WEBVTT 00:00.000 --> 00:02.111 Couple of redness if appointments and 00:02.111 --> 00:04.333 access can be taken by a sister service 00:04.333 --> 00:06.920 member . Hey , thanks for that question . 00:06.930 --> 00:09.580 Um First thought , I think it's not 00:09.580 --> 00:12.030 ideal , it's real . So the way it's 00:12.030 --> 00:14.252 actually executing , let's take the N C 00:14.252 --> 00:17.300 R um as the agency , we optimize 00:17.310 --> 00:20.920 capacity , the services provide 00:20.930 --> 00:23.560 manpower . And if you go to Fort 00:23.560 --> 00:25.671 Belvoir right now , it doesn't matter 00:25.671 --> 00:28.060 what color uniform you wear , you get 00:28.060 --> 00:30.410 your assessment , it gets documented in 00:30.410 --> 00:32.270 a service system and we may take 00:32.280 --> 00:35.800 greatness . That's 00:35.810 --> 00:38.550 what I would add is that realistically , 00:38.550 --> 00:42.000 we must understand that that the MHS is 00:42.000 --> 00:45.290 an ecosystem of interdependent 00:45.300 --> 00:48.210 organizations , we have supported and 00:48.210 --> 00:50.380 supporting requirements and just like 00:50.380 --> 00:53.010 an ecosystem , sometimes lines are 00:53.010 --> 00:56.120 blurred , but we must work together in 00:56.120 --> 00:58.342 order to survive . And that teamwork in 00:58.342 --> 01:00.509 that ecosystem is how we'll be able to 01:00.509 --> 01:04.430 accomplish that . And that is a really 01:04.430 --> 01:07.370 good question . And to be fully 01:07.370 --> 01:09.592 transparent here , it is a challenge in 01:09.592 --> 01:11.970 some locations and gets back to the 01:11.970 --> 01:14.650 fact that every M T F , every market , 01:14.650 --> 01:17.240 every community is different . So if 01:17.240 --> 01:20.950 you're at a isolated base all by itself , 01:20.960 --> 01:24.560 it's not . Uh But if you're in a market 01:24.560 --> 01:26.449 where there's multiple services , 01:26.449 --> 01:30.390 multiple basis . And sometimes , uh 01:30.400 --> 01:34.250 you know , we try to each M T F earns 01:34.250 --> 01:36.361 their bodies based on the active duty 01:36.361 --> 01:38.472 population that base . And if there's 01:38.472 --> 01:40.528 other services that want to come for 01:40.528 --> 01:42.583 whatever reason , I mean , we try to 01:42.583 --> 01:44.694 support them but , but the developing 01:44.694 --> 01:46.694 rules that would determine who goes 01:46.694 --> 01:48.806 where is probably one of those things 01:48.806 --> 01:50.750 that we do need to focus on moving 01:50.750 --> 01:53.150 forward and I would just add one team , 01:53.150 --> 01:55.450 one fight . So certainly we strive to 01:55.460 --> 01:58.130 make sure that , that we're producing 01:58.140 --> 02:00.196 readiness no matter what uniform you 02:00.196 --> 02:02.280 were in . Uh and as well as family 02:02.280 --> 02:04.558 readiness , we can't forget that piece . 02:04.558 --> 02:06.502 I do think there are opportunities 02:06.502 --> 02:08.502 going forward to think about how we 02:08.502 --> 02:10.836 combine our readiness reporting systems . 02:10.836 --> 02:13.150 But I think we saw during COVID and I'm 02:13.150 --> 02:15.372 sure Paul can speak to this some of the 02:15.372 --> 02:18.010 challenges of synthesizing that data . 02:18.010 --> 02:20.160 So we can give an accurate holistic 02:20.170 --> 02:23.390 picture of , of readiness vaccination 02:23.390 --> 02:25.501 and illness and that sort of thing to 02:25.501 --> 02:29.480 our leaders . And thanks to , I 02:29.490 --> 02:31.601 would say for everybody , this is one 02:31.601 --> 02:33.768 of the questions that chairman asked . 