 Good afternoon, everybody. Judges, I'm Kevin Grumbach. This is Laura Schmidt, we're the co-directors of Community Engagement and Health Policy Program. And this is our presentation. Our program's most important accomplishment has been to build trusting, sustainable relationships with community partners to improve the science of translational research. We're particularly encouraged by the great dialogue and the efforts to build better trust between community-based groups, especially grassroots groups like the food guardians in the 800-point area and researchers like some of the top researchers like Bob Lustig from UCSF and others that are doing cutting-edge research on a worldwide level. But bringing grassroots together with the top researchers is incredible. There's a lot of power there. To go out and engage the community and truly do affect the community consultation and public disclosure was actually something that was a big question nationally at all of the Rampart sites. And I think we had a leg up on them partly because of our footsie experience and partly because of our community consultation or our CTSI community engagement program. It was a physical activity and nutrition summit of major stakeholders throughout the San Francisco area where there was common ground to be able to make changes in San Francisco for the betterment of its residents. That probably couldn't have happened without the ground laying that CTSI did in reaching out to the community. Often the university came into the community looking for research subjects or looking for a place to test the theory or a study of sorts but that wasn't always being a mutually beneficial relationship so that what was happening is that you had service learners or researchers coming to the nonprofits do their work and then leave. And none of that work was coming back to the community in a way that could be applied for the benefit of the health of their clients. There's a perception that there's a lot of resources that you see that people would like to be able to tap into in a positive way, in a collaborative way, and I think it's difficult and challenging. I think Alicia is everything in the hospital that I attended when I was 18 for a medical procedure. I didn't think of it as a user-friendly campus more than in any community that I really know about. The key to success and moving efforts at the community level is trust. And to build trust, you need to work side by side with people over time. Then after we jostled back and forth, we gained trust both ways. They gained trust in the people, the tremendous people that are represented on the Community Advisory Board as well as us gaining trust for the university. It takes time to build trust because of the perception that whether it's historic or based on actual experience, it doesn't even matter. There's a perception that some researcher is going to come in and want us to help recruit patients and then they do study, they find something and then they use that to pursue the additional funding that never comes back to the community. The recruitment was scheduled to last for 36 months and it was completed in 19 months. So it was very accelerated in the sense that the study was very successful to be completed. Out of that came the faith initiative, that's what I call it, and it's working with the church community in Fort County. And the church has been highly involved in that the Community Engagement Program helped pull us together to begin talking about that in the various churches. Dr. Christine Madsen also, her and I wrote to the pediatric doctor for UCSF at a glance. She gained so much more knowledge about the capacity of the YMCA if you have a point, the vision that a lot of my staff that we have about prevention and health disparities. And so she's, I know in her workings now, in her research, she's thinking about how can I support the community, how can we begin to engage families around childhood obesity. We're bringing multiple healthcare systems within a city together to work on a single issue that clearly impacts a population differentially. The videographer was our program assistant, but ace videographic master of mind, James Rouse. And I'd like to, James, stand up, take a bow. All right, great. So, David, you want to start us up? Well, I kept waiting for the bears. So it sounds like a lot of the projects you do are in San Francisco. Does it go out further into the Bay Area? For the Community Engagement and Health Policy Program, it's a much broader reach across the Bay and even across the state or national at the policy level that Laura can talk about. We'll talk later about the San Francisco Health Improvement Partnerships, which is really focused on San Francisco, but for example, the person on the faith-based group, that's an Alameda County organization. But we do believe change starts local, right? And so I think a lot of this, we want to see change within our own communities and the ones within our immediate reach in the Bay Area, certainly. We were told by the NIH reviewers that our effort to change the health in measurable ways in San Francisco was way overly ambitious. So that's where, you know, and if we can have a video like this showing tangible changes in health outcomes in five years, we're going to be jumping in, you know, cheering. At the national level, the health policy part of CEHP has been, we have, we found that we were one of only two CTSAs nationally that even has a health policy program within it, the other being George Washington University. And over the last year or so, we've been funded through supplements to build a national consortium of health policy researchers within the community engagement infrastructure at NCRR. And so what we're doing actually in August, we are having our kickoff meeting. We have representatives from Harvard, from UC San Diego, from all over the country coming to a convening in Washington on August 31st to actually sit down and talk about, well, how could other CTSAs