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Welcome to Research Ethics Reimagined,
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a podcast created by public
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responsibility in medicine and research,
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or PRIMER. Here we talk with scientists,
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researchers, bioethicist, and some of
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the leading minds exploring the new
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frontiers of science. Join us to
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examine research ethics in the 21st
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century, and learn why it matters to
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you. I'm your host, Ivy Tillman,
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let's dive in
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I wanted to take a moment to introduce
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myself and welcome you to our first
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episode of Research Ethics Reimagine.
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My name is Ivy Tillman. I'm the
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Executive Director for Public
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Responsibility and Medicine and Research,
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and will be the host of our podcast.
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Before we begin our first episode, I
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wanted to share a little bit about
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myself and why I'm deeply connected to
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our mission here at Primer. I am a
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mother of four amazing boys, a research
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ethics professional, a wife to an
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incredible engineer, an active
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community member, an advocate for women
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and girls, a teacher, a daughter, an
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aspiring beekeeper, that's a story for
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another day, and especially a lifelong
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learner. Early in my career as a high
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school biology teacher, I witnessed how
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education empowers and opens doors of
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opportunity for my students. I saw that
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science was not solely about memorizing
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facts and taking tests. It's about
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curiosity, discovery connections. I
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making, and
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love these From teaching to navigating
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the complexities of research ethics as
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an IRB director, my career has been
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shaped by a commitment to bridging gaps,
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fostering understanding, and helping
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others make connections. Whether
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advocating for underrepresented
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populations or engaging communities in
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discussions about research, my aim is
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always to elevate voices and create
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spaces for growth and learning. My
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passion for understanding has led me
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here today to encourage you to discover
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and connect with our guests as we ask
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questions about what science means to us.
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Every day, we are impacted by science
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and research without even realizing it.
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I am pleased to welcome you to Primer's
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podcast, Research Ethics Reimagine,
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where we hope each conversation is an
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opportunity to enlighten, inspire, and
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connect. I'm excited to host today's
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episode.
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Today, we have with us Dr. Robert
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Nobles, who is an epidemiologist and
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the Vice President for Research
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Administration at Emory University, and
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Dr. Amanda Detmer, who is a research
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scientist at the Yale Child Study Center
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and the Yale School of Medicine. At
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Emory, Robert promotes research growth
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through oversight and execution of the
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strategic direction of an expansive
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research portfolio across the university
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Amanda leads the Human and Animal
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Integrated Research Lab and the Yale
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Child Study Center. She's a comparative
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psychologist and behavioral
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neuroscientist with over 20 years of
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experience studying non-human primate
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models of child health and development.
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I'm pleased to be able to have this
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conversation today with Robert and
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Amanda, and to share it with you, our
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listeners. Today our conversation will
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focus on building and maintaining trust
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in research and science This is our
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first episode. We'd like to encourage
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our listeners to visit Primer's research
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ethics timeline, which serves as a
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guide for understanding the pathway of
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these ethical frameworks that govern
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animal and human research. For today's
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conversation, we'll discuss some of
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those ethical principles and how they
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frame the regulations that we know of
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today, but we'll also touch on what
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ethical research looks like in the 21st
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century as we work to rebuild trust in
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research and science. So we'll get
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started, thank you. My first question
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is, is there a disconnect between the
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individuals who implement ethical
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frameworks for conducting research and
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the community that receives benefits
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from such research? That's a really
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good question. I think the answer goes
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both ways. There is a disconnect
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between the individuals that provide
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oversight activities, but they happen
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to be part of the communities that
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benefit from the novel and innovative
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activities we garner out of research
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activities. But I think what happens
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with many of us is that we live in
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multiple worlds. We're part of multiple
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communities. And oftentimes we don't
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really make the connection of us being a
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community member who benefits and also
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be the regulatory bodies or compliance
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bodies that enforce ethics and the
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values of carrying out research
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responsibly. And so I think there's
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something to the question that we
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collectively need to embrace our
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holistic selves in the review and the
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dissemination and the sharing of
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research related activities. And to
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that vein and Amanda and I had an
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opportunity to talk about briefly
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primate related research, I wonder from
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her how much does she share with
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individuals about the value of non-human
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primate work? And to strangers on the
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street Is it something that we keep our
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science to ourselves?