02:33.768 --> 02:35.990 Every , every time we have a discussion 02:35.990 --> 02:38.101 about military medicine is how can he 02:38.101 --> 02:40.268 and other senior leaders see what they 02:40.268 --> 02:42.379 need to see about us ? And it was all 02:42.379 --> 02:44.434 about data sharing . How do we moved 02:44.434 --> 02:46.379 from Stovepipe legacy systems that 02:46.379 --> 02:48.601 don't communicate well to an enterprise 02:48.601 --> 02:50.823 view and that , you know , D J is doing 02:50.823 --> 02:52.934 tremendous work in this area . We all 02:52.934 --> 02:55.157 need to help them be successful so that 02:55.157 --> 02:57.379 we can build that visibility for senior 02:57.379 --> 02:59.830 leaders across the enterprise . Thank 02:59.830 --> 03:03.320 you , Doctor Woodson . What is us you 03:03.330 --> 03:05.630 doing to ensure skills sustainment for 03:05.630 --> 03:07.574 medical providers ? And how is usu 03:07.574 --> 03:09.630 adapting its training to prepare the 03:09.630 --> 03:12.210 next generation for practice ? Thanks 03:12.210 --> 03:14.266 very much for that question . I just 03:14.266 --> 03:16.154 want to point out one issue , one 03:16.154 --> 03:20.050 remarkable fact . if you look 03:20.050 --> 03:22.650 on this stage usu usu 03:23.420 --> 03:26.900 uh 03:30.840 --> 03:34.560 uh work clearly , I think a key 03:34.560 --> 03:37.830 stakeholder in the development of uh 03:37.840 --> 03:39.600 strategic leaders and health 03:39.610 --> 03:41.680 professionals . Um And I couldn't be 03:41.690 --> 03:44.710 more proud of uh the men and women that 03:44.710 --> 03:46.960 come out of us , you and why I wanted 03:46.960 --> 03:49.182 to be part of that great organization . 03:49.182 --> 03:51.293 But to answer your question , uh some 03:51.293 --> 03:53.970 time ago when I was in the Pentagon , 03:53.980 --> 03:56.520 we recognized that uh there was a 03:56.530 --> 03:59.370 growing gap between what we were asking 03:59.380 --> 04:01.269 health professionals to do in the 04:01.269 --> 04:03.380 deployed environment versus what they 04:03.380 --> 04:06.060 might be doing in Cody's based practice , 04:06.060 --> 04:08.480 whether it was a military for reserve 04:08.480 --> 04:11.500 folks in their individual practices . 04:11.510 --> 04:14.680 Uh And this is part of the 04:15.020 --> 04:17.131 issue that will address later , which 04:17.131 --> 04:20.650 is uh the enormous explosion and 04:20.650 --> 04:23.080 medical knowledge . Um the increase of 04:23.080 --> 04:26.570 specialization that goes on . And so we 04:26.570 --> 04:29.580 were looking at this issue first from 04:29.590 --> 04:32.990 the point of view of some of those more 04:33.000 --> 04:35.380 finally skilled specialist surgeons , 04:35.390 --> 04:38.050 if you will and saying okay , how can 04:38.050 --> 04:40.106 we close this gap particularly as it 04:40.106 --> 04:43.430 relates to trauma skills . And uh Erik 04:43.430 --> 04:46.500 Elster and others took this on with the 04:46.510 --> 04:49.750 passion um and helped develop 04:49.760 --> 04:53.700 a way of assessing the cognitive gap , 04:53.710 --> 04:56.410 a way of assessing the skills gap and 04:56.410 --> 04:58.632 actually work with the American College 04:58.632 --> 05:02.280 of Surgeons to develop a computer 05:02.280 --> 05:05.090 based program to help close those we 05:05.090 --> 05:07.470 still need to of course work on 05:07.480 --> 05:10.520 advanced simulation platforms to close 05:10.530 --> 05:13.450 part of the skills gathering and then a 05:13.460 --> 05:16.570 network of seasonal partnerships or 05:16.580 --> 05:19.620 partnerships within the military 05:19.620 --> 05:22.310 services to give clinical practical , 05:22.320 --> 05:25.110 to ensure that we have the right skill 05:25.110 --> 05:27.760 set . When deployed . The point I want 05:27.760 --> 05:30.760 to make though is that it began with 05:30.770 --> 05:33.430 the surgical subspecialties . Uh But we 05:33.440 --> 05:35.551 really need to look across the entire 05:35.551 --> 05:38.120 spectrum of health providers to ensure 05:38.120 --> 05:41.590 that our medics or nurses . Uh Anyone 05:41.590 --> 05:43.757 were asked in harm's way has the right 05:43.757 --> 05:46.610 uh skills to do the job that is