possibly involve health policy as part of their efforts in T2 translation? So we're trying to take what we've learned over the last year so as we've merged our programs and take that model, a lot of it being experimented on in San Francisco and take it national. I'm wondering about the health policy part of it because the video sort of focused on the community engagement part of it. So tell me more about what you're trying to accomplish with the health policy and how is it interfacing with our academic unit? Well, we were told we could only talk about one of our achievements so we thought we would focus on that. But one of my pet projects within health policy is a program called CELDAC which has linked 80 different data sets, national, state, federal, and made them available with a full panoply of resources for faculty within UCSF so far who want to do health policy, health services research. Some of these data sets are extremely expensive like the HICUP survey and we can make these available to, say, junior faculty who are on a tight shoestring for free. We have had thousands of hits on the CELDAC website. We've had a lot of individual consultations, particularly with orthopedic surgery. We've been working one-on-one doing statistical and programmer type consultations so that we can build the capacity for, say, a surgical, a surgery researcher to actually do some health services and policy relevant work. And so we've been recently actually approached by a potential funder who would like to just take that and help us run with it in a bigger, better way. Some is the idea there's some policy research will happen, you know, policy, for anything to happen in the community, it requires policy change. So I think that's partly the way we think about it too, that there's a natural connection because whether it's regulatory policy, whether it's incentives, that the health plan or health system level, that there's a natural affinity that these really are part of the arc of translating things and the meaningful, sustainable change in the community. One of the people in the video said two things that I caught my ear. One was her feeling about UCSF, which it seems we need to have some strategy to try to deal with because I have heard that in my limited forays in the community. I've heard that a lot, especially the African-American community. And it's very negative and it's not getting better. And the second thing she said was people do their research and leave. And it seems like, I guess the question is how are we going to approach those two things? And I know Kevin, you've thought about it a lot. I think it is getting better. You've defined what is one of the major objectives of our program and you have, you know, Rina Pasick's work at the Cancer Center with Arnold Perkins who is featured there. It's all of, it's what we're talking about. I mean, it makes me worried does the message not come through because you have to build sustainable relationships and trust. And it takes those individual one-by-one linkages to build, to change the historical attitudes that's out there about UCSF and most academic health centers. I think, you know, we have our program within CTSI. There's the University Community Partnership Office within the Chancellor's Office which is trying to deal with Service Lunar, Community Development, other programs. It takes, it has to be a priority of UCSF. It has to be something where there's investment in changing those interactions and culture that's as important as our industry relations, in my opinion. When we put the little thing up on our little metrics, 89 consultations and I think the Chris Madsen comments were relevant to this. We go to them or they come to us and we say, what's your problem? You know, well, we want to show outcomes for our program. We want to, you know, get rid of corner stores that are selling alcohol and violence in those communities. And we say, okay, how can we help you? Here's the evidence. You want us to show you what programs work? You want us, and that is, in my experience directly, that's a shocker. Wait, you guys want to know what our problem is and help us fix it? That's just like a new way to even approach these community groups and hopefully over time, if we can sustain that, we will build a better public image and trust. And we'll talk a little bit more about that too later this afternoon. So back to you. No, I was just thinking back to some of the earlier presentations and on this one is could you translate, since this is translational, community engagement techniques and knowledge to interprofessional education? I think that's a symposium length question you put out there, David. Wouldn't you say? Well, we'll have a symposium. The answer's got to be yes, right? Yeah, the answer's yes. Sam. I was going to ask more or less the same question that Talmich asked, because I remember it was either at this retreat last year or maybe it was the year before on a panel, the same issue of sort of research tourism came up. And just what have we done to build that into the educational training programs or our curricular for students and residents, et cetera? Have we made conscious efforts to deal with that? Yeah, probably the most fundamental is the health and society pathway. So there is a whole component of community engaged research and participatory models that Helen Goldstein teaches, some of the courses, others of us. So, yeah, I mean, we're trying to imbue this in all the educational programs across the schools. Yeah, and I also just for the, we've also teamed up with training. So we, I think six of our faculty within CEHP are teaching courses in the IBS track on everything from community engagement to the implementation of policy. Andy Beinman has a class on advocacy, political advocacy. So we're hoping to build a new generation of researchers who really get how to do translation both in the community engagement and health policy fields. Great. All right, thank you. Thank you very much. Great video.