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Can a Second Grader Fix Healthcare? | Dr. Kevin Johnson | TEDxNashvilleSalon


so I’m excited to share with you all

so I’m excited to share with you all this perspective I’ve had lately about

this perspective I’ve had lately about

this perspective I’ve had lately about whether a second grader can actually fix

whether a second grader can actually fix

whether a second grader can actually fix healthcare and as I’ve been reflecting

healthcare and as I’ve been reflecting

healthcare and as I’ve been reflecting on this this question for a while what

on this this question for a while what

on this this question for a while what I’ve been what I was trying to do is to

I’ve been what I was trying to do is to

I’ve been what I was trying to do is to think of a second grader who I get used

think of a second grader who I get used

think of a second grader who I get used to help me get this story started and I

to help me get this story started and I

to help me get this story started and I did think of one so this is my second

did think of one so this is my second

did think of one so this is my second grade class I can’t even remember what

grade class I can’t even remember what

grade class I can’t even remember what year this was but you all can see it and

year this was but you all can see it and

year this was but you all can see it and if those of you can’t find me in this

if those of you can’t find me in this

if those of you can’t find me in this crowd and it shouldn’t be that hard

crowd and it shouldn’t be that hard

crowd and it shouldn’t be that hard there I am so if you’d had a chance to

there I am so if you’d had a chance to

there I am so if you’d had a chance to follow me around when I was a second

follow me around when I was a second

follow me around when I was a second grader you would have found me spending

grader you would have found me spending

grader you would have found me spending a lot of time and in a place like this

a lot of time and in a place like this

a lot of time and in a place like this which is the Baltimore County Public

which is the Baltimore County Public

which is the Baltimore County Public Library where I grew up reading books no

Library where I grew up reading books no

Library where I grew up reading books no surprise about these guys I was very

surprise about these guys I was very

surprise about these guys I was very much into lizards as a kid my husband

much into lizards as a kid my husband

much into lizards as a kid my husband would tell you I still kind of am and as

would tell you I still kind of am and as

would tell you I still kind of am and as it turns out all of that was fuelled by

it turns out all of that was fuelled by

it turns out all of that was fuelled by biology teachers and visitors that we

biology teachers and visitors that we

biology teachers and visitors that we had in my second grade class who had an

had in my second grade class who had an

had in my second grade class who had an opportunity to show a slimy things and

opportunity to show a slimy things and

opportunity to show a slimy things and scaly things and creepy things and all

scaly things and creepy things and all

scaly things and creepy things and all the girls hated it and all the guys

the girls hated it and all the guys

the girls hated it and all the guys loved it and I was one of those guys who

loved it and I was one of those guys who

loved it and I was one of those guys who loved it and it became something that I

loved it and it became something that I

loved it and it became something that I really found interesting I have raised

really found interesting I have raised

really found interesting I have raised numerous animals in my life and have had

numerous animals in my life and have had

numerous animals in my life and have had an opportunity to have a lot of

an opportunity to have a lot of

an opportunity to have a lot of interesting pets when I was looking at

interesting pets when I was looking at

interesting pets when I was looking at undergraduate campuses I had a regional

undergraduate campuses I had a regional

undergraduate campuses I had a regional interview at Princeton University and

interview at Princeton University and

interview at Princeton University and the regional interview focused mostly on

the regional interview focused mostly on

the regional interview focused mostly on this my pet octopus at the time who I

this my pet octopus at the time who I

this my pet octopus at the time who I had had for about six months in

had had for about six months in

had had for about six months in captivity which was a record at the time

captivity which was a record at the time

captivity which was a record at the time and it took an amazing amount of work to

