Dean Brown’s State of the School & Annual AYAM Meeting

June 25, 2021

Information

All alumni meeting to hear the latest YSM highlights from Dean Nancy Brown and to vote on the newest AYAM board members, along with the presentation of the 2021 Distinguished Alumni Service Awards.

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00:11Welcome to Dean Brown, state of the school,
00:14in the annual AY AM meeting.
00:17You may switch your view at anytime during
00:19the event between gallery and speaker view.
00:22Please rename yourself using your first
00:24and last name by hovering over your image,
00:27right clicking and selecting rename.
00:29This meeting will be recorded. Thank you.
00:55Lillian, if you'd like to get started
00:57with introductions, thank you.
00:59Welcome to the annual meeting of the
01:01Association of Yellow on my medicine.
01:04My name is Lily Nacba and I've
01:06been proud to serve as president
01:08of our Alumni Association for the
01:10last two years on the member of
01:13the Class of 1996 by 25th Reunion,
01:15and I wish to congratulate
01:16everyone on a milestone year.
01:18Thank you for attending our Yale
01:20School of Medicine Virtual Union,
01:22and I hope you've taken advantage of
01:24the chance to attend presentations by
01:26not only or bias and faculty members,
01:29but for faculty across young university.
01:31It's my pleasure to now ask D
01:33Nancy Brown to share with us
01:35the latest news from here.
01:39Thank you so much.
01:41Anne Lillian, thank you for.
01:44Your remarkable service and the
01:46times that we have met have been
01:49very informative and and I appreciate
01:52that I'm going to share my slides.
01:55It's an honor to share with you a little
01:58bit about the state of the school.
02:01I have been at the school
02:04exactly 15 months and it's been
02:07a somewhat eventful 15 months.
02:09But I'd like to start with
02:12our mission statement,
02:13which we revised in the last year
02:16during the midst of our pandemic,
02:18and I must say that I was not
02:21sure that we would be able to
02:24do this and garner the type of
02:27input that we aspired to garner.
02:30But in fact,
02:31Zoom is a very good medium for gathering.
02:36Input and we had roughly 1500
02:39people participate in this,
02:40with many focus groups including
02:43focus groups in which you
02:45participated and this was the result.
02:48Yale School of Medicine educates
02:50and nurtures creative leaders
02:52in medicine and science,
02:53promoting curiosity and critical
02:55inquiry in an inclusive
02:57environment enriched by diversity.
02:59Those words promoting curiosity
03:01and critical inquiry speak to the
03:04importance of the health system.
03:06Here and the words clusion
03:09diversity had not previously
03:11appeared in our mission statement.
03:13We advance discovery and innovation,
03:15fostered by partnerships across
03:17the university or a local
03:19community and the world.
03:21Acknowledging that we are not in a silo,
03:24but that we are stronger and make better
03:27contributions when we're collaborating,
03:29including with our community of New Haven.
03:32And we care for patients with compassion and
03:36commit to improving the health of all people.
03:39Again, referring to our own
03:41patient physician relationship,
03:42but also to our responsibility
03:45to our community.
03:47Let me start with some sharing with you.
03:51Some of the success of our faculty.
03:54Again, it's been an extraordinary year.
03:56Joan Steitz seems to win a new
04:00lifetime achievement award for her
04:02work with RNA at least once a week.
04:05Steven Stritmater was named the King Faisal,
04:08recipient of the King Faisal
04:11Prize for medicine.
04:12Joan shared with me that the Wolf Prize
04:15was particularly meaningful to her
04:17because she shared it with some of her.
04:19Her closest colleagues in the
04:21world of RNA biology.
04:23We had several faculty inducted into
04:25the National Academy of Sciences
04:27and National Academy of Medicine,
04:29as well as into the Academy American
04:32Academy of Arts and Sciences.
04:35We also had three faculty members
04:37inducted into the Association
04:38of American Physicians,
04:40an three into the American Society
04:42for Clinical Investigation.
04:43Of course,
04:44our Honor Society for physician
04:46scientists and I'd like to
04:48highlight that Nancy Rudell,
04:49a member of our faculty in the
04:52Yale School of Public Health,
04:54was given the Connecticut Medal of
04:56Science award from the Connecticut
04:57Academy of Science and Engineering,
05:00and many members of our faculty
05:02were inducted into case this year.
05:06We have made a real effort
05:09to recognize our faculty,
05:10not just for those types of achievements,
05:13but for their citizenship and their
05:15contributions to the school as well.
05:17With a new web page that that hits
05:20our email every Wednesday morning,
05:22for example, I would.
05:23I would highlight this story at the bottom
05:26trainers celebrated for aid to a colleague.
05:29This is one of our neurology
05:32fellows who came to the aid of a
05:35of a nurse in the hospital who.
05:37Was abused by a patient and
05:39he stepped up and we wanted to
05:41acknowledge that kind of behavior,
05:43but so this is one of my
05:46favorite emails in the morning.
05:48Let me speak a little bit
05:50to culture and climate.
05:52When I arrived at Yale.
05:55There were a number of issues related to.
05:58I would say very public cases of
06:02sexual harasment and what I realized
06:04early on was that we had an issue with
06:08inadequate infrastructure to recognize
06:11unprofessional behavior early and to
06:14intervene early before it became an issue.
06:17And we revised our office for Faculty
06:20Affairs as our office for academic
06:24and Professional Development.
06:26And Linda Mays,
06:27shown here,
06:27did quite a bit of work in establishing
06:30our infrastructure to intervene
06:32early and to hold our faculty
06:34accountable and in parallel with that.
06:36We've done a lot of work around
06:39leadership development in how
06:41we do searches for leaders,
06:42and I'll share some of the
06:45results of our recent searches,
06:47but also in how we prepare new section
06:49chiefs and new chairs to assume
06:52their roles in academic medicine.
06:54As you know, we we select.
06:56Leaders in part based on their
06:58excellence in research or their
07:00excellence in clinical medicine,
07:02and we sometimes fail to consider
07:04their leadership skills or
07:05to adequately groom them for
07:07leadership once we've tapped him.
07:09And so also over the last year,
07:12this group has LED a course that
07:14provides some basic skills for those
07:16who are new to leadership positions and
07:19also creates a networking opportunity
07:21in a cohort of faculty leaders.
07:24As part of the revision of the Office of
07:27Academic and Professional Development,
07:29we've been emphasizing faculty mentorship
07:31and one of the things that I have
07:34heard over and over from faculty in
07:36listening meetings is that they often.