asked 05:46.610 --> 05:50.070 of them . Uh with the services I think 05:50.080 --> 05:52.247 we're getting there getting after this 05:52.247 --> 05:55.580 issue we have , I see TLS now that uh 05:55.590 --> 05:58.140 document what is necessary and what are 05:58.140 --> 06:00.500 the gaps and designing training 06:00.500 --> 06:02.500 opportunities for all of our health 06:02.500 --> 06:05.800 professionals ? Thank you , General 06:05.800 --> 06:07.856 Friedrich . How are medical manpower 06:07.856 --> 06:09.911 and infrastructure changes impacting 06:09.911 --> 06:12.022 the joint concept for health services 06:12.022 --> 06:14.133 in the joint medical estimate ? Thank 06:14.133 --> 06:16.189 you S T Mullen . And for everyone in 06:16.189 --> 06:18.022 the audience , the joint medical 06:18.022 --> 06:20.133 estimate , if you haven't heard of it 06:20.133 --> 06:22.078 is relatively new requirement that 06:22.078 --> 06:24.244 Congress imposed on us largely because 06:24.244 --> 06:26.467 they were frustrated that they couldn't 06:26.467 --> 06:28.189 get a good picture of what the 06:28.189 --> 06:30.540 requirements were , where the gaps were 06:30.550 --> 06:33.450 and what risk that created . And so 06:33.450 --> 06:35.770 they task the joint staff to develop 06:35.770 --> 06:37.881 this on an annual basis . And some of 06:37.881 --> 06:39.992 you may see this year's joint medical 06:39.992 --> 06:42.270 estimate , it went out in coordination , 06:42.270 --> 06:43.826 graduate last years without 06:43.826 --> 06:45.770 coordination last week . But it is 06:45.770 --> 06:47.770 designed to leverage the chairman's 06:47.770 --> 06:49.881 authority as the global integrator is 06:49.881 --> 06:51.826 the senior medical officer to look 06:51.826 --> 06:54.048 across the enterprise and identify what 06:54.048 --> 06:56.103 the globally integrated requirements 06:56.103 --> 06:58.270 are . What is it that our line leaders 06:58.270 --> 07:00.150 have tasked us to do ? How well 07:00.150 --> 07:02.150 postured are we to do it ? And then 07:02.150 --> 07:04.094 describe where there are gaps that 07:04.094 --> 07:06.150 create risk . One of the things that 07:06.150 --> 07:08.290 that's helping us to do is to realize 07:08.290 --> 07:10.346 is general dingle said that we're an 07:10.346 --> 07:12.512 ecosystem we're working together . And 07:12.512 --> 07:14.401 if one part of the system changes 07:14.401 --> 07:16.400 something it can negatively impact 07:16.400 --> 07:18.880 another part of the system , the cocom 07:18.890 --> 07:21.420 rely on the services to provide well 07:21.420 --> 07:23.531 trained and equipped men and women in 07:23.531 --> 07:26.655 uniform D H A provide the platforms for 07:26.655 --> 07:28.655 them to do that . The joint medical 07:28.655 --> 07:30.655 estimate helps us describe how well 07:30.655 --> 07:32.822 we're doing . And as we're seeing with 07:32.822 --> 07:35.044 some of the planned manpower reductions 07:35.044 --> 07:37.211 and other changes , those are going to 07:37.211 --> 07:39.155 create challenges for us . I don't 07:39.155 --> 07:41.322 think that's a surprise for anybody in 07:41.322 --> 07:43.433 the room trying to do the same amount 07:43.433 --> 07:45.599 of work or more with fewer people will 07:45.599 --> 07:47.711 be a challenge . And the value of the 07:47.711 --> 07:49.877 analysis that we're doing right now is 07:49.877 --> 07:51.933 looking across the entire enterprise 07:51.933 --> 07:53.988 and figuring out how best to balance 07:53.988 --> 07:56.590 that risk for the entire enterprise so 07:56.590 --> 07:58.368 that we can bring back the best 07:58.368 --> 08:01.570 integrated system that we can . Thank 08:01.570 --> 08:03.710 you . So this next is a two part 08:03.710 --> 08:06.043 question for the surgeons general . Now , 08:06.043 --> 08:08.210 Starboard General dingle , what milled 08:08.210 --> 08:10.377 up roles and responsibilities are most 08:10.377 --> 08:12.154 critical and support of medical 08:12.154 --> 08:14.377 greatness and the ready medical force . 