and it took an amazing amount of work to

and it took an amazing amount of work to keep an octopus in captivity and it was

keep an octopus in captivity and it was

keep an octopus in captivity and it was probably no surprise to people because

probably no surprise to people because

probably no surprise to people because of how much I enjoyed biology that I

of how much I enjoyed biology that I

of how much I enjoyed biology that I would eventually go on to become a

would eventually go on to become a

would eventually go on to become a doctor and I became a pediatrician what

doctor and I became a pediatrician what

doctor and I became a pediatrician what really surprised a lot of people and in

really surprised a lot of people and in

really surprised a lot of people and in fact it even surprised me to a certain

fact it even surprised me to a certain

fact it even surprised me to a certain extent was that it was the computer in

extent was that it was the computer in

extent was that it was the computer in the back of that picture that turned out

the back of that picture that turned out

the back of that picture that turned out to be the passion that I discovered

to be the passion that I discovered

to be the passion that I discovered later in life it started when I was in

later in life it started when I was in

later in life it started when I was in college professor Robert Paul who’s

college professor Robert Paul who’s

college professor Robert Paul who’s shown in the back of that picture right

shown in the back of that picture right

shown in the back of that picture right there and professor Paul helped me to

there and professor Paul helped me to

there and professor Paul helped me to write a game that became pretty

write a game that became pretty

write a game that became pretty addictive on my college campus I learned

addictive on my college campus I learned

addictive on my college campus I learned a lot about

a lot about

a lot about Suter science at the time picked up a

Suter science at the time picked up a

Suter science at the time picked up a minor as you heard and discovered when I

minor as you heard and discovered when I

minor as you heard and discovered when I got to medical school that there was a

got to medical school that there was a

got to medical school that there was a field that combined what I had loved to

field that combined what I had loved to

field that combined what I had loved to do in medicine in biology with computers

do in medicine in biology with computers

do in medicine in biology with computers that field is called biomedical

that field is called biomedical

that field is called biomedical informatics you’ve heard Matt and others

informatics you’ve heard Matt and others

informatics you’ve heard Matt and others talk about it today it’s essentially a

talk about it today it’s essentially a

talk about it today it’s essentially a field that the New York Times has called

field that the New York Times has called

field that the New York Times has called an opportunity to connect the dots

an opportunity to connect the dots

an opportunity to connect the dots between medicine and data and for those

between medicine and data and for those

between medicine and data and for those of us who were in the field it’s become

of us who were in the field it’s become

of us who were in the field it’s become an extremely exciting part of healthcare

an extremely exciting part of healthcare

an extremely exciting part of healthcare and I’ll show you just a couple of

and I’ll show you just a couple of

and I’ll show you just a couple of examples of that many of you heard about

examples of that many of you heard about

examples of that many of you heard about the Obama initiative which is also

the Obama initiative which is also

the Obama initiative which is also called the precision medicine initiative

called the precision medicine initiative

called the precision medicine initiative as opposed to Obamacare which is also

as opposed to Obamacare which is also

as opposed to Obamacare which is also okay but we won’t go there and the

okay but we won’t go there and the

okay but we won’t go there and the precision medicine initiatives goal is

precision medicine initiatives goal is

precision medicine initiatives goal is to stop us in who are doctors from

to stop us in who are doctors from

to stop us in who are doctors from giving every one of you what we call

giving every one of you what we call

giving every one of you what we call average care medicine which means we

average care medicine which means we

average care medicine which means we know what works for the average patient

know what works for the average patient

know what works for the average patient we try that on you first if it doesn’t

we try that on you first if it doesn’t

we try that on you first if it doesn’t work we try something else until we get

work we try something else until we get

work we try something else until we get it right the whole idea of precision

it right the whole idea of precision

it right the whole idea of precision medicine is the right care for the right

medicine is the right care for the right

medicine is the right care for the right patient the first time that requires an

patient the first time that requires an

patient the first time that requires an enormous amount of information genomic

enormous amount of information genomic

enormous amount of information genomic information social determinants of

information social determinants of

information social determinants of health one of my favorite precision

health one of my favorite precision

health one of my favorite precision medicine questions that the faculty have

medicine questions that the faculty have

medicine questions that the faculty have heard me say is homeless patients should