07:39Are not aware of the requirements
07:41for promotion and an appointment,
07:43and so those are now listed
07:45in detail on this site.
07:47There is the opportunity to anonymously
07:49report any concerns that you have,
07:51and I would encourage you
07:53to look at this site.
07:55It's really a terrific site
07:58in the school web page.
08:00This has been a year when we,
08:03as all institutions,
08:05turned inward to think about how we
08:08develop an inclusive environment
08:10and how we continue to enhance
08:13the diversity of our faculty.
08:15This began over the summer last year
08:18in response to national events,
08:21but has evolved as the year has gone
08:25on when we've realized no one group is.
08:30From being targeted and we've
08:32had a number of events
08:34throughout the year, we have developed
08:36a strategic plan around diversity,
08:38equity and inclusion,
08:39and the faculty portion of that
08:42is now posted on our web page and
08:45the features of that plan are to
08:48create an inclusive environment and
08:50to focus really on the mentorship
08:52and retention of our faculty,
08:54as well as recruitment.
08:56And you'll see why that is.
08:58As I show you.
09:00Our success in developing and
09:03recruiting students and and
09:05now residents and fellows.
09:08I show these numbers to our
09:10faculty and when I do,
09:11I emphasize that this is not
09:13about counting numbers,
09:14but that it's helpful for for me
09:16it certainly to see where we are
09:18compared to the national population.
09:20And you can see that we have had an
09:22increase of the assistant professor
09:24level in the proportion of our faculty
09:27who are underrepresented in medicine
09:28as well as at the professor level.
09:31Some flattening of the associate
09:32professor in part due to promotions.
09:36One of the. Work pieces of work that we've
09:40done to enhance the development of an
09:42inclusive environment is create a team
09:45of people who are thinking about this.
09:47Both locali in the department's
09:49and then at a school level,
09:51and it's really sort of a hub and
09:54spoke model where each department
09:56has tapped a department champion
09:58or vice chair for Diversity,
10:00and that group meets monthly to share
10:03best practices led by Darren Lattimore,
10:05our deputy Dean for Diversity equity,
10:07inclusion, and other aspects of creating
10:09an inclusive environment or simply
10:11changing the physical environment.
10:13And we have moved the portraits
10:15of the Deans down the hall,
10:18one hallway and created some.
10:20Recurring exhibits right outside
10:21the Deans office that reflect
10:23some of our more modern history.
10:28We have also expanded our efforts
10:30in recruiting and retaining
10:31our students as residents and
10:34recruiting postdoctoral fellows.
10:35This was a symposium that was the
10:38brainchild of Antonio Haral Dessin as
10:40chair of the Department of Genetics but
10:43implemented really by Carolyn Henry
10:46and Genetics and by Roshel Smith in the
10:49Office of Diversity Equity Inclusion.
10:52In which we partnered with other
10:55institutions and invited rising Stars to
10:58present their work to leading institutions,
11:00and this has led to making the work,
11:04particularly of those who are interested in.
11:09Increasing diversity,
11:10but our basic scientists doing
11:13fundamental work make it visible to
11:15all of these schools and has led to a
11:18number of recruits of our own school
11:20at the residency level in India.
11:22Now one of our leaders in graduate
11:25medical education has expanded our
11:27second look weekend for a residence and
11:30this year we have 24% of our residents
11:33who are underrepresented in medicine,
11:35which is a large increase from prior years.
11:40Vision doing cluster hires in which we
11:43recruit faculty in groups around areas that
11:47are strategically related to our research.
11:50Strategic plan, specifically metabolism,
11:52HealthEquity and neuroscience.
11:54And that we proactively mentor
11:56them with Cyantific mentors.
11:58But I'm sorry, would also karere sponsors
12:01who promote these folks make sure that
12:04they network and meet people who can help
12:07them advance their career and inclusion.
12:10Ambassadors who are members of
12:12some of our affinity groups,
12:14such as more are group of underrepresented
12:17faculty leaders who have shared life
12:20experiences and can help people
12:22navigate the types of challenges that.
12:24That they face.
12:27And these are numbers for women.
12:29They look very similar to the national
12:32average with 50% of our assistant
12:35professors today being women,
12:3644% of associates and 27% professors.
12:40As you may be aware,
12:42nationally there was the recognition
12:45that there was a disproportionate effect
12:48of slowdowns and research due to COVID
12:51and the pandemic among women faculty
12:53and we were very concerned about this.
12:56So as a school we did a number of
12:59things we invested in childcare and in
13:03our Phyllis Bodel Childcare Center,
13:06but we also made GAP funding available
13:08for all of our junior faculty
13:11within three years of appointment.
13:14With only one requirement,
13:16and that requirement was that they meet
13:19with their membership committee to under 2.
13:23Develop a plan for how they were
13:25going to respond to the pandemic and
13:27what we have seen in terms of first
13:30and last authored publications is
13:32actually that among among both are
13:34underrepresented faculty and our women
13:36that the number of the increase in
13:38publications has actually been greater
13:40than among our majority faculty and men.
13:42But this is not true.
13:44Among our Hispanic faculty and
13:46this is a small number,
13:47but we need to understand that
13:50a little bit better.
13:52So I'm not going to go through all of this,
13:55but this is just to give you a sense
13:58of the work that we have in front of
14:00us in terms of continuing to invest in
14:03our faculty over the next few years.
14:05Let me turn now to education,
14:07and this has indeed been an extraordinary
14:09year for education in the School of Medicine.
14:12This is our white coat ceremony.
14:14You can see that we held it in
14:16person in a socially distanced way,
14:18but you can also see that there were
14:20no family members who were present.
14:23In the tent they were only present by zoom.
14:26One of the hardest decisions that that
14:28I have made as Dean was a decision
14:32that we made in March of 2020 when
14:34we had to pull our students from
14:37their clinical clerkships.
14:38And at that time we had drastically
14:41reduced the non COVID clinical work
14:43ongoing in the hospital or elective
14:45surgeries and our outpatient visits in
14:48order to create create capacity and
14:50we had a great shortage of personal
14:52protective equipment and so we did
14:55not feel that we were offering.
14:57Are students a meaningful educational
15:00experience now the students responded
15:03with their usual creativity and
15:06created courses, for example in.
15:11Understanding pandemics,
15:12and we're able to make the most of this,
15:16and in this class that was most effective,
15:19just graduated last week.