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Yeah, great question, Robert and Ivy
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too. And I think to answer your
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question first, Ivy, and to piggyback
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off what Robert said, I think in the
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animal research realm, there's, it's a
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little different, right? The people
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who oversee research ethics there are
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obviously, right, very different from
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the animals who participate in the
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research. However, I do think that it
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often is the case that the people who
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oversee the animal research ethics are
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the ones who do eventually and
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ultimately benefit from the knowledge
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that is gained from animal-based
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research. But what a lot of the public
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doesn't realize is the animals
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themselves often can also gain. For
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example, there may be medical
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developments that are trialed in animal
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models before moving onto humans, or
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that our society. are just child and
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animals to improve animal-only health.
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And all of that research requires
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ethical research oversight, and so,
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you know, I have a pet dog, right?
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When I go take her to the vet every year
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for her rabies vaccine, I do a little
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silent, thank you to the animal
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researchers who developed that vaccine
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who continue to improve medications for
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her and to improve her health. I think
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the community differs in a little bit of
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a different way than with human-based
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research, but in a valuable way
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nonetheless. And then to answer your
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question, Robert, how much do I kind
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of just talk to people on the street?
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You know, I'll say more than I used to.
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It increases, it's increased over the
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last several years. And the reason for
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that is largely a personal professional
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experience. I had where the research
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group I was involved in, we were
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targeted by anti-animal research
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activists and it really drove home the
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need to just be very. open and up front
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and welcome questions in conversation.
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And I've actually found that when I lead
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with that now, you know, like the
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elevator conversation, what do you do?
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Most people in general are like, Oh,
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wow, tell me more. And opens up a
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great conversation. I think you brought
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up a really good point, Amanda,
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because I'm most providing this
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community of really dedicated ethics
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professionals with an elevator pitch.
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Because oftentimes we don't know, I say
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we because I still feel a part of the
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community. We don't know where to start.
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And so if you were to ask or to design
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an elevator pitch, Robert and Amanda,
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what would that sound like? I know I'm
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putting you on the spot, but this is a
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really good one. Related to research
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ethics or - Yeah, related to research
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ethics. That we do or - Both in the
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sense of, you know, going back to the
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original question of the disconnect. So
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we recognize that a disconnect exists.
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How do we begin to build that connection?
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And so could it be done through like
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this is what you would say or this is
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what you would, you know, this would,
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what would spark someone's interest?
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Because you said that when you began to
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have that conversation, they wanted to
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know more. Yeah, so coming as a
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comparative psychologist and
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animal-based researcher, this is not at
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all probably similar to anything Robert
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might say in an elevator, right? Or at
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the park or whatever, but when I get to
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questions, so what do you do? I
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generally answer with something along
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the lines of, I'm a behavioral
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neuroscientist, and I study non-human
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primate models of child health and
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development. And it either goes kind of
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one or two ways. People are interested
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in the child development. They're like,
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oh my gosh, tell me about this thing my
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kid just did the other day. Or they
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hear the non-human primate, and then
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they'll, oh, what kind of primate?
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And then they'll ask, why do you study
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them? And then I then feed off of the
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questions that they ask me to have a
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continuing and open conversation Yeah,
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it's a great question. you know, when
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I reflect on that, I am very, very
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proud of what I do. But I am very
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discreet to individuals that don't know
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me not to overshare, which is very
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interesting. Most times, people ask me
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what I do, and I say, oh, I'm an
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epidemiologist, right? And then they
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think I'm a, I deal with the
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epidermis, right? And I'm like, well,
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no, no, no. So some people will say,
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well, what is that? And then I would
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explain, I used to track diseases and
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be with the CDC. And that was more than
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20 years ago.
