54:46.800
exponentially . Yet the way we practice

54:46.800 --> 54:49.570
and the way we train uh is about what

54:49.570 --> 54:52.380
we can retain between anyone persons

54:52.390 --> 54:56.300
two ears . Uh we can't go on that way .

54:56.310 --> 54:59.050
Medicine and health care will always be

54:59.050 --> 55:01.160
high touch . But how we touch

55:01.170 --> 55:03.281
individuals has got to look different

55:03.281 --> 55:06.820
in the future . Thank you sir .

55:07.890 --> 55:10.112
Next question is for lieutenant General

55:10.112 --> 55:13.530
place sir . Given covid 19 and

55:13.530 --> 55:16.740
polio reemergence in some locations and

55:16.740 --> 55:18.840
concerns about climate change ,

55:18.850 --> 55:20.906
potentially driving other changes in

55:20.906 --> 55:23.210
disease patterns . Do you see the MHS

55:23.210 --> 55:25.690
requesting even more infectious disease

55:25.690 --> 55:27.920
research ? Yeah . Thanks . Colonel

55:27.920 --> 55:30.087
Tanner . That's a great question . The

55:30.087 --> 55:31.864
military health system has been

55:31.864 --> 55:33.698
interested in infectious disease

55:33.698 --> 55:35.753
research long before it was cool for

55:35.753 --> 55:37.380
everybody else . Right ? The

55:37.390 --> 55:39.680
forerunners of everything malaria is

55:39.680 --> 55:41.791
within the military health system . I

55:41.791 --> 55:43.958
think Zika or Dengue . I mean the list

55:43.958 --> 55:46.180
goes on and on and on . So I think many

55:46.180 --> 55:48.630
will be more aware of the continuing

55:48.670 --> 55:50.670
asks that we'll have for infectious

55:50.670 --> 55:53.110
disease research and certainly the

55:53.120 --> 55:55.310
portfolio presented by MS mullen and

55:55.310 --> 55:57.770
the health affairs team indicates that .

55:57.970 --> 56:01.240
But what I'm most interested isn't more

56:01.240 --> 56:03.380
or less of funding . I'm more

56:03.380 --> 56:05.350
interested is as we look at the

56:05.350 --> 56:07.350
integration and Doctor Woodson talk

56:07.350 --> 56:09.517
some about that the integration of the

56:09.517 --> 56:11.350
system whereas they're warranted

56:11.350 --> 56:13.461
duplication in our research systems .

56:13.461 --> 56:15.183
And where is their unwarranted

56:15.183 --> 56:17.294
duplication . And how do we eliminate

56:17.294 --> 56:19.294
that unwarranted So we can reinvest

56:19.294 --> 56:21.406
those resources into something else .

56:21.406 --> 56:23.406
And if it's more infectious disease

56:23.406 --> 56:25.350
great or if it's something else in

56:25.350 --> 56:27.294
combat casualty care . Great . But

56:27.294 --> 56:29.517
integration of the system is what I see

56:29.517 --> 56:31.517
is the next big step in where we're

56:31.517 --> 56:31.220
going in our research and development

56:31.220 --> 56:34.100
portfolio . Thank you sir .

56:35.050 --> 56:38.830
Mm . Brigadier General Simonson . What

56:38.830 --> 56:41.310
are the medical R . D . T . Any science

56:41.310 --> 56:43.477
and technology investment requirements

56:43.480 --> 56:46.570
and priorities . Well general place

56:46.570 --> 56:48.792
just set me up nicely . Thank you sir .

56:48.792 --> 56:52.650
Um is I think the priorities of

56:52.650 --> 56:55.790
course our combat casualty care um

56:55.800 --> 56:59.470
uh are operational

56:59.470 --> 57:02.390
medicine infectious disease . However

57:02.400 --> 57:05.380
how we look at um

57:05.380 --> 57:09.280
prioritizing those um projects and

57:09.280 --> 57:10.970
programs underneath those big

57:10.970 --> 57:14.110
categories needs to focus I think

57:14.120 --> 57:17.930
um on ai machine learning

57:17.940 --> 57:21.410
um ways to get after um are

57:21.420 --> 57:24.620
solutions in a more efficient manner .