08:14.377 --> 08:16.488 And which of these are seen as shared 08:16.488 --> 08:19.020 services across the departments ? I 08:19.030 --> 08:20.919 would answer that question , Miss 08:20.919 --> 08:24.160 Mullen And Say Title 10 . The 08:24.170 --> 08:26.510 responsibilities that we as surgeon 08:26.520 --> 08:29.240 generals have is to recruit , organized , 08:29.250 --> 08:32.460 train equally and lead our forces and 08:32.460 --> 08:35.010 support of our services . That 08:35.010 --> 08:38.790 responsibility kind of charges 08:38.790 --> 08:42.240 us to make sure that the medical my 08:42.240 --> 08:45.110 case soldiers professional medics are 08:45.110 --> 08:48.930 prepared to execute their missions 08:48.940 --> 08:52.700 when called upon in combat as we work 08:52.710 --> 08:54.877 with the defense health agency again , 08:54.877 --> 08:58.000 as an ecosystem interdependent , the 08:58.010 --> 09:00.460 platform that she's providing us is 09:00.470 --> 09:02.570 generating readiness of our medical 09:02.570 --> 09:04.820 professionals . So it's a team is the 09:04.830 --> 09:07.440 ecosystem interdependent in which the 09:07.440 --> 09:10.380 supported and supporting rules are 09:10.390 --> 09:12.620 clear . Title 10 . But it's our 09:12.620 --> 09:14.960 responsibility again to make sure that 09:14.970 --> 09:17.130 when , when that crime medic goes out 09:17.130 --> 09:19.130 that that medic can save life limit 09:19.130 --> 09:22.430 eyesight , General Miller , 09:23.680 --> 09:25.680 I think all of the surgeons on the 09:25.680 --> 09:28.560 stage would concur that I mean , we 09:28.560 --> 09:32.280 exist for that readiness mission , How 09:32.280 --> 09:33.947 we get at that . There's some 09:33.947 --> 09:35.613 similarities , there are some 09:35.613 --> 09:37.502 differences and it's , you know , 09:37.502 --> 09:39.613 thanks to the support of the DHA just 09:39.613 --> 09:41.850 looking back over the last 10 years . I 09:41.850 --> 09:44.017 mean , it's kind a long way from those 09:44.017 --> 09:46.630 original 10 shared services . Some of 09:46.630 --> 09:49.180 them have been a little easier , the 09:49.180 --> 09:52.130 crack that , that not figure out how to 09:52.130 --> 09:55.650 support like I T uh and and 09:55.660 --> 09:57.716 pharmacy , others have been a little 09:57.716 --> 09:59.938 more challenging , still important like 09:59.938 --> 10:01.993 public health and logistics . But at 10:01.993 --> 10:04.216 the end of the day , it is about how do 10:04.216 --> 10:07.250 we create ready medics and , and in the 10:07.250 --> 10:09.810 Air force , we do believe that our MTs , 10:09.810 --> 10:12.320 our readiness training platforms . 10:12.330 --> 10:14.497 That's why if you go into an Air Force 10:14.497 --> 10:16.608 MTs majority , the folks you're gonna 10:16.608 --> 10:20.470 see there will be in uniform and at the 10:20.480 --> 10:23.570 core of being prepared to go to war is 10:23.570 --> 10:26.380 doing your job well , delivering that 10:26.390 --> 10:28.446 health care benefits , whatever your 10:28.446 --> 10:30.501 job is , whether you're a doctor , a 10:30.501 --> 10:32.668 nurse attack . And so that that lowest 10:32.668 --> 10:35.180 level is , is being really good as a 10:35.180 --> 10:38.180 medic . And then we kind of specialize 10:38.180 --> 10:41.650 from there . Uh As far as how air force 10:41.650 --> 10:44.710 specific training based upon whatever 10:44.720 --> 10:46.664 right , this team Iran will , will 10:46.664 --> 10:48.776 build from there . Sometimes that can 10:48.776 --> 10:50.998 be done in an M T F and we have to send 10:50.998 --> 10:53.470 folks to another facility of V A 10:53.480 --> 10:56.410 private partnership . But , but if we 10:56.410 --> 10:58.632 can make that happen within the M T F . 