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And then they, if they want to continue
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to engage,
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then I do. But it's very interesting,
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because then it leads into what do you
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do now? Are you a professor? And I'm
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like, well, I used to be. But now I
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help people with research activities.
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And then they get to want to And I try
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not to, this is not the normal way of
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me trying to, in academic settings,
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trying to explain what you know or
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explain your title and what you do at an
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institution, you're just trying to be a
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regular community company. And so I
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find myself holding back until other
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things happen, where people are
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sneezing or, 'cause I try infectious
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diseases. And so I, or they have spots
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on them or
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anything I'm like, oh, well, you
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should probably get that checked out
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because
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I do find myself not overly disclosing.
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And it's very interesting, 'cause one
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of these conversations happened during
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COVID. And I mean, I would explain to
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individuals, like you really don't need
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a mask outside. Dilution is the
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solution to pollution. There's this,
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okay, maybe I'm going too far. But my
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wife would have these conversations,
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the communities would have these
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conversations I would stay quiet unless
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they ask me a question and my wife would
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say He knows the answer, he's just not
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telling us because we have to ask him
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directly. Because I don't want to
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squelch this common conversations and
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then I choose not to engage. But it's
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very interesting that I try not to
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overshare, but in thinking of the
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purpose of this podcast, we probably
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should share more. Because I think us
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integrating into our communities and
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making the connections where people
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understand what we do, what we stand
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for, how we carry it out, and how
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sacred research is. It's something that
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we probably should do more of as
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individuals within our communities.
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And instead of just trying to blend in,
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I think I try to blend in a lot and not
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overshare being doctorate, educated,
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blah, blah, blah, blah, right? Like
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it's just not
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what I lead with. I think that's
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fascinating to consider how we, are
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citizens and community members as well
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as, you know, for you all, scientists
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and ethics professionals, but really
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beginning to integrate these
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conversations into our communities.
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Because, you know, trust is built with
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these conversations, right, and
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transparency. Moving into our next set
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of questions, we're living in a time
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where we face a declining level of trust
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in our institutions across the board,
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right? And we've seen that. Science
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and research are not immune from that
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The pandemic, of course, thrust
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science into politics in an
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unprecedented way. But we recognize
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that there is a lack of trust in
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scientists and research as a whole.
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What do you think is driving that
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decline in the trust in science? Or I
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can ask it to you this way, too, or
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think about it. Was there ever a high
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trust in science and research in our
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country? I've been asking myself that
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question lately. I'll jump forward and
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I think we had high trust before I was
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born. This is what I think. And this
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is the disconnect that I had even even
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growing up and with some scientists
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today.
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We learn a lot and we become experts in
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certain fields and we find ourselves not
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being able to communicate with
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individuals not in our field about the
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science and the things that we know and
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and what I what I firmly believe is that
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you have to make a connection and so so
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some of our scientists or at least the
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scientists who are get on TV or or are
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sharing some of them don't connect with
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the audience they're they're seeking a
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different audience that can actually
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receive the information from them and in
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when we in when we're all not talking
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we leave the risk that the science is
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above of everyone, everyone, and you
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have to be on this platform to get it.
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which then allows everyone else to draw
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their conclusions of what they believe
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and the watered down versions of
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information that we receive and some of
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the media outlets. And so I think we
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did trust science at a point of time
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when we need science to move forward.
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And I think we're at that time now. The
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challenge is that it becomes polarized
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in political of scientific messaging and
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then we lose our audiences, right? And
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so I think collectively we could do a
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better job at simplifying scientific
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messages, even though that
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simplification makes the message
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imperfect. But Elise is digestible.
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That's such a great segue to what I
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thought of in response to this question,
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Robert, which is I think there's a few
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systemic components at play here And one
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is this seeming, it seems to be like a,
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Gosh, just the omnipresent desire or
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even need for the sound bite.
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And this is the society we're in now.
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We weren't always that way, right?