57:24.630 --> 57:27.990
Um drawing big data into our decision

57:27.990 --> 57:30.800
making and allowing for that data to be

57:30.810 --> 57:33.770
available , um wherever we're taking

57:33.770 --> 57:37.510
care of patients . And so I think we're

57:37.520 --> 57:41.520
interested in that field

57:41.530 --> 57:44.400
of research and it's , you know , come

57:44.400 --> 57:46.860
from all of the folks who give us our

57:46.860 --> 57:50.610
requirements that uh looking at bio

57:50.610 --> 57:54.380
surveillance , ensuring that we are

57:54.390 --> 57:57.550
doing that precision medicine for

57:57.560 --> 58:00.580
patients when they are both in the

58:00.580 --> 58:03.550
clinic and in on the battlefield ,

58:03.560 --> 58:05.393
knowing what's going on with the

58:05.393 --> 58:08.380
patient , through centers etcetera . Um

58:08.390 --> 58:12.100
and also um being able to

58:12.110 --> 58:15.700
respond quickly to changes in the

58:15.700 --> 58:18.160
environment , what's happening across

58:18.160 --> 58:21.100
the world with um with climate change

58:21.110 --> 58:23.910
and being having those predictive

58:23.910 --> 58:27.170
models ready for us to respond quickly

58:27.170 --> 58:30.290
as a as a uniform service and for our

58:30.290 --> 58:33.810
war fighters also . And in addition to

58:33.810 --> 58:35.866
that , I would be remiss if I didn't

58:35.866 --> 58:38.740
talk about um how we train um coming

58:38.740 --> 58:41.480
from a simulation background , ensuring

58:41.480 --> 58:43.702
that the simulation that we do fits the

58:43.702 --> 58:45.813
model of what we'll see in the future

58:45.813 --> 58:48.750
and um ensuring that we get into the

58:48.750 --> 58:51.350
hands of the medics wherever they

58:51.350 --> 58:54.240
should be , uh the

58:54.250 --> 58:58.000
most , um up to date

58:58.010 --> 59:00.480
and easy to

59:01.000 --> 59:04.920
execute um medical care at

59:04.930 --> 59:07.100
that point of time . So medical

59:07.100 --> 59:09.410
simulation , ensuring that we are

59:09.410 --> 59:12.110
training our minutes to be ready to go ,

59:12.120 --> 59:14.231
looking at different ways that we can

59:14.231 --> 59:16.860
be resilient and monitor that

59:16.860 --> 59:20.280
resiliency over a lifetime or a or over

59:20.280 --> 59:23.140
a uh career lifetime .

59:23.680 --> 59:27.620
And um also just looking at um as we

59:27.630 --> 59:31.320
recruit uh what are we looking for ?

59:31.330 --> 59:35.220
Uh what are the type of of um of new

59:35.220 --> 59:37.370
recruits that will need to make those

59:37.370 --> 59:40.800
decisions to integrate with technology

59:40.810 --> 59:43.910
and to just accelerate this into the

59:43.910 --> 59:47.640
future . Thank you ma'am . I think we

59:47.640 --> 59:49.930
have time for one more question . If I

59:49.930 --> 59:53.090
may direct it to miss mullen the MHS

59:53.090 --> 59:55.280
research enterprise conducts a wide

59:55.280 --> 59:57.336
variety of work and it's interagency

59:57.336 --> 59:59.560
partners . What particular initiatives

59:59.560 --> 01:00:01.560
would you like to highlight for the

01:00:01.560 --> 01:00:03.449
group or garners the attention of

01:00:03.449 --> 01:00:05.640
senior leaders in the D . O . D . Well

01:00:05.650 --> 01:00:07.872
I get to shout out to one of the people

01:00:07.872 --> 01:00:09.983
in our front row dr craig Shriver who

01:00:09.983 --> 01:00:12.150
belongs to a lot of the people here on

01:00:12.150 --> 01:00:14.094
the stage but his science has been

01:00:14.094 --> 01:00:16.372
amazing on the cancer Moonshot program .

01:00:16.372 --> 01:00:18.372
Um He has been working very hard on

01:00:18.372 --> 01:00:20.539
round two of that . I would pretend to

01:00:20.539 --> 01:00:22.706
actually talk about his actual science

01:00:22.706 --> 01:00:25.340
he's doing but it's a little I really

01:00:25.340 --> 01:00:27.940
can't say exactly how it goes . But

01:00:27.950 --> 01:00:29.894
I'll tell you this the White House

01:00:29.894 --> 01:00:31.894
every week pretty much calls up and

01:00:31.894 --> 01:00:34.117
says um with craig working on this week

01:00:34.117 --> 01:00:36.339
because when we go to these interagency

01:00:36.339 --> 01:00:38.450
meetings people show up agencies show

01:00:38.450 --> 01:00:40.740
up the D . O . D . Really shows up .

01:00:40.750 --> 01:00:42.750
And so craig and his team have been

01:00:42.750 --> 01:00:44.861
putting together some genomic efforts

01:00:44.861 --> 01:00:47.040
um from cancer and this is part of God

01:00:47.040 --> 01:00:49.096
I think I believe a portfolio of $10

01:00:49.096 --> 01:00:52.170
million . That has been something that

01:00:52.170 --> 01:00:54.570
is high on the list for . As you know

01:00:54.580 --> 01:00:57.260
president biden is big on the cancer .