10:58.632 --> 11:01.480 That's always the goal . Yeah . And I 11:01.490 --> 11:05.310 thoroughly agree . Uh , we early on , I 11:05.310 --> 11:07.366 think there was a tendency to try to 11:07.366 --> 11:09.254 separate the healthcare , quote , 11:09.254 --> 11:11.310 healthcare benefit , our health care 11:11.310 --> 11:13.366 delivery from reading this mission . 11:13.366 --> 11:15.532 And I think we recognize , and I think 11:15.532 --> 11:17.866 all of us when we really think about it , 11:17.866 --> 11:19.977 recognize that it's a continue . Um , 11:19.977 --> 11:22.360 and hopefully it overlaps to a great 11:22.360 --> 11:24.582 extent , uh , to General Miller's point 11:24.582 --> 11:26.970 where it doesn't , we have partnerships 11:26.970 --> 11:29.081 where we , where we fill those gaps . 11:29.081 --> 11:31.470 But ultimately , uh you know , we take 11:31.480 --> 11:33.702 care of ourselves . We all have skin in 11:33.702 --> 11:36.220 this game . Uh And so , so making sure 11:36.220 --> 11:38.331 that we're performing that healthcare 11:38.331 --> 11:40.442 benefit mission to the maximum extent 11:40.442 --> 11:43.260 possible . We're attracting uh those 11:43.270 --> 11:46.030 high complexity cases at a high volume 11:46.040 --> 11:49.200 to meet the K S A is , uh that Doctor 11:49.200 --> 11:51.420 Woodson spoke to is the name of the 11:51.440 --> 11:53.329 game . We go forward . I think we 11:53.329 --> 11:55.440 continue to refine our roles and 11:55.440 --> 11:57.496 responsibilities . We understand the 11:57.496 --> 11:59.551 supported , supporting relationships 11:59.551 --> 12:01.829 better , but that's a work in progress . 12:01.829 --> 12:03.884 But I can tell you that everybody on 12:03.884 --> 12:05.940 this stage is committed to getting , 12:05.940 --> 12:08.107 getting there to where we need to be . 12:08.107 --> 12:10.384 So that , uh to General Miller's point , 12:10.384 --> 12:12.662 uh when , when the team goes downrange , 12:12.662 --> 12:14.829 they're ready to go and we're offering 12:14.829 --> 12:16.996 absolutely the best possible care that 12:16.996 --> 12:19.218 we can . Thank you , General Crossing . 12:19.218 --> 12:21.470 How are we ensuring ready , reliable 12:21.470 --> 12:23.414 health care when the care is moved 12:23.414 --> 12:25.410 outside the M T F . What is the 12:25.410 --> 12:27.380 solution for access to care as we 12:27.390 --> 12:29.290 decrease our medical providers , 12:29.300 --> 12:33.250 technicians . So I get to make comments 12:33.250 --> 12:36.370 after this . And so I'll say the vision 12:36.380 --> 12:38.380 of the agency and the mission we're 12:38.380 --> 12:41.040 going , I would not pretend to have the 12:41.040 --> 12:43.151 hubris to say I have the solution for 12:43.151 --> 12:46.060 access . I think we've all heard that 12:46.070 --> 12:48.310 there's a challenge in the U S 12:48.310 --> 12:50.421 healthcare and military health system 12:50.421 --> 12:53.030 is a subset of that . Um I do want to 12:53.040 --> 12:55.930 push a little bit back on the pairing 12:55.930 --> 12:58.940 of keeping the medical force ready to 12:58.940 --> 13:02.830 deploy with The priority of access . We 13:02.830 --> 13:05.550 really have to kind of what uh Gilly 13:05.550 --> 13:07.772 has just said we have to own the entire 13:07.772 --> 13:09.883 mission set . And the last thing I'll 13:09.883 --> 13:12.106 add is is we talk , we're talking quite 13:12.106 --> 13:14.217 a bit about the direct system . And I 13:14.217 --> 13:14.130 want to say aloud to everyone in the 13:14.130 --> 13:16.600 room as a director . I understand I 13:16.600 --> 13:19.260 have both missions . I have the network 13:19.270 --> 13:23.090 and the 9.5 , million beneficiaries as 13:23.090 --> 13:25.430 well as direct system and our ability 13:25.430 --> 13:27.652 to integrate both of those will help us 13:27.652 --> 13:29.874 with some of our challenges of access . 