heard me say is homeless patients should

heard me say is homeless patients should never receive a refrigerated med that’s

never receive a refrigerated med that’s

never receive a refrigerated med that’s an extremely hard problem to solve and

an extremely hard problem to solve and

an extremely hard problem to solve and we’re working on that problem another

we’re working on that problem another

we’re working on that problem another area that’s of interest of some of the

area that’s of interest of some of the

area that’s of interest of some of the room I know is what we heard about

room I know is what we heard about

room I know is what we heard about earlier also which is this in this

earlier also which is this in this

earlier also which is this in this explosion of data from fitbit’s and

explosion of data from fitbit’s and

explosion of data from fitbit’s and iwatches and all the devices in our

iwatches and all the devices in our

iwatches and all the devices in our world coupled with some of the data that

world coupled with some of the data that

world coupled with some of the data that are available on the pipe in the public

are available on the pipe in the public

are available on the pipe in the public space when that gets combined it can

space when that gets combined it can

space when that gets combined it can actually inform our health decisions but

actually inform our health decisions but

actually inform our health decisions but it has to be combined it has to be

it has to be combined it has to be

it has to be combined it has to be interoperable we have to understand the

interoperable we have to understand the

interoperable we have to understand the types of decisions and the types of data

types of decisions and the types of data

types of decisions and the types of data that matter and that’s an area that

that matter and that’s an area that

that matter and that’s an area that biomedical informatics really excels in

biomedical informatics really excels in

biomedical informatics really excels in a third area which you also heard about

a third area which you also heard about

a third area which you also heard about today is this this integration of AI or

today is this this integration of AI or

today is this this integration of AI or artificial intelligence and data science

artificial intelligence and data science

artificial intelligence and data science and really that is summarized by one

and really that is summarized by one

and really that is summarized by one word which is going to be the hottest

word which is going to be the hottest

word which is going to be the hottest thing you hear in the next four or five

thing you hear in the next four or five

thing you hear in the next four or five years in healthcare which is all about

years in healthcare which is all about

years in healthcare which is all about prediction it’s predicting patients who

prediction it’s predicting patients who

prediction it’s predicting patients who might have a certain disease predict

might have a certain disease predict

might have a certain disease predict ding which therapy is the right therapy

ding which therapy is the right therapy

ding which therapy is the right therapy for that disease and if you’re a if

for that disease and if you’re a if

for that disease and if you’re a if you’re involved with the health care

you’re involved with the health care

you’re involved with the health care system it’s actually predicting things

system it’s actually predicting things

system it’s actually predicting things like the likelihood that it might have a

like the likelihood that it might have a

like the likelihood that it might have a patient who’s readmitted or predicting

patient who’s readmitted or predicting

patient who’s readmitted or predicting that there’s a particular patient who is

that there’s a particular patient who is

that there’s a particular patient who is going to who’s going to need additional

going to who’s going to need additional

going to who’s going to need additional services all of that is a part of what

services all of that is a part of what

services all of that is a part of what we think about in biomedical informatics

we think about in biomedical informatics

we think about in biomedical informatics and for that reason I feel comfortable

and for that reason I feel comfortable

and for that reason I feel comfortable now saying that we are in fact trying to

now saying that we are in fact trying to

now saying that we are in fact trying to fix the problems of healthcare now I say

fix the problems of healthcare now I say

fix the problems of healthcare now I say that and as a department chair I really

that and as a department chair I really

that and as a department chair I really feel strongly that the beginning of that

feel strongly that the beginning of that

feel strongly that the beginning of that project is a pipeline of people who are

project is a pipeline of people who are

project is a pipeline of people who are interested in biomedical informatics and

interested in biomedical informatics and

interested in biomedical informatics and my aspirational goal there is to imagine

my aspirational goal there is to imagine

my aspirational goal there is to imagine aligning the second grader with the

aligning the second grader with the

aligning the second grader with the biomedical informatics person yes you’re

biomedical informatics person yes you’re

biomedical informatics person yes you’re not the only ones who laughed at that so

not the only ones who laughed at that so

not the only ones who laughed at that so when I mentioned it to our faculty one

when I mentioned it to our faculty one

when I mentioned it to our faculty one of the faculty members in our department

of the faculty members in our department

of the faculty members in our department who was a terrific expert in the field

who was a terrific expert in the field

who was a terrific expert in the field himself a computer scientist who started

himself a computer scientist who started

himself a computer scientist who started learning computer science when he was

learning computer science when he was

learning computer science when he was actually in second grade said to me no

actually in second grade said to me no

actually in second grade said to me no one’s going to be interested in this

one’s going to be interested in this

one’s going to be interested in this field it’s incredibly boring

field it’s incredibly boring

field it’s incredibly boring it requires right it requires a lot of

it requires right it requires a lot of

it requires right it requires a lot of knowledge about a lot of different

knowledge about a lot of different

knowledge about a lot of different fields and that’s the kind of thing you

fields and that’s the kind of thing you

fields and that’s the kind of thing you don’t really understand until you’ve

don’t really understand until you’ve

don’t really understand until you’ve essentially become good at one of those

essentially become good at one of those

essentially become good at one of those fields so we challenged that notion in

fields so we challenged that notion in

fields so we challenged that notion in the department and we have a program set

the department and we have a program set

the department and we have a program set up by one of our faculty named Kim unitl

up by one of our faculty named Kim unitl

up by one of our faculty named Kim unitl who has built a high school Scholars

who has built a high school Scholars

who has built a high school Scholars Program and we literally have students

Program and we literally have students

Program and we literally have students coming from Martin Luther King jr.