01:00:57.380 --> 01:00:59.602
Another inter agency thing . We've been

01:00:59.602 --> 01:01:01.824
working with the V . A . On has been uh

01:01:01.824 --> 01:01:03.936
our long covid efforts that they have

01:01:03.936 --> 01:01:05.991
more people in their population that

01:01:05.991 --> 01:01:08.047
affects them . So we've been working

01:01:08.047 --> 01:01:09.991
with them on that . Um I mentioned

01:01:09.991 --> 01:01:11.991
earlier we do nutrition how there's

01:01:11.991 --> 01:01:14.102
gonna be a you know a big push in the

01:01:14.102 --> 01:01:16.324
military , the recruitment as we know a

01:01:16.324 --> 01:01:16.190
lot of our men and women don't really

01:01:16.190 --> 01:01:18.830
have food security . So we're working

01:01:18.830 --> 01:01:20.608
on that and how can we make our

01:01:20.608 --> 01:01:22.497
population , how there what's the

01:01:22.497 --> 01:01:24.441
choices we have ? So a lot of that

01:01:24.441 --> 01:01:27.170
start sort of day to day effort um that

01:01:27.180 --> 01:01:29.420
I sort of work on the inter agency . Oh

01:01:29.420 --> 01:01:31.364
and general place and his team are

01:01:31.364 --> 01:01:33.309
working and helping out a very big

01:01:33.309 --> 01:01:35.420
effort with the HHS on pharmaceutical

01:01:35.420 --> 01:01:37.730
program when they get to do what we in

01:01:37.730 --> 01:01:39.952
the V . A . Are doing . So he is kindly

01:01:39.952 --> 01:01:42.008
loaning some people to that effort .

01:01:42.008 --> 01:01:43.786
Okay before we move on can I do

01:01:43.786 --> 01:01:45.897
something really quick . I would like

01:01:45.897 --> 01:01:47.730
everyone here to acknowledge the

01:01:47.730 --> 01:01:49.730
fabulous efforts of general place .

01:01:49.730 --> 01:01:52.540
This is his last um M . H . S . R . S .

01:01:52.550 --> 01:01:56.170
He has been an incredible leader , a

01:01:56.180 --> 01:01:58.430
terrific gentleman officer and a

01:01:58.440 --> 01:02:00.860
gentleman and we're gonna miss him .

01:02:02.700 --> 01:02:03.700
Come on .

01:02:14.140 --> 01:02:16.480
Okay so thank you to all of our

01:02:16.480 --> 01:02:18.258
distinguished speakers for your

01:02:18.258 --> 01:02:20.650
insights and comments at this time .

01:02:20.660 --> 01:02:22.716
I'd like to turn to Colonel Jennifer

01:02:22.716 --> 01:02:24.604
stow the moderator for the awards

01:02:24.604 --> 01:02:26.660
ceremony and ask all of the speakers

01:02:26.660 --> 01:02:28.771
except Miss mullen to leave the stage

01:02:28.771 --> 01:02:30.549
and please uh take seats in the

01:02:30.549 --> 01:02:33.030
audience . Thank you . Colonel Tiner .

01:02:33.040 --> 01:02:35.262
It is my distinct pleasure to officiate

01:02:35.262 --> 01:02:39.130
at the 2022 Mh SRS recognition

01:02:39.130 --> 01:02:40.960
ceremony which recognizes the

01:02:40.960 --> 01:02:42.904
accomplishments of military health

01:02:42.904 --> 01:02:44.738
system researchers today will be

01:02:44.738 --> 01:02:47.850
presenting the 2022 Mh SRS

01:02:47.860 --> 01:02:50.720
Distinguished Service Award and the

01:02:50.720 --> 01:02:53.450
2022 M . H . S . R . S Research Team

01:02:53.450 --> 01:02:56.400
Awards . A total of 59 nomination

01:02:56.400 --> 01:02:58.890
packages were received in response to

01:02:58.890 --> 01:03:01.310
the annual call for awards for the

01:03:01.310 --> 01:03:03.199
award winners . When your name is

01:03:03.199 --> 01:03:05.254
called , please come to the stage at

01:03:05.254 --> 01:03:07.477
the conclusion of the ceremony . Please

01:03:07.477 --> 01:03:09.643
do not leave the Defense Health Agency

01:03:09.643 --> 01:03:11.643
Public Affairs Office would like to

01:03:11.643 --> 01:03:13.940
take some group photos . This morning's

01:03:13.940 --> 01:03:17.290
first award is the 2022 M H . S . R . S .

01:03:17.300 --> 01:03:19.830
Distinguished Service Award . The MH

01:03:19.830 --> 01:03:21.774
SRS Distinguished Service Award is

01:03:21.774 --> 01:03:23.830
designed to recognize an individual

01:03:23.840 --> 01:03:25.784
over the years who has contributed

01:03:25.784 --> 01:03:28.250
significantly to the success of

01:03:28.250 --> 01:03:30.600
Military health system research . This

01:03:30.600 --> 01:03:33.210
is a lifetime achievement award . This

01:03:33.210 --> 01:03:35.690
award recognizes contributions that

01:03:35.690 --> 01:03:37.301
have advanced the growth and

01:03:37.301 --> 01:03:39.301
professional growth of the military

01:03:39.301 --> 01:03:41.230
health system research and which

01:03:41.230 --> 01:03:43.341
demonstrate outstanding leadership in

01:03:43.341 --> 01:03:45.452
the pursuit of excellence for country

01:03:45.452 --> 01:03:48.530
and service . We have 2 2022

01:03:48.530 --> 01:03:52.050
winners . The 1st 2022 M H . S . R . S .