15:22We also decided to bring our clinical
15:25clerkship students back in June
15:27and then to bring our first and
15:29second year students back to campus
15:32as they normally would in August,
15:34and this was tricky to do.
15:36The students took classes
15:38initially in a hybrid fashion with
15:41many of their classes on zoom.
15:43But also had the opportunity to come
15:46in for classes and most importantly
15:48had the opportunity to start exploring
15:50the school and getting to know mentors
15:53and developing projects and areas in
15:56which they would like to immerse.
15:58I had the students over to my home
16:01in groups of 10 because that was
16:04the maximum that we could have.
16:06And so it was spread out over many weeks
16:09and I could watch as the students move from.
16:13Not sure how to navigate zoom too.
16:16I really want to get into the operating room.
16:19Can you help me getting in getting
16:21to the operating room to talking
16:23about all of the normal kinds of
16:25concerns that students have but
16:27absolutely during COVID we had,
16:29there was no possibility of having
16:31any required preclinical courses
16:33and that was marvelous. And we are.
16:35We've learned a lot about how
16:38to make sure that that is true.
16:41I share some leadership changes.
16:45Richard Belitsky step down.
16:47As the deputy Dean for Education
16:50Ann in January,
16:52Jessica Illuzzi assumed that role.
16:54These other slide is less
16:56relevant to education,
16:57but some other leadership
16:59appointments during the last year.
17:02Also,
17:02in medical education we have appointed
17:05Marietta Vasquez as the associate
17:07Dean for medical student diversity.
17:09This is the rule that was held by
17:12Woodilee previously and then yeah,
17:14he was appointed to a new role
17:16which is working with our basic
17:19scientists to make sure that they
17:21are navigating the system well.
17:23We also have a new associate
17:26Dean for Veterans Affairs and as
17:28you know the the VA hospital is
17:31an important site of education.
17:33For our students.
17:36I do need to say thank you and
17:38acknowledge Nancy Angoff for her
17:40tremendous service to the school.
17:41Nancy has been our Dean of students
17:43since 1998 and is stepping down.
17:45We have a non search ongoing for
17:47her successor and she will stay in
17:50place until that successor is named.
17:52And then Meryl Waxman,
17:53who has been the associate Dean and
17:55director of our Office for Women in Medicine,
17:57is stepping down and we have a
18:00search ongoing for her position.
18:02This tells you a little bit about
18:05the makeup of our class of 2024.
18:08We've just.
18:11Closed our our profile for the
18:13class of 2025 and I'll share some
18:15of those highlights,
18:17but this features a couple of points.
18:19One is that our student body is diverse,
18:22about 27% in the class of twenty
18:252428% in the incoming class.
18:27The number of applicants has gone
18:30up in the last year.
18:31We had over 6000 applicants for 104
18:34students and our GPA in the next year
18:37will be 3.9 and M CAT score of 520.
18:40So we are continuing to attract a.
18:43Phenomenal group of students an I
18:46have to credit particularly Fernando.
18:48I ask it in the Admissions Office for
18:52his creativity and working with our
18:55Medical Student Council in doing things
18:58like virtual second look weekends.
19:01We are committed to reducing the debt
19:04of our students and as you know,
19:07Bob Alpern reduced the magnitude of the
19:09student loan so that our students have
19:12significantly graduate with significantly
19:14less debt than their peers in other schools.
19:17You may not know how we calculate
19:20our scholarship for students,
19:21but basically,
19:22unlike others schools,
19:23we don't focus just on tuition,
19:26but we include tuition,
19:27room and board and expenses.
19:29We then calculate what the students.
19:32Or family can contribute
19:33the maximum unit loan,
19:34now reduced to 15,000 and then based
19:36on that we calculate the difference
19:38and offer that as a scholarship.
19:41The effect of this is that.
19:43We offer our students their financial
19:46aid primarily as scholarships without
19:48a service requirement and this is
19:50very different from other schools
19:52of medicine and very important.
19:53And one of the things that is also
19:56important is that we fund this,
19:58and right now we fund this out
20:00of our operations.
20:01But we it's an aspiration for me that
20:04we continue to raise financial aid.
20:07We have reversed a negative trend
20:09in terms of our standings in
20:11the US News and World Report.
20:13Moving back up into the top ten U.S.
20:16news and World Report is ranked is
20:18based significantly on our NIH funding,
20:20and as I'll show you,
20:22we are fourth among schools
20:24of medicine at night,
20:25NIH funding,
20:26and so it makes sense that we would
20:29be higher.
20:30But we need to look specifically
20:32at Pierin Residency,
20:33Director assessment and all refer to that.
20:37One of the most important things about
20:39our school is our system of education
20:42and having gone to a school where this
20:44was not the case and having really,
20:46I would say,
20:48struggled in my first few years of.
20:51Medical school I this was one of the
20:53things that attracted me here and
20:55the key features of course are that
20:57learners should direct their own learning.
20:59We have no class rank and we have
21:01no grades in the preclinical years,
21:03we do have grades during the clinical years,
21:06but I will tell you that 90
21:08something I have been told 97%,
21:10but I've asked people to check that
21:12number of our students receive honors and
21:14so we are in conversations to say really,
21:17do we need that and can we not just
21:19go to a pass fail system in the.
21:22In the clinical years as well,
21:25this is what appears on our or Med
21:27school site emphasizing that that
21:29our system requires guidance and
21:32stimulation rather than compulsion
21:34or competition.
21:35And I can tell you that in
21:38meeting with students,
21:39this is very important to them.
21:41It's a non competitive environment.
21:43This question of compulsion,
21:45I think about six years ago there
21:48were several courses that were that,
21:51particularly those that are patient.
21:53Facing in the preclinical
21:54years that were made mandatory,
21:57I think for patient facing that
21:59may be a reasonable thing,
22:01but we have under Jessica
22:03Illuzzi's leadership.
22:04I have asked the group to consider
22:06how we do a better job of instead
22:10of creating mandatory courses,
22:12ask our students to.
22:15To take responsibility and decide
22:17which courses they think they should be
22:20attending and make commitments to that.
22:23So we're working on that and
22:25we're very much committed to the
22:27notion that the students are
22:28responsible for their own education,
22:30and we can talk more about that.
22:34There are many unique aspects of the school.
22:36I I one that I don't have a slide
22:38of is the Haven Clinic and I have
22:41the pleasure of volunteering from
22:42time to time in the Haven Clinic
22:45and I'm extremely impressed by
22:46the quality of leadership of our
22:48students in running that clinic and
22:50the service that they provide to a
22:52very grateful patient population.