coming from Martin Luther King jr.

coming from Martin Luther King jr. Hospital or magnet school here in town

Hospital or magnet school here in town

Hospital or magnet school here in town many of you know that school and those

many of you know that school and those

many of you know that school and those students have just finished this year’s

students have just finished this year’s

students have just finished this year’s round of projects and they’re simply

round of projects and they’re simply

round of projects and they’re simply phenomenal projects so we have learned

phenomenal projects so we have learned

phenomenal projects so we have learned from that program that we can in fact

from that program that we can in fact

from that program that we can in fact energize our faculty and high school

energize our faculty and high school

energize our faculty and high school students to begin thinking about a field

students to begin thinking about a field

students to begin thinking about a field as kind of esoteric and complicated but

as kind of esoteric and complicated but

as kind of esoteric and complicated but really impactful as biomedical

really impactful as biomedical

really impactful as biomedical informatics so with that I was really

informatics so with that I was really

informatics so with that I was really determined to think quite a bit smaller

determined to think quite a bit smaller

determined to think quite a bit smaller and to start thinking further and

and to start thinking further and

and to start thinking further and further down that spectrum and one of

further down that spectrum and one of

further down that spectrum and one of the areas that that I’ve been exposed to

the areas that that I’ve been exposed to

the areas that that I’ve been exposed to obviously is medical schools so when I

obviously is medical schools so when I

obviously is medical schools so when I think about what my medicals do

think about what my medicals do

think about what my medicals do school students had dawn friends have

school students had dawn friends have

school students had dawn friends have done to get to medical school it was

done to get to medical school it was

done to get to medical school it was typically stories about the child who

typically stories about the child who

typically stories about the child who had asthma who couldn’t play sports and

had asthma who couldn’t play sports and

had asthma who couldn’t play sports and who learned a lot of things about health

who learned a lot of things about health

who learned a lot of things about health care because that’s where kind of what

care because that’s where kind of what

care because that’s where kind of what he was focused on or the woman in my

he was focused on or the woman in my

he was focused on or the woman in my class who had a relative who had a

class who had a relative who had a

class who had a relative who had a chronic illness and she watched this

chronic illness and she watched this

chronic illness and she watched this person die and made it her life’s

person die and made it her life’s

person die and made it her life’s passion to solve that illness we had a

passion to solve that illness we had a

passion to solve that illness we had a lot of that as a motivator for people to

lot of that as a motivator for people to

lot of that as a motivator for people to go to school but occasionally it was

go to school but occasionally it was

go to school but occasionally it was this guy or someone like this guy I’d

this guy or someone like this guy I’d

this guy or someone like this guy I’d like you to meet professor Donald Coffey

like you to meet professor Donald Coffey

like you to meet professor Donald Coffey who’s no longer with us he died about

who’s no longer with us he died about

who’s no longer with us he died about six years ago he was one of the

six years ago he was one of the

six years ago he was one of the professors at Johns Hopkins where I went

professors at Johns Hopkins where I went

professors at Johns Hopkins where I went to medical school he was actually from

to medical school he was actually from

to medical school he was actually from Tennessee and it showed in lots of ways

Tennessee and it showed in lots of ways

Tennessee and it showed in lots of ways he was incredibly funny but the thing

he was incredibly funny but the thing

he was incredibly funny but the thing about him was he was incredibly

about him was he was incredibly

about him was he was incredibly accessible he was probably one of the

accessible he was probably one of the

accessible he was probably one of the foremost researchers in the field of

foremost researchers in the field of

foremost researchers in the field of prostate cancer and he told a story that

prostate cancer and he told a story that

prostate cancer and he told a story that stuck with me for years and that was the