01:03:52.050 --> 01:03:53.994
Distinguished Service Award in the

01:03:53.994 --> 01:03:56.060
research category of En route care

01:03:56.070 --> 01:03:58.640
innovation is awarded to Mr Dario

01:03:58.640 --> 01:04:01.060
Rodriguez , Jr United States Air Force

01:04:01.060 --> 01:04:03.440
retired from the Air Force Research

01:04:03.440 --> 01:04:07.230
Laboratory 7 11 Human performance

01:04:07.230 --> 01:04:09.300
wing Wright Patterson Air Force Base

01:04:09.300 --> 01:04:12.510
Ohio . And the En Route Care research

01:04:12.510 --> 01:04:14.621
Director , University of Cincinnati .

01:04:14.621 --> 01:04:16.566
Cincinnati Ohio , accepting for Mr

01:04:16.566 --> 01:04:19.290
Rodriguez is his wife , Mrs Cristina

01:04:19.290 --> 01:04:21.420
Rodriguez and his son , Mr Steven

01:04:21.420 --> 01:04:22.320
Rodriguez .

01:04:30.230 --> 01:04:33.640
I'm gonna go find really good part

01:04:34.760 --> 01:04:37.070
the late Mr Dario Rodriguez understood

01:04:37.070 --> 01:04:39.126
the complexities and difficulties in

01:04:39.126 --> 01:04:41.190
the military medical continuum that

01:04:41.190 --> 01:04:43.600
required change and flexibility . He

01:04:43.600 --> 01:04:45.600
dedicated his life to ensure better

01:04:45.600 --> 01:04:47.600
warfighter care during military air

01:04:47.600 --> 01:04:50.410
evacuation . As the first respiratory

01:04:50.410 --> 01:04:52.354
therapist of the United States Air

01:04:52.354 --> 01:04:54.354
Force Elite Critical Care Transport

01:04:54.354 --> 01:04:56.580
Team R . C C A T . T . He was

01:04:56.580 --> 01:04:58.802
instrumental in the creation and key to

01:04:58.802 --> 01:05:00.913
the innovations which had resulted in

01:05:00.913 --> 01:05:03.840
99% survival rate for patients . As

01:05:03.840 --> 01:05:05.451
career field manager for the

01:05:05.451 --> 01:05:07.460
respiratory care practitioners , he

01:05:07.460 --> 01:05:09.200
required airmen certifications

01:05:09.200 --> 01:05:11.256
consistent with civilian respiratory

01:05:11.256 --> 01:05:13.311
therapist . In addition , he was the

01:05:13.311 --> 01:05:15.311
driving force behind a first of its

01:05:15.311 --> 01:05:17.710
kind clinical trial utilizing closed

01:05:17.710 --> 01:05:20.830
loop control of mechanical ventilation .

01:05:20.840 --> 01:05:24.130
His study of a cohort of critical care

01:05:24.140 --> 01:05:26.140
air transport patients from Iraq to

01:05:26.140 --> 01:05:28.029
Landstuhl Regional Medical Center

01:05:28.029 --> 01:05:30.084
Germany described for the first time

01:05:30.084 --> 01:05:32.570
the action requirements of mechanically

01:05:32.630 --> 01:05:34.690
ventilated casualties in flight As

01:05:34.690 --> 01:05:36.968
University of Cincinnati research site .

01:05:36.968 --> 01:05:39.023
Lead the efforts of Mr Rodriguez and

01:05:39.023 --> 01:05:41.246
his team moved Air Force major commands

01:05:41.246 --> 01:05:43.301
to modify Air Force instructions and

01:05:43.301 --> 01:05:45.480
CPG s . Clinical Practice guidelines

01:05:45.970 --> 01:05:48.240
and facilitated evidence based material

01:05:48.240 --> 01:05:50.073
acquisition decisions related to

01:05:50.073 --> 01:05:51.670
military and route care and

01:05:51.680 --> 01:05:53.830
expeditionary medicine . Over his

01:05:53.830 --> 01:05:56.330
career , Mr Rodriguez authored over 50

01:05:56.330 --> 01:05:58.608
publications in peer reviewed journals ,

01:05:58.608 --> 01:06:01.260
90 abstracts and three book chapters .

01:06:01.270 --> 01:06:03.660
In March of this year , Chief Rodriguez

01:06:03.660 --> 01:06:06.040
lost his five year long battle to

01:06:06.040 --> 01:06:07.700
cancer . The distinguished

01:06:07.700 --> 01:06:09.922
accomplishments of Dario Rodriguez , Jr

01:06:09.922 --> 01:06:12.260
reflect great credit on himself , the

01:06:12.260 --> 01:06:13.982
military health system and the

01:06:13.982 --> 01:06:15.316
Department of Defense .