22:53Another jewel of the school is the Yale
22:55Journal of Biology and Medicine and
22:57I just wanted to highlight that this
22:59year they achieved an impact factor
23:01and I don't know of any other student.
23:04Lead journals that have earned
23:07an impact factor.
23:09We sometimes don't adequately
23:10address graduate medical education,
23:12but we have 1000 residents and many
23:15clinical fellows in our hospital,
23:17and the quality of these residents
23:19is increasing significantly now.
23:21I think largely to the work of Steve
23:24Hewitt I mentioned in here how early.
23:27So this is Jessica slide.
23:29And again, I will not go through it.
23:32But emphasizing that we can learn
23:35from what we've done during COVID
23:37in terms of new pedagogies and.
23:40Ways in which our students would
23:42like to learn again with their
23:45directing that there is a big
23:47emphasis on the part of our students,
23:50in particular on making sure
23:52that we are adequately addressing
23:54social determinants and health
23:56and our health and our curriculum,
23:58and then again improving our advising,
24:01making it more readily available
24:04to our students.
24:05As they walk through there,
24:07particularly the first year.
24:09I'll turn briefly to our clinical mission.
24:13It would be impossible to talk
24:16about our clinical mission without
24:18highlighting incredible response
24:20of our faculty to COVID much of
24:24it has been in the news.
24:26Whether that's that.
24:28Marcella Nunez Smith is advising
24:30President Biden that Onyema oblog lead
24:33the local Pfizer trials for that vaccine.
24:36We have developed measures for
24:39waste water testing.
24:40We've developed several
24:41different COVID tests.
24:42One saliva direct has been used
24:45extensively in the spring to help schools.
24:48Screen their students
24:49because it's a rapid test,
24:52but in the hospital itself,
24:54our faculty were really heroic in.
24:58At our peak,
24:59having 450 COVID positive patients
25:01in Yo New Haven Hospital,
25:03many of them on ventilators.
25:06And then during the spring months of 2021,
25:09regularly having 200 patients
25:11where we were also running a full
25:14hospital with non COVID patients.
25:16You heard, I think,
25:18yesterday from John Crystal and
25:19Linda Mays about some of the work
25:21they did to address the stress
25:23that our faculty and staff had in
25:25the hospital during this period,
25:27and I think it's a model for us in
25:29terms of how we think about path,
25:31you will need going forward,
25:33but I do want to say that that
25:35extraordinary care is not limited
25:37to the time of kovid and patients
25:39come to us because we have things
25:41to offer that no one else can offer,
25:43and I've chosen a few to highlight.
25:45But the use of insulin pumps.
25:47For new FDA approvals in the last year,
25:51John Crystal and others work on
25:54developing cada mean as a therapy
25:56for refractory depression.
25:58We did our 500th heart transplant
26:01this last year and outstanding
26:04neurology and neurosurgery.
26:06Many pressures on the clinical
26:08enterprise and pre COVID we were
26:11seeing a consolidation from
26:13smaller systems to larger systems,
26:15but we there are many that are
26:18being accelerated post COVID
26:20with increased consolidation.
26:21A slight shift in the pyramix to increase
26:25levels of Medicare and Medicaid.
26:27We're using Tele medicine more
26:30frequently and increased emphasis
26:31on equity as COVID highlighted
26:34that those inequities that we saw.
26:37Related to cobit or also.
26:40Listen in many other diseases.
26:43It continued emphasis on offering
26:45the best care, but at lower cost,
26:47and I think we will say see
26:49increased government intervention as
26:51hospitals and we as a school have
26:54received money from the government
26:56and there will be expectations.
26:58Tide to that.
26:59We've certainly learned that our
27:01supply chain is not necessarily always
27:03intact and we need to address that.
27:06And lastly,
27:07an appreciation of the role of
27:09our clinical enterprise in in
27:12our research enterprise.
27:14We're doing work to better
27:16align with the hospital.
27:17We are specifically addressing the
27:19roles of our chairs of clinical
27:22departments as chief across the system,
27:25and that group is just finalizing a
27:27report to codify that we have recently
27:30LED two searches for new clinical chairs,
27:33least buffer.
27:34It will be coming to us from the
27:37mass General Hospital to lead
27:40our Department of Anesthesiology
27:42and will be coming in mid July.
27:45And Isaac on Kim will be coming to
27:48lead the Department of Urology,
27:50most recently from the Robert
27:53Wood Johnson School of Medicine.
27:56This is a little bit of strategy
27:58about where we intend to go in
28:00our clinical mission,
28:01and it's probably not worth going
28:03into in this group in detail.
28:05But recognizing that what differentiates
28:07us is our ability to attract talent
28:09and to access scientific discovery
28:11and cutting edge therapies,
28:12and that our clinical strategy
28:15has to be based on that.
28:17I'll turn now to research and
28:20we have continued to grow.
28:22Our research proposed portfolio now.
28:24Ranking fourth among schools of
28:26medicine and this just gives
28:28you some sense of specific departments
28:31that rank in the in the top ten,
28:34including internal medicine and
28:35some of our bigger department
28:38psychiatry regularly ranking first
28:40in the country in NIH funding.
28:42We should not forget that we have
28:45significant research funding through
28:46our affiliation with the Veterans
28:49Affairs Hospital as well as it's
28:51important for educational mission.
28:53You have undoubtedly heard about
28:55the extraordinary gift from the
28:58from Claire Wu and Joci to support
29:00a Institute on human cognition.
29:03This is an interdisciplinary
29:05Trans University Institute which
29:06will be housed in 100 college St.
29:09We will be moving our Department
29:12of Neuroscience there.
29:13There are three pillars associated with this,
29:16an one led by Daniel Colon Ramos
29:19from the School of Medicine,
29:21deals with the molecular.
29:23Plasticity of the brain.
29:25The others deal with.
29:28Computing and systems and then cognition.
29:31Neuroscience has always been a
29:34strength in the Department of Medicine,
29:37and this year is no different.
29:40Two of our groups of faculty received
29:43$9 million awards from the aligning
29:46sciences across Parkinson's disease,
29:48partly through Fox Foundation monies.
29:51We were the only institution
29:53to tab two such groups funded.
29:56We also have aspirations to invest in
30:00the extraordinary immunobiology and.
30:02Work going on in inflammation.