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When you think about how we consumed our
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media, probably back around the time
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where Robert, you feel like we trusted
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science as a society, we read
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newspapers. That was the only way to
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get our news. We had to sit and read
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and digest Now everything's at our
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fingertips. And if it's not in one or
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two sentences, forget it, you're not
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gonna hook the reader or the consumer or
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whatever. And it's a disservice in a
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lot of ways, I think, because that
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science is hardly ever that simplistic.
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So the challenge then becomes how can we
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simplify it?
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And it takes a lot of work. It takes
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training that we don't get, this is
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another part of the system as scientists,
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we don't get this type of training.
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research. Or you don't get
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communications degrees, right? Or
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social media classes. These are all
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things that we have to do on our own
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time extra that largely are not
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incentivized by the institutions that we
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work for, right? Where the things that
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are incentivized are research
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publications and grants, largely
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teaching and service to your institution.
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So there's that systemic issue Have you
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heard of the phraseall research isme
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search where researchers will tend to
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tackle problems that have personal
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relevance to them, right? So this
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statement is a little bit ofme search
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orrelevant where I'm a parent of two
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school-aged kids. I have a middle
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school or an elementary school and I'm
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watching them go through their science
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classes. As children, they have a
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mother at home who's a scientist. Do
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they like their science class? Not
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really. And when I hear about the
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things they're doing in their science
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classes, they're really not terribly
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different from what I remember doing at
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those same ages. And so then the system
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of even teacher preparation, right?
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And it's like, I feel like the emphasis
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for the most part in advocating for STEM
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education comes later. Maybe starting
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in high schools where you really get
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like a hard push and like, look how
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cool this can be. I think there's so
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much we can do from the earliest ages.
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I do think it's improving. My children
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have learned about from kindergarten
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through now, scientists that I never
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would have, never even knew about when
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I was a child and different types of
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science. So it's slow, but those are
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just some of the things I think are
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playing into the issue here. Well, let
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me give you one example. 'Cause I mean,
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I absolutely agree with you Amanda. I
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mean, 'cause my kids are going through
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science class and every once in a while,
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they're like, oh dad, you should come
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do the dad teacher science thing and
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teach us about research. And I've done
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it a couple times and they're
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embarrassed. I'm there. But
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I will say that it's not just that we're
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not trained. It's actually a bit taboo
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for us to simplify messages. My early
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research was, I mean, I find ways that
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people get sick and people die, right?
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Like, this is what I do.
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I find risk as an epidemiologist. And
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some of my early work was in Florida
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monitoring enterococcus in the beaches
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of what would make beachgoers get sick,
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right? And what
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I found in the process of researching
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that and being part of the state health
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office and doing public notification is
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that I needed to make it very, very
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simple. And so we came up with the flag
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system. I came up with the flag system
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where, If bacterial levels are high,
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then it's red, it's yellow. And they
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still use the flag system. That's you?
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Yeah. I
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think that's amazing. Are you ever able
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to take my kiss to the beach? Exactly.
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Throughout the country, that's
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it, Robert. Love it, Robert. So
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I did that like in the 90s, right?
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Robert's flags. But look, but get this.
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When I got called from a media outlet,
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because I found when it rained the
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septic systems in Florida leaked
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directly into the water and people got
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sick Like, it was a direct correlation.
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I was explaining to all this, and
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Terracakis has a bacteria indicator. I
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was doing all this stuff, and they're
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like, I mean, media people. They got
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me. They said, This is really good.
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It sounds real scientific. How would
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you explain it if I was a fifth grader?
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And I'm like, Oh. I said, You
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wouldn't want to swim in your toilet
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bowl, would you? And they're like,
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That's perfect, right? And
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they're like, And then they walked away
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and drew a cartoon. where a toilet bowl
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seat was sitting in the water, two old
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people were walking by and they were
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like, But we don't want to swim in a
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toilet bowl, do we?