stuck with me for years and that was the

stuck with me for years and that was the story that he shows in this picture of

story that he shows in this picture of

story that he shows in this picture of the egg he routinely went to elementary

the egg he routinely went to elementary

the egg he routinely went to elementary schools and would talk about science

schools and would talk about science

schools and would talk about science because he himself benefited from people

because he himself benefited from people

because he himself benefited from people like you in the audience we’re gonna

like you in the audience we’re gonna

like you in the audience we’re gonna come back to that who could tell him

come back to that who could tell him

come back to that who could tell him about science and he used to say pretend

about science and he used to say pretend

about science and he used to say pretend that this egg is a cancer cell and

that this egg is a cancer cell and

that this egg is a cancer cell and pretend that that cancer cell is around

pretend that that cancer cell is around

pretend that that cancer cell is around a lot of other eggs that look just like

a lot of other eggs that look just like

a lot of other eggs that look just like it but this is a bad egg and he’d ask

it but this is a bad egg and he’d ask

it but this is a bad egg and he’d ask the students what can we do to actually

the students what can we do to actually

the students what can we do to actually get that bad cancer cell away from all

get that bad cancer cell away from all

get that bad cancer cell away from all the good cancer cells take some paper

the good cancer cells take some paper

the good cancer cells take some paper draw a picture and let’s talk about it

draw a picture and let’s talk about it

draw a picture and let’s talk about it so I am a pediatrician and I can channel

so I am a pediatrician and I can channel

so I am a pediatrician and I can channel my second grade art skills and here they

my second grade art skills and here they

my second grade art skills and here they are and so kids would draw pictures like