01:06:45.040 --> 01:06:47.560
The 2nd 2022 M H . S . R . S .

01:06:47.570 --> 01:06:49.737
Distinguished Service Award is awarded

01:06:49.737 --> 01:06:51.959
in the research category of blast blunt

01:06:51.959 --> 01:06:53.848
accelerated exposure and military

01:06:53.848 --> 01:06:57.470
training experience exercises to Mr

01:06:57.470 --> 01:07:00.390
Frederick BRezosky , chief blunt impact

01:07:00.400 --> 01:07:02.344
injury prevention team , principal

01:07:02.344 --> 01:07:04.500
investigator , injury , biomechanics

01:07:04.500 --> 01:07:06.722
and Protection group from the United US

01:07:06.722 --> 01:07:08.889
Army aeromedical Research laboratory ,

01:07:08.889 --> 01:07:10.470
Fort Rucker Alabama .

01:07:21.870 --> 01:07:24.110
Mr Frederick Berezovsky has dedicated

01:07:24.110 --> 01:07:26.150
his career to research aimed at

01:07:26.150 --> 01:07:28.580
reducing the risk of war fighter injury .

01:07:28.590 --> 01:07:30.740
His research has contributed to

01:07:30.740 --> 01:07:33.380
improvements come to combat helmet to

01:07:33.380 --> 01:07:35.547
blast protection to soldier protective

01:07:35.547 --> 01:07:37.790
equipment and vehicle occupant safety

01:07:37.790 --> 01:07:40.190
systems and the implementation of test

01:07:40.190 --> 01:07:42.480
messages and devices for predicting the

01:07:42.480 --> 01:07:44.710
effectiveness is of novel protective

01:07:44.710 --> 01:07:46.932
equipment aimed at mitigating injury to

01:07:46.932 --> 01:07:50.410
soldiers and air . His work assessing

01:07:50.410 --> 01:07:52.440
the risk of aviator injury resulted

01:07:52.440 --> 01:07:54.384
from inadvertent deployment of the

01:07:54.384 --> 01:07:56.607
cockpit airbag system in the U . H . 60

01:07:56.607 --> 01:07:59.470
black in the Kawa warrior helicopters ,

01:07:59.470 --> 01:08:01.526
resulting in a redesign lowering the

01:08:01.526 --> 01:08:03.960
risk of upper extreme upper extremity

01:08:03.960 --> 01:08:06.150
energy from greater than 90% to less

01:08:06.150 --> 01:08:09.110
than 20% . He contributed significantly

01:08:09.110 --> 01:08:11.430
to aviation mishap investigations

01:08:11.440 --> 01:08:14.020
through analysis of crash damaged

01:08:14.020 --> 01:08:16.140
helmets , seating systems , occupant

01:08:16.140 --> 01:08:18.307
restraints and electronic crash sensor

01:08:18.307 --> 01:08:20.070
unit data which resulted in

01:08:20.070 --> 01:08:22.181
recommendations for improved aircraft

01:08:22.181 --> 01:08:24.580
safety . He developed the facial and

01:08:24.590 --> 01:08:26.860
ocular countermeasure safety head form

01:08:26.870 --> 01:08:29.270
the first instrumented anthropomorphic

01:08:29.280 --> 01:08:31.830
test device which provides material

01:08:31.830 --> 01:08:33.830
developers with an efficient , cost

01:08:33.830 --> 01:08:35.663
effective means of assessing the

01:08:35.663 --> 01:08:37.774
production provided by novel face and

01:08:37.774 --> 01:08:39.997
eye protection strategies . This is one

01:08:39.997 --> 01:08:42.108
of only 15 focus head forms currently

01:08:42.108 --> 01:08:43.941
in use around the world . In the

01:08:43.941 --> 01:08:45.719
civilian automative and defense

01:08:45.719 --> 01:08:47.441
industries . The distinguished

01:08:47.441 --> 01:08:49.274
accomplishments of Mr BRzezinski

01:08:49.274 --> 01:08:51.497
reflect great credit upon himself . The

01:08:51.497 --> 01:08:53.219
military health system and the

01:08:53.219 --> 01:08:52.960
Department of Defense

01:09:05.340 --> 01:09:08.040
mmH SRS Team Awards are designed to

01:09:08.040 --> 01:09:09.762
recognize outstanding research

01:09:09.762 --> 01:09:11.762
contributions by a team of research

01:09:11.762 --> 01:09:13.818
scientists with focus on significant

01:09:13.818 --> 01:09:15.873
accomplishments , accomplishments of

01:09:15.873 --> 01:09:17.929
high impact achieved during the past

01:09:17.929 --> 01:09:20.780
year . Since august 2021 . When the

01:09:20.780 --> 01:09:23.002
name of the winning team is announced ,

01:09:23.002 --> 01:09:25.058
we ask that the team leader designee

01:09:25.058 --> 01:09:28.210
Come forward . We have 4 2022 M . H . S .