30:04The COVID pandemic has shown us what
30:06can happen when inflammation goes awry.
30:09Much of the disease damage in the disease
30:12is related not to the virus itself,
30:14but to the immune and inflammatory response,
30:17and many of our common diseases,
30:19as you know, are related to inflammation,
30:21and so we are intent on building a
30:24Yale Information Science Institute.
30:26This is part of the University
30:29Science strategic plan.
30:30We have also done strategic planning
30:33within the school itself and this has
30:35focused us on HealthEquity research.
30:37As I've mentioned earlier,
30:39as well as data science,
30:41and in particular on increasing
30:43collaboration across the school.
30:45So we have started the Office
30:46for Team Science to promote
30:48interdisciplinary team science,
30:50in particular by giving pilot
30:52awards by creating infrastructure
30:54to support these teams.
30:56And by creating studios that allow
30:59faculty to come to a group of
31:02experts with their early stage
31:05hypothesis and specific games.
31:07We're also investing in
31:09physician scientists development.
31:10Having appointed Keith Choate as
31:12the inaugural associate Dean for
31:14physician scientist development.
31:16As you know,
31:18the the numbers of physician
31:20scientists nationally or declining,
31:22but these are extremely important
31:24faculty in terms of translating
31:26science bidirectionally between
31:28the bench and the bedside.
31:30And Keith is providing salary
31:32support for faculty developing
31:34mechanisms to oversee mentorship,
31:36access to grant writing resources,
31:38including a successful repository of grant.
31:41And creation of the Janeway society
31:44to promote a community of peers at
31:46at the early stages of their faculty.
31:49You also have a new track within
31:51biological and biomedical sciences
31:53for translational bio medicine and
31:55this is being led by Meghan King
31:58and Stephanie Eisenbarth.
31:59We are fairly space constrained
32:01in terms of research,
32:03and so I mentioned that we
32:05are investing in 100
32:06College Street just in the last few weeks.
32:09The plans for 101 college have been
32:12announced and we will be also renovating
32:14or taking space in that building which
32:17will create a number of workstations.
32:20We are doing work on in in some of our
32:22older laboratory space and converting
32:24some of that to offices and developing
32:27rational utilization of space.
32:29And why do all this?
32:33The reason is simple.
32:35The faculty continued to
32:37produce extraordinary science
32:39that is a very high impact,
32:41and I feature just a few examples,
32:45ranging from an understanding of how the
32:48body defends itself against Salmonella 2
32:51new therapies for non small cell lung cancer.
32:56Two, I think many of you
32:59heard Akiko earlier today,
33:01but her work on.
33:03On the immune response to COVID.
33:06So we have lots of work to do in
33:08in the research arena and very
33:10excited about this work as well.
33:13I do feel that I should say
33:15just a few things about money.
33:17This is what happened to which is what
33:20we anticipated happening to our clinical
33:22collections during the COVID pandemic.
33:24We were able to recover more
33:26rapidly than we thought,
33:27and so we will end this year
33:29on budget for the year and we
33:32will have received some cares.
33:34Money to offset this loss in the prior year.
33:38We are doing well.
33:40As you know we are in a start
33:43of a campaign and so I hope that
33:46we will grow our philanthropy.
33:50Ann.
33:50This is very important in terms of
33:53diversifying our funding portfolio,
33:55but I'd like to end by featuring
33:58your generosity and particularly
34:00our class of 1971.
34:02Since 2017,
34:03Yale School of Medicine alumni
34:05have raised a total of 8.3 million.
34:08And it's it's many of you.
34:12And just as of June,
34:15we've raised a lot of money this
34:18year and this is particularly
34:21important in supporting those
34:24things that I think are most.
34:28Loved by you, our educational programming.
34:30I mentioned financial aid and scholarships,
34:33which is one of my priorities.
34:35All of the things that our students
34:37do like their thesis access to
34:40this amazing medical library,
34:41which is behind me at least
34:44virtually so thank you.
34:45It just is huge and that's
34:48about all I can say.
34:50I have left,
34:51I hope,
34:52ample time for questions and I will
34:55stop screen sharing so that we can.
34:58I think we're going to be taking
35:01questions in the chat so that
35:04Aaron or somebody can help
35:06moderate and I will be able to
35:09address any of your questions.
35:14Thank you Dean Brown.
35:16Inspiring and comprehensive presentation,
35:18and we've been monitoring the chat and
35:22this team Brown mentioned will have
35:25about 20 minutes to address questions.
35:28Four participants could raise their virtual
35:32hand is another way we could do it.
35:39While we're waiting, I wanted to say
35:41hi to Doctor awhile who was one of
35:45my personal mentors who I see in the
35:48chat that retired from Yale Professor.
35:51Emergency medicine is a wonderful
35:53inspiration for me personally.
36:00We know this is not a shy group,
36:03so everyone don't hold back.
36:14Well, perhaps Dean Brown,
36:16you covered it all and.
36:19Your presentation certainly
36:20was very comprehensive.
36:23Maybe we can.
36:26We just make one check to see it.
36:29Anyone? Or do you see anyone raising
36:32their hand or I'm checking there's
36:34no questions in the chat right now,
36:37Lillian, so why don't we move on?
36:39If anyone has a question so I know
36:41that we have several important
36:43awards that we want to give out too
36:45short so we do have two questions.
36:48Actually, I think Richard Cain you can.
36:50We will unmute you.
36:53Richard Richard saves the day.
36:57Yeah, I was just added Brown.
36:58Thank you for the presentation.
36:59I was wondering what were some of
37:01the other things that the students
37:03came up with in dealing with COVID.
37:06Yeah. So, uh, you know later in
37:10the pandemic our students were
37:12very active in, for example,
37:14volunteering to give vaccinations.
37:16And we were we actually had CDC visit
37:19us because we were among the most
37:22efficient in the country in delivering
37:24vaccines an I think that's in part
37:27because our both our faculty and our
37:30students rolled up their sleeves.
37:35Some of it was emergent into
37:38their usual projects I had.
37:41We had to do our student
37:44research day virtually this year,
37:47but I was blown away by the depth of
37:51investigation and I use investigation
37:53widely because some of the topics
37:56were humanities and social sciences,
37:59and those sorts of things.
38:02But the the.
38:06Depth, in which the students went
38:08and then the interaction between
38:10the faculty moderators and the
38:13thoughtfulness of the conversation in
38:15those presentations was extraordinary.