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And I had to tell the people. I had to
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tell the people I
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worked with and the supervisors, like,
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I think I just messed up, right? I got
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pulled into oversimplifying, but it
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actually worked because it allowed for
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floor to get in the island of Key West
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a5 million appropriation to build a
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wastewater management system instead of
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septic systems leaking into the water
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and
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making people sit. And so I think we
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have to figure out a way and
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really change the dynamics of how we
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operate within our academic and
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scientific communities that it's okay
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for us to simplify languages
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Wow. Great conversation and great
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examples. I'll never look at the flax
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the same way. I always see your face
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Robert when I'm at the beach in the
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summer. Just don't go swimming within
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the toilet bowl. Within six hours of it
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raining because even wastewater
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treatment plants, they bypass the
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filtration component and it just flows
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directly into the water ways Does it
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kind of apply? So don't, don't go
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swimming around. That is good to know.
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Great PSA. Yes. Yes. Along those same
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lines, my next question deals with
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really understanding that the current
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degradation of public trust can be
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attributed to a series of campaigns that
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aren't fact-based, and we know that,
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and they ultimately are not in the best
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interest of society. Many of them are
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ideology-based movements with vested
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interests to undermine science. So how
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can we work to combat disinformation and
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rebuild trust and science, including
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considering these campaigns in the first
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Pacific against the non-human animal
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research? So how do we do that? Such
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an important question because there
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certainly are more than one groups,
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anti-animal research groups with very
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absolutist agendas. They want nothing
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but to get rid of all animal-based
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research period, stop, you know, full
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stop. I think a huge part of the
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solution is we cannot rely on individual
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scientists alone to do this very
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important work of fighting back,
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essentially. I think the best defense
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is a great offense and institutions,
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universities, colleges, federal
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agencies, et cetera, They hire
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scientists. with full knowledge that
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they engage in animal-based research for
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the betterment of society, both animal
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and human society. And I think it's
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incumbent on those institutions to
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provide that strong offense on behalf of
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the individual scientists. If you think
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about it, this is a completely
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off-the-cuff analogy, so it may fall
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apart. We'll see. But
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if you think of the scientific
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enterprise and the endeavor as a team,
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all sciences teamwork, right? An
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individual player on that team, in a
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team sport like this, is not going to
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be able to, by themselves, turn this
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score around, right? It's going to
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require a concerted effort and everybody
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working together, like not just
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teamwork, but like. Kind of unified,
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you know, it's really a collective
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approach. Yeah, you know, they all
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have, they're playing by the same
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playbook and everyone has their role,
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but the institutions have to not only be
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on board with defending their scientists
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when they come under attack.
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But go above and beyond that and be
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proactive in the public communication
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about the importance of the types of
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research that their scientists do,
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about providing engaging factual
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evidence as to the importance of this
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type of research, and not hiding behind
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their walls and not putting the
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scientists out on their own to do their
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own defense, and that's I have no idea
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how my analogy went, but I It went
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great. I was imagining a basketball
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team, so you're okay, all right. It
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is it's a full core press. But let me
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let me say, let me say, and I'll put
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primer in contention of what they can do
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as well. What I've seen at the 4, 000
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academic institutions we have across our
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country is everybody's trying to figure
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out messaging priorities and what to
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share with their community. What we
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don't have is a collective, and this is
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what Amanda was saying, a collective
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voice of what should be shared about
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animal research, or research in general,
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and when we think about institutions
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like Primer, Neighbor, and others that
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are like, if you just think about
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institutions and organizations that are
-
promoting positive science, what those
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institutions don't do is give the
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playbook or the messaging to
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institutions to distribute instead of
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them needing to create their own message,
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right? And so one of the things that I
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thought was very positive in the 80s was
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public service announcements. I don't
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know where they went, right? I mean,
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but if it made sense or if it didn't,
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Nancy Reagan always said, say no to
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drugs. Just say no. And then you see
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the frying pan and it would come on in
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the middle of shows, right? And what
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we need to do is develop those sound
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bites because Amanda already hit on that
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People have such small attention spans.