01:09:28.210 --> 01:09:30.377
R . S . Team Awards to present today .

01:09:30.500 --> 01:09:33.850
The first team award is the 2022 M . H .

01:09:33.850 --> 01:09:35.683
S . R . S . Outstanding research

01:09:35.683 --> 01:09:37.794
accomplishment . Military team . This

01:09:37.794 --> 01:09:39.880
award is in the category of novel

01:09:39.880 --> 01:09:41.991
treatment strategies and technologies

01:09:41.991 --> 01:09:44.102
and hearing and balance health and is

01:09:44.102 --> 01:09:46.180
awarded to the Regional Hearing

01:09:46.180 --> 01:09:48.180
conservation program team from the

01:09:48.180 --> 01:09:50.040
Naval submarine Medical research

01:09:50.040 --> 01:09:52.850
laboratory , Naval submarine base . New

01:09:52.850 --> 01:09:54.990
London groton Connecticut . The team

01:09:54.990 --> 01:09:57.270
lead is jeremy Federman PhD accepting

01:09:57.270 --> 01:09:59.437
the award on the behalf of the team is

01:09:59.437 --> 01:10:02.020
Dr Fetterman and Miss Stephanie Crash .

01:10:15.370 --> 01:10:17.259
The regional hearing conservation

01:10:17.259 --> 01:10:19.148
programs . Teamwork significantly

01:10:19.148 --> 01:10:21.092
impacted the department offense by

01:10:21.092 --> 01:10:23.203
translating key research advancements

01:10:23.203 --> 01:10:25.037
into critical changes to hearing

01:10:25.037 --> 01:10:27.203
conservation policy and practices that

01:10:27.203 --> 01:10:29.370
support both the operational readiness

01:10:29.370 --> 01:10:31.203
and the lethality of our service

01:10:31.203 --> 01:10:33.370
members . This was accomplished by the

01:10:33.370 --> 01:10:35.790
execution of 3.3 million competitively

01:10:35.790 --> 01:10:37.901
funded Department of Defense projects

01:10:37.901 --> 01:10:40.810
leading to 46 publications , six

01:10:40.810 --> 01:10:43.080
briefings and to Department of Defense

01:10:43.090 --> 01:10:44.868
and american National Standards

01:10:44.868 --> 01:10:46.757
Institute instruction revisions ,

01:10:46.757 --> 01:10:49.210
specific contributions broadly affected

01:10:49.560 --> 01:10:52.030
defense personnel and include optimal

01:10:52.030 --> 01:10:54.252
hearing protection device , fit testing

01:10:54.252 --> 01:10:55.870
procedures , assessing the

01:10:55.870 --> 01:10:57.814
effectiveness of dozens of hearing

01:10:57.814 --> 01:11:00.690
protection devices on impulse noi noise

01:11:00.690 --> 01:11:03.350
attenuation and sound localization and

01:11:03.350 --> 01:11:05.610
evaluating head sites to optimize sonar

01:11:05.610 --> 01:11:07.640
technician performance . The

01:11:07.640 --> 01:11:09.584
distinctive accomplishments of the

01:11:09.584 --> 01:11:11.696
regional hearing conservation program

01:11:11.696 --> 01:11:14.029
team reflect great credit upon the team ,

01:11:14.029 --> 01:11:15.973
the military health system and the

01:11:15.973 --> 01:11:17.251
department of events .

01:11:26.460 --> 01:11:28.640
The next team category is outstanding

01:11:28.640 --> 01:11:30.862
research accomplishments by an academic

01:11:30.862 --> 01:11:34.320
or industry team . There are 2 2022

01:11:34.320 --> 01:11:37.620
awards in this category . The 1st 2022

01:11:37.620 --> 01:11:39.398
M . H . S . R . S . Outstanding

01:11:39.398 --> 01:11:41.620
research accomplishment in the category

01:11:41.620 --> 01:11:43.564
of team academia industry . In the

01:11:43.564 --> 01:11:45.800
research category of military exposures

01:11:45.810 --> 01:11:47.910
and subsequent long term outcomes is

01:11:47.910 --> 01:11:50.990
awarded to the noise outcomes and

01:11:50.990 --> 01:11:53.101
service members Epidemiological study

01:11:53.101 --> 01:11:55.620
team from the veteran's rehabilitation

01:11:55.620 --> 01:11:57.620
research and Development . National

01:11:57.620 --> 01:11:59.564
Center for rehabilitative auditory

01:11:59.564 --> 01:12:01.398
research Portland Oregon and the

01:12:01.398 --> 01:12:03.453
department offense Hearing Center of

01:12:03.453 --> 01:12:05.620
excellence lackland Air Force Base san

01:12:05.620 --> 01:12:07.620
Antonio texas . The team lead is Dr

01:12:07.620 --> 01:12:10.200
James Henry . Excepting for the team is

01:12:10.200 --> 01:12:12.830
Dr Henry and dr kelly . Rivas .