38:22Harold, do you have a question?
38:30I think comment more on the
38:32progress with going back to what
38:34we remember as the L system.
38:36So I will let me go through
38:41some specific examples and then
38:44you can ask me if I've missed.
38:48Anything in particular, so as you know,
38:51nothing is graded in the first
38:53couple of years, the students do
38:56a qualifier at the end of their.
39:00Courses. And.
39:05It when Jessica Illuzzi was reviewing
39:07starting to review the curriculum
39:09just a few months into her job,
39:11one of the things that we learned
39:14was that the students were given.
39:17A histogram of the results of.
39:21Anonymous but nevertheless.
39:27Of the spread on that qualifier
39:30so they could have a sense of
39:33whether they you know were.
39:36Learning the material Ann Jessica and
39:38I both said that's not the right.
39:43Approach for students to figure out
39:46whether they know the material,
39:48so that we have asked and they
39:50are illuminating that we just
39:52don't think it makes much sense.
39:57The the students have,
39:59you know otherwise pretty much
40:01the option of whether they take
40:04self directed assessments or not.
40:06Not nothing else happens that's
40:08required other than that,
40:10qualifying exam with one exception,
40:12and that is mandated by the accrediting body,
40:16which is a for courses that
40:19are longer than four weeks.
40:21We are asked to do a mid week amid.
40:25I'm sorry, midcourse, something and.
40:28They ask that that be some sort of.
40:31Assessment, but we I would
40:34say that our students don't.
40:39Let me just say there are students.
40:40Take that pretty lightly as well,
40:42and so. It's it's there,
40:44it's offered to them, but I about a
40:48third of them don't actually. Take.
40:55Other than the other, the other question,
40:58of course, is there's a small
41:01group course that has been.
41:04Six years ago I think was made
41:07mandatory and I don't understand
41:09the rationale for that and we are
41:12working through how the students,
41:14first of all, whether that course should
41:17be offered to every student or whether
41:20students should just opt in for it,
41:23and if they do.
41:26If there is a lot of preparation on the
41:28behalf of the students and the faculty,
41:31how do they commit to each other to
41:33being present and and do that in
41:35a way that's not mandatory and so
41:37they are starting to think through
41:39they being the curriculum committee
41:41and the students themselves?
41:42How they might do that,
41:44so you know,
41:44it takes a fair amount of time
41:46to make these changes.
41:48One of the things that I'm
41:50always surprised by is that.
41:52Variety of opinions among our students
41:56and we try very hard to hear all of them.
42:01As we're making the change.
42:05Thank you, Dean Brown.
42:06We have one question in
42:08the chat asking you know.
42:10Obviously one of the bonuses
42:12of being virtual is the
42:14accessibility to presentations on
42:15campus and will that continue?
42:19Yeah so. Let me start with you,
42:24but you're probably aware of is our
42:26plans to you know that there's a
42:29little bit of a disconnect between.
42:34The working from home for some groups and
42:38being very much on campus for others.
42:40So our faculty, all of our students
42:43doing their clinical clerkships
42:44for our preclinical students.
42:46It's a mix and it's very dependent on the.
42:52On the preferences of the student,
42:54some students love to come in and
42:56sit in a classroom and some have
42:58not done that at all this year.
43:01What we do think we know is that
43:04hybrid is not having classes that
43:06are partly yosumin, partly live.
43:09Is is not the right model that
43:11we should have some classes that
43:13are all zoom in some classes
43:16that are all in person. And the.
43:19Modalities of teaching that we've learned.
43:23You know, being able to flip
43:26classrooms a little bit better.
43:28People are viewing information
43:30before they come in and then having
43:33the discussion is better on zoom.
43:35I think we have to rethink anatomy.
43:38For example where you, you and I all.
43:42Had cadavers and.
43:48Whether that's necessary,
43:49there are some schools that have
43:51gotten away from that and then gone
43:53back to having live dissections.
43:55We think maybe we could offer pro
43:57sections for students who want to
43:59show up for those, so it's really.
44:03I would say the educational changes
44:06we've had this year are helping us
44:08to think in very creative ways.
44:13We have a question from our
44:15Jones with the effect of COVID on
44:17experience in procedurally oriented
44:19residencies like elective surgery.
44:21How has the interaction between departments
44:24and qualifying boards been managed?
44:28Yeah. The.
44:34I am more familiar with the.
44:38Other end of the which is entering.
44:41We have done a lot of virtual
44:44externships this year.
44:46The double AMC put a ban on travel for
44:49so so there were not people coming in
44:52doing internships or externships in
44:54their 4th year at other institutions,
44:57so we had. Anne.
45:01Residents attending surgeries virtually.
45:05Some things that I never thought would work,
45:09but they did and we were particularly
45:12sensitive to whether that would have
45:15disproportionate impact on certain groups,
45:18and it didn't. The question of how.
45:23How the graduation rate for
45:25residency and fellowship.
45:27The subspecialties are handling
45:29their procedural boards.
45:30I don't know, to be honest.
45:35We can find out and send
45:36that information to you.
45:40There was at Dunmore, yeah?
45:42So I just got the information on.
45:46Friday about this incoming class and I did
45:50not get it at that granular level yet.
45:53In the past, so I will tell you 52 and 52,
45:57male and female, but I don't have the
46:00breakdown of are you are I am other
46:02than there are 29 students out of 104.
46:09From in the class of 2025 now in.
46:142024 the number of African American students,
46:16or the percentage of African American
46:19students and prior years is roughly 7%,
46:22which has put us in a high percentage
46:25compared to other medical students,
46:27and I don't think that's a very good bar,
46:31and our students certainly don't
46:33think that's a very good bar and are
46:36working very hard with us to recruit.
46:39And I'm really anxious to see the
46:42data for incoming class broken down.
46:45More granularly, but I have not yet.
46:52I think we have time for one or two
46:54more questions if anyone wants to
46:57raise their hands.
46:58Otherwise we can Richard Cain ask
47:00a question about who to collaborate
47:02with in terms of HealthEquity.
47:04So Marcella Nunez Smith is the
47:07person who is bringing together the
47:09wealth of work going on in this area.
47:13We have received recently several awards,
47:16for example from the FDA.
47:18Because we have become the model
47:20for how to engage underrepresented
47:23communities in clinical trials.
47:25For example, are. Pfizer vaccine trial.
47:30We had 40% of our participants
47:33under represented in medicine, so.
47:37So there are Yale.