are and so kids would draw pictures like

are and so kids would draw pictures like these the first one on the left is I am

these the first one on the left is I am

these the first one on the left is I am going to make a laser and that laser is

going to make a laser and that laser is

going to make a laser and that laser is going to find the exact bad cell blow it

going to find the exact bad cell blow it

going to find the exact bad cell blow it to you know smithereens and then the

to you know smithereens and then the

to you know smithereens and then the other cells are fine

other cells are fine

other cells are fine or the child on the right I’m going to

or the child on the right I’m going to

or the child on the right I’m going to have a magic pill and that magic pill

have a magic pill and that magic pill

have a magic pill and that magic pill when you take it is going to wife is

when you take it is going to wife is

when you take it is going to wife is going to find the bad cancer cell and

going to find the bad cancer cell and

going to find the bad cancer cell and it’s going to kill it and leave all the

it’s going to kill it and leave all the

it’s going to kill it and leave all the other cells completely intact sounds

other cells completely intact sounds

other cells completely intact sounds absolutely crazy and both are now real

absolutely crazy and both are now real

absolutely crazy and both are now real therapies

therapies

therapies okay and so it’s pretty clear that with

okay and so it’s pretty clear that with

okay and so it’s pretty clear that with that kind of empowerment dr. coffee was

that kind of empowerment dr. coffee was

that kind of empowerment dr. coffee was able to get past the sciences boring

able to get past the sciences boring

able to get past the sciences boring idea and get children to do something

idea and get children to do something

idea and get children to do something really quite radical I also had a chance

really quite radical I also had a chance

really quite radical I also had a chance to explore the science fair

to explore the science fair

to explore the science fair programs in the country this is those

programs in the country this is those

programs in the country this is those were pictures from the Google science

were pictures from the Google science

were pictures from the Google science fair

fair

fair by the way Tennessee has a very nice one

by the way Tennessee has a very nice one

by the way Tennessee has a very nice one called the Middle Tennessee Science and

called the Middle Tennessee Science and

called the Middle Tennessee Science and Engineering Fair at Belmont and that

Engineering Fair at Belmont and that

Engineering Fair at Belmont and that those science fairs give kids an

those science fairs give kids an

those science fairs give kids an opportunity starting at age 13 through

opportunity starting at age 13 through

opportunity starting at age 13 through age 18 to talk about an area of interest

age 18 to talk about an area of interest

age 18 to talk about an area of interest to theirs and explore a concept a

to theirs and explore a concept a

to theirs and explore a concept a problem that they want to solve

problem that they want to solve

problem that they want to solve themselves it’s no longer just the

themselves it’s no longer just the

themselves it’s no longer just the volcano like all of us did or you know

volcano like all of us did or you know

volcano like all of us did or you know any of one of the other things that you

any of one of the other things that you

any of one of the other things that you do in science fairs these are big time

do in science fairs these are big time

do in science fairs these are big time science projects and if you can see from

science projects and if you can see from

science projects and if you can see from the titles on this slide right here

the titles on this slide right here

the titles on this slide right here they’re very much in the space of

they’re very much in the space of

they’re very much in the space of Medicine what’s really really compelling

Medicine what’s really really compelling

Medicine what’s really really compelling about this is that these are projects

about this is that these are projects

about this is that these are projects that began in elementary school so I had

that began in elementary school so I had

that began in elementary school so I had a chance to talk with Kenneth shinozuka

a chance to talk with Kenneth shinozuka

a chance to talk with Kenneth shinozuka who was the Google science fair

who was the Google science fair

who was the Google science fair contestant from a few years ago and his

contestant from a few years ago and his

contestant from a few years ago and his topic was called wearable sensors for an

topic was called wearable sensors for an

topic was called wearable sensors for an aging Society and note that he competed

aging Society and note that he competed

aging Society and note that he competed at the age of 15 tenth grade so when we

at the age of 15 tenth grade so when we

at the age of 15 tenth grade so when we got we got together and here are some

got we got together and here are some

got we got together and here are some emails from our conversation and one of

emails from our conversation and one of

emails from our conversation and one of the things he said to me was he actually

the things he said to me was he actually

the things he said to me was he actually started this project when his parents

started this project when his parents

started this project when his parents who were engineers provided an

who were engineers provided an

who were engineers provided an opportunity for him to tinker with

opportunity for him to tinker with

opportunity for him to tinker with sensors and things like that when he was

sensors and things like that when he was

sensors and things like that when he was in kindergarten in first grade and and

in kindergarten in first grade and and

in kindergarten in first grade and and it was informed by the fact that they

it was informed by the fact that they

it was informed by the fact that they had a grandfather who’s shown in this

had a grandfather who’s shown in this

had a grandfather who’s shown in this picture who had Alzheimer’s and who his

picture who had Alzheimer’s and who his

picture who had Alzheimer’s and who his parents were always concerned might fall