01:12:24.960 --> 01:12:27.071
The noise outcomes and service member

01:12:27.071 --> 01:12:29.071
epidemiology are noise study is the

01:12:29.071 --> 01:12:31.127
only department offense and Veterans

01:12:31.127 --> 01:12:32.793
administration jointly funded

01:12:32.793 --> 01:12:34.793
longitudinal epidemiologic study on

01:12:34.793 --> 01:12:36.849
hearing , health and service members

01:12:36.849 --> 01:12:38.960
and veterans across the life course .

01:12:38.960 --> 01:12:41.071
Within the past year it has finalized

01:12:41.071 --> 01:12:43.182
the development and validation of two

01:12:43.182 --> 01:12:45.182
clinical questionnaires , piloted a

01:12:45.182 --> 01:12:47.404
tablet based testing system , initiated

01:12:47.404 --> 01:12:49.670
a public see available data respiratory

01:12:49.680 --> 01:12:51.569
and expanded its reach with a new

01:12:51.569 --> 01:12:53.736
funding award . In addition to several

01:12:53.736 --> 01:12:55.640
high impact peer reviewed journal

01:12:55.640 --> 01:12:57.862
articles , the noise study is the first

01:12:57.862 --> 01:13:00.029
to demonstrate an impact of tinnitus .

01:13:00.030 --> 01:13:01.919
The most common service connected

01:13:01.919 --> 01:13:04.370
disability in the V . A . On service

01:13:04.370 --> 01:13:05.981
member job performance . The

01:13:05.981 --> 01:13:08.037
distinguished accomplishments of the

01:13:08.037 --> 01:13:10.092
noise team reflect great credit upon

01:13:10.092 --> 01:13:12.203
the team , the military health system

01:13:12.203 --> 01:13:14.160
and the Department of Defense .

01:13:18.020 --> 01:13:21.800
Mm The

01:13:21.800 --> 01:13:24.180
2nd 2022 M . H . S . R . S .

01:13:24.180 --> 01:13:26.347
Outstanding research accomplishment in

01:13:26.347 --> 01:13:28.550
the category of team academic industry

01:13:28.560 --> 01:13:30.782
and the research category of stress and

01:13:30.782 --> 01:13:32.671
adjustment disorders and military

01:13:32.671 --> 01:13:34.820
service members is awarded to the

01:13:34.820 --> 01:13:37.370
strong team consortium . Team accepting

01:13:37.370 --> 01:13:39.592
for the team is DR Allen Peterson . The

01:13:39.592 --> 01:13:40.592
team lead .

01:13:46.840 --> 01:13:50.750
Oh all right , okay .

01:13:52.390 --> 01:13:56.210
Strip about all teams

01:13:56.210 --> 01:14:00.060
coming this past year the

01:14:00.060 --> 01:14:02.790
strong store Strong star consortium

01:14:02.800 --> 01:14:05.650
published 59 scientific manuscripts

01:14:05.660 --> 01:14:07.690
including many high impact findings

01:14:07.690 --> 01:14:09.523
related to stress and adjustment

01:14:09.523 --> 01:14:11.579
disorder in military personnel . The

01:14:11.579 --> 01:14:13.570
manuscript topic included stress

01:14:13.580 --> 01:14:16.610
adjustment disorder . PtsD traumatic

01:14:16.610 --> 01:14:19.060
brain injury , suicide chronic pain ,

01:14:19.490 --> 01:14:21.630
substance use disorders , sleep

01:14:21.630 --> 01:14:23.519
disorders , tonight is and family

01:14:23.519 --> 01:14:25.630
violence and aggression . High impact

01:14:25.630 --> 01:14:27.519
publications included the largest

01:14:27.519 --> 01:14:29.574
military randomized control study in

01:14:29.574 --> 01:14:31.720
history to evaluate post traumatic

01:14:31.730 --> 01:14:34.970
headache . Academy in for PTSD exercise

01:14:34.970 --> 01:14:37.190
for PTSD and the development of novel

01:14:37.190 --> 01:14:39.301
web and telehealth treatment delivery

01:14:39.301 --> 01:14:41.900
approaches to overcome covid related

01:14:41.910 --> 01:14:44.550
research restrictions . This research

01:14:44.550 --> 01:14:46.717
will significantly advance science and

01:14:46.717 --> 01:14:48.439
directly impact the health and

01:14:48.439 --> 01:14:50.661
readiness of military service members .

01:14:50.661 --> 01:14:52.661
The distinct accomplishments of the

01:14:52.661 --> 01:14:54.772
strong star team reflect great credit

01:14:54.772 --> 01:14:56.772
upon the team , the military health

01:14:56.772 --> 01:14:58.939
system and the Department of Defense .