13:30.190 --> 13:32.660 Thank you , Doctor Woodson . In 13:32.660 --> 13:34.827 addition to the internal MHS , changes 13:34.827 --> 13:36.827 are in many changes occurring . The 13:36.827 --> 13:38.549 civilian healthcare industry , 13:38.549 --> 13:40.660 universities provide many services to 13:40.660 --> 13:42.382 our society to include thought 13:42.382 --> 13:44.493 leadership on future changes required 13:44.493 --> 13:46.604 to be in relevant as the president of 13:46.604 --> 13:48.549 the only Federal Government Health 13:48.549 --> 13:50.771 Sciences University . Please share your 13:50.771 --> 13:52.771 thoughts on how the M A S M H s can 13:52.771 --> 13:54.549 enhance its posture to meet its 13:54.549 --> 13:56.716 quadruple in strategic mission through 13:56.716 --> 13:58.938 leveraging the emerging technologies of 13:58.938 --> 14:01.160 the digital age . Yeah , that's a great 14:01.160 --> 14:03.216 question . And I'll have more to say 14:03.216 --> 14:05.540 about that in my following comments uh 14:05.550 --> 14:08.460 during my part of the session . But the 14:08.460 --> 14:11.770 issue begins with again , uh 14:11.780 --> 14:15.450 development of healthcare professionals 14:15.460 --> 14:18.810 who can uh meet the 14:18.820 --> 14:22.190 mission requirements of the military 14:22.190 --> 14:24.610 health system , particularly strategic 14:24.610 --> 14:26.950 leadership . Uh And so there are two 14:26.950 --> 14:30.570 parts , they need to be clinically uh 14:30.580 --> 14:32.700 excellent uh but they need to be 14:32.700 --> 14:36.280 trained as leaders . Um When I give my 14:36.280 --> 14:38.502 discussion later , we'll talk about the 14:38.502 --> 14:40.760 evolving situation and healthcare and 14:40.760 --> 14:42.927 emergence of health technologies . But 14:42.927 --> 14:45.149 one of the things that the university I 14:45.149 --> 14:47.260 think it helped with is understanding 14:47.260 --> 14:49.730 uh where health care is going in the 14:49.730 --> 14:52.680 future . How do we plan to in fact 14:52.690 --> 14:55.660 incorporate new technologies ? Uh How 14:55.660 --> 14:59.550 do we create um health professions , 14:59.560 --> 15:01.980 professionals who understand how to 15:01.990 --> 15:05.460 innovate at scale and speed and to help 15:05.470 --> 15:09.210 them with their hill system mature as 15:09.210 --> 15:12.690 it goes along ? Uh So we have the 15:12.690 --> 15:16.600 ability also , I think to um uh 15:16.930 --> 15:19.790 skunk works . If you will were an 15:19.790 --> 15:22.340 academic endeavor , we need to be 15:22.350 --> 15:25.450 bringing that research , that 15:25.460 --> 15:28.760 innovative thought process , uh asking 15:28.760 --> 15:31.600 those questions , testing them out , 15:31.610 --> 15:34.500 doing the research behind it to supply 15:34.510 --> 15:36.621 additional information to the M H S . 15:36.621 --> 15:39.930 So I see the university operating in 15:39.930 --> 15:43.160 many , many different ways to support 15:43.170 --> 15:46.560 uh M H S evolution and transition . 15:46.990 --> 15:50.640 Um The last piece of this is that we 15:50.640 --> 15:52.696 need to be constantly thinking about 15:52.696 --> 15:55.700 how we evolve uh pedagogy , the 15:55.710 --> 15:59.680 curriculum , what is , what is , is 15:59.690 --> 16:03.250 what is it should be teaching our 16:03.260 --> 16:05.316 students so that they're relevant to 16:05.316 --> 16:08.125 the future . Um I think that there are 16:08.135 --> 16:10.595 many universities and health 16:10.595 --> 16:14.095 professions , um colleges and 16:14.095 --> 16:17.805 universities that are really starting 16:17.805 --> 16:20.605 to turn out almost a product that is 16:20.605 --> 16:23.320 anachronistic um not 16:23.330 --> 16:27.140 uh professionals and students who are 16:27.140 --> 16:29.307 graduating without the skills that are 16:29.307 --> 16:32.170 going to be important to society uh 16:32.180 --> 16:34.410 today or tomorrow . Uh We need to be 16:34.410 --> 16:35.510 ahead of that curve .