parents were always concerned might fall

parents were always concerned might fall and so long story short he developed

and so long story short he developed

and so long story short he developed some sensors those sensors one the

some sensors those sensors one the

some sensors those sensors one the Google science fair in 14 and 14 and

Google science fair in 14 and 14 and

Google science fair in 14 and 14 and he’s gone on to make a small business

he’s gone on to make a small business

he’s gone on to make a small business out of that again project that started

out of that again project that started

out of that again project that started second grade so can a second grader fix

second grade so can a second grader fix

second grade so can a second grader fix healthcare there is no question in my

healthcare there is no question in my

healthcare there is no question in my mind that that is the age where we need

mind that that is the age where we need

mind that that is the age where we need to begin to entrust children with the

to begin to entrust children with the

to begin to entrust children with the problems of healthcare and the

problems of healthcare and the

problems of healthcare and the technologies and solutions that we know

technologies and solutions that we know

technologies and solutions that we know could potentially be applied

could potentially be applied

could potentially be applied so that they can bring that that

so that they can bring that that

so that they can bring that that creative energy together and make that

creative energy together and make that

creative energy together and make that first set of projects that they do not

first set of projects that they do not

first set of projects that they do not just raising a gecko but maybe raising

just raising a gecko but maybe raising

just raising a gecko but maybe raising problems that will ultimately become

problems that will ultimately become

problems that will ultimately become their career so to make a simple acronym

their career so to make a simple acronym

their career so to make a simple acronym for that I use the word yes

for that I use the word yes

for that I use the word yes why is youth sort of youth enabled or

why is youth sort of youth enabled or

why is youth sort of youth enabled or youth friendly knowledge the types of

youth friendly knowledge the types of

youth friendly knowledge the types of books that I read II is empowerment and

books that I read II is empowerment and

books that I read II is empowerment and s is stories so why youth friendly

s is stories so why youth friendly

s is stories so why youth friendly knowledge well one of the hardest parts

knowledge well one of the hardest parts

knowledge well one of the hardest parts of any field like ours and probably many

of any field like ours and probably many

of any field like ours and probably many of the fields represented in this room

of the fields represented in this room

of the fields represented in this room is how do we communicate that in a way

is how do we communicate that in a way

is how do we communicate that in a way that a second grader actually contains

that a second grader actually contains

that a second grader actually contains stays attentive well there’s lots of

stays attentive well there’s lots of

stays attentive well there’s lots of ways to think about that the Fineman

ways to think about that the Fineman

ways to think about that the Fineman technique by a physicist named richard

technique by a physicist named richard

technique by a physicist named richard fineman is one which is begin to learn

fineman is one which is begin to learn

fineman is one which is begin to learn your knowledge in a way that allows you

your knowledge in a way that allows you

your knowledge in a way that allows you to convey it to a five-year-old and you

to convey it to a five-year-old and you

to convey it to a five-year-old and you can read about this but essentially the

can read about this but essentially the

can read about this but essentially the idea is to write out your knowledge

idea is to write out your knowledge

idea is to write out your knowledge write out things you know and that you’d

write out things you know and that you’d

write out things you know and that you’d like to impart and then iterate on that

like to impart and then iterate on that

like to impart and then iterate on that practice more and more getting it to a

practice more and more getting it to a

practice more and more getting it to a point where you think a five-year-old

point where you think a five-year-old

point where you think a five-year-old could understand it talk to a

could understand it talk to a

could understand it talk to a five-year-old or six-year-old and see if

five-year-old or six-year-old and see if

five-year-old or six-year-old and see if you can actually get them to understand

you can actually get them to understand

you can actually get them to understand what you’re talking about and refine

what you’re talking about and refine

what you’re talking about and refine that to a point where you can do it and

that to a point where you can do it and

that to a point where you can do it and that’s the level where we can begin to

that’s the level where we can begin to

that’s the level where we can begin to start explaining the things that go on

start explaining the things that go on

start explaining the things that go on every day to children who might be

every day to children who might be

every day to children who might be interested in STEM education empowerment

interested in STEM education empowerment

interested in STEM education empowerment I think dr. coffee story tells pretty

I think dr. coffee story tells pretty

I think dr. coffee story tells pretty clearly what that’s about

clearly what that’s about

clearly what that’s about you need to be from Tennessee so you

you need to be from Tennessee so you

you need to be from Tennessee so you guys are perfect for that we need to be

guys are perfect for that we need to be

guys are perfect for that we need to be able to highly engage a young group of

able to highly engage a young group of

able to highly engage a young group of people in a topic that may be unfamiliar

people in a topic that may be unfamiliar

people in a topic that may be unfamiliar to them but that can be brought in a way