47:40Why CCIR clinical investigator
47:43for clinical investigation?
47:45Has been leading that work
47:47at Marcella is part of that,
47:49but we are now working to coordinate
47:51what I have said to our group
47:54is just as we formed, correct?
47:56This COVID research coordinating
47:57team to respond to the pandemic.
47:59We have to take that sort of
48:02approach to HealthEquity because
48:04we're going to have to collaborate.
48:07Across the university and the
48:09health system and out and with our
48:12partners in the FQHC'S and with
48:14the university partners who are
48:17experts in sociology and economics.
48:19And we started to do that during
48:22Kovid and I think we can pivot and
48:26leverage that for HealthEquity research.
48:29Was there another one that I missed?
48:31I think that's it.
48:34Does anyone else? But the question.
48:38Again, hello. Thinking about
48:40that and I will have a chance
48:44to visit with the class of 71.
48:47Come a little bit later and
48:50congratulate you more formally on
48:52becoming members of the Kushlan
48:53society and again Lillian.
48:55Thank you for the time that you have
48:58invested in the school that we all love.
49:01So thank you.
49:03It's been a labor of love.
49:05It's been my honor and privilege to serve
49:08for these last two years as your President.
49:11My first official responsibility as
49:13President was to welcome the class
49:15of 2023 at the White Coat ceremony.
49:17There we presented the students with
49:19their first stethoscope funding for
49:21their stethoscopes comes from directed
49:22donations from E3 looming class.
49:24So thank you to those who donated
49:27a stethoscope this year to those
49:29students this past year,
49:30RAY AM welcomed Dean Brown and
49:32Deputy Dean Desko lousy.
49:34We both graciously attended two of
49:36our executive committee meetings or
49:38board also expanded it to efforts
49:39to include mentorship opportunities
49:41to recently match students to offer
49:43advice ranging from housing work,
49:44life balance and career aspirations.
49:46We've also appointed regional board
49:48members to create opportunities to
49:50connect to network with alumni and students.
49:52We hope to be able to gather alumni
49:54groups in person soon and look forward to
49:57planning events in your area this year.
50:00The Why am also created a new diversity,
50:02equity and Inclusion committee,
50:04and we.
50:04How to build out meaningful objectives for
50:07this committee early this coming fiscal year.
50:09This is in addition to the student
50:12engagement of long night for
50:13communications and alumni fund committees,
50:16which are already very productive.
50:18Please contact me if you'd like
50:20to become involved with RA YM
50:22committees or have ideas on how to
50:24enhance the alumni experience.
50:26We're going to move on to the business
50:29meeting part of our annual meeting.
50:31It is a great honor to at this time.
50:34Time present this year's
50:37Distinguished Alumni Service award.
50:39This award recognizes alumni service
50:41to one's class and the Yale School of
50:44Medicine and the AAM's highest honor.
50:46We have two wonderful honorees this
50:48year who have set find examples in
50:51leadership and service to our alma matter.
50:54I will now read their citations.
50:56Our first award goes to J McCoy drifts,
51:00fondly known as Mac.
51:01On the 55th anniversary of your graduation,
51:05the Yale School of Medicine is
51:07proud to put account you J McCoy,
51:10Mack Griffiths among its graduates
51:12and estoza Panju.
51:14The Distinguished Alumni Service
51:15award you credit the Yale system
51:18with your success as a physician,
51:20military officer, researcher, an inventor.
51:22After spending more than 30 years
51:25as a leading infectious infectious
51:27disease researcher and member of
51:29the University of California,
51:31San Francisco faculty.
51:32You turn your attention back to
51:35New Haven to defend the system.
51:37That helps you adapt.
51:38In 2017 we used their natural gift
51:41as a storyteller to enchant an
51:43audience at alumni grand rounds with.
51:45You're not who you were and what
51:48you know isn't true.
51:50Tales from a curious life in which
51:52you showed how the Yale system
51:54prepared you for the unexpected.
51:56The only thing that a physician can
51:58be sure to encounter consistently.
52:01You have always been grateful
52:03to Doctor Lewis needy.
52:04Of generality faculty for the time
52:06you spent in his lab as a medical
52:08student when you pursued a common
52:10interest in thermal diffusion that
52:12became the subject of your thesis
52:14with you dedicated real system.
52:16Eager to make these opportunities for
52:19mentorship and discovery possible for
52:21contemporary Yale medical students who
52:23established a summer research program
52:25in Doctor Leavy's name as a member
52:26of the Executive committee of the
52:28Association of Yellow Alumni in Medicine,
52:31you continue your strong advocacy
52:33for the freedom and respect for human
52:35inquiry inherent in the jail system.
52:38Through your work on the Student
52:40engagement committee,
52:40you are making connections between
52:42alumni and current students in hopes of
52:45continuing that tradition and offering
52:47the benefit of experience as they
52:49make their critical career choices.
52:51AAM, and indeed all the Yelp community
52:53is grateful that you will continue to
52:56share this Bible committee even after
52:58you step off the executive committee.
53:00Of course,
53:01in whatever capacity you serve,
53:02you will always be a great evangelist
53:05with BL system help you transform from
53:07an English major into a scientist
53:09that scientists went on to become
53:11a compassionate clinician and a
53:13researcher at the forefront of the
53:15battle against infectious disease.
53:16Today,
53:17your friends and family and classmates
53:19salute you for your service to the Yale
53:22School of Medicine. And its ideals.
53:24You are a true son of yeah.
53:28Virtual round of applause for Mac Mac.
53:31Thank you very much.
53:33Our second award goes to Frank Lobo.
53:36As many of you know,
53:38Frank passed away in 2018.
53:40It is important that his legacy
53:42be shared with all his family,
53:44including his brother Tony is with
53:46us today to accept his award on the
53:4930th anniversary of his graduation,
53:51the Yale School of Medicine is proud
53:53to Count Francis M Robo among its
53:56graduates and bestowed upon him the
53:58Distinguished Alumni Serviceable Award.
54:00Born into a family of doctors who earned his.
54:03Undergraduate degree at the
54:05University of Pennsylvania and his
54:07Masters degree in the History of
54:10medicine from Cambridge University.
54:11Before matriculating at the
54:13Yale School of Medicine,
54:15he was drawn to the energizing atmosphere
54:17of the school and the larger university,
54:20both so full of brilliant people
54:23who became lifelong friends,
54:24collaborators and mentors and mentees.
54:26He truly regarded GAIL, and,
54:29by extension, New Haven.