01:15:05.930 --> 01:15:06.800
Thank you

01:15:10.670 --> 01:15:13.020
the final award . Outstanding research

01:15:13.020 --> 01:15:15.131
accomplishment and program management

01:15:15.131 --> 01:15:18.150
is a new award for 2022 . This award is

01:15:18.150 --> 01:15:20.040
designed to recognize outstanding

01:15:20.040 --> 01:15:22.350
medical Product Program management . It

01:15:22.350 --> 01:15:24.350
focuses on the accomplishments of a

01:15:24.350 --> 01:15:26.239
team that is charged with further

01:15:26.239 --> 01:15:28.017
maturing a medical research and

01:15:28.017 --> 01:15:30.150
development of or a commercial effort

01:15:30.160 --> 01:15:31.771
by addressing and minimizing

01:15:31.771 --> 01:15:33.960
developmental risk managing cost ,

01:15:33.970 --> 01:15:36.081
schedule and performance and adhering

01:15:36.081 --> 01:15:38.490
to all optical regulatory requirements .

01:15:38.810 --> 01:15:40.800
The end goal of the effort is the

01:15:40.800 --> 01:15:43.160
fielding delivering of a product to the

01:15:43.160 --> 01:15:45.130
war fighter and filling a military

01:15:45.130 --> 01:15:48.430
medical capability gap . The 2022 M . H .

01:15:48.430 --> 01:15:51.010
S . R . Red Image award Award for the

01:15:51.010 --> 01:15:53.232
outstanding research accomplishment and

01:15:53.232 --> 01:15:55.620
program management is awarded to the

01:15:55.620 --> 01:15:57.660
Rapid opioid Countermeasure service

01:15:57.660 --> 01:15:59.720
Team . Joint program Manager , see

01:15:59.720 --> 01:16:01.620
Bernie Medical . Joint program

01:16:01.620 --> 01:16:03.770
Executive office for see Bernie

01:16:04.280 --> 01:16:07.320
accepting for the team is Mr Shah . The

01:16:07.320 --> 01:16:10.120
team lead Colonel Matthew Clark . The

01:16:10.120 --> 01:16:12.009
joint project Manager for the C .

01:16:12.009 --> 01:16:14.570
Bernie Medical and Mr . Geoff Sanderson ,

01:16:14.580 --> 01:16:16.858
the deputy joint project manager for C .

01:16:16.858 --> 01:16:17.858
Bernie Medical .

01:16:27.850 --> 01:16:29.906
The Rapid opioid Countermeasure Team

01:16:29.906 --> 01:16:31.750
System Team is recognized for

01:16:31.750 --> 01:16:33.750
excellence and support of the joint

01:16:33.750 --> 01:16:36.070
project Manager for c burning efforts

01:16:36.070 --> 01:16:38.292
to increase warfighter readiness and to

01:16:38.292 --> 01:16:40.403
reduce the operational risk to opioid

01:16:40.403 --> 01:16:42.403
threats . The team was charged with

01:16:42.403 --> 01:16:44.292
delivering a lifesaving farm life

01:16:44.292 --> 01:16:46.459
saving pharmaceutical to combat opioid

01:16:46.459 --> 01:16:48.580
exposures . They targeted naloxone a

01:16:48.580 --> 01:16:50.780
fast acting opiate therapeutic . The

01:16:50.780 --> 01:16:53.330
resulting product a 10 mg naloxone auto

01:16:53.330 --> 01:16:55.090
injector not only delivered a

01:16:55.090 --> 01:16:57.312
therapeutic but also a product that can

01:16:57.312 --> 01:16:59.280
be used in prophylactics using

01:16:59.280 --> 01:17:01.502
innovative strategies . Team goals were

01:17:01.502 --> 01:17:03.447
accomplished ahead of schedule and

01:17:03.447 --> 01:17:05.502
under budget and satisfied demanding

01:17:05.502 --> 01:17:07.613
criteria in both the department event

01:17:07.613 --> 01:17:09.336
acquisition as well as the FDA

01:17:09.336 --> 01:17:11.680
regulatory process . The first FDA

01:17:11.680 --> 01:17:14.110
approved batch of 10 mg naloxone auto

01:17:14.110 --> 01:17:17.250
injector shipped in june 2022 . The

01:17:17.250 --> 01:17:19.472
team's efforts demonstrate a major step

01:17:19.472 --> 01:17:21.472
forward to protect and maintain the

01:17:21.472 --> 01:17:23.417
readiness of the joint force . The

01:17:23.417 --> 01:17:25.472
distinguished accomplishments of the

01:17:25.472 --> 01:17:27.806
rapid rapid opioid count matches system .

01:17:27.806 --> 01:17:29.806
Team reflects great credit upon the

01:17:29.806 --> 01:17:31.917
team , the military health system and

01:17:31.917 --> 01:17:35.530
the department offense to stage a bit

01:17:35.530 --> 01:17:38.230
early . Right now you're saying you

01:17:38.230 --> 01:17:42.040
have a favorite . So this completes the

01:17:42.040 --> 01:17:44.110
2022 awards ceremony for the

01:17:44.110 --> 01:17:46.054
outstanding accomplishments of the

01:17:46.054 --> 01:17:48.210
military medical research . Thank you