to them but that can be brought in a way

to them but that can be brought in a way that they find it interesting and we

that they find it interesting and we

that they find it interesting and we need to give them an opportunity to give

need to give them an opportunity to give

need to give them an opportunity to give us solutions to those problems it’s not

us solutions to those problems it’s not

us solutions to those problems it’s not just about us talking

just about us talking

just about us talking it’s about us inviting solutions this is

it’s about us inviting solutions this is

it’s about us inviting solutions this is an example from mine when I was a

an example from mine when I was a

an example from mine when I was a pediatrician I used to always talk about

pediatrician I used to always talk about

pediatrician I used to always talk about pediatrics and when I would go to

pediatrics and when I would go to

pediatrics and when I would go to schools I would talk about the kid that

schools I would talk about the kid that

schools I would talk about the kid that had the roach in their ear and I got

had the roach in their ear and I got

had the roach in their ear and I got everybody’s attention immediately and in

everybody’s attention immediately and in

everybody’s attention immediately and in fact this is these are some pictures

fact this is these are some pictures

fact this is these are some pictures that one of the children’s or some

that one of the children’s or some

that one of the children’s or some children drew years ago when I was in

children drew years ago when I was in

children drew years ago when I was in school the last area here is this idea

school the last area here is this idea

school the last area here is this idea of stories and I think we’ve made pretty

of stories and I think we’ve made pretty

of stories and I think we’ve made pretty clear all day today the

clear all day today the

clear all day today the of story this is a book about octopi

of story this is a book about octopi

of story this is a book about octopi feel free to read it it’s a great book

feel free to read it it’s a great book

feel free to read it it’s a great book it does talk a lot about what I

it does talk a lot about what I

it does talk a lot about what I experienced had I known that book was

experienced had I known that book was

experienced had I known that book was around when I was a kid wasn’t then I

around when I was a kid wasn’t then I

around when I was a kid wasn’t then I would have read that book and those are

would have read that book and those are

would have read that book and those are the types of of opportunities we can use

the types of of opportunities we can use

the types of of opportunities we can use to help children get get excited about

to help children get get excited about

to help children get get excited about the types of work that we might be

the types of work that we might be

the types of work that we might be thinking about are the types of things

thinking about are the types of things

thinking about are the types of things that make us passionate so there is a

that make us passionate so there is a

that make us passionate so there is a big part of this project or this

big part of this project or this

big part of this project or this challenge that requires everyone in this

challenge that requires everyone in this

challenge that requires everyone in this room now you probably are thinking well

room now you probably are thinking well

room now you probably are thinking well I know nothing about biomedical

I know nothing about biomedical

I know nothing about biomedical informatics Kevin except for what you

informatics Kevin except for what you

informatics Kevin except for what you talked about today and that may or may

talked about today and that may or may

talked about today and that may or may not be true I’ll bet you know more than

not be true I’ll bet you know more than

not be true I’ll bet you know more than you think especially after today but I

you think especially after today but I

you think especially after today but I would also say that you know a lot about

would also say that you know a lot about

would also say that you know a lot about the problems of healthcare and that’s

the problems of healthcare and that’s

the problems of healthcare and that’s the other piece of this if you think

the other piece of this if you think

the other piece of this if you think about what we learned from Kenneth or

about what we learned from Kenneth or

about what we learned from Kenneth or what I learned from my medical student

what I learned from my medical student

what I learned from my medical student friends which is exposure to the

friends which is exposure to the

friends which is exposure to the problems of healthcare and exposure to

problems of healthcare and exposure to

problems of healthcare and exposure to ways that you could solve those problems

ways that you could solve those problems

ways that you could solve those problems are the two ingredients we need for a

are the two ingredients we need for a

are the two ingredients we need for a second-grader to fix healthcare so let’s

second-grader to fix healthcare so let’s

second-grader to fix healthcare so let’s try a little experiment how many of you

try a little experiment how many of you

try a little experiment how many of you have had in any way a family member that

have had in any way a family member that

have had in any way a family member that you know that has had Alzheimer’s

you know that has had Alzheimer’s

you know that has had Alzheimer’s disease or some other memory issue just

disease or some other memory issue just

disease or some other memory issue just raise your hands

raise your hands

raise your hands keep them up that might have been enough

keep them up that might have been enough

keep them up that might have been enough for me to make these the point but keep

for me to make these the point but keep

for me to make these the point but keep them up keep them up keep them up how

them up keep them up keep them up how

them up keep them up keep them up how many people here have had exposure in

many people here have had exposure in

many people here have had exposure in any way to a medical error wrong site

any way to a medical error wrong site

any way to a medical error wrong site surgery wrong diagnosis more hands go up

surgery wrong diagnosis more hands go up

surgery wrong diagnosis more hands go up how many people have had in anyway or

how many people have had in anyway or

how many people have had in anyway or know someone who’s had a problem with

know someone who’s had a problem with

know someone who’s had a problem with access to care getting the care you need

access to care getting the care you need

access to care getting the care you need more hands go up how many people have

more hands go up how many people have

more hands go up how many people have had some opportunity to get a medication

had some opportunity to get a medication

had some opportunity to get a medication I mean a test order that was unnecessary

I mean a test order that was unnecessary

I mean a test order that was unnecessary or maybe know that they spent too much

or maybe know that they spent too much

or maybe know that they spent too much on something relative to what ultimately

on something relative to what ultimately

on something relative to what ultimately was the outcome more hands go up and

was the outcome more hands go up and

was the outcome more hands go up and then less do any of us have any problems

then less do any of us have any problems

then less do any of us have any problems with things like I don’t know obesity or

with things like I don’t know obesity or

with things like I don’t know obesity or asthma hypertension so everyone in this

asthma hypertension so everyone in this

asthma hypertension so everyone in this room almost has their hand up and every

room almost has their hand up and every

room almost has their hand up and every one of us has a story that we can tell

one of us has a story that we can tell

one of us has a story that we can tell about our illness

about our illness

about our illness so the challenge at this point is for us

so the challenge at this point is for us

so the challenge at this point is for us to use this yes algorithm youth-friendly

to use this yes algorithm youth-friendly

to use this yes algorithm youth-friendly knowledge empowerment stories to begin

knowledge empowerment stories to begin

knowledge empowerment stories to begin educating the youth of the day get to

educating the youth of the day get to

educating the youth of the day get to schools help them understand what

schools help them understand what

schools help them understand what healthcare problems are about teach them

healthcare problems are about teach them

healthcare problems are about teach them about some of this

about some of this

about some of this Lucian’s Linda Miller who is vice of

Lucian’s Linda Miller who is vice of

Lucian’s Linda Miller who is vice of who’s the assistant principal at Martin

who’s the assistant principal at Martin

who’s the assistant principal at Martin Luther King shared these words for us

Luther King shared these words for us

Luther King shared these words for us about this sometimes second grader see

about this sometimes second grader see

about this sometimes second grader see things that we as wise adults miss if we

things that we as wise adults miss if we

things that we as wise adults miss if we neglect to inspire the second grader to

neglect to inspire the second grader to

neglect to inspire the second grader to use and to further develop the critical

use and to further develop the critical

use and to further develop the critical thinking skills we need then healthcare

thinking skills we need then healthcare

thinking skills we need then healthcare declines as well as the rest of the

declines as well as the rest of the

declines as well as the rest of the world so thank you all very much for

world so thank you all very much for

world so thank you all very much for listening

listening

listening [Applause]

”

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