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We need to give a sentence or two of why
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we do research. Why do we do research
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with animals? What's the value? What
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did we create? What was produced? Why
-
does research make our lives better?
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And if Permer did that and gave it to
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the member organizations in the
-
community, we will start to socialize
-
this understanding
-
why we should say no to drugs and why we
-
should say yes to research, right?
-
We're just missing, the playbook was
-
already laid out for us a long time ago,
-
and everybody's not on Twitter and
-
Snapchat and TikTok and this and that,
-
and
-
I wouldn't even know how to subscribe to
-
all that, but
-
people will still hear messages and
-
Permer can be an authoritative voice and
-
a beacon of truth of why we do what we
-
do
-
in research ethics for both humans and
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animals. Absolutely. We have our
-
marching orders now. Yeah,
-
I know we're coming up on time. I do
-
have one more question that I do want to
-
get in. So I'm going to kind of shift
-
it real quick. We had some leading
-
questions, but if we consider human
-
research and talking about the Belmont
-
report and the principles, the three
-
principles that, you know, undergird
-
our regulations, we begin to think
-
about vulnerability and how that's a
-
concept in engaging particularly
-
populations who do have some concerns
-
around research and trust and research.
-
So do you think the existing frameworks
-
have fully captured the paradigms of
-
vulnerability that exist today? I don't,
-
and then I'll let Amanda answer it. So
-
the answer is no. I think at that time
-
when the Belmont report was created and
-
when we had our code of federal
-
regulations, they identified groups
-
that had been targeted and and not fully
-
engaged appropriately to protect, right?
-
And so, I mean, so we have, we have
-
infants and we have pregnant women and
-
we have prisoners.
-
When I look at our communities, there's
-
vulnerability related to socioeconomic
-
status. There's vulnerabilities related
-
to regions. There's vulnerabilities
-
related to hierarchy, access.
-
We have not fully captured the full
-
paradigm to talk about how do you make a
-
connection with these communities, to
-
be able to engage with them
-
appropriately about the value of
-
research and being involved and being
-
included and being a participant. And
-
shame on us for not doing that because
-
we're missing the ability to find risks
-
of individuals and the nuance of risks
-
while we try to pull people into
-
studying these risks And so it's a
-
challenge.
-
But I want to turn it over to Amanda to
-
answer as well, because I think there's
-
real risk with the same levels of
-
vulnerability with our animals and human
-
populations. Yeah, and I know that
-
with the Belmont Report specific to
-
human participants' research, and I
-
think this is a great example of the
-
value of research It's because of
-
research that we are continually
-
evolving our understanding of
-
vulnerabilities when it comes to any
-
number of outcomes, right? Robert,
-
you named some great examples.
-
Socioeconomic status, zip code, turns
-
out, is a vulnerability, accessibility,
-
which to services or lack of
-
accessibility, which can also just be
-
called privilege, right? Or
-
non-privileged These are all
-
vulnerabilities, and because of
-
research, we're continually evolving
-
our understanding of what makes people
-
vulnerable to illness, to poor health
-
outcomes, to not responding while the
-
treatment, and I think the onus
-
absolutely is on us as researchers, as
-
a
-
society too, as a whole, to make sure
-
that there are regular updates to
-
documents like the Belmont Report, to
-
ensure that we are protecting the most
-
vulnerable people who are very likely to
-
be the ones who will benefit the most
-
from the research that we do. Yeah,
-
including terminal illnesses. Yeah. I
-
mean, when people are desperate for an
-
answer, they're much more willing to do
-
anything to help.
-
Yeah, absolutely. Well, thank you. I
-
think we're at time. We could talk for
-
another hour. This is really
-
fascinating. Yes, we need to have more
-
conversations like this. Absolutely.
-
Thank you for listening to Research
-
Ethics Reimagined, a podcast created by
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Primer and produced by syntax in motion.
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Please subscribe and share with your
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next month as we continue our
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of the leading minds exploring new
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