 We have a very aggressive schedule today, so we want to make sure we stay on time and be respectful of those of you who are leaving this afternoon. My name is Mark Williams. I'm the director of the Genomic Medicine Institute at Geisinger Health System in beautiful Danville, Pennsylvania. And I'll be hosting and moderating the meeting today. And my co-moderator is Terry Monoglio. Hello. Welcome. Welcome to Dallas. We're delighted that everybody could come. And we're excited about the meeting, so I think we'll get started without further ado. So the thing that we've always done, although it's getting increasingly challenging as the meeting gets larger and larger, one of the things that is really important about the meeting is the networking, which you guys have obviously leaped into right off the bat. So what we want to do to facilitate that is to go around and make sure that everybody at least has a slight idea of who everybody else is. But given the number of people we're going to need to do this very expeditiously, so please just name an institution and we'll do the inner you first starting there. And please use your microphones. This is being recording a webcast. And I'll press the button. My name is Cara Vitek. I'm from Rochester, Minnesota, Mayo Clinic. Michelle Browns, American Heart Association. Bruce Cork University of Alabama at Birmingham and also American College of Medical Genetics and Genomics. John Arnett University of Alabama at Birmingham, President of the American Heart Association. Mike Watson, American College of Medical Genetics and Genomics. I'm Bob. No, I'm Bob Saul, representing the American Academy of Pediatrics. Mary Relling, St. Jude Children's Research Hospital, Memphis. Great. American College of Cardiology. Thanks, Roberts. I'm from University of Ottawa, American College of Cardiology. I'm from Children's Hospital of Philadelphia, Alaska. Eric Green, National Human Genome Research Institute. Terry Minolio from NHGRI. You heard me already. Wish it harder. Okay. I'm from Intermountain Healthcare in the University of Utah. I'm representing the American College of OBGYN today. Tom Nazca, the ACGME. Rex Chisholm, Northwestern University, Chicago. Brad Ozenberger in NHGRI. William Powell Vanderbilt in the American Society for Clinical Oncology. Sandy Swain, President of the American Society of Clinical Oncology. Jeff Ginsburg, Duke University. Cliff Hudders, Memorial Sloan Kettering and President-Elect of Asco. Mayor Irons from Boston Children's Hospital and the Association of Professors of Human and Medical Education. Marie Coppola, CEO of the Accreditation Council for Continuing Medical Education. Pearl O'Rourke, Partners Health Care, Boston. Howard McLeod, University of North Carolina and Pearl O'Rourke Fan Club. Laura Rodriguez, NHGRI. Aaron Ramos, NHGRI. Maran Schuner, VA, Greater Los Angeles and UCLA School of Medicine. Rourga Manicum, Ohio State. David Beck, Medical College of Wisconsin. Ned Calange, the Colorado Trust and University of Colorado, representing the EGAP working group. Jonas Almeida, University of Alabama at Birmingham. Hoesson Farouki, Laboratory Corporation of America. John Harley, Cincinnati Children's Hospital and the University of Cincinnati. Federico Nassent, University of North Carolina, Chapel Hill. Kathy Wicklin, Northwestern University and also the National Society of Genetic Counselors. Maureen Smith, Northwestern University. Chris Bradburn, Johns Hopkins Platt Physics Laboratory, representing the Air Force PC-2Z program. Bami Deletayo, Loyola University, Chicago. Kelly Phillipsky, NCI. Julie Johnson, University of Florida. Jean Jenkins, Human Research Institute. Derek Skolls, NHGRI. Louise Witterhoff, National Institute on Drug Abuse. Ray Hershberger, The Ohio State University. Gail Charvick, University of Washington. Karris Ang, Cleveland Clinic and Case Western Reserve University, University of Cambridge in England. Katherine Nathanson, University of Pennsylvania. Ebony Bookman, NHGRI. Heather Junkins, NHGRI. Bochik Wyshnevsky, Baylor College of Medicine. David Carey, Geisinger Health System. Vince Bonham, NHGRI. Satoru Miyano, Human Genome Center of the University of Tokyo, Japan. David Ledbetter, Geisinger Health System. Andy Fawcett, Geisinger Health System. Heidi Reem, Harvard Medical School and Partners Healthcare. Murray Brilliant, Marshfield Clinic. Wolfgang Sade, Ohio State University. Laura Goetz, Scripps Translational Science Institute. Josh Denny, Vanderbilt. Lucia Hindorf, NHGRI. Jean Passamani, NHGRI. Alan Shuldiner, University of Maryland. Scott Weiss, Partner Center for Personalized Genetic Medicine at Harvard Medical School. Mark Retain, University of Chicago. Deborah Leonard, Wild Cornel Medical College, soon to be at