54:30As part of his family,
54:32he stated he elfora 50th spent studying
54:35the immunology of skin transplantation
54:37under Doctor Maritza Perez.
54:39After an internal medicine
54:40residency at Young Haven.
54:42Hospital he did basic immunology
54:44research in the fellowship
54:45with Professor Ramsey full.
54:47He joined the faculty in the section
54:50of Allergy Immunology in 1998 and
54:52quickly showed skill and passion in
54:53the clinical treatment of patients
54:56with rare immune deficiency disorders.
54:58He was equally passionate in his
55:00dedication to heal he skirt.
55:02He served the School of Medicine as
55:04a member of the Executive committee
55:06of the Association of Yellow Online
55:09Medicine and its president from 1995 to 1997.
55:12He was also a trustee of the Harvey Cushing,
55:15John Hay Whitney Medical Library,
55:172014.
55:17The following year he served
55:19as president of the Beaumont
55:21Medical Club of Connecticut.
55:23He was an invaluable friend of students.
55:25He served as an advisor to
55:27undergraduates interested in medicine,
55:29particularly in Branford College,
55:30where he was a fellow as a teacher
55:34and mentor to medical students and
55:36physicians at all stages of their careers.
55:38His dedication to medicine to yell
55:41into humanity was unmistakable,
55:42fascinated by the potential immune
55:44benefits of locally grown food,
55:46he combined his skills as a physician
55:48and scientist with his tireless devotion,
55:51his adopted city.
55:52He was a director of New Haven Farms,
55:55an organization that developed
55:57urban agriculture to make fresh
55:59produce more available in the city.
56:00He was a leader in the Hill neighborhood
56:03where he and his twin brother Linder,
56:06lovingly renovated houses on City Point.
56:08He hosted an annual tree lighting and gift,
56:10giving a Kimberly Square.
56:12He was the owner of City Point Kitchen
56:14where he served up fresh and local food.
56:17In view of his own house.
56:19His service to New Haven,
56:21like his service to medicine to heal.
56:24It was marked by excellence,
56:25creativity and a deep sense of compassion.
56:28Today his friends,
56:29family and classmates salute
56:30him for his service to the Yale
56:32School of Medicine and its ideals,
56:34and I would add to his family
56:36that there's not
56:37a week that goes by that we
56:39don't comment about the fact
56:40that we really, truly listen.
56:42He was a true son of Yale.
56:45Thank you Mac and Tony for being here today.
56:48The award hit a yellow captains chair
56:50and Mac and Frank names will be
56:52included on our plaque of honorees.
56:58Now we're going to induct the
57:0150th reunion class into the
57:03Samuel D Push Linden D35 Society.
57:06This society, with established
57:08to memorialize a longtime School
57:10of Medicine alums who passed
57:12away in 2010 at the age of 98.
57:15Having served as a mentor and role model
57:18for generations of physicians in training it,
57:20yet the society honors all alumni who
57:23have celebrated their 50th reunion.
57:25And each spring we inducted news.
57:2950 unique class this society.
57:30First I invite those in the audience
57:33who graduated in 1974 to two wave
57:36or share thumbs up or high five and
57:38be recognized as current members of
57:40the push in society. So you can.
57:55Great considering.
57:58And now I invite members of the
58:00class of 1971 to join them and
58:02be recognized for celebrating
58:03their 50th reunion this weekend.
58:06Please share away how I said that.
58:08It's like congratulations to you all.
58:11With the convenience of zoom,
58:13will now vote to ratify the
58:15new slate of Ay, AY, and board.
58:18Members will do that with this
58:20simple show of hands.
58:21I will read the names and ask for a
58:23show of hands to accept or decline
58:26each category for a members at large
58:29for the Executive committee for two
58:31terms were voting on the fall to
58:33renominate Melissa Glassman and to
58:35nominate Mary Ms Carey of Boston,
58:37Mana Facture Cone of Henderson, NV.
58:39Damia Carney Barrington,
58:40Virginia Jill Silverman.
58:41Of New York with a show of hands,
58:44all those in favor.
58:48Now with the show of hands, all opposed.
58:54Next we will vote for
58:56delegates to the yellow.
58:58My association serving a three
59:00year term. Robert Gifford,
59:02the world famous Bob Gifford,
59:04as well as equally spectacular person.
59:06Doug houseman.
59:07Come with a show of hands.
59:09All those in favor.
59:13Now with the show of hands, all opposed.
59:17And finally, we will vote on
59:19new officers of the association
59:21serving a two year term President
59:23Baby Liebeskind of Brentwood, TN,
59:26Vice President Doug Berg of Bethany,
59:28Connecticut, Donald Kent of Belleair,
59:30FL with a show of hands.
59:32All those in favor.
59:36With a show of hands all opposed.
59:39Thank you for your participation.
59:40The majority is in favor and I
59:42will and I wish to welcome and
59:45congratulate our new Members.
59:46The members of the executive committee
59:48look forward to working with these
59:50new members in the alumni Office to
59:52create and implement alumni program
59:53with serving enhances schools,
59:55educational research and clinical missions.
59:57Again, if you're interested in learning
59:59more about the why am I encourage you
01:00:02to reach out to your new president.
01:00:04Any legal skin or another member
01:00:06of the alumni board to change,
01:00:08embrace intellectual challenges and
01:00:11maintain a passionate curiosity.
01:00:13Before we conclude,
01:00:14first I wanted to thank the team Brown
01:00:16for her wonderful presentation to our group.
01:00:19We appreciate for coming and to
01:00:21introduce our new AY AM Executive
01:00:23Board President Amy Disc in a meeting.
01:00:26He wanted this wave, or.
01:00:29Great,
01:00:29we hope you enjoy the rest of
01:00:31the reunion weekend programming.
01:00:33Be sure to check out the reunion
01:00:35platform for tours.
01:00:36Finding your friends and additional
01:00:38email content.
01:00:39Thank you everyone and goodbye out.
01:00:41I'll reach out to me.
01:00:45And hello to everybody else and it's nice
01:00:48to see everyone thank you for coming.
01:00:51Thanks Erin and to Emily into
01:00:53the rest of our support staff,
01:00:55RUPA for your support in
01:00:58making this meeting possible.
01:01:00Into the logo family.
01:01:01Frank, thank you for coming.
01:01:05And Tony hit today by Tony.
01:01:08Lots of love. With the regulations now.
01:01:12But seeing you.