University of Vermont and representing the College of American Pathologists. Katie Johansson-Taber, American Medical Association. Joan Scott, National Coalition for Health, Professional Education and Genetics. Great. Thank you very much. And that is a record that was done in four minutes. That's impressive. So if we're as efficient with the rest of the meeting, we'll be out of here by about one o'clock. So that's great. So again, welcome. This is the fourth iteration of the Genomic Medicine meeting. The initial impetus of this meeting was to bring together institutions who are actually implementing some type of genomic medicine, which is described very broadly, including traditional genetics, the genomics and family history. We've initially had just gotten together as sort of an internal group to discuss projects that we might collaborate on. But in the course of our discussions, realized that at some point we needed to begin to interact with the outside world as well. And as a consequence, as we've talked about challenges and potential barriers to implementation, we've taken the approach to invite groups together to discuss some of these issues collaboratively last time we met with representatives from payers and reimbursement folks to talk more about health systems with genomic medicine. And one of the other issues that I know all of you around the tables are involved in is health professional and allied health professional education around this emerging field. And we thought this would be very important to be able to bring together a group to discuss these issues and hopefully develop some opportunities for collaboration that can move this forward. So the intent of the meeting today is to basically hear what some of the leading professional societies and other organizations are doing with regards professional education and genetics and genomics. And then at the end of the afternoon begin to discuss what we heard that might represent commonalities and think about how we might be able to leverage this into places where we can work together to hopefully move the field forward more rapidly. And Terry has one other thing and then I'll give a couple of logistical issues before we turn it over to Eric. Great. Thanks Mark. And I did want to mention in addition to the professional education aspects of the professional societies having you all in the room gives us a great opportunity to learn what kind of information or evidence you need to develop guidelines which would presumably be the things that you would educate your professionals on. So we would hope that we would have that as a second emphasis today too. Thank you. So in terms of the way this is going to work, the agenda I think is fairly self-explanatory. We will have a number of more formal presentations that are targeted to a total of 30 minutes ideally 15 to 20 minutes of formal presentation followed by a question and answers specific to that presentation and then ultimately we'll have a more broad discussion later this afternoon. As you can imagine, managing a discussion with this larger group of people is challenging. So the way that we've done this in the past that has worked reasonably well is that if you can let Terry and I know through some visible raising your hand or throwing something or whatever that you are interested in contributing, we will keep a list and we'll try and go in order but we have to be very careful not to just launch in like I usually do at meetings and then subsequently not get everybody in the queue. So we'll try and be very cautious so if we're not seeing you, you know, do whatever you need to do to make yourself more visible and we will try and get to everybody and it will be the planning group's job to ultimately pull this together into a summary that will be shared with everyone. As I mentioned, this is going to be, this is being webcast so you'll notice cameras around the room. Also with these types of microphones usually if there's more than two or three on it at any given time it sort of crashes the microphone system. So just be careful that when you're done speaking to turn your microphone off. One other comment. So one other thing that we do try to do to keep the speakers on time is to hold up nasty little signs that say you have five minutes, you have two minutes, you have one minute. Unfortunately I left those home so I'll be using, you know, five fingers, two fingers, one finger and then you may get a different finger at the end but at any rate, so do keep an eye out for that, thanks. Yeah, do we have the capability of doing blurkles on the webinar, so, all right. Great, so with that as a preliminary we will turn the opening presentation to our fearless leader, Dr. Eric Green, the director of NHGRI.